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1

Woman's Hour  

NSDL National Science Digital Library

As its website proclaims, the "Woman's Hour" on BBC Radio is designed for the purpose of "celebrating, informing and entertaining women." As part of a larger set of sites dedicated to like-minded resources for women from the BBC's Radio 4, this particular program tackles a number of germane subjects, including relationships, health, politics, and cooking. One of the definitive highlights is the drama section, where visitors can listen to radio versions of plays such as "The Reef" by Edith Wharton. Visitors can listen to the current edition of Woman's Hour, or elect to listen to previous programs from the same week. Guests are also invited to send in their own comments on timely topics and also offer their input on a series of moderated message boards.

2

Woman: Yesterday, Today, Tomorrow.  

ERIC Educational Resources Information Center

This booklet on the status of women, aimed at raising the consciousness of female college students, provides an orientation to feminism and references for further pursuit of the areas covered in the following sections. "On Woman and Her Role" sets the stage with selected quotations, expressing conflicting views of woman's role. "What It Is All…

Reinfeld, Patricia M.

3

The Black Woman's Burden  

ERIC Educational Resources Information Center

Not even the first lady of the most powerful nation in the world is immune to stereotypes that have plagued Black women since first setting foot on American soil. Stereotypes of being the "angry Black woman" and curiosity about differences in appearance still persist from the academy to 1600 Pennsylvania Ave. As African-American women rise in…

Hayes, Dianne

2012-01-01

4

The Woman's Building  

NSDL National Science Digital Library

In the 1970s, the Woman's Building in Los Angeles was a pivotal locus of activity for the feminist art movement. This website brings that history to life, providing information about its history, programs, projects, and the women behind the vision. A great place to start is with the History section which details the history of this important structure from its opening in 1973. Visitors will also find a photographic essay here that illuminates some of the work that has been housed within its walls. Moving on, the People section offers a bit of historical perspective on the women who founded the Woman's Building, including Judy Chicago and Sheila de Bretteville. The site is rounded out by the Programs area which features a listing of various seminars, exhibits, and lectures that took place on site.

5

Feederism in a woman.  

PubMed

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

Terry, Lesley L; Vasey, Paul L

2011-06-01

6

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...

7

Bone Woman: poetry and fictions  

E-print Network

: English BONK WOMAN: POETRY AND FICTIONS A Thesis by TRIA ELLEN AIRHEART-MARTIN Submitted to Texas ARM University in partial fulfillment of the requirements for the degree of MASTER OF ARTS Approved as to style and content by: Paul Christensen.... , Texas ARM University Chair of Advisory Committee: Dr. Paul Christensen This creative thesis is a collection of poetry and short fiction. The Native American legend of Bone Woman is explored as an analogy for the creative process; the author's works...

Airheart-Martin, Tria Ellen

1997-01-01

8

Every Woman's Right to Learn  

ERIC Educational Resources Information Center

As people celebrate the 100th anniversary of International Women's Day this year, NIACE has organised an event, "Every woman's right to learn," that will offer an opportunity for educators and learners to celebrate women's progress and achievements in and through learning, to find one's hopes and aspirations for the future and work collaboratively…

Ward, Jane; Turner, Cheryl; Watts, Jane; Eldred, Jan

2011-01-01

9

The DOSIS and DOSIS 3D Experiments onboard the International Space Station - Results from the Active DOSTEL Instruments  

NASA Astrophysics Data System (ADS)

Besides the effects of the microgravity environment, and the psychological and psychosocial problems experienced in confined spaces, radiation is the main health detriment for long duration 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 present 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. For the investigation of the spatial and temporal distribution of the radiation field inside the European COLUMBUS module the experiment DOSIS (Dose Distribution Inside the ISS) under the lead of DLR was launched on July 15th 2009 with STS-127 to the ISS. The experimental package was transferred from the Space Shuttle into COLUMBUS on July 18th. It consists of a combination of passive detector packages (PDP) distributed at 11 locations inside the European Columbus Laboratory and two active radiation detectors (DOSTELs) with a DDPU (DOSTEL Data and Power Unit) in a nomex pouch (DOSIS MAIN BOX) mounted at a fixed location beneath the European Physiology Module rack (EPM) inside COLUMBUS. The DOSTELs measured during the lowest solar minimum conditions in the space age from July 18th 2009 to June 16th 2011. In July 2011 the active hardware was transferred to ground for refurbishment and preparation for the DOSIS-3D experiment. The hardware will be launched with the Soyuz 30S flight to the ISS on May 15th 2012 and activated approximately ten days later. Data will be transferred from the DOSTEL units to ground via the EPM rack which is activated approximately every four weeks for this action. First Results for the active DOSIS-3D measurements such as count rate profiles, dose rates and LET spectra will be presented in comparison to the data of the DOSIS experiment as well as the DOSMAP experiment which has been performed during solar maximum in 2001.

Burmeister, Soenke; Berger, Thomas; Reitz, Guenther; Beaujean, Rudolf; Boehme, Matthias; Haumann, Lutz; Labrenz, Johannes; Kortmann, Onno

2012-07-01

10

Woman's Legal History Biography Project  

NSDL National Science Digital Library

Developed by Professor Barbara Babcock at Stanford University's Law School (and the staff at the Robert Crown Law Library), this website is intended to serve as an online resource for "all who are interested in the subject of women lawyers in the United States." Working with her students and others, Professor Babcock has created an index of women lawyers; and for each entry, attached pertinent documents that are both historical and contemporary. The index includes such well-known names as Sandra Day O'Connor and others that may not be immediately recognizable to the casual visitor. Along with this index, there is an entire section devoted to the woman who started the entire project: Clara Shortridge Foltz. Foltz was the first female lawyer on the Pacific Coast (arriving from Indiana in 1878), and she kept an extensive career scrapbook, along with penning numerous letters and writing a draft of her autobiography before she died. In this section, visitors can read some of the numerous articles and speeches that Professor Babcock has authored or delivered on Foltz and her legacy. For those interested in additional works on the subject of women lawyers, there is an extensive bibliography of germane articles offered here as well.

Babcock, Barbara

11

Long term dose monitoring onboard the European Columbus module of the International Space Station (ISS) in the frame of the DOSIS and DOSIS 3D project  

NASA Astrophysics Data System (ADS)

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 present 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. For the investigation of the spatial and temporal distribution of the radiation field inside the European Columbus module the experiment “Dose Distribution Inside the ISS” (DOSIS), under the project and science lead of the German Aerospace Center (DLR), was launched on July 15th 2009 with STS-127 to the ISS. The DOSIS experiment consists of a combination of “Passive Detector Packages” (PDP) distributed at eleven locations inside Columbus for the measurement of the spatial variation of the radiation field and two active Dosimetry Telescopes (DOSTELs) with a Data and Power Unit (DDPU) in a dedicated nomex pouch mounted at a fixed location beneath the European Physiology Module rack (EPM) for the measurement of the temporal variation of the radiation field parameters. The DOSIS experiment suite measured during the lowest solar minimum conditions in the space age from July 2009 to June 2011. In July 2011 the active hardware was transferred to ground for refurbishment and preparation for the follow up DOSIS 3D experiment. The hardware for DOSIS 3D was launched with Soyuz 30S to the ISS on May 15th 2012. The PDPs are replaced with each even number Soyuz flight starting with Soyuz 30S. Data from the active detectors is transferred to ground via the EPM rack which is activated once a month for this action. The presentation will give an overview of the DOSIS and DOSIS 3D experiment and focus on the results from the passive radiation detectors from the DOSIS 3D experiment (2012 - 2014) in comparison to the data of the DOSIS experiment (2009 - 2011). The Polish contribution was supported by the National Science Centre (No DEC-2012/06/M/ST9/00423). The CAU contributions to DOSIS and DOSIS 3D are financially supported by BMWi under Grants 50WB0826, 50WB1026 and 50WB1232.

Berger, Thomas

12

Quimioterapia de alta dosis prolonga en forma significativa la supervivencia en pacientes con leucemia mieloide aguda  

Cancer.gov

Los resultados preliminares de un estudio clínico grande con asignación al azar de pacientes de 16 a 60 años de edad con leucemia mieloide aguda (LMA), un cáncer de la sangre y de la médula ósea, que no había sido tratada anteriormente, muestran que los pacientes que recibieron una alta dosis de daunorrubicina, un fármaco de quimioterapia disponible comercialmente, durante la terapia inicial vivieron más que los pacientes que recibieron una dosis normal del mismo fármaco.

13

My Doctoral Journey: A Chinese Woman's Struggles  

Microsoft Academic Search

Now that the author has finished her doctoral thesis in social welfare but has not yet taken her oral examination, she wants to share the experience of her struggles in the past 3 years of nonstop studying. The completion of her studies motivated her to reveal her experiences as a Chinese woman who had been a housewife for 6 years

Zenobia C. Y. Chan

2003-01-01

14

From College Girl to Working Woman.  

ERIC Educational Resources Information Center

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…

Cowan, Susan

15

Leiomyosarcoma uteri in a white woman.  

PubMed

Sarcoma of the corpus uteri should be considered as a differential diagnosis in postmenopausal women presenting with severe abdominal pain, thought to be due to degenerative changes of leiomyoma uteri. We present a rare case of leiomyosarcoma in a postmenopausal White woman. Diagnosis was missed preoperatively for degenerating uterine fibroid. PMID:20418648

Adesiyun, A G; Samaila, M O A

2010-01-01

16

Renaissance Woman: A Portrait of Carolyn Brodie  

ERIC Educational Resources Information Center

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,…

Kenney, Brian

2008-01-01

17

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

ERIC Educational Resources Information Center

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…

Mendoza, Sylvia

2011-01-01

18

Sherry Red Owl, Stands at Dawn Woman  

ERIC Educational Resources Information Center

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,…

Crazy Bull, Cheryl

2014-01-01

19

[A woman with acute upper abdominal pain].  

PubMed

A 42-year-old woman came to the emergency department with acute abdominal pain. CT-scan showed an isolated dissection of the A. mesenterica superior and signs of ischaemic colitis. The patient was treated with endovascular stent placement in the artery and partial small bowel resection. PMID:21771373

Urlings, Thijs A J; van Weel, Vincent; van der Linden, Edwin

2011-01-01

20

Grass Woman Stories. Blackfeet Heritage Program.  

ERIC Educational Resources Information Center

During her lifetime Mary Ground, whose Indian name is Grass Woman, has experienced extreme changes in the life of Blackfeet Indians. Born in 1883, she remembers the travois and teepee days as well as the change to reservation life when the reservation was a fenced compound patrolled by the U.S. military. She has seen the decline in the use of…

Ground, Mary

21

Carrie Chapman Catt and Woman Suffrage.  

ERIC Educational Resources Information Center

Most of the material for this issue of the "Goldfinch," which explores the life of Carrie Chapman Catt, came from the archives of the State Historical Society of Iowa. Carrie Chapman Catt (1859-1947) was an Iowan who advocated woman suffrage and spent 26 years actively working for that cause. The issue contains a biography of Catt, and information…

Hardesty, Carolyn, Ed.

1989-01-01

22

Treatment of Tularemia in Pregnant Woman, France  

PubMed Central

A pregnant woman who had oropharyngeal tularemia underwent treatment with azithromycin and lymph node resection and recovered without obstetrical complication or infection in the child. Azithromycin represents a first-line treatment option for tularemia during pregnancy in regions where the infecting strains of Francisella tularensis have no natural resistance to macrolides. PMID:23735285

Dentan, Charlotte; Pavese, Patricia; Pelloux, Isabelle; Boisset, Sandrine; Brion, Jean-Paul; Stahl, Jean-Paul

2013-01-01

23

The Black Woman Cross-Culturally.  

ERIC Educational Resources Information Center

This is a collection of anthropological and sociological articles on the black woman. Essays cover the experiences of black women in Africa, the Caribbean, South America, and the United States in politics, business, the community, the arts, the family, and social change. Several themes are present throughout this anthology, including black women's…

Steady, Filomina Chioma, Ed.

24

Garbhini Paricharya (Regimen for the pregnant woman)  

PubMed Central

Ayurveda considers food to be the best source of nourishment as well as medication for the pregnant woman. The nine monthly diet is singularly unique to Ayurveda. It changes in accordance with the growth of the fetus in the womb and at the same time ensures health of the mother. One can find remnants of this dietics with midwives and older women, but a detailed and comprehensive diet plan is being practiced only by the vaidyas of the classical medical tradition. In this paper we are giving a broad expanse of the month wise diet, which can be modified according to the age, season, place, constitution and the digestive fire of the pregnant woman. PMID:22557296

Koppikar, Vaidya S

2008-01-01

25

Idiopathic Proximal Hemimegacolon in an Adult Woman  

PubMed Central

Idiopathic proximal hemimegacolon is a disorder characterized by bowel dilatation proximal to the splenic flexure. It is a very rare and therefore a poorly understood clinical entity. This report describes a case of idiopathic proximal hemimegacolon in a 44-year-old woman. The patient suffered from 2 episodes of constipation and bowel dilatation over 4 years and was successfully treated by medical therapy. PMID:20535353

Noh, Jung Won; Son, Seo Young; Ok, Chang Soo; Lee, Gayeon; Min, Byung-Hoon

2010-01-01

26

Well-woman Clinic in General Practice  

Microsoft Academic Search

During a four-year period 1,169 women attended a well-woman clinic in a group practice. Eight positive smears were detected, together with one case of breast carcinoma, 94 cases of anaemia, and a number of other abnormalities. The clinic is part of a practice cervical-screening programme aimed at regular tests for women in the practice aged between 25 and 64. Patients

B. E. P. Wookey

1971-01-01

27

Substance Abuse and Woman Abuse by Male Partners  

Microsoft Academic Search

associated in the public's mind, so much so that many people believe the use of substances is a direct cause of woman abuse. Others view substance use as a risk factor which, while not a direct cause, may increase the frequency or severity of woman abuse. Still others believe substance abuse and woman abuse are separate issues, and any apparent

Larry W. Bennett

1998-01-01

28

The Ideal Man and Woman According to University Students  

ERIC Educational Resources Information Center

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…

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

2009-01-01

29

The 2D- J-DOSY Experiment: Resolving Diffusion Coefficients in Mixtures  

NASA Astrophysics Data System (ADS)

Many diffusion- ordered spectroscop y (DOSY) NMR techniques have recently been developed to aid in the deconvolution of complex mixtures. Spectroscopic separation based on chemical and physical properties facilitates the identification of mixture components while eliminating time-consuming separation steps and preserving the chemical environment. One way to improve resolution in such experiments is to spread the spectroscopic information into two dimensions. The 2D- J-DOSY experiment has been designed to resolve mixture components in terms of a chemical shift and proton coupling constant as well as distinguishing them on the basis of translational diffusion. Acquiring a series of spectra as a function of gradient amplitude permits the determination of diffusion coefficients for components that cannot be resolved in the one-dimensional (1D) 1H NMR spectrum. Comparison of the resulting values with those obtained through the traditional 1D diffusion experiment for a mixture of sugars validates The 2D- J-DOSY technique.

Lucas, Laura H.; Otto, William H.; Larive, Cynthia K.

2002-05-01

30

Hypopharyngeal cancer in a pregnant woman.  

PubMed

Cancer in pregnant women is a very difficult clinical condition that profoundly affects patients and their families, as well as the medical staff who provide their care. Diagnostic and therapeutic decisions must balance adequate treatment and fetal risk. In developed societies, cancer in pregnant women has become more common during the last 30 years because of an increase in the number of relatively older women who give birth. The most common malignancies in pregnant women are melanoma; lymphoma; leukemia; and breast, cervical, ovarian, gastrointestinal, and genitourinary cancers. Cancer of the head and neck in pregnant patients is very rare. In this article, we describe a rare case of advanced squamous cell carcinoma of the hypopharyngeal area in a young pregnant woman, and we discuss the diagnosis and treatment of cancers of the head and neck in pregnant patients. PMID:21658809

Kansu, Leyla; Aydin, Erdinc

2012-01-01

31

The contraception needs of the perimenopausal woman.  

PubMed

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

Hardman, Sarah M R; Gebbie, Ailsa E

2014-08-01

32

[Cystic fibrosis in a woman aged seventy].  

PubMed

A seventy-year-old woman was admitted to hospital with a Staphylococcus aureus respiratory tract infection. She had a history of extensive bronchiectasis and allergic bronchopulmonary aspergillosis (ABPA). Cystic fibrosis (CF) was suspected and cystic fibrosis transmembrane conductance regulator (CFTR) gene analysis showed F508del and R117H-7T mutations. In these mutations there is residual activity in the chloride channel in the cell membrane coded by the CFTR gene. This results in a much milder disease pattern varying from no disease at all to isolated organ disease. This type of disease is known as non-classical cystic fibrosis. In our patient the diagnosis of cystic fibrosis was made exceptionally late in life. PMID:20619026

Ras, Janneke E; van Velzen, Edwin; van Berkhout, Ferdinand Teding; van den Brand, Joop J G

2010-01-01

33

Michael Sandle RA (b.1936) Woman for Heidelberg.  

E-print Network

Michael Sandle RA (b.1936) Woman for Heidelberg. Bronze, 1987 Business School Garden Sandle's Woman of a microphone held by an interviewer. Whether this is benign or threatening is for each of us to judge. Michael contrast, at the West Gate you will find Sir Eduardo Paolozzi's Faraday made in 2000 to mark the University

Birmingham, University of

34

Woman-Centered Maternity Nursing Education and Practice  

PubMed Central

The purpose of this Heideggerian phenomenological study was to uncover the meanings of the clinical experiences of registered nurses working in maternity settings after they studied maternity nursing from a woman-centered, feminist perspective in a generic baccalaureate nursing program. Purposeful sampling was conducted to locate and recruit nurses who had graduated from this nursing program between the December 1996 and December 1998 semesters and were currently working in a maternal-newborn clinical setting. Each participant had taken the required woman-centered, maternity-nursing course during her/his undergraduate education. Data collection included an individual, open-ended interview that focused on the nurses' descriptions of their everyday practices as maternity nurses. Nineteen maternal-newborn nurses between the ages of 23 and 43 years who had been in practice from six months to three years were interviewed. The constitutive patterns identified from the interviews were: “Otherness,” “Being and Becoming Woman-Centered,” and “Tensions in Practicing Woman-Centered Care.” Findings revealed that the nurses had a raised awareness of oppressive maternity care practices and applied ideology of woman-centeredness as a framework for providing more humanistic care. Creating woman-centered maternity care meant negotiating tensions and barriers in medically focused maternity settings and looking for opportunities for advocacy and woman-empowerment. The barriers the nurses faced in implementing woman-centered care exposed limitations to childbearing choices and nursing practices that remain problematic in maternity care. PMID:17273327

Giarratano, Gloria

2003-01-01

35

Characterization of heroin samples by 1H NMR and 2D DOSY 1H NMR.  

PubMed

Twenty-four samples of heroin from different illicit drug seizures were analyzed using proton Nuclear Magnetic Resonance ((1)H NMR) and two-dimensional diffusion-ordered spectroscopy (2D DOSY) (1)H NMR. A careful assignment and quantification of (1)H signals enabled a comprehensive characterization of the substances present in the samples investigated: heroin, its main related impurities (6-acetylmorphine, acetylcodeine, morphine, noscapine and papaverine) and cutting agents (caffeine and acetaminophen in nearly all samples as well as lactose, lidocaine, mannitol, piracetam in one sample only), and hence to establish their spectral signatures. The good agreement between the amounts of heroin, noscapine, caffeine and acetaminophen determined by (1)H NMR and gas chromatography, the reference method in forensic laboratories, demonstrates the validity of the (1)H NMR technique. In this paper, 2D DOSY (1)H NMR offers a new approach for a whole characterization of the various components of these complex mixtures. PMID:24378299

Balayssac, Stéphane; Retailleau, Emmanuel; Bertrand, Geneviève; Escot, Marie-Pierre; Martino, Robert; Malet-Martino, Myriam; Gilard, Véronique

2014-01-01

36

Formula Weight Prediction by Internal Reference Diffusion-Ordered NMR Spectroscopy (DOSY)  

PubMed Central

Formula weight information is important to characterize the composition, aggregation number, and solvation state of reactive intermediates and organometallic complexes. We describe an internal reference correlated DOSY method for calculating the FW of unknown species in different solvents with different concentrations. Examples for both the small molecule (DIPA) and the organometallic complex (aggregate 1) yield excellent correlations. We also found the relative diffusion rate is inversely proportional to the viscosity change of the solution, which is consistent with the theoretical Stokes-Einstein equation. The accuracy of the least square linear prediction r2 and the percentage difference of FW prediction are directly related to the density change; greater accuracy was observed with decreasing density. We also discuss the guidelines and other factors for successful application of this internal reference correlated DOSY method. This practical method can be conveniently modified and applied to the characterization of other unknown molecules or complexes. PMID:19323518

Li, Deyu; Kagan, Gerald; Hopson, Russell; Williard, Paul G.

2009-01-01

37

Long term dose monitoring onboard the European Columbus module of the international space station (ISS) in the frame of DOSIS and DOSIS 3D project - results from the active instruments  

NASA Astrophysics Data System (ADS)

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 duration 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. For the investigation of the spatial and temporal distribution of the radiation field inside the European COLUMBUS module the experiment DOSIS (Dose Distribution Inside the ISS) under the lead of DLR has been launched on July 15 (th) 2009 with STS-127 to the ISS. The experimental package was transferred from the Space Shuttle into COLUMBUS on July 18 (th) . It consists of a combination of passive detector packages (PDP) distributed at 11 locations inside the European Columbus Laboratory and two active radiation detectors (Dosimetry Telescopes = DOSTELs) with a DDPU (DOSTEL Data and Power Unit) in a Nomex pouch (DOSIS MAIN BOX) mounted at a fixed location beneath the European Physiology Module rack (EPM) inside COLUMBUS. The active components of the DOSIS experiment were operational from July 18 (th) 2009 to June 16 (th) 2011. After refurbishment the hardware has been reactivated on May 15 (th) 2012 as active part of the DOSIS 3D experiment and provides continuous data since this activation. The presentation will focus on the latest results from the two DOSTEL instruments as absorbed dose, dose equivalent and the related LET spectra gathered within the DOSIS (2009 - 2011) and DOSIS 3D (2012 - 2014) experiment. The CAU contributions to DOSIS and DOSIS 3D are financially supported by BMWi under Grants 50WB0826, 50WB1026 and 50WB1232

Burmeister, Soenke; Berger, Thomas; Reitz, Guenther; Boehme, Matthias; Haumann, Lutz; Labrenz, Johannes

38

Literacy -- one woman at a time.  

PubMed

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

1996-01-01

39

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

PubMed

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

Ferrazza, Ruggero; Rossi, Barbara; Guella, Graziano

2014-06-26

40

Supraspinatus rupture at the musculotendinous junction in a young woman.  

PubMed

The vast majority of rotator cuff tears occur within the tendon or as an avulsion from the greater tuberosity. Supraspinatus injury at the musculotendinous junction is a very uncommon event. We describe a case of supraspinatus rupture at the musculotendinous junction, with successful conservative treatment. It occurred in a 23-year-old woman, the youngest patient with this uncommon type of injury. To our knowledge, this is the first case of rupture of the supraspinatus muscle at the musculotendinous junction in a young woman and the second in a woman. PMID:24292386

Benazzo, Francesco; Marullo, Matteo; Pietrobono, Luigi

2014-09-01

41

The older woman: beyond the stereotype.  

PubMed

During 1975-2025 the population aged over 60 years is expected to increase by 225%, of whom almost 50% will be "old old" or aged over 70 years. Females are expected be the dominant gender among the aged. Over 70% of the aged in 2025 are expected to live in developing countries. Elderly women are faced with health care cost and psychological changes from isolation or institutional impacts from job loss or lack of appropriate skills for the job market. Women tend to remain active in the informal sector. Public discussion of the issues of the elderly is more likely in industrialized countries. Few studies focus on differences in the aging experience of women compared to men. The issues of aging are viewed in this article as a development issue and a women's issue. The UN Mexico City Conference was the first time that the older woman as an issue, even though a small one, was on the international agenda. The second women's conference in Copenhagen called for an emphasis on older women. The 1982 Vienna Plan of Action made one recommendation out of 62 on the inequities of older women. The 1985 women's conference in Nairobi established that aging was a developmental stage in the life cycle. Since 1985, older women have received inclusion in all development strategies and programs and recognition by numerous UN groups. 1999 will be commemorated as the International Year of Older Persons. At that time a review will be complete of the International Plan of Action on Aging. INSTRAW and the UN Commission of Social Development recently released their report on the conditions of older women based on baseline data on age and sex. Some of the findings are summarized in this article. Trends reflect that the elderly are living alone in developed countries and in extended families in developing countries. Culture is a factor affecting living arrangements. Marital ties are the key factor for women's social and economic well-being. Men are more likely to remarry at older ages. Family structure changes have reduced social supports. Older women in developing countries are handicapped by illiteracy and lack of job skills and pensions. Competition for jobs may force women into retirement, even though the best option is productive work for older, able-bodied women. PMID:12346927

1995-01-01

42

Lymphedema: What Every Woman with Breast Cancer Should Know  

MedlinePLUS

... saved articles window. My Saved Articles » My ACS » Lymphedema: What Every Woman With Breast Cancer Should Know ... for breast cancer may be at risk for lymphedema in the arm, breast, and chest. Here we ...

43

[An encumbered woman, a case of Diogenes syndrome].  

PubMed

One of the most visible symptoms of Diogenes syndrome is the excessive hoarding of disparate objects in the home of the patient. This article describes an attempt to treat an "encumbered" woman. PMID:25095590

Djemaï, Messaoud

2014-01-01

44

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

E-print Network

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 assert that the recurring...

Day, Danya Rhae

2009-05-15

45

The "Education" of the Indian Woman against the Backdrop of the Education of the European Woman in the Nineteenth-Century  

ERIC Educational Resources Information Center

The essay discusses the role and education of the women of India, with special reference to the women of Bengal during the nineteenth-century and a comparison is made between the education of the Indian woman and the education of the European woman during this era. The education of the Indian woman is also referenced against the backdrop of the…

Peacock, Sunita

2009-01-01

46

Un estudio de los Institutos Nacionales de la Salud indica que dos dosis de vacuna contra los VPH pueden proteger tanto como el tratamiento completo  

Cancer.gov

Dos dosis de Cervarix, la vacuna contra virus del papiloma humano (VPH), fueron tan efectivas como la pauta normal actual de tres dosis después de cuatro años de seguimiento. El estudio de vacuna en Costa Rica, patrocinado por el NCI, fue diseñado para evaluar la eficacia de Cervarix en una población determinada.

47

Silent Partners: Actor and Audience in Geese Theatre's "Journey Woman"  

ERIC Educational Resources Information Center

This essay considers the performance context and aesthetics of "Journey Woman", a play devised to initiate a week-long rehabilitative groupwork programme for female prisoners. Although Geese Theatre UK are one of the country's longest-established companies specialising in drama work within the criminal justice sector, this 2006 piece is their…

Bottoms, Stephen

2010-01-01

48

[A 37-year-old woman with anogenital warts].  

PubMed

A 37-year-old woman, who had been suffering from Crohn's disease since twenty-two years, visited our dermatology outpatient clinic with complaints of wart-like lesions in the vulvar and perianal regions. On physical examination, nodules, plaques and tumours were seen. Histological examination showed features compatible with Crohn's disease. The diagnosis metastatic Crohn's disease was made. PMID:24893818

Vos, Marlieke J; Hamoen, Karen E; Loots, Miriam A M

2014-01-01

49

Picasso's Guitar and Weeping Woman Cubism is a 20th  

E-print Network

(1937). Tate Gallery, London. Picasso's Guernica (1937). Museo Reina Sofia, Madrid #12;Picasso's Guitar and Weeping Woman Cubism is a 20th century avant-garde art movement and music. Its pioneers included Pablo Picasso, Paul Cézanne and Georges Braque. Influenced by primitivism

O'Laughlin, Jay

50

Pandemic (H1N1) 2009 Encephalitis in Woman, Taiwan  

PubMed Central

We report an unusual case of pandemic (H1N1) 2009–related encephalitis in an immunocompetent woman. Although rare cases of pandemic (H1N1) 2009 associated with encephalitis have been reported previously, in this patient, direct viral invasion of the central nervous system was shown by simultaneous detection of viral RNA and pleocytosis. PMID:22000373

Cheng, Aristine; Kuo, Kuei-Hong

2011-01-01

51

Severe eosinophilic cystitis in a woman with anorexia nervosa.  

PubMed

Eosinophilic cystitis is a rare inflammatory disorder. It is considered to be self limiting necessitating only supportive therapy. Surgical intervention is unusual. We report here an association between eosinophilic cystitis and anorexia nervosa in an adult woman requiring radical surgery for progressive relentless disease. Estrogen deficiency associated with a possible allergic etiology could explain this association. PMID:16903946

Philip, Joe; Ali, Faisal Sm; Zakhour, Hani D; Parr, Nigel J

2006-08-01

52

[Acute occlusion with fever in a Tunisian woman].  

PubMed

The purpose of this report is to describe a case of idiopathic segmental infarction of the great omentum, in a Tunisian woman, who presented with acute right hypchondrial pain simulating cholecystitis. Abdominal CT scan is the modality of choice. If symptoms resist medical treatment or complications occur, laparoscopic excision is the best therapeutic technique. PMID:21695883

Abid, M; Ben Amar, M; Trabelsi, A; Mzali, R K; Boujelben, S; Frikha, M F; Beyrouti, M I

2011-04-01

53

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

ERIC Educational Resources Information Center

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)

Revere, Amie B.

1989-01-01

54

Case Report Alendronate-induced Esophagitis in an Elderly Woman  

Microsoft Academic Search

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

Victoria Gómez; Shu-Yuan Xiao

55

Claiming control: The recovering alcoholic woman and leisure  

Microsoft Academic Search

Neither the relationship between drinking and leisure throughout an alcoholic person's life course nor the influence of alcohol on a woman's leisure has been extensively systematically studied. The purpose of this project was to explore and describe leisure for recovering alcoholic women who were progressing to long?term sobriety. The data from nine in?depth interviews were analyzed within themes: How being

Karla A. Henderson; Judy M. Gardner

1996-01-01

56

Woman in the ivory tower : Gendering feminised and masculinised identities  

Microsoft Academic Search

Purpose – To challenge dualistic concepts of masculinity and femininity via a case for understanding gender as a verb. Design\\/methodology\\/approach – Using Deleuzian and feminist frameworks, the paper appraises six plateaus of desire and intensity through which gendered identities are assembled and re-assembled in binary terms. The case study approach highlights the positioning and repositioning of a woman whose leadership

Joan Eveline

2005-01-01

57

Capnocytophaga canimorsus Prosthetic Aortitis in an HIV-Positive Woman  

PubMed Central

A 49-year-old woman with a 15-year history of HIV-hepatitis C virus coinfection had aortic valve and ascending aorta replacement in 2007. She presented with abdominal pain, episodic diarrhea, and profuse sweating in 2010. Thoracoabdominal positron emission tomography-computed tomography finally suggested infectious aortitis, a diagnosis confirmed by a blood culture positive for Capnocytophaga canimorsus. PMID:23698520

Ratib, Osman; Wintsch, Joëlle; Hirschel, Bernard

2013-01-01

58

Different Ways to Hurt: An Elderly Woman's Narrative of Suffering  

Microsoft Academic Search

This article presents and interprets the case study of an elderly woman's story of suffering. It results from interviews conducted with African-American and Caucasian men and women, aged 70 and above, concerning their personal definitions, attributions, and theories about suffering. Elders' experiences of suffering were examined under the rubrics of gerontology, narrative, and religious studies. Key themes offered in this

Helen K. Black

2002-01-01

59

Woman Suffrage and the 19th Amendment. Teaching with Documents.  

ERIC Educational Resources Information Center

Beginning in the mid-19th century, several generations of woman suffrage supporters lectured, wrote, marched, lobbied, and practiced civil disobedience to achieve what many people considered a radical change in the U.S. Constitution. Militant suffragists used tactics such as parades, silent vigils, and hunger strikes. In 1870 the 15th amendment to…

National Archives and Records Administration, Washington, DC.

60

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

ERIC Educational Resources Information Center

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.…

American Association of Retired Persons, Washington, DC.

61

Surgery brings 500-pound woman hope By COURTNEY PERKES  

E-print Network

Surgery brings 500-pound woman hope By COURTNEY PERKES 2013-12-11 12:17:19 In the rare times when underwent the first of two surgeries at UCI Medical Center that she hopes will enable her to live long, Garcia's doctors told her she needed to undergo weight-loss surgery. After a surgeon near Garcia's home

Stanford, Kyle

62

Longevity of a Woman with Down Syndrome: A Case Study.  

ERIC Educational Resources Information Center

This case study of an 83-year-old woman with Down syndrome suggests she is the longest surviving person with the condition. Also noted is the lack of decline in mental function and performance of activities of daily living despite the apparently universal presence of the neuropathologic changes of Alzheimer's disease in persons with Down syndrome…

Chicoine, Brian; McGuire, Dennis

1997-01-01

63

A Mexicana Woman's Education in 1980s Chicago  

ERIC Educational Resources Information Center

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…

Rivera, Angelica

2012-01-01

64

Epiploic appendagitis in a 24-year-old woman  

Microsoft Academic Search

Epiploic appendagitis is a very rare condition that results from acute inflammation of an appendix epiploica. We report a case involving a 24-year-old woman who presented to the emergency department with abdominal pain localized to the left lower quadrant. The patient was diagnosed with epiploic appendagitis, which was confirmed through findings obtained from a contrast-study computed tomography of the abdomen.

Juan G Bastidas; Laura E Danzy; Lea Blackwell; Robert Hayden; Peter J Bostick

2008-01-01

65

The Case of Ruth James A Woman in Excellent Health  

NSDL National Science Digital Library

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.

Christine M. Catney

1999-01-01

66

A woman's place in hotel management: upstairs or downstairs?  

Microsoft Academic Search

Purpose – The purpose of this paper is to ask whether it is the notion of choice (a pro-life work\\/life balance decision) that influences woman's desire to strive for promotion within a hotel organisation or is the choice made for female managers by a system of organisational processes. Design\\/methodology\\/approach – This research within an international hotel group in Australia and

Shelagh Mooney; Irene Ryan

2009-01-01

67

Enforced Pregnancy, Rape, and the Image of Woman  

E-print Network

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...

Cudd, Ann E.

1990-01-01

68

Persistent erythematous plaque after minor trauma in an immunocompromised woman.  

PubMed

Scedosporium apiospermum is a ubiquitous soil fungus with a worldwide distribution. It can cause a wide range of clinical disease, from cutaneous and subcutaneous infections, to pneumonia, brain abscess, and life threatening systemic illness. The diagnosis of cutaneous disease is with biopsy and culture. We discuss the case of an elderly immunocompromised woman who presented with a persistent erythematous plaque on the elbow after minor trauma. A biopsy revealed Scedosporium apiospermum. Treatment usually requires surgical resection in conjunction with antifungal therapy. PMID:22559017

Mays, Rana; Gordon, Rachel; Wilson, Janice M; LaPolla, Whitney J; Sra, Karan K; Madkan, Vandana; Tyring, Stephen K

2012-01-01

69

Is obesity an independent prognosis factor in woman breast cancer?  

Microsoft Academic Search

Background Breast cancer and obesity represent important public health issues in most western countries. A number of studies found a\\u000a negative prognosis effect of obesity or excess of weight in woman breast cancer. However, to date, this issue remains controversial.\\u000a The objectives of this study were to confirm the prognosis role of obesity on a large cohort of patients and

Bilal Majed; Thierry Moreau; Kamel Senouci; Rémi J. Salmon; Alain Fourquet; Bernard Asselain

2008-01-01

70

GYNECOLOGIC ISSUES IN THE HIV-INFECTED WOMAN  

PubMed Central

With the advent of highly active antiretroviral therapy (HAART), women living with HIV can now enjoy longer lifespans in relative good health as well as the prospect of bearing children with an overwhelmingly low risk of vertical transmission. Thus, increasingly, seropositive women are now facing issues around longevity as well as those associated with fertility. The clinician caring for the HIV-infected woman must be alert to the gynecologic issues that are prevalent in this population. Among those faced by the gynecologist are menstrual abnormalities, lower genital tract neoplasia, sexually transmitted infections, the need for gynecologic surgery, and menopausal issues including osteopenia/osteoporosis. Contraception in HIV seropositive women presents unique management issues, because of the necessity for a dual role of prevention of both pregnancy and HIV transmission, the possible effect of birth control on HIV infection, and the interaction between birth control and HIV therapies. With ever increasing frequency, the gynecologist will be presented with the seropositive woman or couple who wishes to conceive. The purpose of this chapter is to review the current knowledge on the relationship between HIV infection and menstrual abnormalities, genital neoplasias, contraceptive options, surgical complications, and menopause with its associated disorders. Special considerations in the seropositive woman contemplating pregnancy will also be discussed. The treatment of pelvic infections is discussed elsewhere in this volume, and only changes in standard therapy because of concurrent HIV-infection will be discussed here. PMID:18954760

Cejtin, Helen E.

2008-01-01

71

The Significance of Career Narrative in Examining a High-Achieving Woman's Career  

ERIC Educational Resources Information Center

In this qualitative study, the career journey of one New Zealand woman was analysed. Three key findings emerged: the power of narrative as a vehicle for this woman's story, her movement towards greater authenticity and spiritual fulfilment as a mature woman, and the ongoing struggle for concurrent fulfilment from communal and agentic perspectives.…

Elley-Brown, Margaret J.

2011-01-01

72

Estudio sobre las dosis de radiación y los riesgos de cáncer causados por la prueba atómica “Trinity” realizada en 1945  

Cancer.gov

El NCI tiene planeado realizar entrevistas en profundidad para determinar cuál era la alimentación característica de las poblaciones indígenas americanas, hispanas (latinas) y chicanas que vivían en New Mexico a mediados de 1940 y utilizar información fácilmente disponible sobre la alimentación y el estilo de vida de las poblaciones blancas. Estas entrevistas representan un paso importante para hacer estimaciones de las dosis de radiación generadas por la prueba Trinity.

73

1H Pure Shift DOSY: a handy tool to evaluate the aggregation and solvation of organolithium derivatives.  

PubMed

Determination of the structure and solvation states of organolithium aggregates in complex solution remains a challenging task. Here, we show that (1)H Pure Shift DOSY NMR provides better resolution spectra without overlapping, even for complex solutions of mixed aggregates of n-BuLi/n-BuOLi. This ensures the direct observation of the apparent diffusion constant for each component in the solution and therefore allows a fast assignment of aggregation states, and solvation degree. PMID:24615058

Hamdoun, G; Sebban, M; Cossoul, E; Harrison-Marchand, A; Maddaluno, J; Oulyadi, H

2014-04-21

74

Solvation chemistry of water-soluble thiol-protected gold nanocluster Au102 from DOSY NMR spectroscopy and DFT calculations  

NASA Astrophysics Data System (ADS)

The hydrodynamic diameter of Aum(pMBA)n [(m, n) = (102, 44) and (144, 60)] clusters in aqueous media was determined via DOSY NMR spectroscopy. The apparent size of the same (n, m) cluster depends on the counter ion of the deprotonated pMBA- ligand as explained by the competing ion-pair strength and hydrogen bonding interactions studied in DFT calculations. The choice of the counter ion affects the surface chemistry and molecular structure at the organic/water interface, which is relevant for biological applications.The hydrodynamic diameter of Aum(pMBA)n [(m, n) = (102, 44) and (144, 60)] clusters in aqueous media was determined via DOSY NMR spectroscopy. The apparent size of the same (n, m) cluster depends on the counter ion of the deprotonated pMBA- ligand as explained by the competing ion-pair strength and hydrogen bonding interactions studied in DFT calculations. The choice of the counter ion affects the surface chemistry and molecular structure at the organic/water interface, which is relevant for biological applications. Electronic supplementary information (ESI) available: Synthesis scheme and details, analytical methods and details, UV-Vis spectra, NMR spectra (1H and 2D DOSY) and snapshots from MD simulations of a pMBA-/NH4+ ion pair in water. See DOI: 10.1039/c4nr01255k

Salorinne, Kirsi; Lahtinen, Tanja; Malola, Sami; Koivisto, Jaakko; Häkkinen, Hannu

2014-06-01

75

The DosiMap, a new 2D scintillating dosimeter for IMRT quality assurance: Characterization of two Cerenkov discrimination methods  

SciTech Connect

New radiation therapy techniques such as IMRT present significant efficiency due to their highly conformal dose distributions. A consequence of the complexity of their dose distributions (high gradients, small irradiation fields, low dose distribution, ...) is the requirement for better precision quality assurance than in classical radiotherapy in order to compare the conformation of the delivered dose with the planned dose distribution and to guarantee the quality of the treatment. Currently this control is mostly performed by matrices of ionization chambers, diode detectors, dosimetric films, portal imaging, or dosimetric gels. Another approach is scintillation dosimetry, which has been developed in the last 15 years mainly through scintillating fiber devices. Despite having many advantages over other methods it is still at an experimental level for routine dosimetry because the Cerenkov radiation produced under irradiation represents an important stem effect. A new 2D water equivalent scintillating dosimeter, the DosiMap, and two different Cerenkov discrimination methods were developed with the collaboration of the Laboratoire de Physique Corpusculaire of Caen, the Comprehensive Cancer Center Francois Baclesse, and the ELDIM Co., in the frame of the MAESTRO European project. The DosiMap consists of a plastic scintillating sheet placed inside a transparent polystyrene phantom. The light distribution produced under irradiation is recorded by a CCD camera. Our first Cerenkov discrimination technique is subtractive. It uses a chessboard pattern placed in front of the scintillator, which provides a background signal containing only Cerenkov light. Our second discrimination technique is colorimetric. It performs a spectral analysis of the light signal, which allows the unfolding of the Cerenkov radiation and the scintillation. Tests were carried out with our DosiMap prototype and the performances of the two discrimination methods were assessed. The comparison of the dose measurements performed with the DosiMap and with dosimetric films for three different irradiation configurations showed discrepancies smaller than 3.5% for a 2 mm spatial resolution. Two innovative discrimination solutions were demonstrated to separate the scintillation from the Cerenkov radiation. It was also shown that the DosiMap, which is water equivalent, fast, and user friendly, is a very promising tool for radiotherapy quality assurance.

Frelin, A-M.; Fontbonne, J-M.; Ban, G.; Colin, J.; Labalme, M.; Batalla, A.; Vela, A.; Boher, P.; Braud, M.; Leroux, T. [Laboratoire de Physique Corpusculaire, 6 Bd du Marechal Juin, F14050 Caen (France); Unite de Radiophysique, Centre Francois Baclesse, Avenue General Harris, BP 5026, F14076 Caen Cedex 5 (France); ELDIM, 1185 Rue d'Epron, F14200 Herouville Saint Clair (France)

2008-05-15

76

Being a woman researcher in an Anatolian village.  

PubMed

This essay represents the first editorial of the series "Recollections, Reflections, and Revelations: Ethnobiologists and their First Time in the Field". In this memoir, the author details the evolvement and intellectual progression of her research focusing on wild food plant consumption within a remote community in the high steppes of Central Anatolia during the early Nineties. The author conveys a human learning journey as a woman and an ethnobiologist, reflecting on the methodological bottlenecks and solutions during her first ethnographic experience in the field. PMID:23819702

Ertu?, Füsun

2013-01-01

77

Propriospinal myoclonus associated with gluten sensitivity in a young woman.  

PubMed

Propriospinal myoclonus (PSM) is a rare movement disorder characterized by involuntary axial jerks originating from muscles innervated by multiple spinal segments. Most cases of PSM are idiopathic. Gluten sensitivity is a multisystemic autoimmune condition which may be associated with various neurological disorders, most commonly peripheral neuropathy and cerebellar ataxia. We report a case of a young woman who developed PSM in the setting of gluten sensitivity, indicating that gluten sensitivity should be considered in the differential diagnosis of PSM such that a gluten challenge test may prove diagnostically useful. PMID:22225790

Zhang, Yan; Menkes, Daniel L; Silvers, David S

2012-04-15

78

[Psychological study of the dysthymic disorder in the woman].  

PubMed

In this article, we study two dysthymic women who we are treating with psychotherapy in order to reveal the inner components that maintain depressive symptoms. The same findings have been confirmed in other dysthymic patients. The result of the study consisted in discovering a sentimental separation from their love object, while the woman still lives with her partner and while the depressive symptoms are appearing insidiously. This development leads them to the deterioration in the “ideal of love” they sought, that supported their lives and served as an “anchor of their personality. This point of view places classic notion about mourning into doubt. PMID:21953362

García-Arroyo, José M; Domínguez-López, María L; Fernández-Arguelles, Pedro

2011-01-01

79

Odontogenic myxoma in a 52-year-old woman.  

PubMed

Odontogenic myxoma (OM) is a rare benign but locally aggressive tumour of the jaws. It is usually seen in the second to third decade of life. Women are more frequently affected than men and it has more predilections for the mandible rather than the maxilla. OM presents as an asymptomatic swelling in most of the cases. Owing to the non-capsulated and aggressive nature of OM, a high rate of recurrence has been reported. Here we present a case of OM in a 52-year-old woman managed by segmental mandibulectomy. Sign of recurrence was seen after 18?months of follow-up. PMID:24859552

Ram, Hari; Mehta, Gagan; Kumar, Manoj; Lone, Parveen

2014-01-01

80

A 40-year-old woman ‘off legs’  

PubMed Central

We present the case of a 40-year-old woman with progressive lower-limb weakness resulting in an inability to mobilise independently. This was associated with a degree of confusion and shortness of breath on exertion. This case illustrates rare and severe complications of vitamin B12 deficiency, namely subacute combined degeneration of the spinal cord, megaloblastic anaemia and impaired cognitive function. The patient's condition improved considerably with adequate early resuscitation, followed by administration of synthetic vitamin B12 analogues and neuro-rehabilitation. PMID:23291820

Mehrotra, Prerna; Bhalla, Ashish

2013-01-01

81

Epiploic appendagitis in a 24-year-old woman.  

PubMed

Epiploic appendagitis is a very rare condition that results from acute inflammation of an appendix epiploica. We report a case involving a 24-year-old woman who presented to the emergency department with abdominal pain localized to the left lower quadrant. The patient was diagnosed with epiploic appendagitis, which was confirmed through findings obtained from a contrast-study computed tomography of the abdomen. The patient was subsequently taken to the operating room for a diagnostic laparoscopy due to persistent pain. Necrotic epiploic appendagitis was found on the descending colon, which was removed laparoscopically. PMID:18774058

Bastidas, Juan G; Danzy, Laura E; Blackwell, Lea; Bostick, Peter J; Hayden, Robert

2008-09-01

82

Being a woman researcher in an Anatolian village  

PubMed Central

This essay represents the first editorial of the series "Recollections, Reflections, and Revelations: Ethnobiologists and their First Time in the Field". In this memoir, the author details the evolvement and intellectual progression of her research focusing on wild food plant consumption within a remote community in the high steppes of Central Anatolia during the early Nineties. The author conveys a human learning journey as a woman and an ethnobiologist, reflecting on the methodological bottlenecks and solutions during her first ethnographic experience in the field. PMID:23819702

2013-01-01

83

Hydronephrosis in a woman undergoing in vitro fertilization.  

PubMed

Obstruction of a ureter secondary to tumor, fibrosis, or inflammation has been well documented in published reports. A review of English studies revealed no reported cases of hydronephrosis of a native kidney resulting from hyperstimulation of an ovary. We report a case of hydronephrosis in a woman undergoing ovarian stimulation for in vitro fertilization. Her presentation was prompted by symptoms of flank pain with nausea and vomiting. Management with ureteral stent placement was successful in relieving the obstructive symptoms. This case demonstrates the importance of imaging and close monitoring of symptoms in women undergoing in vitro fertilization. PMID:17320689

Califano, John A; Confer, Stephen D; Galati, Vincenzo; Oguejiofor, Ikechukwu; Manatt, C Scott; Hansen, Karl R; Culkin, Daniel J

2007-02-01

84

[A woman with skin lesions in a tattoo].  

PubMed

A healthy 32-year-old woman presented with red papules in tattoos on the right upper arm and right ankle as well as on non-tattooed skin of the right knee, existing since 3 months. Histopathological examination of skin biopsies showed granulomatous inflammation, suggestive for sarcoidosis. An X-ray and CT-scan of the thorax showed hilar lymphadenopathy suggestive of sarcoidosis. Skin lesions in tattoos can be the first symptom of systemic sarcoidosis. Further investigation in these cases is recommended. PMID:22217306

Wijtvliet, Sanne L C; Chin-A-Lien, Roël A M

2012-01-01

85

Wandering biliary ascariasis with hepatic abscess in a postmenopausal woman.  

PubMed

Hepatobiliary ascariasis is common in developing countries where there is a low standard of public health and hygiene. We are reporting a rare case of ascariasis which induced multiple liver abscesses in a post menopausal woman who presented with fever, anorexia, nausea, vomiting and mild hepatomegaly. Ultrasonography revealed biliary ascariasis with multiple hepatic abscesses. Laparoscopic drainage of hepatic abscesses was done and microscopic examination of drainage materials showed decorticated eggs of Ascaris Lumbricoides. The post operative recovery of the patient was uneventful. Ultrasonography is a reliable modality to diagnose and follow up of such cases. PMID:25481604

Nahar, N; Khan, N; Islam, S M; Chakraborty, R K; Rima, S Z; Alam, M N; Roy, A S

2014-10-01

86

Pregnancy outcome in a woman with prune belly syndrome.  

PubMed

Prune belly syndrome is a rare congenital syndrome that primarily affects male fetuses. Affected men are universally infertile; however, there is a paucity of information published on the reproductive potential of affected women. Pregnancy outcomes in affected women have not been described in the literature. We describe the case of pregnancy in an affected woman. Her pregnancy progressed without complication. Her fetus had no stigmata of the syndrome. Her labour and delivery were, however, complicated by a prolonged second stage of labour and need for vacuum-assisted vaginal delivery. PMID:23203170

Hillman, R Tyler; Garabedian, Matthew James; Wallerstein, Robert J

2012-01-01

87

[A 74-year-old woman with macrocytic anemia].  

PubMed

A seventy-four years old woman is assessed for asthenia, fatigue, non ulcerous dyspepsia with macrocytic anemia. The patient's medical history taking in Binswanger disease--diagnosed 5 aa before-, epilepsy-2 aa before- and a previous episode of TVP of the left leg, suggested the hypothesis that a B12 deficiency, by a chronic gastritis, would involve an increase of homocysteine cause of the clinical manifestations of megaloblastic anemia, Binswanger disease, tardive epilepsy and previous TVP. The fisic and blood and instrumental exams confirmed the clinical diagnosis. The patient is having vitamin B12. PMID:11963638

Picardi, A; Navajas, F; Spoto, S; Palma Modoni, A; De Galasso, L; Costantino, S

2002-01-01

88

A ray of hope for a woman with Sheehan's syndrome  

PubMed Central

A 25-year-old woman presented with a history of secondary amenorrhoea for the last 3?years, coinciding with her delivery. She delivered at home and had massive postpartum haemorrhage. She was brought in a state of circulatory collapse to the nearest teaching hospital, where she was resuscitated. She developed anaemia, septicaemia and extradural empyema. The complications were managed and the woman improved. Presently, she approached us for infertility. She was investigated and diagnosed with postpartum hypopituitarism, that is, Sheehan's syndrome. Her gonadotrophin levels, luteinising hormone/follicle-stimulating hormone, were normal, serum oestradiol was low and serum prolactin was also on the lower side. She had started with genital atrophy and was given three cycles of cyclic oestrogen +progesterone combination. Ovulation was induced. She conceived and her antenatal period was uneventful. She delivered a full-term baby vaginally. However, she had inadequate lactation after delivery and lost the baby at one-and-a-half months’ age due to gastroenteritis. PMID:23386498

Jain, Deepti

2013-01-01

89

Prolapse and Incontinence Surgery in the Older Woman  

PubMed Central

Purpose Pelvic floor disorders including urinary incontinence, pelvic organ prolapse and fecal incontinence are common problems encountered by the older woman. With the increasing population of older American women, urologists and gynecologists can expect to provide evaluation and treatment of these conditions with increasing frequency. These conditions are amenable to both medical and surgical therapies. Materials and Methods Contemporary published articles (year 2003 to present) that included older women undergoing urogynecologic surgical procedures were included in this review. Current data on morbidity, mortality and/or surgical outcomes are presented along with evidence-based pre, intra and post-operative surgical management strategies. Results The older woman can expect similar operative risks as well as subjective and objective anatomic and quality-of-life outcomes as that of younger women undergoing pelvic floor surgery. Conclusion The decision for surgical intervention for the treatment of pelvic floor disorders should not be based on chronologic age alone. Prior to selection of a specific surgical procedure, all existing pelvic floor defects should be evaluated. Further research is required to understand the impact that surgery for pelvic floor disorders has on anatomic, physiologic, and functional outcomes in older women. PMID:18423726

Gerten, Kimberly A.; Markland, Alayne D.; Lloyd, L. Keith; Richter, Holly E.

2012-01-01

90

Sisterhood And Social Conscience: The Emergence And Evolution Of The Feminist New Woman In Selected American Fiction, 1864--1933  

Microsoft Academic Search

The origin and development of the New Woman character-type in late nineteenth, early twentieth century American fiction can be traced to various reforms then current--especially the woman's movement. By asserting her independence socially, politically, and economically, the New Woman, usually a member of the middle class, tried to escape the role of the traditional domestic woman. In her endeavors the

Diane Baker Rowland

1985-01-01

91

Solvation chemistry of water-soluble thiol-protected gold nanocluster Au??? from DOSY NMR spectroscopy and DFT calculations.  

PubMed

The hydrodynamic diameter of Aum(pMBA)n [(m, n) = (102, 44) and (144, 60)] clusters in aqueous media was determined via DOSY NMR spectroscopy. The apparent size of the same (n, m) cluster depends on the counter ion of the deprotonated pMBA(-) ligand as explained by the competing ion-pair strength and hydrogen bonding interactions studied in DFT calculations. The choice of the counter ion affects the surface chemistry and molecular structure at the organic/water interface, which is relevant for biological applications. PMID:24910110

Salorinne, Kirsi; Lahtinen, Tanja; Malola, Sami; Koivisto, Jaakko; Häkkinen, Hannu

2014-07-21

92

Sclerosing Stromal Tumor in an Elderly Postmenopausal Woman  

PubMed Central

Sclerosing stromal tumor (SST) of the ovary is a rare tumor derived from the sex cord stroma. This tumor was first described by Chalvaridjian and Scully in 1973. SST of the ovary is prevalence of 1.5% to 6% of ovarian stromal tumors. Patients are most commonly diagnosed in their 20s and 30s. There have been reports of SST postmenopausal women aged 65-, 67-, and 71 in the Republic of Korea; however, no report of this disease has been reported in women older than 80. In this study, we would like to report an 80-year-old postmenopausal woman who did not previously complain of any symptoms, and was finally diagnosed with SST. She was involved in a traffic accident, and huge pelvic mass was found during the evaluation of intra-abdominal hemorrhage. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed ; a final pathologic diagnosis reported SST. PMID:25371898

Kim, Tae-Hee; Hong, Jeong-A; Park, Junsik; Jeon, Dong-Su; Lee, Arum; Koh, Eun Suk

2014-01-01

93

Enteric adenocarcinoma lung: a rare presentation in an Omani woman  

PubMed Central

Pulmonary adenocarcinoma is a common neoplasm, yet the one with enteric or intestinal differentiation poses a diagnostic challenge to pathologists as it shares a common immunohistochemical profile with metastatic colorectal carcinoma. We report a case of a 61-year-old woman. She was on surveillance when incidentally she was discovered to have multiple bilateral lung nodules on imaging; the largest was surgically removed for histological examination. Morphology was consistent with a moderately differentiated adenocarcinoma .The tumour cells were positive for cytokeratin (CK) 7, CDX2, CK20 and were negative for thyroid transcription factor 1. The morphology and immune histochemical profile raised the differential diagnosis of a metastatic colorectal carcinoma and a primary lung adenocarcinoma with enteric differentiation. On the basis of morphology and CK7 positivity we established the diagnosis of enteric-type adenocarcinoma of primary lung origin. She has completed planned courses of palliative chemotherapy and remains on surveillance. PMID:23355573

Qureshi, Asim; Furrukh, Muhammad

2013-01-01

94

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

PubMed

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

Conelius, Jaclyn

2014-11-13

95

Spinal cord infarction in a woman with cardiac fibroelastoma.  

PubMed

A 61-year-old woman presented with the acute onset of right lower extremity paresthesias followed within 15 minutes by complete bilateral lower extremity paralysis and urinary incontinence. Magnetic resonance imaging of the thoracic spine, using a 1.5 Tesla magnetic resonance scanner with echo planar imaging technique, showed an intramedullary T2 hyperintense lesion that involved the central gray matter and portions of the white matter, extending from the T8 level to the conus medullaris. Diffusion weighted imaging of the spine showed restricted diffusion in an area corresponding to that of the T2 lesion. A transesophageal echocardiogram demonstrated a highly mobile oscillating mass attached to the left leaflet of the aortic valve, consistent with fibroelastoma. Fibroelastoma is an uncommon benign cardiac tumor that has been associated with cerebral embolic complications. It is our belief that this tumor and spinal cord infarction is exceedingly rare and only one such occurrence has been previously reported. PMID:21192195

Pello, Scott J; Ashkenazi, Avi

2011-01-01

96

Persistent unilateral central serous chorioretinopathy in a breastfeeding woman.  

PubMed

A 40-year-old woman presented with blurred vision and floaters in her right eye for the past 7?months. The patient was in the sixth month of pregnancy at onset of the ocular symptoms and had persistent ocular disturbances postpartum. Her medical and ocular history were unremarkable except for LASIK surgery. Examination revealed an uncorrected visual acuity of 20/30 and 20/20 in the right and left eye, respectively. Fundus examination showed a round, subretinal exudate involving the foveal centre. Central serous chorioretinopathy was diagnosed by fluorescein angiogram and optical coherence tomography (OCT) showing foveal neurosensory detachment and treated with intravitreal bevacizumab. At her 4-month follow-up (8?month postpartum), OCT continued to show persistent foveal subretinal fluid. Patient declined further treatment and on follow-up 1?year later, still showed a persistent neurosensory detachment on OCT testing. PMID:25568270

Lopez-Yang, Christine Elizabeth; Garcia, Charles A

2015-01-01

97

Bilateral Tubal Gestation Associated with Schistosomiasis in an African Woman  

PubMed Central

Background. The incidence of tubal ectopic gestation caused by schistosomiasis induced tubal pathology is undocumented in this environment, which may be due to rarity of this pathology. Bilateral tubal gestation is common in patients that have undergone in vitro fertilization. We report a hitherto undocumented case of spontaneous bilateral ectopic gestation following tubal schistosomiasis. Case Report. Mrs. OB was a 32-year-old G4P3+0 (3 alive) woman who complained of abdominal pain and bleeding per vaginam of 4 and 2 days' duration respectively following 8 weeks of amenorrhea. A clinical impression of ruptured ectopic gestation was confirmed by ultrasound scanning. She had bilateral salpingectomy with histology of specimens showing bilateral ectopic gestation with Schistosoma haematobium induced salpingitis (findings of Schistosoma haematobium ova noted on slide). Conclusion. Schistosoma induced salpingitis is a rare but possible cause of bilateral tubal gestation. PMID:25580321

Odubamowo, K. H.; Akinpelu, O. M.; Lawal, O. O.; Okolo, C. A.; Odukogbe, A. A.; Adekunle, A. O.

2014-01-01

98

Retroperitoneal nongestational choriocarcinoma in a 25-year-old woman  

PubMed Central

Choriocarcinoma is a highly invasive and metastatic neoplasm which arises in women of reproductive age. It can be either gestational or nongestational in origin, but the latter form is very rare. Choriocarcinoma is characterized by the production of human chorionic gonadotropin. It can metastasize to distant organs such as lung, brain, liver, kidney, and vagina in the early stages of disease, but retroperitoneal metastasis is extremely rare. Treatment options include surgical intervention and chemotherapy. We present the case of a 25-year-old nulliparous woman who presented to our department with a retroperitoneal mass and negative urine human chorionic gonadotropin test, who was immunohistopathologically diagnosed with nongestational choriocarcinoma. The patient responded well to surgery and multi-drug chemotherapy. PMID:25469347

Park, Soo Yeon; Lee, Da Eun; Park, Hee Jung; Kim, Kwan Chang

2014-01-01

99

Woman in Vietnam May be World's Oldest Person  

NSDL National Science Digital Library

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.

Grinnell, Max

2002-01-01

100

Effects of physiotherapeutic TENS in a woman with unexplained infertility.  

PubMed

Unexplained infertility (UI) is a difficult diagnosis in the field of obstetrics and gynaecology. This report describes TENS treatment as an adjunct therapy for a 30-year-old woman with long-standing UI who was scheduled to undergo ovarian stimulation for in vitro fertilization (IVF) and embryo transfer. She had three unsuccessful intrauterine insemination treatments. Her last IVF treatment also failed. The treatment consisted of burst-TENS for seven sessions, which was applied daily from the second day of induction of ovulation (IO) to hCG administration. The transvaginal ultrasonography with pulsed Doppler curves was performed to measure the uterine artery impedance indices of Pulsatility Index (PI) and Resistance Index (RI). Before TENS application, on the first day of IO, the PI and RI for right side uterine artery were 3.96 and 0.96, respectively. For left uterine artery, the PI and RI were 6.92 and 1, respectively. After treatment with TENS, on the day of hCG administration, the PI and RI for right side uterine artery were 3.39 and 0.90, respectively. On the left side, they were PI=2.62 and RI=0.86. IVF was performed and on the day of oocytes collection, 22 oocytes were collected and inseminated. Fertilization was confirmed 16 hours after insemination by visualization of 2 pronuclei. A singleton pregnancy was achieved by the presence of a fetal sac during an ultrasound examination. It is concluded that the addition of TENS resulted in remarkable reduction of uterine artery PI and RI and a successful pregnancy after IVF for this woman with UI. PMID:20690870

Salsabili, Nasser; Ansari, Noureddin Nakhostin; Berjis, Katayoon; Sedighi, Asefeh; Salsabili, Hoda

2011-02-01

101

Carbonic Anhydrase II Deficiency in a Saudi Woman  

PubMed Central

OBJECTIVE Carbonic anhydrase (CA) II deficiency is a rare autosomal recessive disorder caused by mutation in the CA II gene that leads to osteopetrosis, renal tubular acidosis (RTA), and cerebral calcification. Our aim is to present a patient with the classic triad of CA II deficiency syndrome to enhance the awareness about this rare syndrome. METHODS We describe the clinical and radiological findings of a Saudi woman patient with CA II deficiency syndrome. RESULTS A Saudi woman in her 20s presented to our hospital for evaluation of increased bone density. She was known to have delayed developmental milestone with growth retardation and poor scholastic performance. She had multiple fragile fractures started at the age of 15 involving the lower extremities. A physical examination revealed dysmorphic features and intellectual disability with intelligence quotient (IQ) of 36. The initial blood workup showed a picture of distal RTA with hypokalemia, and the radiological imaging confirmed the presence of osteopetrosis and multiple kidney stones. The combination of osteopetrosis with RTA raised the possibility of CA II deficiency. Therefore, computed tomography (CT) of the brain was done and showed intracranial calcification involving the basal ganglia. She was started on potassium chloride and sodium bicarbonate. In addition, she underwent right-sided percutaneous nephrolithotripsy. Her DNA analysis came to show a sequence variant c.232+1G>A, which was detected in both of the CA II genes (homozygous). CONCLUSION Early recognition of the disease is a key, as an early appropriate treatment institution is essential in order to prevent further complications. PMID:25674028

Alhuzaim, Omar N; Almohareb, Ohoud M; Sherbeeni, Safiya M

2015-01-01

102

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

ERIC Educational Resources Information Center

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,…

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

2003-01-01

103

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

ERIC Educational Resources Information Center

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…

Lloyd, Betty-Ann, Ed.; And Others

104

Complex Personhood as the Context for Intimate Partner Victimization: One American Indian Woman's Story  

ERIC Educational Resources Information Center

This qualitative case study explores one American Indian (AI) woman's experience of intimate partner violence and the subsequent murder of her abusive partner. The lens of complex personhood (Gordon, 1997) has been applied as a method for understanding "Annie's" multiple identities of AI woman, victim of intimate partner violence, mother, and…

Murphy, Sharon; Lemire, Lynne; Wisman, Mindi

2009-01-01

105

Lessons from a Black Woman Administrator: "I'm Still Here"  

ERIC Educational Resources Information Center

This case study presents the findings from a qualitative research project about a Black woman scholar, the first non-White female to serve as chair of a department and the associate dean of the college in its 100 year history. The study focuses on the experiences of a Black woman scholar as a chairperson and the learning she achieved during her…

Dowdy, Joanne Kilgour; Hamilton, Awilda

2012-01-01

106

When a Man translates a woman's work…Ideology or Misaunderstanding  

Microsoft Academic Search

The aim of this paper is to analyse a translation of a woman's writing into English. The woman writer chosen is not a declared feminist althou gh her work brings up issues related to women and women's situation in society. The main theme of the work is indeed abortion which, in Italy, was made legal in 1978. The work, however,

Vanessa Leonardi

107

A Canadian Woman Journalist Covers the Spanish-American War: "Kit" in Cuba 1898.  

ERIC Educational Resources Information Center

Kathleen Blake Watkins Coleman, known to her readers as "Kit," was a late nineteenth-century journalist who tried to escape the limitations of the woman's sphere in journalism through travel writing, while still complying with the expectation that she describe her adventures from a "woman's point of view." Among her many accomplishments, "Kit"…

Freeman, Barbara

108

The rights of woman as chimera: The political philosophy of Mary Wollstonecraft  

Microsoft Academic Search

My dissertation examines the political theory of Mary Wollstonecraft. Most political scientists argue that Wollstonecraft's political thought is derivative of either Jean-Jacques Rousseau's or John Locke's political thought. Though A Vindication of the Rights of Woman is dedicated to a French diplomat, it is immediately clear that Wollstonecraft's primary interlocutor is Rousseau. Rousseau's ideal woman, Sophie, it seems to Wollstonecraft,

Natalie Fuehrer Taylor

2004-01-01

109

Adversaries and Allies: Rival National Suffrage Groups and the 1882 Nebraska Woman Suffrage Campaign  

ERIC Educational Resources Information Center

In September 1882, Nebraska was the setting for a significant moment in the history of the United States women's rights movement: the two rival suffrage organizations, the American Woman Suffrage Association (AWSA) and the National Woman Suffrage Association (NWSA), both held their annual conventions in Omaha. The alliance of the AWSA and the NWSA…

Heider, Carmen

2005-01-01

110

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

ERIC Educational Resources Information Center

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…

Kam, Dai Sen; And Others

111

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

PubMed

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

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

2015-01-01

112

[Case of sarcoidosis with myelodysplastic syndrome in an elderly woman].  

PubMed

An 85-year-old woman, who had been given a diagnosis of myelodysplastic syndrome with refractory anemia 2 years previously and required blood transfusion once a month, was admitted with complaints of fever, general fatigue, and dry cough. A chest X-ray film showed multiple small nodules in bilateral lung fields which were not observed 1 month previously. Although smear and culture tests for acid-fast bacilli in her bronchoalveolar lavage fluid, urine, and bone marrow aspiration fluid were all negative, miliary tuberculosis was strongly suspected. Antituberculosis drugs were administered, but neither her symptoms nor chest X-ray findings improved. Five months later, right oculomotor nerve palsy, followed by left abducens nerve paralysis occurred. Lumber puncture examination revealed lymphocytosis, and increased protein and ACE levels, suggesting neurosarcoidosis. A transbronchial lung biopsy specimen demonstrated non-caseating epithelioid granulomas. Oral administration of 30 mg/day prednisolone improved her symptoms as well as the chest X-ray findings. PMID:21226301

Horie, Masafumi; Noguchi, Satoshi; Tanaka, Wakae; Yoshihara, Hisanao; Kawakami, Masaki; Suzuki, Masaru; Sakamoto, Yoshio; Oka, Teruaki

2010-12-01

113

Saree Cancer in Indian Woman Treated Successfully with Multimodality Management  

PubMed Central

Saree is a common, traditional garment of Indian women, wrapped around the waist is tightened by a thick cord and with one end draped over the shoulder. Tight knot in the same place, sweat, soiling and continuous use can cause pigmentation, scaling of the waist and even transform to malignancy. We present here a case of saree cancer successfully managed with multimodality therapy. A 50-year-old woman was referred to our hospital (India) for itching and non-healing ulcerative lesion on waistline. She was wearing saree continuously for 34 years with knot at the same place. Magnetic resonance images suggested ulcerative growth with lymph node metastasis. She then underwent wide local excision; histopathological examination confirmed it was a squamous cell carcinoma. She therefore received concomitant chemotherapy and radiotherapy. She is now (2 years after the completion of treatment) in remission state. Awareness of saree cancer among Indian is important to avoid malignant lesions at waistline. Multimodality management with surgery, chemotherapy and radiotherapy is ideal mean for good outcome. PMID:25386325

Takalkar, Unmesh Vidyadhar; Asegaonkar, Shilpa Balaji; Kodlikeri, Pushpa; Kulkarni, Ujwala; Borundiya, Virendrakumar; Advani, Suresh H.

2014-01-01

114

The DOSIS -Experiment onboard the Columbus Laboratory of the International Space Station -First Mission Results from the Active DOSTEL Instruments  

NASA Astrophysics Data System (ADS)

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. For the investigation of the spatial and temporal distribution of the radiation field inside the European COLUMBUS module the DLR experiment DOSIS (Dose Distribution Inside the ISS) was launched on July 15th 2009 with STS-127 to the ISS. The experimental package was transferred from the Space Shuttle into COLUMBUS on July 18th. It consists in a first part of a combination of passive detector packages (PDP) distributed at 11 locations inside the European Columbus Laboratory. The second part are two active radiation detectors (DOSTELs) with a DDPU (DOSIS Data and Power Unit) in a nomex pouch (DOSIS MAIN BOX) mounted at a fixed location beneath the European Physiology Module (EPM) inside COLUMBUS. After the successful installation the active part has been activated on the 18th July 2009. Each of the DOSTEL units consists of two 6.93 cm PIPS silicon detectors forming a telescope with an opening angle of 120. The two DOSTELs are mounted with their telescope axis perpendicular to each other to investigate anisotropies of the radiation field inside the COLUMBUS module especially during the passes through the South Atlantic Anomaly (SAA) and during Solar Particle Events (SPEs). The data from the DOSTEL units are transferred to ground via the EPM rack which is activated approximately every four weeks for this action. The first data downlink was performed on July 31st 2009. First Results for the DOSTEL measurements such as count rate profiles, dose rates and LET spectra will be presented in comparison to the data obtained by other experiments.

Burmeister, Soenke; Berger, Thomas; Beaujean, Rudolf; Boehme, Matthias; Haumann, Lutz; Kortmann, Onno; Labrenz, Johannes; Reitz, Guenther

115

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

NASA Astrophysics Data System (ADS)

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.

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

116

The Male Madonna and the Feminine Uncle Sam: Visual Argument, Icons, and Ideographs in 1909 Anti-Woman Suffrage Postcards  

ERIC Educational Resources Information Center

In 1909, at the height of the woman suffrage controversy and during the golden age of postcards, the Dunston-Weiler Lithograph Company of New York produced a twelve-card set of full-color lithographic cartoon postcards opposing woman suffrage. The postcard images reflect, and depart from, verbal arguments concerning woman suffrage prevalent during…

Palczewski, Catherine H.

2005-01-01

117

Dealing with colon cancer: one woman's emotional journey.  

PubMed

Although death is inevitable, it continues to remain a taboo issue for society. A failure to discuss the unavoidable may represent a safeguard to avoid dealing with mortality and related fears. Many patients who are terminally ill spend their days feeling alone, misunderstood, and afraid. Kubler-Ross attempted to strip death of its negative connotations and to provide a venue for the terminally ill to have a voice. Using information from more than 200 clinical interviews, Kubler-Ross revealed a trend in emotions over time in most, but not all, of her patients, which enabled her to formulate a model of coping with death that included 5 interdependent emotional stages: denial, anger, bargaining, depression, and acceptance. This model has become the most widely accepted and popularized model on death and dying, often cited as the Five Stages of Grief." However, given the lack of research concerning Kubler-Ross's model, completing work in this area seems warranted. The purpose of this case study was to examine one individual's emotional journey after being diagnosed with terminal colon cancer. More specifically, the goals were twofold: (1) to provide the participant with a voice and to allow her story to be told by examining the major external events (ie,surgery, chemotherapy) occurring since the diagnosis that affected her emotional and physical well-being and (2) to determine whether the participant's emotional journey paralleled Kubler-Ross's model, to what extent, and whether new emotions or stages occurred. The participant, a 50-year-old female, was diagnosed with stage 4 Duke Stage D colon cancer. Qualitative information was collected in face-to-face interviews, newspaper articles about the participant, and e-mail correspondence (as form letters to a group of friends and supporters) and subsequently analyzed for trends. The overall results revealed clear existence of the 5 stages of grief as outlined in the Kubler-Ross model. Analyses also revealed that the stages often overlapped or occurred simultaneously. Additionally, the participant regressed to earlier stages when subjected to negative external factors. Four other highly salient emotions were also prevalent throughout the participant's experience with colon cancer, namely joy, fear, hope, and numbness. The findings from this case study help to validate Kubler-Ross's stages. Further, the importance of the voice of the participant cannot be overemphasized. This case study clearly depicts the unique thoughts and emotions during one woman's struggle with colon cancer, sentiments that are often overlooked in quantitative analysis. PMID:12464845

Wilson, Candice T; Fletcher, Paula C

2002-11-01

118

Trisomy 18 mosaicism in an adult woman with normal intelligence and history of miscarriage  

Microsoft Academic Search

We describe a woman of short stature but of normal intelligence with 10% trisomy 18 mosaicism. Minor dysmorphic signs including facial asymmetries and a slight length difference of extremities were not suggestive of a chromosomal abnormality.

E. Gersdorf; B. Utermann; G. Utermann

1990-01-01

119

Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman  

E-print Network

women. 3 It is overwhelmingly a disease of the Western Journal of Emergency MedicineWoman Zachary Smith, DO* Jodie Totten, MD † Adrienne Hughes, MD † Jared Strote, MD † * Madigan Army Medical Center, Department of Emergency Medicine,

Smith, Zachary; Totten, Jodie; Hughes, Adrienne; Strote, Jared

2015-01-01

120

Non Traumatic Spinal Epidural Haematoma in a Woman with HELLP Syndrome: A Case Report  

PubMed Central

Spinal epidural haematomas (SEH) is a potentially reversible cause of spinal cord and nerve root compression which needs prompt surgical decompression for satisfactory neurological recovery. SEH occurs very rarely in pregnant woman with HELLP syndrome (hemolysis, elevated liver enzyme levels, and low platelet levels). Most of the SEH cases reported in HELLP syndrome in the literature are due to iatrogenic interventions. We report a still rarer case of non traumatic spinal epidural haematoma in a pregnant woman with HELLP Syndrome. PMID:25654010

Bansal, Juhi; Gupta, Amit; Goyal, Alka

2014-01-01

121

2D and 3D DOSY 1H NMR, a useful tool for analysis of complex mixtures: application to herbal drugs or dietary supplements for erectile dysfunction.  

PubMed

Seventeen herbal dietary supplements, marketed as natural substances for the enhancement of sexual function, were analyzed by diffusion ordered spectroscopy (DOSY) (1)H NMR. The method allowed a global analysis of the samples with detection of both active and inactive ingredients present in these complex matrixes. Eight formulations contained compounds related to the synthetic phosphodiesterase-5 inhibitors. Sildenafil, tadalafil, vardenafil, hydroxyhomosildenafil, thiosildenafil, and the newly identified adulterant thiomethisosildenafil were detected. Quantification of these active ingredients was carried out by HPLC or NMR. In addition to these actives, about 30 compounds or excipients were characterized. This study ended up with a three-dimensional DOSY-COSY (1)H NMR experiment on a herbal formulation which provided both virtual separation and structural information. PMID:19108978

Balayssac, Stéphane; Trefi, Saleh; Gilard, Véronique; Malet-Martino, Myriam; Martino, Robert; Delsuc, Marc-André

2009-11-01

122

Physicians' perceptions of and approaches to woman abuse. Does certification in family medicine make a difference?  

PubMed Central

OBJECTIVE: To discover whether family physicians who go through residency training and The College of Family Physicians of Canada's (CFPC) certification process are more responsive than other physicians to woman abuse, whether they perceive and approach such abuse more appropriately, and whether they seek out more education on the subject. DESIGN: A national survey using a pretested 43-item mailed questionnaire to examine perceptions of and approaches to detection and management of woman abuse. SETTING: Canadian family and general practice. PARTICIPANTS: A cross-sectional sample of 1574 family physicians and general practitioners, of whom 963 (61%) volunteers responded. MAIN OUTCOME MEASURES: Demographic variables, perceptions of abuse, methods of diagnosing and managing woman abuse. RESULTS: Most respondents agreed they could not diagnose and treat woman abuse effectively, regardless of certification status. They indicated they were detecting only 33% of cases. Certificants of CFPC, in particular residency-trained certificants, were more likely to think that they should be diagnosing woman abuse than noncertificants; they were also more likely to help victims by referring them to specialists and other agencies. Certificants were also more likely to think they should be treating these patients themselves, and that they were not adequately trained to do so. Although most respondents thought they needed more education, certificants were more likely to know of relevant courses, to have attended such courses, and to have read books or articles on the topic. CONCLUSIONS: Being a certificant is not associated with perceived skills in diagnosing and treating woman abuse, but is associated with an increased awareness of the problem. Certificants know that education on woman abuse is available. PMID:8792017

Tudiver, F.; Permaul-Woods, J. A.

1996-01-01

123

Absorbed Dose in the Uterus of a Three Months Pregnant Woman Due to 131I  

NASA Astrophysics Data System (ADS)

The use of 131I is widely used in diagnostic and treatment of patients. If the patient is pregnant the 131I presence in the thyroid it becomes a source of constant exposition to other organs and the fetus. In this study the absorbed dose in the uterus of a 3 months pregnant woman with 131I in her thyroid gland has been calculated. The dose was determined using Monte Carlo methods in which a detailed model of the woman has been developed. The dose was also calculated using a simple procedure that was refined including the photons' attenuation in the woman organs and body. To verify these results an experiment was carried out using a neck phantom with 131I. Comparing the results it was found that the simple calculation tend to overestimate the absorbed dose, by doing the corrections due to body and organs photon attenuation the dose is 0.14 times the Monte Carlo estimation.

Vega-Carrillo, Héctor René; Manzanares-Acuña, Eduardo; Hernández-Dávila, Víctor Martín; Arcos-Pichardo, Areli; Barquero, Raquel; Iñiguez, M. Pilar

2006-09-01

124

Super Infection of An Ovarian Dermoid Cyst with Actinomyces in An Infertile Woman  

PubMed Central

We present super infection of an ovarian dermoid cyst with actinomyces in an infertile patient. This is a case-report study for evaluation a couple with male factor infertility, who was a good candidate for intracytoplasmic sperm injection (ICSI), while a 10 cm dermoid cyst was found in the woman’s right ovary. Patient complained of pelvic pain, intermittent fever, dysmenorrhea, and dyspareunia. The cyst was extracted using laparoscopy, whilst in histopathological examination, an actinomycosis super infection was reported. Actinomyc super infection of an ovarian dermoid cyst is a very rare incident which can also occur in women with no history of intrauterine device (IUD) usage or previous fertility. PMID:24520476

Salehpour, Saghar; Akbari Sene, Azadeh

2013-01-01

125

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

PubMed Central

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

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

2013-01-01

126

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

PubMed

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

Gonda, Caroline

2013-01-01

127

An unusual cause of dyspnea in a pregnant woman: supraglottic hemangioma.  

PubMed

Dyspnea is a common complaint among pregnant women; upper airway obstruction is a rare cause of it. We report a case of supraglottic hemangioma in a 20-year-old pregnant woman who presented with increasing dyspnea and hoarseness at 40 weeks of gestation. She gave birth to a healthy 3,100-g girl by caesarean delivery under epidural anesthesia. She was able to breathe easily during the postpartum period. This case represents a rare instance of dyspnea caused by a supraglottic hemangioma in a pregnant woman. PMID:25181668

Kurdoglu, Zehra; Kurdoglu, Mertihan; Cankaya, Hakan

2014-08-01

128

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

Microsoft Academic Search

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

Makoto KONTANI; Akinori HARA; Shinji OHTA; Takayuki IKEDA

2005-01-01

129

Primary retroperitoneal mucinous tumor of low malignant potential in a Persian woman.  

PubMed

Primary retroperitoneal mucinous tumor (PRMT) of low malignant potential (border line) is an uncommon neoplasm with fewer than 50 reported cases. Uncertain diagnostic imaging results make diagnosis of its origin difficult, preoperatively. Later treatment planning and prognosis would be affected by exact diagnosis of the tumor origin. This study presents a case of Persian woman with diagnostic, histological and immunohistochemical specifications. PMID:25325210

Haeri, Hayedeh; Vosooghi, Babak; Asadi Amoli, Fahimeh

2014-01-01

130

Recurrent wound dehiscence and small bowel herniation following Caesarean section in a woman with hidradenitis suppurativa.  

PubMed

Caesarean wound dehiscence that is severe enough to result in bowel herniation is exceptionally rare. This case describes a woman who experienced wound dehiscence following each of her two Caesarean sections, with bowel herniation present in the second case. The contribution of her comorbid hidradenitis suppurativa will be discussed. PMID:24876503

Fernando, Magage; Schultz, Meleesa J

2014-01-01

131

Williams Holistic Approach Model (WHAM): Sustainable University Leadership from the Perspective of a Woman Physicist  

ERIC Educational Resources Information Center

University leadership from career and organizational viewpoints are discussed from the perspective of a woman physicist. Laws of physics are used, through appropriate analogies, as templates for structuring useful life lessons on holistic WHAM leadership. Interactive university skill sets and program policies based on holistic WHAM approaches are…

Williams, Elvira S.

2010-01-01

132

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

ERIC Educational Resources Information Center

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…

Rodriguez, Sandria

1996-01-01

133

Elizabeth Boynton Harbert and the Woman Suffrage Movement, 1870-1896.  

ERIC Educational Resources Information Center

The Woman Suffrage Movement experienced ideological changes so that earlier and later suffragists had different views. Elizabeth Boynton Harbert was one reformer who first criticized female socialization and the system of separate spheres. Later her views became more sentimental and she idealized the traditional role of women. (VM)

Buechler, Steven M.

1987-01-01

134

"Woman Hollering Creek" a Traves de la Musica: Articulating Mexicanidad to Pochismo  

ERIC Educational Resources Information Center

This essay intervenes in contemporary scholarship on Sandra Cisneros's "Woman Hollering Creek" (1991) by examining the canciones she uses as epigraphs and their relationship to the multiple nationalisms that Chicana/os actively negotiate. I argue that Cisneros's decision to include powerfully nationalist Mexican cancion traditions directs the…

French, Lydia A.

2011-01-01

135

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

ERIC Educational Resources Information Center

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…

Campbell, Alison; Bell, Dorothy

2011-01-01

136

The Ladies Nylon Stocking Problem A woman has a collection of n nylon stockings.  

E-print Network

The Ladies Nylon Stocking Problem · A woman has a collection of n nylon stockings. · At each moment she must select m stockings to wear (where typically m = 2). · The probability that a stocking whose age is x will wear during a time of length is (x) + o(). · She wants to wear her stockings

Weber, Richard

137

Pierre-Auguste Renoir: "Woman with Parrot" (La Femme a la Perruche)  

ERIC Educational Resources Information Center

In this article, the author profiles Pierre-Auguste Renoir and describes Renoir's work of art, "Woman with Parrot". Renoir gained a reputation among peers for taking exceptional pleasure in painting, and his style was said to celebrate beauty and sensuality. He is recognized for showing significant empathy for the sitters in his portraits, and for…

Fisher, Stacy

2007-01-01

138

Esophageal cancer in a young woman with bulimia nervosa: a case report  

Microsoft Academic Search

Adenocarcinoma of the esophagus has increased dramatically within the United States and continues to have a poor prognosis despite aggressive treatment. Identifying potential risk factors is critical for the early detection and treatment of this disease. The present case report describes a very young woman who developed adenocarcinoma of the esophagus after only a brief history of bulimia. These findings

Eric T Shinohara; Samuel Swisher-McClure; Michael Husson; Weijing Sun; James M Metz

2007-01-01

139

A Forgotten Moment in Physiology: The Lovelace Woman in Space Program (1960-1962)  

ERIC Educational Resources Information Center

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

Ryan, Kathy L.; Loeppky, Jack A.; Kilgore, Donald E., Jr.

2009-01-01

140

A woman's place is in the maul: organizing gender in a United States Rugby Club  

E-print Network

Throughout its history, rugby has remained primarily a male preserve. In an arena that prides itself on violence, toughness, and overt masculinity, what is a woman's place? Previous research in this area has looked at women in the sport of rugby...

Criste, Dollie Jean

2002-01-01

141

Pregnancy following nonsurgical donor ovum transfer to a functionally agonadal woman  

SciTech Connect

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.

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

1987-08-01

142

The American Woman Series: Gender and Class in "The Ladies' Home Journal," 1897.  

ERIC Educational Resources Information Center

Contributes to (and draws on) journalism history, mass-culture studies, and women's history in a rhetorical analysis of a series of six full-page illustrations titled "The American Woman" run in 1897 in "The Ladies' Home Journal." Reveals how class and gender issues intersected and underscored the role of the mass media in public discussions of…

Kitch, Carolyn

1998-01-01

143

Perspectives on Visual Impairment: An Asian American Woman Shares Her Story.  

ERIC Educational Resources Information Center

Excerpts from an interview with an Asian-American woman about her views on aspects of her life illustrate key issues related to the cultural implications of having a visual impairment. Suggestions for professionals who work with Asian-American or Pacific-Islander clients are also presented. (Author/CR)

Love, Carol

1999-01-01

144

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

PubMed

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

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

2013-01-01

145

Pestomuhkati Atkuhkakonol. Pukcinsqehs. Kiwahqiyik. (Passamaquoddy Legends. The Tree-Stump Woman. The Giants).  

ERIC Educational Resources Information Center

This illustrated reader contains Passamaquoddy versions of two traditional Wabnaki legends about Pukcinsquehs, the Tree-Stump Woman, who changes herself into a mosquito, and Koluskap, a giant, who turns people into fish. It is one of a series of readers containing Passamaquoddy legends and is intended for use in a bilingual education setting. Each…

Wabnaki Bilingual Educational Program, Indian Township, ME.

146

A mathematical model of the nine-month pregnant woman for calculating specific absorbed fractions  

SciTech Connect

Existing models that allow calculation of internal doses from radionuclide intakes by both men and women are based on a mathematical model of Reference Man. No attempt has been made to allow for the changing geometric relationships that occur during pregnancy which would affect the doses to the mother's organs and to the fetus. As pregnancy progresses, many of the mother's abdominal organs are repositioned, and their shapes may be somewhat changed. Estimation of specific absorbed fractions requires that existing mathematical models be modified to accommodate these changes. Specific absorbed fractions for Reference Woman at three, six, and nine months of pregnancy should be sufficient for estimating the doses to the pregnant woman and the fetus. This report describes a model for the pregnant woman at nine months. An enlarged uterus was incorporated into a model for Reference Woman. Several abdominal organs as well as the exterior of the trunk were modified to accommodate the new uterus. This model will allow calculation of specific absorbed fractions for the fetus from photon emitters in maternal organs. Specific absorbed fractions for the repositioned maternal organs from other organs can also be calculated. 14 refs., 2 figs.

Watson, E.E.; Stabin, M.G.

1986-01-01

147

Autoimmune hemolytic anemia caused by cold agglutinins in a young pregnant woman.  

PubMed

Autoimmune hemolytic anemia is a rare disorder. A 34-year old woman presented with thrombophlebitis after her first delivery, during puerperium. A high titer of cold agglutinins was found. Lymphomas, systemic lupus erythematosus, and tumors were excluded. She conceived again. Due to the anemia she had frequent blood transfusions and she delivered at 38 weeks of gestation. PMID:16854701

Batalias, Labros; Trakakis, Eftihios; Loghis, Costas; Salabasis, Costas; Simeonidis, George; Karanikolopoulos, Panagiotis; Kassanos, Demetrios; Salamalekis, Emmanuel

2006-04-01

148

Benign Mature Mediastinal Dysembryoma with Pulmonary Extension Revealed by Recurrent Hemoptysis in a Young Woman  

SciTech Connect

We report one case of mature mediastinal teratoma with pulmonary extension surgically diagnosed in a 22-year-old woman complaining of recurrent hemoptyses for which no etiological explanation could be found. Thoracic surgery was only decided on after three embolizations proved ineffective.

Filaire, M. [Clermont-Ferrand University Hospital, Service de chirurgie thoracique (France); Michel-Letonturier, M. [Clermont-Ferrand University Hospital, Service de radiologie B, viscerale et vasculaire (France); Garcier, J. M.; Escande, G. [Clermont-Ferrand University Hospital, Service de chirurgie thoracique (France); Boyer, L. [Clermont-Ferrand University Hospital, Service de radiologie B, viscerale et vasculaire (France)], E-mail: lboyer@chu-clermontferrand.fr

2006-06-15

149

Thoracoscopic treatment of recurrent pneumothorax in a pregnant woman: a case of ectopic deciduosis.  

PubMed

We report here on a case of recurrent pneumothorax during pregnancy, which was successfully treated with thoracoscopic surgery. This report describes the intraoperative and histopathological findings of diaphragmatic and pulmonary ectopic deciduosis. Our case highlights the need for all surgeons to explore the diaphragm when performing surgery to treat pneumothorax in a woman, even if she is pregnant. PMID:20922628

Kim, Y-D; Min, K-O; Moon, S-W

2010-10-01

150

The new woman punished: Thomas Hardy's heroines and happiness in Victorian England  

E-print Network

even brooded about being alone. He wrote in one of his notebooks that, on his birthday, he "walked about by moonlight in the evening. Wondered what woman, if any, 1 should be thinking about in five years' time" (Hardy, F. 65). Nine years later...

Potter, Kerri L

2013-02-22

151

A 28 year old woman with ventricular tachycardia and an abnormal chest radiograph  

PubMed Central

A 28 year old white woman with no medical history presented to the emergency room with symptomatic non-sustained ventricular tachycardia. She was asymptomatic up to a few days before presentation. Her physical examination was essentially normal and hence did not help with the differential diagnosis of the problem. Bronchoscopic transbronchial biopsy led to the final diagnosis of cardiac sarcoidosis. PMID:12748242

Heath, M; Deubner, H; Stern, E J; Cooke, J E; Gill, E A

2003-01-01

152

Structure and struggle: Implementing a social model of a well woman clinic in Glasgow  

Microsoft Academic Search

Although the values of the women's health movement are widely shared in the U.K., they are little in evidence in the services providing health care for women. This article makes the distinction between a medical model of health care and a social model. It describes a research project which took place in which a well woman clinic was transformed from

Carole Craddock; Margaret Reid

1993-01-01

153

Improving Female Preventive Health Care Delivery Through Practice Change: An Every Woman Matters Study  

Microsoft Academic Search

Background: The levels of breast and cervical cancer screening in Nebraska primary care remain sub- optimal despite awareness of their importance, and despite implementation of the Every Woman Matters program to assist low-income women. The GAPS model was used to develop a practice-based interven- tion to identify and reduce barriers to delivery of breast and cervical cancer screening services. Methods:

Elisabeth L. Backer; Jenenne A. Geske; Helen E. McIlvain; Diane M. Dodendorf; William C. Minier

2005-01-01

154

The Domestic Abuse ProjectA Multisystems Intervention in Woman Battering  

Microsoft Academic Search

This article describes the philosophy and programs of the Domestic Abuse Project of Minneapolis. The organization is designed to intervene in woman battering at multiple levels of society ranging from individual men who batter to community institutions charged with enforcing societal norms. This article emphasizes the need for integration between various levels of intervention. Conclusions are drawn from the Domestic

MARY PAT BRYGGER; JEFFREY L. EDLESON

1987-01-01

155

Beeran ki kai jaat ...? : the figure of the woman in Partition discourse  

E-print Network

conscience of the nation – such as the figure of the abducted womanconscience of the nation is anchored to the body of the woman.conscience of the nation was either maintained through the committing of intimate violence, or restored through the return of abducted women.

Limki, Rashné Marzban

2009-01-01

156

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

Microsoft Academic Search

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.

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

1998-01-01

157

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

ERIC Educational Resources Information Center

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…

Ramsey, E. Michele

2000-01-01

158

Acute inferior homonymous quandrantanopia in a 71-year-old woman.  

PubMed

A 71-year-old woman presented with acute inferior homonymous quadrantanopia initially mimicking acute ischemic stroke. As clinical signs and symptoms progressed to akinetic mutism with myoclonus the diagnosis of the Heidenhain variant of Creutzfeldt-Jakob disease was made. Brain MRI 4 days after symptom onset revealed ribbon-like high signal intensity in the medial occipital cortex. PMID:24210803

Vachalová, Ivana; Gindl, Viola; Heckmann, Josef G

2014-04-01

159

Geri Keams: "Coyote and Spider Woman and Other Creation Stories." Cue Sheet.  

ERIC Educational Resources Information Center

This performance guide is designed for teachers to use with students before and after a storytelling performance of "Coyote and Spider Woman and Other Creation Stories," by Geri Keams, a Navajo storyteller. The guide, called a "Cuesheet," contains seven activity sheets for use in class, addressing: (1) The Storyteller Tells Her Story (where the…

Carr, Gail

160

Bel-Imperia: The (Early) Modern Woman in Thomas Kyd’s Spanish Tragedy  

Microsoft Academic Search

At the heart of Thomas Kyd's revenge tragedy The Spanish Tragedy lies an arranged marriage around which all of the other action revolves. Bel-Imperia of Spain has been betrothed against her will to Prince Balthazar of Portugal, but she is no ordinary woman, and she has plans of her own. Bel-Imperia's unwillingness to participate in the arranged marriage is indicative

Ann McCauley Basso

2006-01-01

161

“A Vile and Abject Woman”: Noble Mistresses, Legal Power, and the Family in Early Modern Spain  

Microsoft Academic Search

Mistresses of Spanish noblemen between 1360 and 1600 occupied a place within the Spanish patriarchy where concerns about gender and class intersected, revealing contradictions between the ideals of honor, the moral injunctions of Catholic doctrine, and the practical needs of noble families. Mistresses occupied a flexible space in the Spanish patriarchy where a woman's social status, her ability to produce

Grace E. Coolidge

2007-01-01

162

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

Microsoft Academic Search

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

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

2008-01-01

163

Life Lived Well: A Description of Wellness across the Lifespan of a Senior Woman  

ERIC Educational Resources Information Center

The concept of wellness provides a positive view of life development that can support psychological support and counseling. There is little in the literature about wellness and seniors, especially women. This study describes one senior woman's wellness across the life span by addressing two research questions: (a) What are the experiences of one…

Jarnagin, Whitney L.; Woodside, Marianne

2012-01-01

164

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

ERIC Educational Resources Information Center

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…

Smith, Megan; Wei, Jenny

2013-01-01

165

Feminine and Masculine Dimensions of the Typical, Desirable, and Ideal Woman and Man.  

ERIC Educational Resources Information Center

Over 400 college students used the Bem Sex Role Inventory (BSRI) to describe either a typical, desirable, or ideal man or woman. Findings obtained from Bem's androgeny score are contrasted with those from its component masculinity and femininity scale scores. Recommendations are made for using the component scores as separate variables. (Author/GC)

Gilbert, Lucia A.; And Others

1978-01-01

166

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

ERIC Educational Resources Information Center

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…

Ek, Lucila D.

2009-01-01

167

The mere anticipation of an interaction with a woman can impair men's cognitive performance.  

PubMed

Recent research suggests that heterosexual men's (but not heterosexual women's) cognitive performance is impaired after an interaction with someone of the opposite sex (Karremans et al., 2009). These findings have been interpreted in terms of the cognitive costs of trying to make a good impression during the interaction. In everyday life, people frequently engage in pseudo-interactions with women (e.g., through the phone or the internet) or anticipate interacting with a woman later on. The goal of the present research was to investigate if men's cognitive performance decreased in these types of situations, in which men have little to no opportunity to impress her and, moreover, have little to no information about the mate value of their interaction partner. Two studies demonstrated that men's (but not women's) cognitive performance declined if they were led to believe that they interacted with a woman via a computer (Study 1) or even if they merely anticipated an interaction with a woman (Study 2). Together, these results suggest that an actual interaction is not a necessary prerequisite for the cognitive impairment effect to occur. Moreover, these effects occur even if men do not get information about the woman's attractiveness. This latter finding is discussed in terms of error management theory. PMID:22042159

Nauts, Sanne; Metzmacher, Martin; Verwijmeren, Thijs; Rommeswinkel, Vera; Karremans, Johan C

2012-08-01

168

Weight gain and cardiovascular risk factors in the post-menopausal woman  

Microsoft Academic Search

Cardiovascular disease is the leading cause of mortality and morbidity in the post-menopausal woman. The natural menopause does not appear to be an independent risk factor (or a minor one) for coronary heart disease. Obesity, more precisely excessive intra-abdominal fat, is a cardiovascular risk factor especially with regard to the metabolic risk factors associated with this type of obesity. There

A. Colombel; B. Charbonnel

169

Spontaneous Resolution of a Giant Pulmonary Bulla in an Older Woman: Role of Functional Assessment  

Microsoft Academic Search

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

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

2011-01-01

170

The Pragmatics of “madness”: Performance Analysis of a Bangladeshi Woman's “aberrant” Lament  

Microsoft Academic Search

A fine-grained analysis of the transcript of a Bangladeshi woman's lament is used to argue for an anthropology of “madness” that attends closely to performance and performativity. The emergent, interactive production of wept speech, together with the conflicting use to which it is put by the performer and her relatives, is linked problematically to performance genres and to ethnopsychiatric indexes

James M. Wilce

1998-01-01

171

Undermining Reasonableness: Expert Testimony in a Case Involving a Battered Woman Who Kills  

ERIC Educational Resources Information Center

Student participants (N = 316) viewed a videotaped simulated case involving a woman who had entered a self-defense plea in the shooting death of her abusive husband. As successful claims of self-defense rest on the portrayal of a defendant who has responded reasonably to his/her situation, the implications of various forms of expert testimony in…

Terrance, Cheryl; Matheson, Kimberly

2003-01-01

172

Integrating 31P DOSY NMR spectroscopy and molecular mechanics as a powerful tool for unraveling the chemical structures of polyoxomolybdate-based amphiphilic nanohybrids in aqueous solution.  

PubMed

Novel organic-inorganic hybrids of various sizes were generated by reaction of 1,8-octanediphosphonic acid (ODP) and (NH4)6Mo7O24 in aqueous solution. The formation of rodlike hybrids with variable numbers of covalently bound ODP and polyoxomolybdate (POM) units can be tuned as a function of increasing (NH4)6Mo7O24 concentration at fixed ODP concentration. The chemical structure of the ODP/POM hybrids was characterized by (1)H, (31)P, and (95)Mo NMR spectroscopy. Heteronuclear (31)P DOSY (diffusion- ordered NMR spectroscopy) and molecular mechanics (MM) calculations were applied to determine the size and shape of the nanosized hybrids generated at various ODP/POM ratios. For this purpose, the structures of ODP/POM hybrids with variable numbers of ODP and POM units were optimized by MM and then approximated as cylinder-shaped objects by using a recently described mathematical algorithm. The thus-obtained cylinder length and diameter were further used to calculate the expected diffusion coefficients of the ODP/POM hybrids. Comparison of the calculated and experimentally determined diffusion coefficients led to the most probable ODP/POM hybrid length for each sample composition. The (31)P DOSY results show that the length of the hybrids increases with increasing POM concentration and reaches a maximum corresponding to an average of 8?ODP/7?POM units per chain at a sample composition of 20?mM ODP and 14?mM POM. With excess POM, above the latter concentration, the formation of shorter-chain hybrids terminated by Mo7 clusters at one or both ends was evidenced on further increasing the POM concentration. The results demonstrate that the combination of (31)P DOSY and MM, although virtually unexplored in POM chemistry, is a powerful innovative strategy for the detailed characterization of nanosized organic-inorganic POM-based hybrids in solution. PMID:24729454

Shestakova, Pavletta; Absillis, Gregory; Martin-Martinez, Francisco J; De Proft, Frank; Willem, Rudolph; Parac-Vogt, Tatjana N

2014-04-25

173

Woman's Intuition  

ERIC Educational Resources Information Center

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,…

Anyaso, Hilary Hurd

2010-01-01

174

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.

175

How to understand a woman's obligations to the fetus in unwanted pregnancies.  

PubMed

Some have challenged Thomson's case of the famous unconscious violinist (UV) by arguing that in cases of consensual sex a woman is partially morally responsible for the existence of a needy fetus; since she is partially responsible she ought to assist the fetus, and so abortion is morally wrong. Call this the Responsibility Objection (RO) to UV. In this paper, I briefly criticize one of the most widely discussed objections to RO and then suggest a new way to challenge RO. In so doing, I investigate the plausibility of the moral principle that appears to be driving RO: If a woman is partially morally responsible for the existence of a needy fetus, she has a moral obligation to assist the fetus. I argue that this principle is false. I suggest modified versions of this principle but argue that, even on the most plausible version, RO does not persuade. PMID:23535986

Hine, Kristen

2013-06-01

176

The voices of Iris: Cinematic representations of the aged woman and Alzheimer's disease in Iris (2001).  

PubMed

Audiences must be critical of film representations of the aged woman living with Alzheimer's disease and of dangerous reinscriptions of stereotypical equations about ageing as deterioration. This paper analyses the representation and decline of the aged woman through the different voices of Iris Murdoch in Richard Eyre's film Iris (2001). Key vocal scenes are considered: On-screen encounters between young and aged Iris, vocal representations of dementia symptoms and silencing Iris as her disease progresses. Further, Iris' recurrent unaccompanied song, "The Lark in the Clear Air," compels audiences to "see" Iris with their ears more than with their eyes, exemplifying the representational power of sound in film. This paper is an appeal for increased debate about sonic representations of aged women, ageing and Alzheimer's disease and dementia in film. The significance of audiences' critical awareness and understanding about the social implications of these representations is discussed. PMID:25370076

Graham, Megan E

2014-11-01

177

Meningitis in a pregnant woman caused by Streptococcus dysgalactiae subspecies equisimilis.  

PubMed

Infection of the central nervous system by streptococci is known to result in severe bacterial meningitis, however some strains have low pathogenic potential and affect the brain only in immunocompromised patients. Here we report the first case of an otherwise healthy non immunocompromised young adult woman who developed meningitis caused by Streptococcus dysgalactiae subspecies equisimilis. The patient was in the 17th week of her 3rd pregnancy. The course of the disease was quickly remittent under antibiotic treatment. PMID:24053027

Waltereit, Robert; Herrlinger, Ulrich; Stark, Maik; Borgmann, Stefan

2013-01-01

178

Thin Cord Syndrome in a Thirty-year-old Pregnant Woman  

PubMed Central

Introduction: The umbilical cord anomalies directly effect on the life quality of the fetus. It can lead to fetal death or many problems during pregnancy and delivery. Early detection of these abnormalities is of particular importance. Case Presentation: We report a case of thin cord syndrome (TCS) in a 30-year-old pregnant woman with suprapubic pain. After termination of pregnancy, histopathologic assessment confirmed the TCS. Conclusions: In all cases with suspected abortion, the umbilical cord disorder should be considered. PMID:25389479

Hafeziahmadi, Mohammadreza; Yousefi, Atefeh; Ghavam, Samiramis; Alizadeh, Sajjad

2014-01-01

179

[Oedema and haemorrhagic diathesis in a 50-year-old woman with thyrotoxicosis].  

PubMed

We describe the case of a 50-year-old woman who presented with tachyarrhythmia, mild fever, peripheral oedema, ascites, epistaxis and gastrointestinal haemorrhage. Blood analysis revealed hyperthyroxinaemia. Analysis of thyroid-stimulating antibodies highlighted Graves' disease being the cause of the prevailing thyrotoxic crisis. Remarkable in this case of thyrotoxicosis is a liver affection without elevated transaminases but disturbed serum protein synthesis leading to hypalbuminaemic oedema and haemorrhagic complications. Thyrostatic treatment led to clinical response. PMID:25056734

Kozlov, A; Joeres, R; Braun, U

2014-11-01

180

Rapid immunodiagnosis of tuberculosis in a woman receiving anti-TNF therapy  

Microsoft Academic Search

Background A 63-year-old German woman with a 24-year history of Crohn's disease and associated polyarthralgias presented with severe malaise, dyspnea, fever, night sweats, dry cough and an extensive right-sided pleural effusion. The patient had begun treatment with bi-weekly subcutaneous injections of adalimumab 5 weeks earlier.Investigations Physical examination, chest X-ray, transthoracic ultrasonography, pleural tap and drainage, bacterial and cytological analyses of

Christoph Lange; Bernhard Hellmich; Martin Ernst; Stefan Ehlers

2007-01-01

181

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

Microsoft Academic Search

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

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

2010-01-01

182

Thyrotoxic psychosis in an elderly woman and haloperidol use: a case report.  

PubMed

Thyrotoxic patients may occasionally present with affective disorders. Here, we discuss a case of a 61-year-old woman with misidentification and persecutory delusions, olfactory hallucinations, and apathy associated with thyrotoxicosis. After definitive antithyroid and antipsychotic agent haloperidol treatments, the patient was released within 4 weeks. Thyrotoxic psychosis with apathy is a rare entity that can be misdiagnosed as affective psychosis. Haloperidol may be an alternative treatment in resolving psychotic features beside the treatment of hyperthyroid state. PMID:23551412

Emul, Murat; Sakalli, Ayse; Erol, Turgut Can; Ertan, Turan

2013-03-01

183

Woman abuse in Canada: sociological reflections on the past, suggestions for the future.  

PubMed

Woman abuse in Canada started receiving much sociological attention in the mid-1980s. This article describes past scholarly achievements, assesses current contributions, and suggests progressive ways of responding to future challenges. Special attention is given to how broader political economic forces help shape and constrain research on a variety of highly injurious male-to-female assaults that occur in private settings. PMID:24493152

DeKeseredy, Walter S; Dragiewicz, Molly

2014-02-01

184

[Labor epidural analgesia for a woman with a pityriasis versicolor in the lumbar region].  

PubMed

Epidural analgesia is usually contraindicated in case of infection at the site of needle insertion. Tinea versicolor is a benign superficial cutaneous fungal infection caused by the proliferation of a skin commensal yeast of low pathogenicity. We report the case of a pregnant woman with a tinea versicolor in the lumbar region, who benefited from a labor epidural analgesia, realised with reinforced antiseptic measures. No neurological or infectious complication occurred. PMID:21680133

Dubar, G; Omarjee, M; Viguié, C; Barbarot, S; Mignon, A

2011-01-01

185

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

PubMed Central

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

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

2012-01-01

186

Popliteal Artery Reconstruction Secondary to Minor Trauma in a 19YearOld Morbidly Obese Woman  

Microsoft Academic Search

Obesity is an increasing burden on health-care globally. Significant obesity is presenting at a younger age, with pathology\\u000a that has not been previously seen. This case report illustrates the catastrophic consequences which may occur when minor trauma\\u000a occurs in a young person who suffers from morbid obesity. A 19-year-old woman with BMI 50 tripped over an uneven curb, and\\u000a suffered

Mojahid Najem; Amir Kambal; Tahir S. Hussain

2004-01-01

187

Electrical impedance tomography may optimize ventilation in a postpartum woman with respiratory failure.  

PubMed

Amniotic fluid embolism is a rare peripartum complication with the sudden onset of haemodynamic instability, respiratory failure and coagulopathy during labour or soon after delivery. A 31-year-old woman with amniotic fluid embolism was treated with vasopressors, inotropes, intravenous fluid, tranexamic acid and ventilatory support. Assessment of respiratory impairment was made using conventional chest X-ray, computed tomography and electrical impedance tomography. The potential for electrical impedance tomography to improve monitoring and guide respiratory therapy is explored. PMID:23122281

Karsten, J; Bohlmann, M K; Sedemund-Adib, B; Wnent, J; Paarmann, H; Iblher, P; Meier, T; Heinze, H

2013-01-01

188

Paget's Disease of the Vulva in Premenopausal Woman Treated with Only Surgery: A Case Report  

PubMed Central

Paget's disease of the vulva remains a rare condition with only a limited number of cases reported in the literature. It is an uncommon neoplasm usually of postmenopausal white women characterized by controversies in its prevalence, clinical features, treatment strategies, and prognostic. We here report a case of a primary Paget's disease of the vulva in premenopausal woman treated by only surgery with a favorable issue. PMID:23024871

Asmouki, Hamid; Oumouloud, Rachid; Aboulfalah, Abderrahim; Soummani, Abderraouf; Marrat, Abdelouahed

2012-01-01

189

Fatal Pulmonary Oedema Following Oxytocin Administration in a Pregnant Woman with Acute Myocardial Infarction  

Microsoft Academic Search

Acute myocardial infarction is a rare event in pregnant patients. Mechanical valves are naturally thrombogenic and require\\u000a careful anticoagulation. Pregnancy produces a hypercoagulable situation and necessitates close follow-up in pregnant patients\\u000a with mechanical heart valves. We present a 34-year-old pregnant woman who had mitral and aortic valve prosthesis. She developed\\u000a resistant pulmonary oedema in the post-partum period after myocardial infarction.

Orhan Dogdu; Mikail Yarlioglues; Tugrul Inanc; Idris Ardic; Cemil Zencir; Mehmet Gungor Kaya

2011-01-01

190

Management of the menopause: integrated health-care pathway for the menopausal woman.  

PubMed

Management of the menopausal woman has become controversial since publication of the results of the Women's Health Initiative and the Million Women Study from 2002 onwards. This health-care pathway summarizes the role of hormone replacement therapy and non-estrogen-based treatments as well as alternative and complementary therapies. It is based on the fifth edition of Management of the Menopause and was updated on 5 April 2011. PMID:21693499

Rees, Margaret

2011-06-01

191

Desmoplastic small round cell tumour in a young woman with widespread metastasis and peritoneal caking.  

PubMed

Desmoplastic Small Round Cell Tumour (DSRCT) is a rare, highly aggressive, mesenchymal tumour that arises from the peritoneal cavity. It is commonly seen in adolescent and young adult males and its occurrence in females is uncommon. We are reporting here a rare case of DSRCT in a young woman, which clinically masqueraded as an ovarian malignancy, with metastasis to liver, lung, spleen and peritoneum. The cytologic findings, Histomorphological and immunohistochemical features have been discussed, with a brief review of literature. PMID:24551689

Monappa, Vidya; Bhat, Sudha S; Valiathan, Manna

2013-12-01

192

A forgotten moment in physiology: the Lovelace Woman in Space Program (1960ÃÂ1962)  

NSDL National Science Digital Library

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.

Kathy Ryan (United States Army Institute of Surgical Research); Jack A Loeppky (Veterans Affairs Medical Center); Donald E Kilgore Jr. (Lovelace Foundation for Medical Education and Research)

2009-10-01

193

The angry black woman: the impact of pejorative stereotypes on psychotherapy with black women.  

PubMed

In the aftermath of slavery and the resulting social, economic, and political effects, Black women have become the victims of negative stereotyping in mainstream American culture. Such stereotypes include the myth of the angry Black woman that characterizes these women as aggressive, ill tempered, illogical, overbearing, hostile, and ignorant without provocation. Symptoms presented by Black women during mental health treatment may reinforce this myth. However, many of the negative characteristics of the angry Black woman developed in response to external stressors and historical factors. Black women also have a unique experience with and expressions of anger that shape the presenting symptoms interpreted by the mental health clinician. This myth and corresponding negative stereotypes significantly affect Black women intrapsychically, interpersonally, and are likely to influence the efficacy of mental health treatment. Understanding and treatment of Black women in a mental health context should be influenced by the cultural norms and sociopolitical dynamics affecting these clients. Successful mental health treatment requires cultural competence and clinicians who are well prepared to navigate the inherent complexities of culture with clients. Awareness of the angry Black woman mythology, including its genesis, manifestations, and the unique experiences of Black women, may raise the standards of cultural competence for clinicians and provide more successful treatment outcomes in working with this population. A case example illustrates the assiduity essential to practicing in a culturally competent manner. A client is presented from a traditional psychotherapeutic perspective and then viewed through a lens that integrates psychotherapeutic practice with conscious awareness of the mythology and stereotypes impacting Black women. Implications for culturally relevant practice are discussed. PMID:24188294

Ashley, Wendy

2014-01-01

194

Prenatal diagnosis of congenital toxoplasmosis transmitted by an immunocompetent woman infected before conception. Reims Toxoplasmosis Group.  

PubMed

We report a rare case of congenital toxoplasmosis transmitted by an immunocompetent woman infected before conception. Active toxoplasmosis was suspected due to persistent lymphadenitis with specific IgM, IgA, IgE antibodies. Prenatal diagnosis based on amniocentesis and fetal blood sampling at 24 weeks' amenorrhoea was positive on amniotic fluid, and fetal infection was confirmed after termination. In our opinion such cases need the same monitoring as when seroconversion occurs during the first trimester. A pregnancy-free interval of six to nine months is recommended after proven patent toxoplasmosis seroconversion. PMID:9826901

Villena, I; Chemla, C; Quereux, C; Dupouy, D; Leroux, B; Foudrinier, F; Pinon, J M

1998-10-01

195

The Ulysses contract in obstetrics: a woman's choices before and during labour.  

PubMed

Women recognise that labour represents a mind-altering event that may affect their ability to make and communicate decisions and choices. For this reason, birth plans and other pre-labour directives can represent a form of Ulysses contract: an attempt to make binding choices before the sometimes overwhelming circumstances of labour. These choices need to be respected during labour, but despite the reduced decisional and communicative capacity of a labouring woman, her choices, when clear, should supersede decisions made before labour. PMID:23065492

Burcher, Paul

2013-01-01

196

Pulmonary valvuloplasty in a pregnant woman using sole transthoracic echo guidance: technical considerations.  

PubMed

An 18-year-old pregnant woman with severe pulmonary valve stenosis and exertional dyspnea underwent balloon dilation during pregnancy using sole echocardiographic guidance to protect the baby from radiation. The main technical difficulty encountered was during advancement of the catheter across the right ventricular outflow tract into the pulmonary valve. This was overcome using a wedge balloon catheter over a percutaneous transluminal coronary angioplasty (PTCA) wire. Using echo guidance, the balloon was positioned across the pulmonary valve and inflated. Pulmonary balloon valvuloplasty can be performed safely using sole transthoracic echocardiography guidance without fluoroscopy. PMID:25547562

Galal, Mohammed Omar; Jadoon, Shehla; Momenah, Tarek Sulaiman

2015-01-01

197

An unusual cause of shoulder pain in an elderly woman: a case report  

PubMed Central

Introduction Stress fracture of the clavicle is a rare entity. It can manifest itself with an atypical shoulder pain. The clavicle is vulnerable to pathological fractures from several causes such as neoplasm, infection and rarely metabolic bone disease. Case presentation We report a case of a bone insufficiency fracture of the clavicle, in a 67-year-old Moroccan woman patient with several risk factors of bone insufficiency including osteoporosis, osteomalacia and primary hyperparathyroidism. Conclusion The diagnosis of bone insufficiency-related fracture of the clavicle can be challenging. It should be considered in the differential diagnosis of shoulder or clavicle pain. PMID:24330726

2013-01-01

198

Pathology Case Study: Mesenteric Adenopathy in a 57-Year-Old Woman  

NSDL National Science Digital Library

This is a case study presented by the University of Pittsburgh Department of Pathology in which a 57-year-old woman has had elevated creatinine levels. Visitors are given microscopic and gross descriptions, images, flow cytometry, molecular diagnosis, and are given the opportunity to diagnose the patient. This is an excellent resource for students in the health sciences to familiarize themselves with using patient history and laboratory results to diagnose disease. It is also a helpful site for educators to use to introduce or test student learning in transplant pathology.

Nalesnik, Michael

199

Mixed Squamous Cell and Glandular Papilloma of the Lung in a 64-Year-Old Woman  

PubMed Central

Mixed squamous cell and glandular papilloma of the lung is an extremely rare benign epithelial tumor showing a mixture of squamous and glandular epithelium. Here, we report a case of mixed squamous cell and glandular papilloma that presented as a solitary nodule in the left lower lobe of a 64-year-old woman. Chest computed tomography demonstrated a lobulated mass in the basal segment of the left lower lobe. The patient underwent a lobectomy under the suspicion of lung malignancy. The histopathological diagnosis was mixed squamous cell and glandular papilloma. PMID:24570869

Yun, Ju Sik; Kim, Do Wan; Choi, Yoo Duk; Na, Kook Joo

2014-01-01

200

A modified posterior pelvic exenteration technique in a woman: (a simplified method with using transvaginal way).  

PubMed

We represent a simplified surgical method for posterior pelvic exenteration in a woman by using the transvaginal way in addition to classic abdominal approach. A modified posterior pelvic exenteration technique was performed in a patient with bulky pelvic tumor. The transvaginal way was used for the deep perineal dissection when the abdominal dissection was arrested. An ultralow coloanal anastomosis was completed by using the transvaginal way. After the recovery period, the patient was discharged from hospital without any complication. The transvaginal access should be reminded in the circumstances of the abdominal dissection arrested in posterior pelvic exenteration operations in women. PMID:24082597

Yücesoy, Ali Naki; Kad?o?lu, M Burak; Gönen, Emre

2012-10-01

201

Pathology Case Study: Disorientation in a 43-Year-Old Woman with Cirrhosis  

NSDL National Science Digital Library

This is a case study presented by the University of Pittsburgh Department of Pathology in which a woman with alcoholic cirrhosis and a progressive history of weakness on her right side fell four weeks ago. Visitors are given both the microscopic and gross descriptions, including images, and are given the opportunity to diagnose the patient. This is an excellent resource for students in the health sciences to familiarize themselves with using patient history and laboratory results to diagnose disease. It is also a helpful site for educators to use to introduce or test student learning in neuropathology.

Nine, Jeff S.

2007-08-06

202

Premature ovarian failure in a woman with a balanced 15;21 translocation: a case report  

PubMed Central

Introduction A case of premature ovarian failure with concomitant findings of Robertsonian translocation between 15 and 21 chromosomes is reported here. The aforementioned karyotypic aberration has not been reported in the context of premature ovarian failure to date. Case presentation We present a case of premature ovarian failure in a 27-year-old infertile Kurdish Iranian woman with a Robertsonian 15;21 translocation. Conclusions The diagnosis of premature ovarian failure of unknown etiology, but with karyotypic evidence of a balanced autosomal translocation, suggests the possible role of autosomal genes in the pathogenesis of ovarian follicular attrition. PMID:21714880

2011-01-01

203

Prenatal diagnosis in a mentally retarded woman with mosaic ring chromosome 18.  

PubMed

We present a pregnant woman with mental retardation and mosaic for ring 18 referred for prenatal diagnosis. Major clinical features included short stature with clinodactyly in feet, foot deformity and club feet, hypotonia, kyphosis, and absence of breast development, low set ears, high arched palate, dental decay and speech disorder. Prenatal diagnosis was carried. Using amniocentesis. The fetus had a normal karyotype described as 46,XX. The fetus was evaluated for clinical features after delivery; she was healthy with no abnormal clinical characterizations. PMID:22090726

Bagherizadeh, Eiman; Behjati, Farkhondeh; Saberi, Seyed Hoseinali; Shafeghati, Yousef

2011-05-01

204

A case of oesophageal ulcer developed after taking homeopathic pill in a young woman  

PubMed Central

Oesophageal ulcers occur mainly as a result of gastro-oesophageal reflux disease (GERD). However, pill-induced oesophageal ulcers are a fairly common event. The lesion is mainly due to entrapment of the pill and/or its chemical composition thereof. This case report describes an oesophageal mucosa ulcer occurred in a healthy 35-year old woman who had no previous history of oesophageal disorders and received homeopathic medication. The present case reveals that pill entrapment can occur even in the oesophagus of healthy young individuals and that oesophageal mucosal ulcer can be triggered by substances generally thought devoid of any potentially mucosal aggressive effect. PMID:17465462

Corleto, Vito D; D’Alonzo, Lidia; Zykaj, Ermira; Carnuccio, Antonella; Chiesara, Francesca; Pagnini, Cristiano; Somma, Salvatore Di; Fave, Gianfranco Delle

2007-01-01

205

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

PubMed Central

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

K?opocka, Maria; Manerowski, Marcin

2014-01-01

206

Delayed Diagnosis of Gastric Outlet Obstruction from Bouveret Syndrome in a Young Woman  

PubMed Central

Bouveret syndrome is a rare presentation of gastric outlet obstruction caused by a gallstone in the proximal duodenum via a bilioenteric fistula. This is an infrequent although clinically significant cause of abdominal pain, almost exclusively in the elderly. The clinical presentation is similar to that of a small bowel obstruction with abdominal pain, nausea and vomiting. Surgery or endoscopy is often required for definitive diagnosis and therapy. We describe the case of a young woman with this condition who had a delayed diagnosis in part because of her age and the rarity of the condition.

Smith, Zachary; Totten, Jodie; Hughes, Adrienne; Strote, Jared

2015-01-01

207

Haemolytic anaemia after nitrofurantoin treatment in a pregnant woman with G6PD deficiency.  

PubMed

We present a normotensive, pregnant woman with severe haemolytic anaemia in the third trimester of pregnancy. Owing to normal platelet count diagnoses other than HELLP syndrome were considered and investigated. The patient was treated with nitrofurantoin 3 weeks before presentation and she turned out to have a deficiency of glucose-6-phosphate dehydrogenase. After treatment with blood transfusion, vitamin B12 and folic acid the patient recovered completely. Caesarean delivery was performed because of maternal hypertension and fetal distress at 33 weeks' gestation. PMID:24789148

van de Mheen, Lidewij; Smits, Simone M; Terpstra, Wim E; Leyte, Anja; Bekedam, Dick J; van den Akker, Eline S A

2014-01-01

208

Group B streptococcus tricuspid endocarditis presenting with arthralgia in a postpartum woman: a case report  

PubMed Central

Introduction Infective endocarditis presenting with arthralgia is rare. Group B streptococcus tricuspid endocarditis as a postpartum complication is even rarer. The present case is an example of both. Case presentation We report the case of a 30-year-old Caucasian woman who presented with painful swelling of her wrists and ankles. Conclusion Even when the clinical presentation of systemic inflammation is more suggestive of a primary rheumatological disorder, it is important to remember that bacterial infection can also present in this manner. Group B streptococcus tricuspid valve endocarditis is a rare, but recognized, postpartum complication. PMID:22892203

2012-01-01

209

Coinfection with Cryptococcus gattii and Mycobacterium tuberculosis in an otherwise healthy 18-year-old woman  

PubMed Central

A case of Cryptococcus gattii (pulmonary and central nervous system) and Mycobacterium tuberculosis (pulmonary) coinfection in an otherwise healthy young woman is reported. The patient presented with a two-month history of dry cough. She had an unremarkable medical history. Both tuberculosis and cryptococcosis were diagnosed following bronchoscopy, and a subsequent lumbar puncture revealed C gattii in the cerebrospinal fluid. There is evidence that both M tuberculosis and C gattii may have suppressive effects on the host immune system. This suggests a mechanism by which an otherwise healthy individual developed these two infections. PMID:22059185

Van Tongeren, Lindsay; Shaipanich, Tawimas; Fleetham, John A

2011-01-01

210

Coinfection with Cryptococcus gattii and Mycobacterium tuberculosis in an otherwise healthy 18-year-old woman.  

PubMed

A case of Cryptococcus gattii (pulmonary and central nervous system) and Mycobacterium tuberculosis (pulmonary) coinfection in an otherwise healthy young woman is reported. The patient presented with a two-month history of dry cough. She had an unremarkable medical history. Both tuberculosis and cryptococcosis were diagnosed following bronchoscopy, and a subsequent lumbar puncture revealed C gattii in the cerebrospinal fluid. There is evidence that both M tuberculosis and C gattii may have suppressive effects on the host immune system. This suggests a mechanism by which an otherwise healthy individual developed these two infections. PMID:22059185

Van Tongeren, Lindsay; Shaipanich, Tawimas; Fleetham, John A

2011-01-01

211

Complete recovery following intra-arterial tenecteplase administration in a woman with acute ischemic stroke.  

PubMed

A 23-year-old woman, who underwent a percutaneous transluminal mitral commissurotomy for a tight mitral stenosis, developed an acute ischemic stroke involving the proximal right middle cerebral artery territory. She had a dense left hemiplegia with a National Institutes of Health Stroke Scale score of 12. She was emergently treated within 1 hour with intra-arterial tenecteplase and made a dramatic recovery. Intra-arterial tenecteplase is an attractive option for treating acute ischemic stroke with proximal or major vessel occlusion. PMID:23938013

Meenakshi-Sundaram, S; Periakaruppan, A; Karuppiah, S N K P; Karthik, S N; Roopakumar, L; Thembavani, I

2013-12-01

212

Botryoid-type of embryonal rhabdomyosarcoma of renal pelvis in a young woman  

PubMed Central

A 22-year-old woman presented with three weeks history of intermittent left loin pain, on radiological evaluation by U\\S and MRI revealed left renal pelvic mass, ureterorenoscopy and biopsy taken, but couldn’t reveal definitive diagnosis other than presence of a malignant process. Left nephroureterctomy was performed. Grossly there is a polypoid mass attached to the upper pole of the kidney by stalk. Light microscopic examination and immunohistochemical staining confirm a diagnosis of Botryoid-type of embryonal rhabdomyosarcoma. Treatment and follow up to 1 year is mentioned. Reviewing the literature the presented case is the second of this tumor in adult renal pelvis. PMID:24669131

Kaabneh, A.; Lang, Ch.; Eichel, R.; Arafat, W.; Alloussi, Sch.

2014-01-01

213

Botryoid-type of embryonal rhabdomyosarcoma of renal pelvis in a young woman.  

PubMed

A 22-year-old woman presented with three weeks history of intermittent left loin pain, on radiological evaluation by U\\S and MRI revealed left renal pelvic mass, ureterorenoscopy and biopsy taken, but couldn't reveal definitive diagnosis other than presence of a malignant process. Left nephroureterctomy was performed. Grossly there is a polypoid mass attached to the upper pole of the kidney by stalk. Light microscopic examination and immunohistochemical staining confirm a diagnosis of Botryoid-type of embryonal rhabdomyosarcoma. Treatment and follow up to 1 year is mentioned. Reviewing the literature the presented case is the second of this tumor in adult renal pelvis. PMID:24669131

Kaabneh, A; Lang, Ch; Eichel, R; Arafat, W; Alloussi, Sch

2014-01-01

214

Three-port laparoscopic cholecystectomy in a brazilian Amazon woman with situs inversus totalis: surgical approach.  

PubMed

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 and multiple stones cholelithiasis. Laparoscopic cholecystectomy was safely performed with the three-port technique in a reverse fashion. In conclusion, this case confirms that three-port laparoscopic cholecystectomy is a safe and feasible surgical approach to treat cholelithiasis even in rare and challenging conditions like SIT. PMID:21490884

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

2008-01-01

215

Pathology Case Study: Right Cerebellopontine Angle Mass in a 64-Year-Old Woman  

NSDL National Science Digital Library

This is a case study presented by the University of Pittsburgh Department of Pathology in which a 64-year-old woman is complaining of dizziness and hearing loss. Visitors are given both the microscopic and gross descriptions, including images, and are given the opportunity to diagnose the patient. This is an excellent resource for students in the health sciences to familiarize themselves with using patient history and laboratory results to diagnose disease. It is also a helpful site for educators to use to introduce or test student learning in neuropathology.

Nine, Jeff S.

216

Pathology Case Study: Bladder Mass in a 57-Year-Old Woman  

NSDL National Science Digital Library

This is a case study presented by the University of Pittsburgh Department of Pathology in which a 57-year-old woman has a history of bladder tumors. Visitors are given both the microscopic and gross descriptions, including images, and are given the opportunity to diagnose the patient. This is an excellent resource for students in the health sciences to familiarize themselves with using patient history and laboratory results to diagnose disease. It is also a helpful site for educators to use to introduce or test student learning in genitourinary pathology.

Hakam, Ardeshir

217

Sirenomelia in a Cameroonian woman: a case report and review of the literature  

PubMed Central

Sirenomelia is a rare congenital malformative disorder characterized by fusion of the lower limbs giving a characteristic mermaid-like appearance to the affected foetus. We report a case of sirenomelia occurring in a 19 year old Cameroonian woman following premature rupture of membranes and associated cord prolapse. This is the first documented case in this country. We highlight some of the cultural myths associated with this disorder and discuss our findings relative to the present literature and related controversies on its etiopathogenesis. PMID:24627759

Morfaw, Frederick LI

2012-01-01

218

Orbital Rosai–Dorfman Disease in a fifty-eight years old woman  

PubMed Central

Rosai–Dorfman disease (RDD) is rare and characterized by histiocytic proliferation and massive cervical lymphadenopathy. About 40% of patients have extra-nodal involvement. Opthalmic involvement is seen in 10% of cases. A case of orbital Rosai Dorfman disease in a 58 years old woman is presented here, who was misdiagnosed as orbital inflammatory disease initially. The patient did not respond to a course of oral prednisolone. Then complete surgical excision of the mass was performed and the histopathological examination was consistent with a diagnosis of RDD. PMID:24353690

Li, Hui-Yan; Cui, Hong-Guang; Zheng, Xue-Yong; Ren, Guo-Ping; Gu, Yang-Shun

2013-01-01

219

Orbital Rosai-Dorfman Disease in a fifty-eight years old woman.  

PubMed

Rosai-Dorfman disease (RDD) is rare and characterized by histiocytic proliferation and massive cervical lymphadenopathy. About 40% of patients have extra-nodal involvement. Opthalmic involvement is seen in 10% of cases. A case of orbital Rosai Dorfman disease in a 58 years old woman is presented here, who was misdiagnosed as orbital inflammatory disease initially. The patient did not respond to a course of oral prednisolone. Then complete surgical excision of the mass was performed and the histopathological examination was consistent with a diagnosis of RDD. PMID:24353690

Li, Hui-Yan; Cui, Hong-Guang; Zheng, Xue-Yong; Ren, Guo-Ping; Gu, Yang-Shun

2013-07-01

220

Fatal lymphomatoid granulomatosis with primary CNS-involvement in an immunocompetent 80-year-old woman.  

PubMed

An 80-year-old woman presented with weight loss, fatigue, dizziness and a brain stem lesion. Extensive work-up revealed lymphomatoid granulomatosis (LYG) with primary clinical manifestation in the central nervous system (CNS), a rare Epstein-Barr virus-driven multisystem lymphoproliferative disorder, to be causative for the symptoms. Immunochemotherapy consisting of rituximab and temozolomide was started, but the disease progressed and the patient subsequently died. Histology, diagnostic criteria, differential diagnosis and treatment options for LYG with CNS involvement are discussed. This case demonstrates that LYG with CNS involvement may necessitate more aggressive treatment approaches than combination therapy with rituximab and temozolomide. PMID:25535225

Olmes, David G; Agaimy, Abbas; Kloska, Stephan; Linker, Ralf A

2014-01-01

221

Tumor of the heart in a young woman; a rare manifestation of Wegener granulomatosis.  

PubMed

Wegener granulomatosis may rarely present with tumor masses that are in areas not typically involved by the disease. Although some cases have an associated positive anti-neutrophilic cytoplasmic antibodies, other cases do not, especially those of the limited form. To prevent misdiagnosis and ensure prompt treatment, it is extremely important to consider Wegener granulomatosis even in cases without the classic clinical findings. We report a case of a 19-year-old woman with no prior significant medical history who presented with persistent ventricular tachycardia and a papillary muscle mass in her left ventricle which upon excision and tissue evaluation demonstrated histologic changes of Wegener granulomatosis. PMID:21803397

Singh, Remmi; Rosen, Seymour

2012-02-01

222

A rare case of diffuse pulmonary lymphangiomatosis in a middle-aged woman.  

PubMed

Diffuse pulmonary lymphangiomatosis (DPL) is a rare lymphatic disorder characterized by lymphatic channel proliferation. It is mostly reported in children and young adults. Here, we report a case involving a 52-year-old asymptomatic woman who presented with increased interstitial markings, as seen on a chest radiograph. Diffuse interstitial septal thickening was found on a serial follow-up chest computed tomography scan, and lymphangitic metastasis was the primary radiologic differential diagnosis. However, histologic sections of wedge resected lung revealed diffuse pleural and interlobular septal lymphatic proliferation characteristic of DPL. PMID:24642766

Lim, Hyun-ju; Han, Joungho; Kim, Hong Kwan; Kim, Tae Sung

2014-01-01

223

A Rare Case of Diffuse Pulmonary Lymphangiomatosis in a Middle-Aged Woman  

PubMed Central

Diffuse pulmonary lymphangiomatosis (DPL) is a rare lymphatic disorder characterized by lymphatic channel proliferation. It is mostly reported in children and young adults. Here, we report a case involving a 52-year-old asymptomatic woman who presented with increased interstitial markings, as seen on a chest radiograph. Diffuse interstitial septal thickening was found on a serial follow-up chest computed tomography scan, and lymphangitic metastasis was the primary radiologic differential diagnosis. However, histologic sections of wedge resected lung revealed diffuse pleural and interlobular septal lymphatic proliferation characteristic of DPL. PMID:24642766

Lim, Hyun-ju; Kim, Hong Kwan; Kim, Tae Sung

2014-01-01

224

[Labour epidural analgesia for a woman with a factor XI deficiency: an illconsidered risk?].  

PubMed

Inherited bleeding disorders contraindicate epidural analgesia because of the risk of epidural haematoma. However, there is no consensus about a minimal rate of factor XI required for its performance. We report here a case of epidural analgesia in a pregnant woman with a moderate and symptomatic factor XI deficiency, despite this theoretical contraindication. Indeed, the factor XI deficiency results in a haemorrhagic risk which is variable and not easily foreseeable. Nevertheless, no neurological after-effect or excessive bleeding occurred although no specific prophylaxis had been performed. PMID:19101109

Pepino, F; Granchamp, P; Odin, I; Decroisette, E; Nathan, N

2009-01-01

225

Intravascular Cytotoxic T-Cell Lymphoma in a Young Immunocompetent Woman  

PubMed Central

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

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

2014-01-01

226

Klebsiella pneumoniae necrotizing fasciitis of the leg in an elderly French woman  

PubMed Central

Klebsiella pneumoniae necrotizing fasciitis is a rare infection in regions outside of Asia. Here, we present a case of necrotizing fasciitis of the leg caused by K. pneumoniae in a 92-year-old French woman hospitalized in a geriatric rehabilitation unit. The patient initially presented with dermohypodermitis of the leg that developed from a dirty wound following a fall. A few hours later, this painful injury extended to the entire lower limb, with purplish discoloration of the skin, bullae, and necrosis. Septic shock rapidly appeared and the patient died 9 hours after the onset of symptoms. The patient was Caucasian, with no history of travel to Asia or any underlying disease. Computed tomography revealed no infectious metastatic loci. Blood cultures showed growth of capsular serotype K2 K. pneumoniae strains with virulence factors RmpA, yersiniabactin and aerobactin. This rare and fatal case of necrotizing fasciitis caused by a virulent strain of K. pneumoniae occurred in a hospitalized elderly woman without risk factors. Clinicians and geriatricians in particular should be aware of this important albeit unusual differential diagnosis. PMID:25071368

Monié, Marguerite; Drieux, Laurence; Nzili, Bernadette; Dicko, Michèle; Goursot, Catherine; Greffard, Sandrine; Decré, Dominique; Mézière, Anthony

2014-01-01

227

The coping with labor algorithm: an alternate pain assessment tool for the laboring woman.  

PubMed

The documentation of pain in the labor and delivery setting is one of the essential tasks of all health care providers who care for women in labor. The Joint Commission standards mandate regular pain assessments, but compliance with this mandate in the highly unique patient population of laboring woman is problematic when using the standard 0 to 10 Numeric Rating Scale. Labor pain is always unique given the various contributing physiologic, emotional, social, and cultural components. This article describes the work of a process improvement group to create an alternative pain assessment tool named the Coping With Labor Algorithm. The group, consisting of nurses and nurse-midwives, used the FOCUS format and Deming's "Plan, Do, Check, and Act" cycle to create a formalized assessment tool for use with laboring women. The Coping With Labor Algorithm is currently in use in the labor unit of a large tertiary care facility, which successfully passed a Joint Commission inspection while using the coping algorithm. The value of the coping algorithm is two-fold: it provides a mechanism for pain documentation, and it provides nursing care suggestions for the laboring woman. This article reports nurses' perceptions of the tool. PMID:20189129

Roberts, Leissa; Gulliver, Brenda; Fisher, Janet; Cloyes, Kristin G

2010-01-01

228

Pyosalpinx as a sequela of labial fusion in a post-menopausal woman: a case report  

PubMed Central

Introduction Complete labia fusion is a rare clinical entity in post-menopausal women. The most common complications of this presentation are infections of the urinary tract and retention of urine in the vagina. We present the case of a post-menopausal woman with adnexal mass and abdominal pain due to fusion of the labia majora. To the best of our knowledge this is the first report in the literature of this complication. Case presentation A 78-year-old Caucasian woman was admitted to our hospital due to abdominal pain and urination difficulty, along with fever and leucocytosis. On examination the labial majora were fused. Computed tomography of the abdomen revealed a cystic formation in the anatomical area of the right adnexa. Our patient had developed a pyosalpinx as a Sequela of labial fusion. At laparoscopy the right pyosalpinx was identified and resected, whereas the labia majora were reconstructed via dissection and separation. Conclusions Labial fusion is a rare clinical entity in post-menopausal women and can have serious and unexpected complications. Though this presentation is rare, a clinical examination must be performed in detail in order to gain valuable information for an accurate diagnosis. Post-operational instruction must be given to patients in order to prevent the re-occurrence of the fusion and its complications. PMID:22054217

2011-01-01

229

Acute respiratory failure in a 35-year-old woman following preterm vaginal delivery.  

PubMed

A 35-year-old woman, a non-smoker with a normal body mass index, 'felt wheezy' and developed profound hypoxia 30 min after preterm vaginal delivery at 24+ weeks of gestation. She denied other symptoms, had no fever but was tachycardic and tachypnoeic with normal blood pressure. Pulmonary embolism, amniotic fluid embolism, cardiomyopathy, arrhythmias, sepsis and non-cardiogenic pulmonary oedema were considered as differential diagnoses. Chest X-ray showed an increased pulmonary vasculature, but the blood tests, ECG, echocardiogram and CT pulmonary angiogram were essentially normal. She was managed on a high dependency area with high-flow oxygen and intravenous antibiotics. She improved dramatically and the oxygen requirements dropped to 2 L over the next 4 h. It is plausible that this woman had acute non-cardiogenic pulmonary oedema secondary to a combination of risk factors. This case highlights the importance of a methodical and multidisciplinary approach for a prompt diagnosis and successful treatment of an acutely ill parturient. PMID:24648478

Bhandari, H M; Gorecha, M; Woodman, J

2014-01-01

230

Food-induced acute generalized exanthematous pustulosis in a pregnant woman.  

PubMed

A 21-year-old woman of Romany origin, in the third trimester of her fourth pregnancy, was admitted to the hospital because of a generalized erythematous and pustular eruption and desquamation involving her face, neck, trunk, and extremities. The skin changes were accompanied by fever (100.4 degrees F [38 degrees C]) and malaise. The patient was convinced that the dermatitis was induced by the consumption of "spoilt" pork sausage (bad smell, changed taste) approximately 24 hours earlier. Clinical examination revealed a woman with phototype III skin, black eyes, and black hair, in good general health. Widespread, symmetrical, moderately intense erythema and isolated or coalescing targetoid lesions studded with discrete, pinhead-sized, nonfollicular pustules in the center or at the periphery were distributed over her face, trunk, groins, and upper and lower extremities (Figures 1). On the neck and abdomen, lamellar desquamation was observed (Figure 2). Palms, soles, scalp, mucous membranes, hair, and nails were not affected. Nikolsky's sign was negative. The patient complained of very slight skin burning and itching. The pregnancy was proceeding without any complications and her obstetric status was normal. The woman had neither any accompanying diseases, nor previous personal or family history of psoriasis, nor any known allergies. She had taken no systemic medication (not even vitamins). She had three pregnancies; two ended with the delivery of healthy babies and one of them was aborted at her will. Laboratory studies revealed leukocytosis (13.2 x 109/L), neutrophilia (8 x 109/L), anemia (hemoglobin, 108 g/L), and an elevated erythrocyte sedimentation rate (68-110 mm/h). The results from the following investigations were normal: urinalysis, renal and hepatic function, serum albumin, Ca, Na, K, aspartate aminotransferase titer, cryoprotein, hepatitis B surface antigen, and serum markers for syphilis. Bacterial and fungal cultures of pustular content were sterile. A skin biopsy specimen of lesional skin revealed subcorneal pustules containing leukocytes and necrotic keratinocytes and a mixed perivascular inflammatory infiltrate with isolated eosinophils in the dermis (Figure 3). The patient was treated with systemic methylprednisolone in gradually reduced doses, fluocinonide cream 0.05%, and emollients. As a result, her fever disappeared and her erythema faded. Frequent obstetric examination and cardiotocography were normal and showed no evidence of placental insufficiency. At 40 weeks' gestation, the patient spontaneously gave birth without any complications to a healthy boy. She was discharged with complete resolution of the skin lesions, preceded by massive desquamation of the epidermis. The 1-year follow-up of the patient revealed no relapses or new pustular eruptions. PMID:16855416

Valkova, Sonya

2006-01-01

231

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

PubMed Central

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

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

2010-01-01

232

Elderly woman with triple-negative metastatic breast cancer successfully treated with metronomic capecitabine.  

PubMed

Triple-negative breast cancer phenotype (estrogen receptor-, progesterone receptor- and human epidermal growth receptor 2-negative) is one of the most aggressive molecular subtypes, accounting for 15-20% of all breast tumors. There is no standard treatment for this setting of patients except anthracyclines and taxanes, but not all elderly patients can tolerate these kinds of agents. We describe the case of an elderly woman affected by triple-negative breast cancer with bone and brain metastases who has been treated for five years with metronomic capecitabine. At the moment, the patient has stable disease and enjoys good quality of life. She had initially been diagnosed with a poor Karnofsky index, which has actually improved from 50 to 90. Metronomic capecitabine treatment has clearly improved her quality of life, as documented by the results of the Functional Assessment of Cancer Therapy Breast. PMID:25075060

De Iuliis, Francesca; Salerno, Gerardo; Taglieri, Ludovica; Vicinanza, Roberto; Lanza, Rosina; Scarpa, Susanna

2014-08-01

233

Spontaneous rupture of an unscarred gravid uterus in a primigravid woman at 32 weeks of gestation.  

PubMed

Uterine rupture usually occurs in a scarred uterus, especially secondary to prior cesarean section. Antepartum uterine rupture in an unscarred uterus is extremely rare. We report a case of spontaneous rupture of an unscarred gravid uterus at 32 weeks of gestation in a primigravid woman. Ultrasonography and magnetic resonance imaging showed a bulging cystic lesion communicating with the intrauterine cavity. Operative findings during emergent cesarean section revealed uterine perforation in the right cornual area and a prolapsed, nonbleeding amniotic sac. The left cornual area was also focally thin. An arcuate uterus was suspected based on follow-up hysterosalpingography. Antepartum uterine rupture tends to occur in the uterine cornual area. In this case, Müllerian duct anomalies may have been associated with focal myometrial defects. PMID:25093133

Mizutamari, Etsuko; Honda, Tomoko; Ohba, Takashi; Katabuchi, Hidetaka

2014-01-01

234

Neurocysticercosis, Meningioma, and Silent Corticotroph Pituitary Adenoma in a 61-Year-Old Woman  

PubMed Central

We report here the case of a 61-year-old woman who presented with hydrocephalus and cystic and solid lesions in sella turcica, suprasellar areas, and third ventricle. After ventriculoperitoneal shunt she developed cognitive changes and the cystic lesions enlarged. Magnetic resonance imaging (MRI) demonstrated multiple cysts and a solid lesion in the sella and around the anterior clinoid process. With diagnosis of neurocysticercosis she underwent craniotomy. Pathologic examination documented two different lesions: viable and dead cysticerci with inflaming infiltration and a left anterior clinoidal meningioma. At the second surgery, six weeks later via transnasal transsphenoidal approach a silent corticotroph pituitary adenoma was removed which was studied by histology, immunohistochemistry, and electron microscopy. To our knowledge, the occurrence of these three different lesions in the sellar area was not described before. PMID:23346440

Ramirez, Maria del Pilar; Restrepo, Juan E.; Syro, Luis V.; Rotondo, Fabio; Londoño, Francisco J.; Penagos, Luis C.; Uribe, Humberto; Horvath, Eva; Kovacs, Kalman

2012-01-01

235

A 24-year-old woman with intractable seizures: review of surgery for epilepsy.  

PubMed

Epilepsy, a recurrent seizure disorder affecting 1% of the population, can be genetic in origin and thereby affect multiple members in a family, or it can be sporadic. Many sporadic seizures come from a specific "focus" in the cortex. Focal-onset seizures account for 60% of all cases of epilepsy. Among patients with partial seizures, 35% respond poorly to available medication and may benefit from neurosurgical excisional surgery. In cases in which epilepsy is localized through different modes (electroencephalogram, magnetic resonance imaging, etc) to a specific area of the brain where there is an associated lesion, more than half of patients can expect a successful surgical outcome. In patients with consistent seizure-associated behavior but without a lesion, surgical treatment is less successful. Ms H, a young woman with a history of medically intractable partial epilepsy, does not have an anatomical lesion but wants to know if a surgical approach is a good option for her. PMID:18984876

Schomer, Donald L; Black, Peter M

2008-12-01

236

New diagnosis of left atrial myxoma in a 93-year-old woman.  

PubMed

A 93-year-old woman with a history of hypertension was noted to have a mass in the left atrium prolapsing partially through the mitral valve on a routine surface echocardiogram in 2002. A transesophageal echocardiogram was then performed revealing an irregular mass with an appearance of protruding fronds of tissue. The echogenicity of the mass was inhomogeneous with some areas of punctate calcification, and the mass was attached to the interatrial septum. The echocardiographic appearance of the mass was almost pathognomic of atrial myxoma, and this is the oldest patient yet to have been diagnosed with a probable myxoma. The patient did not want surgical removal of the mass. She is still asymptomatic at the age of 95 years. PMID:15891245

Kang, Gurjaipal; Bhullar, Parampal; Kang, Manjot

2005-01-01

237

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

SciTech Connect

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.

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

238

Deep angiomyxoma of retroperitoneum presenting as a perineal lump in a young woman.  

PubMed

Aggressive angiomyxoma (AAM) is a rare locally aggressive neoplasm of mesenchymal origin which occurs mainly in adult women. High local recurrence rate after surgery is due to incomplete surgical excision and most of the reported cases originate in the pelvis. We present a case of massive angiomyxoma arising from the abdomen and extending into the pelvis and perineum. A 23-year-old woman presented with a swelling of the left lower abdomen with discomfort and pain for 4 years. The swelling increased in size progressively and involved the perineum. At surgery the mass was abutting the urinary bladder and rectum. On microscopy there were typical features of AAM. Our case is being reported due to the rarity of its presentation. Close follow-up is necessary as there is high chance of recurrence. PMID:24265344

Mallick, Saumyaranjan; Samantaray, Satya Prasad; Durgapal, Prashant; Dash, Nihar

2013-01-01

239

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

PubMed Central

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.

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

2014-01-01

240

Hereditary spherocytosis in a 27-year-old woman: case report.  

PubMed

Hereditary spherocytosis (HS) is a familial hemolytic disorder with marked heterogeneity of clinical features, ranging from an asymptomatic condition to a fulminant hemolytic anemia. Although a positive family history of spherocytosis increases the risk for this disorder, it may be sporadic in some cases. In severe cases the disorder may be detected in early childhood, but in mild cases it may go unnoticed until later in adult life. A 27-year-old Nigerian woman presented with mild anemia, jaundice, splenomegaly and a history of multiple blood transfusion. Blood film showed about 70% spherocytes, reticulocytosis of 6.5%, increased osmotic fragility test and a negative direct antiglobulin test. She was managed conservatively on nutritional supplements and a significant regression of symptoms after 6 months was achieved. PMID:19763011

Hassan, A; Babadoko, A A; Isa, A H; Abunimye, P

2009-01-01

241

Iatrogenic dependence of anabolic-androgenic steroid in an Indian non-athletic woman.  

PubMed

Anabolic-androgenic steroids (AAS) are increasingly being used by athletes and youngsters to become masculine and to loose body fat. Long-term consumption of AAS causes multiple physical and psychological morbidities. Research has also concluded that AAS have addictive potential and AAS abuse is commonly found with other substance abuse. Abuse of AAS is rare in eastern countries. Abuse among women is even rarer. Here is a case report of an Indian woman, who was prescribed nandrolone decanoate injections by an unqualified medical practitioner to treat multiple non-specific somatic pains and reported weakness, leading to dependence for nandrolonedecanoate. This case report supports the research finding of abuse potential of AAS, raises concern about the need for spreading the awareness about AAS abuse among medical professionals, regulating medical practice by unqualified practitioners, and strict legal check against AAS availability in developing countries. PMID:24503662

Tripathi, Adarsh; Tekkalaki, Bheemsain; Saxena, Shashwat; Dandu, Himanshu

2014-01-01

242

Isolation and Characterization of a Black-Pigmented Corynebacterium sp. from a Woman with Spontaneous Abortion  

PubMed Central

An unusual black-pigmented coryneform bacterium was isolated from the urogenital tract of a woman who experienced a spontaneous abortion during month 6 of pregnancy. Biochemical and chemotaxonomic analyses demonstrated that the unknown bacterium belonged to the genus Corynebacterium. Phylogenetic analysis based on 16S rRNA sequences (GenBank accession no. AF220220) revealed that the organism was a member of a distinct subline which includes uncultured Corynebacterium MTcory 1P (GenBank accession no. AF115934), derived from prostatic fluid, and Corynebacterium CDC B8037 (GenBank accession no. AF033314), an uncharacterized black-pigmented coryneform bacterium. On the basis of chemotaxonomic and phylogenetic evidence, this organism probably represents a new species and is most closely related to the uncharacterized Centers for Disease Control and Prevention group 4 coryneforms. Our strain is designated CN-1 (ATCC 700975). PMID:11230435

Shukla, Sanjay K.; Vevea, Dirk N.; Frank, Daniel N.; Pace, Norman R.; Reed, Kurt D.

2001-01-01

243

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

PubMed Central

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

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

2012-01-01

244

Aortic Dissection and Postpartum Cardiomyopathy in a Postpartum Young Woman: A Case Report Study  

PubMed Central

Introduction: Aortic dissection is a rare condition in young women and usually related with congenital anomalies of aorta and connective tissue disorders. We reported a 34-year-old postpartum woman with aortic dissection. Case Presentation: The patient complained of respiratory distress and weakness with no abdominal pain or chest pain 20 days after delivery and had no history of hypertension during pregnancy and perinatal or prior heart disease. Postpartum cardiomyopathy and left ventricular dysfunction were diagnosed by imaging study and cardiac enzyme level. Finally, CT-scan was performed and showed aortic dissection. The patient underwent surgery and after surgery, she was alive without any problem. Conclusions: Patients with peripartum cardiomyopathy and aortic dissection could be cured with good medical care. PMID:24910806

Jalalian, Rozita; Saravi, Mehrdad; Banasaz, Bahar

2014-01-01

245

Large mucinous neoplasm of the appendix mimicking adnexal mass in a postmenopausal woman  

PubMed Central

INTRODUCTION Appendiceal tumors are rare, late-diagnosed neoplasms that may not be differentiated from adnexal masses even by advanced imaging methods and other diagnostic procedures. They may be asymptomatic and remain undiagnosed until surgery. PRESENTATION OF CASE We report a case of 81-year-old postmenopausal woman presented with abdominal pain. A magnetic resonance imaging revealed right adnexal mass. Laparotomy was performed and detected a 12 cm × 9 cm mucinous tumoral mass arising in the appendix. An appendectomy and a right hemicolectomy with ileo-transverse anastomosis were performed. Histopathological examination was revealed appendiceal mucinous neoplasm with low malignancy potential. DISCUSSION Gastrointestinal tumors such as appendiceal tumors can mimicking adnexal mass. Therefore, appendiceal tumor kept in mind in a patient with diagnosed adnexal mass, especially patient had non-specific clinical symptoms, laboratory and radiologic findings. CONCLUSION Gastrointestinal tumors such as appendiceal tumors kept in mind in a patient with diagnosed adnexal mass. PMID:25498566

Akman, Levent; Hursitoglu, Behiye Seda; Hortu, ?smet; Sezer, Taylan; Oztekin, Kemal; Avsargil, Basak Dogan

2014-01-01

246

Four successful pregnancies in a woman after Fontan palliation: a case report  

PubMed Central

Introduction A Fontan operation is performed to provide palliation for patients with many forms of highly complex congenital heart disease that cannot support a biventricular circulation. Increasing numbers of women who have undergone these connections in childhood are now reaching their childbearing years, and some are becoming pregnant. The low flow and fixed cardiac output of a Fontan circulation poses several problems during pregnancy. Case presentation We report the case of four successful pregnancies in a 31-year-old Tunisian woman with congenital tricuspid atresia after Fontan operation. Her pregnancies resulted in delivery of four healthy neonates. Her clinical status remained unchanged. Conclusions This case suggests that patients after adequate Fontan palliation could complete pregnancy without long-term cardiac sequelae. Intensive care should be provided with specialists, including a neonatologist, anesthesiologist and cardiologist. PMID:25335555

2014-01-01

247

Regional variations in histomorphometric bone dynamics from the skeleton of an osteoporotic woman.  

PubMed

Histomorphometric evaluation of bone formation in an intravital tetracycline-labeled skeleton of a suddenly deceased osteoporotic woman is presented. The 24 skeletal sites investigated displayed substantial regional variations which, for two out of four cortical bone dynamics and all trabecular bone dynamics, were significantly higher than the intraspecimen variation. Poor agreement was found between bone formation in left- and right-sided iliac crest specimens. Furthermore, no agreement was found between trabecular bone formation and amount of hematopoietic bone marrow. With all the limitations that the study of a single patient involves it is suggested that bone biopsy in individual patients should not be the only basis for therapeutic decisions in postmenopausal osteoporosis; amount of hematopoietic marrow does not seem to influence bone formation; and bone formation in the skeleton displays large regional variations, which are larger for the fraction of labeled surfaces than for appositional rate. PMID:3107770

Pødenphant, J; Engel, U

1987-04-01

248

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

PubMed Central

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

Chen, Qin; Chen, Xiaoduan

2014-01-01

249

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

PubMed

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

Griffin, Meridith; Phoenix, Cassandra

2014-07-01

250

N-acetylcysteine for neuropsychiatric symptoms in a woman with Williams syndrome.  

PubMed

Williams syndrome is a relatively rare genetic disorder caused by the hemizygous microdeletion of a region in chromosome 7q11.23. Individuals with Williams syndrome typically present with a highly social, overfriendly, and empathic personality. Comorbid medical and neuropsychiatric disorders are common. Reports of effective pharmacological treatment of associated neuropsychiatric disorders are limited. The authors describe the successful treatment of interfering anger, aggression, and hair-pulling with N-acetylcysteine in a 19-year-old woman with Williams syndrome. The neuropsychiatric symptoms emerged 1 week following an upper gastrointestinal endoscopy, for which fentanyl, midazolam, and propofol were used as anesthetics. The patient's treatment course and hypothesized mechanisms underlying the clinical presentation and symptom resolution are described. PMID:24396132

Pineiro, Mildred Lopez; Roberts, Antoinette M; Waxler, Jessica L; Mullett, Jennifer E; Pober, Barbara R; McDougle, Christopher J

2014-11-01

251

Simultaneous Serous Cyst Adenoma and Ovarian Pregnancy in An Infertile Woman  

PubMed Central

Ovarian pregnancy is a rare form of extra uterine pregnancy. Serous cyst adenoma is a benign variant of epithelial cell tumors of ovary. The coexistence of a cyst adenoma with an ovarian pregnancy in the same ovary is extremely rare. Some studies suggested that infertility or ovulation-inducing drugs can be involved in increased risk of ovarian tumors and ovarian pregnancies. A 28-year-old infertile woman presented with a ruptured ovarian pregnancy following ovulation induction with metformin. She had a concurrent benign serous cyst adenoma in the same ovary. Resection of both ovarian pregnancy and tumoral mass were performed. The ovary was preserved. Removal of gestational tissue and preservation of the involved ovary are the best options for management of ovarian pregnancy in young patient. Although there is an association between infertility/ovulation inducting medications and ovarian gestation, their connections with serous cyst adenoma are undetermined. PMID:24696771

Ebrahimi, Mahbod; Akbari Asbagh, Firoozeh

2014-01-01

252

Spontaneous Rupture of an Unscarred Gravid Uterus in a Primigravid Woman at 32 Weeks of Gestation  

PubMed Central

Uterine rupture usually occurs in a scarred uterus, especially secondary to prior cesarean section. Antepartum uterine rupture in an unscarred uterus is extremely rare. We report a case of spontaneous rupture of an unscarred gravid uterus at 32 weeks of gestation in a primigravid woman. Ultrasonography and magnetic resonance imaging showed a bulging cystic lesion communicating with the intrauterine cavity. Operative findings during emergent cesarean section revealed uterine perforation in the right cornual area and a prolapsed, nonbleeding amniotic sac. The left cornual area was also focally thin. An arcuate uterus was suspected based on follow-up hysterosalpingography. Antepartum uterine rupture tends to occur in the uterine cornual area. In this case, Müllerian duct anomalies may have been associated with focal myometrial defects. PMID:25093133

Mizutamari, Etsuko; Honda, Tomoko; Ohba, Takashi; Katabuchi, Hidetaka

2014-01-01

253

A case of bilateral stress fractures in an old woman: three years of pain  

PubMed Central

Summary In elderly patients frequent episodes of joint pain of lower limbs exacerbated by stress and resistant to treatment occur frequently. This paper reports a case of a long lasting bilateral atraumatic knee pain with a final diagnosis of bilateral stress fractures of proximal tibia in osteoporotic postmenopausal woman. The distinctive trait of this case is that the fracture has set in bilaterally and associated with an isthmic L4–L5 spondylolisthesis in a patient afflicted by a decline in mood. This particular clinical picture has delayed the diagnosis and the suitable treatment for 3 years. Therapy for this type of patients must aim in the acute phase at pain relief and only after must be settled in a long term antiosteoporotic therapy. We choose clodronate acyd for pain relief and after strontium ranelate for osteoporosis prevention. PMID:25285149

Scaglione, Michelangelo; Fabbri, Luca; Dell’Omo, Dario; Gambini, Francesco; Di Rollo, Federica; Guido, Giulio

2014-01-01

254

Sciatica as a presenting feature of thyroid follicular adenocarcinoma in a 79-year-old woman  

PubMed Central

The authors describe an unusual case of metastatic thyroid follicular adenocarcinoma presenting with sciatica in a 79-year-old woman. The primary thyroid tumour was undiagnosed until this clinical presentation. The patient gave a short history of back pain and right-sided sciatica, which was progressive and nocturnal in nature. Neuroimaging revealed an enhancing intradural mass lesion, which was completely excised through a right L1-L3 hemilaminectomy. Histopathological examination of the excised tissue revealed a follicular thyroid carcinoma. Subsequent metastatic investigation revealed a heterogeneously attenuating mixed solid cystic mass in a retrosternal thyroid gland, with multiple solid pulmonary nodules suggestive of metastatic disease. She opted for palliative radiotherapy for the primary thyroid cancer and made remarkable postoperative improvement. The authors conclude that surgical treatment of solitary metastatic lesion may produce good symptomatic relief irrespective of patient’s age and primary pathology, while emphasising the need for detailed clinical evaluation of patients with ‘red flag’ symptoms. PMID:22674960

Ogbodo, Elisha; Kaliaperumal, Chandrasekaran; Keohane, Catherine; Bermingham, Niamh; Kaar, George

2011-01-01

255

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

PubMed

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

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

2014-12-01

256

Streptococcus agalactiae endocarditis presenting as acalculous cholecystitis in a previously well woman  

PubMed Central

This case report describes the unusual presentation of a previously very well woman with Streptococcus agalactiae endocarditis in the emergency department. History, examination and preliminary laboratory and radiological investigations supported a diagnosis of acalculous cholecystitis, for which she was given intravenous broad spectrum antimicrobial therapy. One day following admission, the patient deteriorated and became unresponsive. Subsequent MRI of the brain revealed multiple bihemispheric cerebral emboli and a large, mobile mitral valve thrombus was visualised on her transoesophageal echocardiogram. S agalactiae was cultured from venous blood samples and her antimicrobial cover was adjusted accordingly. Despite her presumed guarded prognosis, this patient made a remarkable recovery. To our knowledge, the association of S agalactiae endocarditis with acalculous cholecystitis has not been previously described. PMID:23405002

Brewer, Linda; Lavan, Amanda Hanora; Cullen, Laura; Duggan, Joseph

2013-01-01

257

Primary umbilical endometriosis presenting as umbilical drainage in a nulliparous and surgically naive young woman.  

PubMed

Endometriosis is well known as a chronic condition associated with significant morbidity. Umbilical endometriosis, however, may go unrecognized because of its rarity, leading to multiple medical visits and a delayed diagnosis. Chronic umbilical drainage is an unusual presentation for umbilical endometriosis. Even more unusual is the development at this location in a patient without previous abdominal surgery. There are very few published case reports about primary umbilical endometriosis. A 24-year-old nulliparous African American woman presents to the emergency department with a complaint of chronic umbilical drainage of 3-year duration and undergoes a computed tomographic scan and subspecialty referral, which lead to the diagnosis of primary abdominal wall endometriosis and a new left ovary endometrioma. Although this is an unusual occurrence, it may be considered in patients with chronic umbilical drainage without other cause. PMID:24439545

Kahlenberg, Lindsay K; Laskey, Sara

2014-06-01

258

A primary cutaneous adenoid-cystic carcinoma in a young woman. Differential diagnosis and clinical implications  

PubMed Central

Primary cutaneous adenoid-cystic carcinoma (PCACC) is a rare slow-growing neoplasm of disputed histogenesis characterized by a cribriform pattern at histology and local aggressive behaviour. Up to date about 60 cases of PCACC have been reported in the literature. This tumour is most common in the scalp, affects middle-aged and older individuals (mean age 59) and has predilection for women. We describe an unexpected case of PCACC in a 32-years-old woman referred to our clinic for a subcutaneous nodule in the scalp showing a slow growth and indolent course. The differential diagnosis and the clinical management of this PCACC patient, successfully treated with a wide local excision, are presented and discussed. PMID:21464876

Cacchi, Claudio; Persechino, Severino; Fidanza, Laura; Bartolazzi, Armando

2011-01-01

259

The new woman as "tied-up dog": Amy E. Tanner's situated knowledges.  

PubMed

Amy E. Tanner pursued a series of ventures on the margins of the discipline of psychology from 1895 through the 1910s. As a midwesterner and a woman, she found herself denied opportunities at both research universities and elite women's colleges, spending the most visible phase of her career as G. Stanley Hall's assistant at Clark University. A narrative of Tanner's life furnishes more than a glimpse at the challenges faced by women scholars in the past. As an investigator engaged with the debate over the mental variability of the sexes, an active class passer in the name of social reform, and a spiritualist debunker, her broad interests illuminate how broadly the proper scope of the new psychology could be constituted. Throughout her writing, Tanner offered an embedded, situated account of knowledge production. PMID:19048974

Pettit, Michael

2008-08-01

260

Clinical Manifestation of a Calyceal Diverticular Abscess in a Pregnant Woman  

PubMed Central

Calyceal diverticula are congenital, nonsecretory abnormalities in which the transitional cell-lined cavity communicates with the renal collecting system. Here we present the case of a calyceal diverticular abscess during pregnancy. A 40-year-old primiparous woman developed the abscess at 23 weeks of gestation, with right flank pain and a 37.8°C fever. A transabdominal ultrasound revealed a 12 × 10?cm cystic mass in the right kidney. She was initially diagnosed with a simple renal cyst infection, and intravenous antibiotics were initiated. Percutaneous drainage was started at 26 weeks of gestation. When urine excretion from the cyst was confirmed by dye test using indigotindisulfonate sodium, the patient was diagnosed with a calyceal diverticular abscess. She gave birth to a 2,870?g healthy male at 38 weeks of gestation. Percutaneous drainage with low-dose antimicrobial therapy could thus allow for the continued pregnancy of women with a calyceal diverticular abscess until full term. PMID:25525537

Hasegawa, Yuichi; Sago, Haruhiko

2014-01-01

261

A 56-year-old woman with stress-induced hoarseness  

PubMed Central

A 56-year-old woman was admitted to hospital due to stress-dependent hoarseness and hypertensive urgency. The patient reported peaks of blood pressure of 210/160 mm Hg in combination with hoarseness. With indirect mirror examination, the ear-nose-and throat doctor diagnosed a paralysis of the vocal cord on the left side. The authors suspected a mass affecting the vagus nerve and performed a CT-scan with iodinated contrast material of the neck and thorax. Surprisingly the CT-scan showed an aneurysm of the aortic arch with a dilatation up to 4.8 cm, a kinking of 120° and a chronic dissection in the aneurysm. During exercise or elevated blood pressure this aneurysm expanded and made a compression of the nervus laryngeus recurrens on the left side. Thus, there is an explanation for the patient’s hoarseness on exertion and during hypertensive urgency. PMID:22604762

Latus, Joerg; Franke, Ulrich; Alscher, M Dominik; Braun, Niko

2012-01-01

262

Inclusion at a university: experiences of a young woman with Down syndrome.  

PubMed

For young adults with developmental disabilities, postsecondary experiences on a university campus with same-age peers can provide opportunities for learning and social integration. Through the collaborative support of university instructors, a preservice teacher, and her mother, a young woman with Down syndrome was successfully included in a speech communications course at a 4-year, private university. Our purpose here was to explore the impact of this experience on the student, her classmates, and preservice teacher who offered peer support. The experience provided opportunities for interaction with age-appropriate peers and was a positive learning experience for all participants. Challenges emerged related to assessment, expectations, and building relationships. Implications for potential inclusive transition opportunities at the university were discussed. PMID:16970517

Casale-Giannola, Diane; Kamens, Michele Wilson

2006-10-01

263

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

PubMed

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

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

2012-04-27

264

[Urgent cesarean section in a pregnant woman with carbon monoxide poisoning].  

PubMed

Recognition of carbon monoxide is difficult due to its plain physical-chemical properties. Carbon and gas operating heating systems may cause severe poisoning. Carbon-monoxide intoxication may generate severe hypoxic damage and it may cause death. The authors present the case of severe carbon monoxide poisoning affecting one young child and five adults, including a pregnant woman. Because the availability of hyperbaric oxygen therapy is limited in Hungary, urgent cesarean section was performed to avoid intrauterine hypoxic damage. The authors note that there are no standardized non-invasive methods for measuring fetal carbon-monoxide level and that the level of carbon monoxide accumulation is higher and the clearance is longer in the fetus than in the mother. The pathophysiology of carbon monoxide intoxication and therapeutic options in pregnancy are discussed. PMID:24860052

Gara, Edit; Gesztes, Éva; Doroszlai, Richárd; Zacher, Gábor

2014-06-01

265

A Pregnant Woman Who Underwent Laparoscopic Adrenalectomy due to Cushing's Syndrome  

PubMed Central

Cushing's syndrome (CS) may lead to severe maternal and fetal morbidities and even mortalities in pregnancy. However, pregnancy complicates the diagnosis and treatment of CS. This study describes a 26-year-old pregnant woman admitted with hypertension-induced headache. Hormonal analyses performed due to her cushingoid phenotype revealed a diagnosis of adrenocorticotropic hormone- (ACTH-) independent CS. MRI showed a 3.5?cm adenoma in her right adrenal gland. After preoperative metyrapone therapy, she underwent a successful unilateral laparoscopic adrenalectomy at 14-week gestation. Although she had a temporary postoperative adrenal insufficiency, hormonal analyses showed that she has been in remission since delivery. Findings in this patient, as well as those in previous patients, indicate that pregnancy is not an absolute contraindication for laparoscopic adrenalectomy. Rather, such surgery should be considered a safe and efficient treatment method for pregnant women with cortisol-secreting adrenal adenomas. PMID:25544906

Bayram, Fahri; Simsek, Yasin; Ozkan, Yusuf; Akcan, Alper; Karahan, Ibrahim; Ileri, Ibrahim; Aribas, Sulbiye; Koc, Mehmet Sait

2014-01-01

266

Bilateral Double Ureters with Bladder Neck Diverticulum in a Nigerian Woman Masquerading as an Obstetric Fistula  

PubMed Central

A 43-year-old woman presented with 20-year history of leakage of urine per vaginam. She had one failed repair attempt. Pelvic examination with dye test showed leakage of clear urine suggestive of ureterovaginal fistula. The preoperative intravenous urogram revealed duplex ureter and cystoscopy showed normally cited ureteric orifices with two other ectopic ureteric openings and bladder diverticula. The definitive surgery performed was ureteric reimplantation (ureteroneocystostomy) of the two distal ureteric to 2?cm superiolateral to the two normal orifices and diverticuloplasty. There was resolution of urinary incontinence after surgery. Three months after surgery, she had urodynamic testing done (cystometry), which showed 220?mLs with no signs of instability or leakage during filling phase but leaked on coughing at maximal bladder capacity. This is to showcase some diagnostic dilemma that could arise with obstetric fistula, which is generally diagnosed by clinical assessment. PMID:25587483

Morhason-Bello, Imran O.; Adebayo, Sikiru A.; Abdusalam, Rukiyat A.; Bello, Oluwasomidoyin O.; Odubamowo, Kehinde H.; Lawal, Olatunji O.; Olapade-Olaopa, E. Oluwabunmi; Ojengbede, Oladosu A.

2014-01-01

267

Investigation, science, and research partner to solve elderly woman's shocking homicide.  

PubMed

As the investigation and prosecution of sexual homicide cases becomes increasing complex, law enforcement agencies are utilizing alternative avenues of investigative assistance. In 2004, the Oakland County, Michigan Sheriff's Office was faced with the horrific sexual assault and murder of an elderly woman. Although familiar with violent crime, this extremely violent and unusual case motivated the police to enlist the help of forensic scientists and FBI violent crime researchers to assist their investigation. This partnership led to the successful investigation and prosecution of the offender and serves as a model for law enforcement agencies willing to consider using additional available resources in order to successfully resolve unusual and extraordinarily violent sexual crimes. PMID:17073059

Safarik, Mark E; Wurtz, David G

2006-01-01

268

Acute respiratory distress syndrome in a pregnant woman with systemic lupus erythematosus: a case report.  

PubMed

When the disease activity of systemic lupus erythematosus (SLE) is controlled appropriately, a pregnant woman who has lupus is able to carry safely to term and deliver a healthy infant. While the physiology of a healthy pregnancy itself influences ventilatory function, acute pulmonary distress may decrease oxygenation and influence both mother and fetus. Though respiratory failure in pregnancy is relatively rare, it remains one of the leading conditions requiring intensive care unit admission in pregnancy and carries a high risk of maternal and fetal morbidity and mortality, not to mention the complexity caused by lupus flare. We report a case of SLE complicated with lupus pneumonitis and followed by acute respiratory distress during pregnancy. Though there is a high risk of maternal and fetal morbidity and mortality, maternal respiratory function improved after cesarean section and treatment of the underlying causes. The newborn had an extremely low birth weight but was well at discharge. PMID:25145338

Chen, Y-J A; Tseng, J-J; Yang, M-J; Tsao, Y-P; Lin, H-Y

2014-12-01

269

5-Alpha-Reductase 2 Deficiency in a Woman with Primary Amenorrhea  

PubMed Central

Steroid 5-alpha-reductase 2 deficiency is a rare disorder leading to male pseudohermaphroditism, a condition characterized by incomplete differentiation of male genitalia in 46,XY patients. Here, we report a case of a 21-year-old woman from Ardabil who presented with primary amenorrhea, ambiguous genitalia, and lack of breast development. All of the serum hormone profiles were normal except for raised serum total testosterone. Testosterone to DHT ratio (T/DHT) was elevated before (15.72) and further increased after hCG stimulation (32.46). A chromosomal study revealed a 46,XY karyotype. A bilateral gonadectomy, recessive cliteroplasty, urethroplasty, and vaginoplasty were performed and hormonal replacement therapy using estrogen was started. In conclusion, the diagnosis of 5-alpha-reductase 2 deficiency may be suspected in infants with ambiguous genitalia or in adolescents or young adults with the characteristic phenotype and serum hormone profiles. PMID:24383016

Kalantar Hormozi, Mohammadreza; Iranparvar Alamdari, Manouchehr; Tavosi, Zahra

2013-01-01

270

Anesthetic management of a pregnant woman with Gorham-Stout disease.  

PubMed

Gorham-Stout disease is a rare disorder of bone loss and proliferation of lymphatic and vascular tissue (lymphangiomatosis). A 30-year-old nulliparous woman with Gorham-Stout disease presented at 8weeks of gestation with a fused cervical spine. At 31weeks she developed basilar invagination and neurological symptoms that were managed with a neck brace. Anesthetic considerations were those of airway compromise, development of severe preeclampsia and Kasabach-Merritt coagulopathy. Elective tracheostomy was declined. She presented two days before a planned cesarean delivery at 35weeks in preterm labor. A semi-urgent cesarean delivery under spinal anesthetic proceeded uneventfully, with an otolaryngologist present in case a surgical airway was required. Mother and baby were discharged home after three days. Maternal postpartum recovery was complicated by episodes of respiratory compromise and critical bone loss in the cervical spine, necessitating further surgical reinforcement. PMID:21111606

Gambling, D R; Catanzarite, V; Fisher, J; Harms, L

2011-01-01

271

Recurrent ischemic strokes in a young celiac woman with MTHFR gene mutation.  

PubMed

Celiac disease (CD) is frequently associated with neurological disorders, but very few reports concern the association with ischemic stroke. A 26-year-old woman affected by CD with secondary amenorrhea, carrier of a homozygous 5,10-methylenetetrahydrofolate reductase mutation with hyperhomocysteinemia, was affected by two occipital ischemic strokes within a period of 5 mo. At the time of the second stroke, while she was being treated with folic acid, acetylsalicylic acid and a gluten-free diet, she had left hemianopsia, left hemiparesthesias, and gait imbalance. Brain magnetic resonance imaging showed a subacute right occipital ischemic lesion, which was extended to the dorsal region of the right thalamus and the ipsilateral thalamo-capsular junction. Antitransglutaminase and deamidated gliadin peptide antibodies were no longer present, while antinuclear antibodies, antineuronal antibodies and immune circulating complexes were only slightly elevated. Since the patient was taking folic acid, her homocysteine ??levels were almost normal and apparently not sufficient alone to explain the clinical event. A conventional cerebral angiography showed no signs of vasculitis. Finally, rare causes of occipital stroke in young patients, such as Fabry's disease and mitochondrial myopathy, encephalomyopathy, lactic acidosis and stroke-like symptoms, were also excluded by appropriate tests. Thus, the most probable cause for the recurrent strokes in this young woman remained CD, although the mechanisms involved are still unknown. The two main hypotheses concern malabsorption (with consequent deficiency of vitamins known to exert neurotrophic and neuroprotective effects) and immune-mediated mechanisms. CD should be kept in mind in the differential diagnosis of ischemic stroke in young patients. PMID:22807619

Fabbri, Elisa; Rustignoli, Lisa; Muscari, Antonio; Puddu, Giovanni M; Guarino, Maria; Rinaldi, Rita; Minguzzi, Elena; Caio, Giacomo; Zoli, Marco; Volta, Umberto

2012-07-14

272

MYTHS ABOUT SEXUAL HARASSMENT Myth Sexual harassment is a woman's problem and only happens to women who flirt, dress  

E-print Network

MYTHS ABOUT SEXUAL HARASSMENT Myth ­ Sexual harassment is a woman's problem and only happens to women who flirt, dress provocatively or otherwise "invite" it. Fact ­ Sexual harassment most often of sexual harassment are men. Myth ­ Sexual harassment is no big deal. Anyone who complains has no sense

Dyer, Bill

273

2346 IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, VOL. 57, NO. 10, OCTOBER 2010 Whole-Body Pregnant Woman Modeling By Digital  

E-print Network

in several applications, such as numerical dosimetry, to assess the po- tential effects of electromagnetic the generation of realistic and detailed models of human beings. The construction of pregnant woman models approach relies on the segmentation of 3-D ultrasonic and 3-D mag- netic resonance imaging (MRI) data

274

First Report of a Hip Prosthetic and Joint Infection Caused by Lactococcus garvieae in a Woman Fishmonger?  

PubMed Central

We describe the first case of hip prosthetic infection due to Lactococcus garvieae. The patient, a 71-year-old woman fishmonger, developed a hip infection 7 years after total hip arthroplasty. The origin of infection was possibly due to the manipulation or intake of seafood or fish contaminated with Lactococcus garvieae. PMID:21367987

Aubin, G. G.; Bémer, P.; Guillouzouic, A.; Crémet, L.; Touchais, S.; Fraquet, N.; Boutoille, D.; Reynaud, A.; Lepelletier, D.; Corvec, S.

2011-01-01

275

Malignant hypertension and antiphospholipid antibodies as presenting features of SLE in a young woman using oral contraceptives.  

PubMed

A 24-year-old woman developed malignant hypertension while on oral contraceptives (OCs). She was found to have incomplete systemic lupus erythematosus (SLE) with DNA antibodies and high levels of antiphospholipid antibodies (APLA). She later developed SLE and has had three miscarriages and a cerebellar infarction. PMID:1747706

Julkunen, H; Kaaja, R; Jouhikainen, T; Teppo, A M; Friman, C

1991-12-01

276

Hemorrhagic syndrome and acute renal failure in a pregnant woman after contact with Lonomia caterpillars: a case report.  

PubMed

A case of a 37-week pregnant woman who developed a hemorrhagic syndrome and acute renal failure after contact with Lonomia caterpillars is reported. The accident also initiated labour and the patient gave birth to an alive child. Some pathophysiological aspects of the genital bleeding and of the acute renal failure are discussed. PMID:9755567

Fan, H W; Cardoso, J L; Olmos, R D; Almeida, F J; Viana, R P; Martinez, A P

1998-01-01

277

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

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…

Vickers, Caroline H.; Deckert, Sharon K.

2013-01-01

278

[The woman, who saw her husband approach upside down: disorder of spatial orientation after removal of an acoustic neuroma].  

PubMed

A 60-year-old woman experienced a severe spatial disorientation after sudden interruption of the right vestibulocochlear nerve (on removal of an acustic neurinoma). She saw her husband approaching to her bed upside-down. This "reversal of vision metamorphopsia" resolved after a few hours. PMID:10483564

Kommerell, G

1999-08-01

279

"No Philosophy Carries So Much Conviction as the Personal Life": Mary Wright Plummer as an Independent Woman.  

ERIC Educational Resources Information Center

Provides an overview of the life of Mary Wright Plummer, a leader in American librarianship, and her effort to construct a personal identity as an independent woman. Highlights include her Quaker childhood; European travels; self-actualization and career strategies; and blending public and private spheres. (Contains 101 references.) (LRW)

Maack, Mary Niles

2000-01-01

280

On the Status of Women in Seventeenth-Century China: Teaching Spence's "The Death of Woman Wang."  

ERIC Educational Resources Information Center

Describes the application of Frederick Drake and Denee Corbin's method of "dramatization in the classroom" to teaching Chinese history. Outlines the use of the book, "The Death of Woman Wang," to study 17th-century Chinese social life and laws. Includes an outline of activities for the preparation and teaching of the lesson. (DSK)

Gao, James Z.

1998-01-01

281

Beauty Queens and Unruly Women in the Year of the Woman Governor: Jennifer Granholm and the Visibility of Leadership  

Microsoft Academic Search

Michigan Governor Jennifer Granholm capitalized on the most viable resources of the unruly woman during her 2002 campaign: direct language, action-oriented responses, public dissemination of policy plans, and strategic use of visibility. The result complicated the beauty queen narrative that framed her campaign. This study underscores the potency of the beauty queen narrative in our political culture and ways to

Kristina Horn Sheeler

2010-01-01

282

Reduction of Tongue Protrusion of a 24-Year-Old Woman with Down Syndrome through Self-Monitoring.  

ERIC Educational Resources Information Center

Tongue protrusion of a 24-year-old moderately retarded woman with Down syndrome was reduced through self-monitoring. A series of six, 30-minute audio cassette tapes, with decreasing numbers of beep tones, served as cues to self-monitor. This reduction of tongue protrusion was maintained when the self-monitoring procedures were gradually faded and…

Rudrud, Eric H.; And Others

1984-01-01

283

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

PubMed Central

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

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

2014-01-01

284

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

ERIC Educational Resources Information Center

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…

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

2012-01-01

285

Equality Through Education The woman on the stage beamed as words of appreciation dripped from the lips of  

E-print Network

Equality Through Education The woman on the stage beamed as words of appreciation dripped from's teachings of equality were centered on the belief that as brothers and sisters in Christ, we should love for a stronger #12;nation. Throughout his life, Dr. King stood rigidly yet peacefully for his dream of equality

Indiana University

286

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

ERIC Educational Resources Information Center

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)

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

1979-01-01

287

Sclerosing peritonitis with unilateral ovarian luteinized thecoma in a post-menopausal woman: A case report.  

PubMed

A unique case of unilateral ovarian luteinized thecoma with sclerosing peritonitis is reported because the association between these two conditions is extremely rare. Etiology is not clearly known. A 50-year-old post-menopausal woman presented with pain abdomen and huge swelling. Pelvic contrast-enhanced computed tomography (CECT) revealed a heterogenous enhancing mass arising possibly from ovary and adherent to uterus, bowl loops, and omentum. A spindle cell neoplasm without definite features of malignancy was reported in computed tomography (CT)-guided fine-needle aspiration cytology (FNAC). Ascitic fluid was negative for malignancy. Her serum carcinoembryonic antigen (CEA) (1.1ng/ml) and CA125 (27.6?/ml) level was within normal limits. Total abdominal hysterectomy with bilateral supracolic omentectomy, resection of part of colon, and supracolic omentectomy was done. Histopathological diagnosis was luteinized thecoma with sclerosing peritonitis. Tumor cells were immunoreactive to smooth muscle antigen (SMA) and CD 99 and non- reactive to ER, PR, Calretinine, and Cytokeratin. Patient developed post-operative sepsis and enterocutaneous fistula, which was managed conservatively and was kept in follow-up. According to current concept, in spite of its large size, wide-spread involvement, mitotic activity, and complications due to peritoneal involvement, behavior of this rare clinical entity is benign. PMID:25540572

De Pati, Auradha; Mukhopadhyay, Supti; Nandi, Ayandip; Das, Indranil

2014-10-01

288

Abscess in Adenomyosis Mimicking a Malignancy in a 54-Year-Old Woman  

PubMed Central

Background: Although there are a few reports describing abscess formation in endometriotic foci no report of abscess formation arising de novo within adenomyosis appears in the literature. Preoperative diagnosis of adenomyosis is frequently difficult because of non-specific signs and symptoms. Synchronous pelvic pathologies such as leiomyoma, endometrial polyp, endometrial hyperplasia, as well as endometrial cancer may cause differential diagnostic problems. Case: A 54-year-old postmenopausal woman complaining of inguinal pain, nightsweats and hot flashes is presented. Radiologic examinations of the pelvis revealed a 95 × 85 mm leiomyoma-like lesion including a 53 × 43 mmcystic space and 9 × 6 mmpapillary formation within the uterus raising clinical suspicion of malignancy. A total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed accompanied by a frozen section diagnosis. The frozen section revealed an abscess formation arising in a focus of adenomyosis. The postoperative period of the patient was uneventful. Conclusion : The present case, to our knowledge, is the first report representing abscess formation in adenomyosis. Abscess arising within adenomyosis can strongly raise the suspicion of endometrial cancer, particularly if the patient is postmenopausal. If endometrial cancer cannot be ruled out with definitive histopathological diagnosis in the preoperative period, a frozen section becomes mandatory during surgical intervention. PMID:12839634

Meydanli, Mehmet M.; Alkan, Alpay; Edali, Mehmet N.; Gokce, Hasan; Kafkasli, Ay?e

2003-01-01

289

Published case reports: one woman's account of having her confidentiality violated.  

PubMed

This is a personal story regarding one woman's experience of serving as a case study protagonist and later having a psychologist uncover her identity and retell her life story in the name of scientific investigative journalism. As a participant in a psychological case report, I believed that my confidentiality would be protected. Unfortunately, this case study participant found herself in the middle of the Memory Wars, and that turned out to be the catalyst for an unwanted inquiry into my life. A well-known memory researcher hired a private investigator to find me, gained access to a great deal of private information about me, and published this in detail without my permission. I discuss in this article how these actions affected my life in some very serious ways. I raise several issues about the meaning of my experience for further case study authors and the clients whose lives they present, as well as questions about the duties of psychologists to the subjects of their research and inquiry. PMID:24902594

Kluemper, Nicole S

2014-12-01

290

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

SciTech Connect

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.

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

1997-01-20

291

Food-dependent exercise-induced anaphylaxis due to wheat in a young woman.  

PubMed

Food Dependent Exercise-Induced Allergy is a rare condition. However, the occurrence of anaphylaxis is increasing especially in young people. The diagnosis of anaphylaxis is based on clinical criteria and can be supported by laboratory tests such as serum tryptase and positive skin test results for specific IgE to potential triggering allergens. Anaphylaxis prevention needs strict avoidance of confirmed relevant allergen. Food-exercise challenge test may be an acceptable method for diagnosis of Food Dependent Exercise-Induced Allergy and dietary elimination of food is recommended to manage it. In this study, a 32 year-old woman visited the allergy clinic with a history of several episodes of hives since 11 years ago and 3 life-threatening attacks of anaphylaxis during the previous 6 months. The onsets of majority of these attacks were due to physical activity after breakfast. On Blood RAST test, the panel of common food Allergens was used and she had positive test only to wheat flour. On skin prick tests for common food allergens she showed a 6 millimeter wheal with 14 mm flare to Wheat Extract. The rest of allergens were negative.The patient was diagnosed as wheat-dependent exercise-induced, and all foods containing wheat were omitted from her diet. In this report we emphasized on the importance of careful history taking in anaphylaxis diagnosis. PMID:23454785

Ahanchian, Hamid; Farid, Reza; Ansari, Elham; Kianifar, Hamid Reza; Jabbari Azad, Farahzad; Jafari, Seyed Ali; Purreza, Reza; Noorizadeh, Shadi

2013-03-01

292

Sclerosing peritonitis with unilateral ovarian luteinized thecoma in a post-menopausal woman: A case report  

PubMed Central

A unique case of unilateral ovarian luteinized thecoma with sclerosing peritonitis is reported because the association between these two conditions is extremely rare. Etiology is not clearly known. A 50-year-old post-menopausal woman presented with pain abdomen and huge swelling. Pelvic contrast-enhanced computed tomography (CECT) revealed a heterogenous enhancing mass arising possibly from ovary and adherent to uterus, bowl loops, and omentum. A spindle cell neoplasm without definite features of malignancy was reported in computed tomography (CT)-guided fine-needle aspiration cytology (FNAC). Ascitic fluid was negative for malignancy. Her serum carcinoembryonic antigen (CEA) (1.1ng/ml) and CA125 (27.6?/ml) level was within normal limits. Total abdominal hysterectomy with bilateral supracolic omentectomy, resection of part of colon, and supracolic omentectomy was done. Histopathological diagnosis was luteinized thecoma with sclerosing peritonitis. Tumor cells were immunoreactive to smooth muscle antigen (SMA) and CD 99 and non- reactive to ER, PR, Calretinine, and Cytokeratin. Patient developed post-operative sepsis and enterocutaneous fistula, which was managed conservatively and was kept in follow-up. According to current concept, in spite of its large size, wide-spread involvement, mitotic activity, and complications due to peritoneal involvement, behavior of this rare clinical entity is benign.

De (Pati), Auradha; Mukhopadhyay, Supti; Nandi, Ayandip; Das, Indranil

2014-01-01

293

Chryseobacterium indologenes in a woman with acute leukemia in Senegal: a case report  

PubMed Central

Introduction This report documents a rare case of Chryseobacterium indologenes urinary tract infection in Senegal. Chryseobacterium indologenes is an uncommon human pathogen reported in hospital outbreaks in Taiwan and there have been some sporadic cases reported in Europe and in the USA mainly from immune-suppressed patients. Case presentation This case report describes a 42-year-old woman of Wolofa ethnicity who was hospitalized in our Department of Internal Medicine in a Senegalese university teaching hospital, with acute leukemia who died of severe sepsis 10 days following her hospitalization. A strain of Chryseobacterium indologenes isolated from her urine sample was resistant to several beta-lactams including ampicillin (minimum inhibitory concentrations ?256?g/mL), cefotaxime (minimum inhibitory concentrations 32?g/mL) and imipenem (minimum inhibitory concentrations ?32?g/mL), whereas it was susceptible to piperacillin (minimum inhibitory concentrations 16?g/mL), cefepime (minimum inhibitory concentrations 4?g/mL), ceftazidime (minimum inhibitory concentrations 4?g/mL), trimethoprim-sulfamethoxazole (minimum inhibitory concentrations ?0.25?g/mL) and all tested quinolones including nalidixic acid (minimum inhibitory concentrations ?2?g/mL). Conclusions Chryseobacterium indologenes although uncommon, is an important pathogen causing infection in hospitalized patients. The management of this infection needs better identification, drug susceptibility testing and monitoring of immunosuppressed patients with long hospitalizations. PMID:24886628

2014-01-01

294

Surgical resection without dural reconstruction of a lumbar meningioma in an elderly woman  

PubMed Central

Meningiomas of the spine occur in the thoracic spine in approximately 80%, followed in frequency by the cervical and lumbar regions. The treatment of spinal meningiomas is complete surgical resection. As intraspinal meningiomas are almost always adherent to the dura, extensive dural resection or diathermic treatment of the dural attachment is usually performed to prevent tumor recurrence. The authors present the case of lumbar spinal meningioma in 82-year-old woman. Successful resection with preservation of the dura mater using the technique of Saito et al. (Spine 26:1805-1808, 2001) is described: After lumbar laminectomy a small incision was made in the surface of the spinal dura. The dura mater was separated into its inner and outer layers, and the tumor was resected with inner layer alone, preserving the outer layer. The outer layer is simply closed to achieve a watertight seal. The pathologic diagnosis was metaplastic (osseous) meningioma. Almost full recovery of the neurologic deficit was attained. Neither complication nor tumor recurrence has occurred in the 5 years since surgery. Dural preservation during surgical resection of spinal meningioma obviates the need for dural reconstruction and should reduce surgical morbidity. However, the patient should be followed long-term to watch for recurrence. PMID:19219468

Takahashi, Jun; Kato, Hiroyuki; Ebara, Sohei; Takahashi, Hideto

2009-01-01

295

Unusual association of thyroiditis, Addison's disease, ovarian failure and celiac disease in a young woman.  

PubMed

The coexistence of autoimmune endocrine diseases, particularly autoimmune thyroid disease and celiac disease (CD), has recently been reported. We here present a 23-year-old woman with a diagnosis of hypothyroidism due to Hashimoto's thyroiditis, autoimmune Addison's disease, and kariotypically normal spontaneous premature ovarian failure. Considering the close association between autoimmune diseases and CD, we decided to search for IgA anti-endomysium antibodies (EmA) in the serum. The positivity of EmA and the presence of total villous atrophy at jejunal biopsy allowed the diagnosis of CD. On a gluten-free diet the patient showed a marked clinical improvement accompanied, over a 3-month period, by a progressive decrease in the need for thyroid and adrenal replacement therapies. After 6 months, serum EmA became negative and after 12 months a new jejunal biopsy showed complete mucosal recovery. After 18 months on gluten-free diet, the anti-thyroid antibodies titre decreased significantly, and we could discontinue thyroid substitutive therapy. This case emphasizes the association between autoimmune polyglandular disease and CD; the precocious identification of these cases is clinically relevant not only for the high risk of complications (e.g. lymphoma) inherent to untreated CD, but also because CD is one of the causes for the failure of substitute hormonal therapy in patients with autoimmune thyroid disease. PMID:10401714

Valentino, R; Savastano, S; Tommaselli, A P; Dorato, M; Scarpitta, M T; Gigante, M; Lombardi, G; Troncone, R

1999-05-01

296

Leadership for Sustainable Development From the Perspective of a Woman Physicist  

NASA Astrophysics Data System (ADS)

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 and modern physics will be used in this discussion as tools for tailoring tactics for coarse- and fine-tuned guidance systems for successful leadership aimed at sustainable development. Specifically, implications of Newton's first, second and third laws of motion and the law of universal gravitation from classical physics are applied to leadership. The results are interpreted against the more refined findings of both quantum and chaos physics theories that indicate our inability to precisely predict outcomes of any event. Also, the refined theories support the notion that everything in the universe interacts with everything else in the universe at some level, so that nothing is completely isolated from anything else. Therefore, skill sets and program policies based on an interacting, all-inclusive, or holistic approaches are the ones that are most likely to generate great leaders and great programs, since these are the ones less likely to omit significant factors that could contribute to creation of great leaders.

Williams, Elvira S.

2005-10-01

297

Dapsone-associated Heinz body hemolytic anemia in a Cambodian woman with hemoglobin E trait.  

PubMed

A Cambodian woman with hemoglobin E trait (AE) and leprosy developed a Heinz body hemolytic anemia while taking a dose of dapsone (50 mg/day) not usually associated with clinical hemolysis. Her red blood cells (RBCs) had increased incubated Heinz body formation, decreased reduced glutathione (GSH), and decreased GSH stability. The pentose phosphate shunt activity of the dapsone-exposed AE RBCs was increased compared to normal RBCs. Although the AE RBCs from an individual not taking dapsone had increased incubated Heinz body formation, the GSH content and GSH stability were normal. The pentose phosphate shunt activity of the non-dapsone-exposed AE RBCs was decreased compared to normal RBCs. Thus, AE RBCs appear to have an increased sensitivity to oxidant stress both in vitro and in vivo, since dapsone does not cause hemolytic anemia at this dose in hematologically normal individuals. Given the influx of Southeast Asians into the United States, oxidant medications should be used with caution, especially if an infection is present, in individuals of ethnic backgrounds that have an increased prevalence of hemoglobin E. PMID:3425586

Lachant, N A; Tanaka, K R

1987-11-01

298

Spontaneous traumatic macular hole closure in a 50-year-old woman: a case report  

PubMed Central

Introduction Traumatic macular holes (TMH) are well-known complications of ocular contusion injury. Spontaneous closure occurs in approximately 50% of cases, but rarely after the age of thirty. We report a case of spontaneous closure of a full thickness macular hole due to a blunt trauma and we suggest possible mechanisms for this closure. Case presentation A 50-year-old Greek woman was referred with a history of reduced best-corrected visual acuity after blunt trauma to her right eye. Diagnosis was based on fundoscopic, optical coherence tomography as well as fluorescein angiography findings with follow-up visits at two days, 20 days and five months. Fundoscopy revealed a full-thickness TMH with a minor sub-retinal hemorrhage and posterior vitreous detachment. The presence of a coagulum in the TMH base was observed. Subsequently, TMH closure was observed. Conclusion The clot in the TMH base, potentially a hemorrhage by-product containing a significant quantity of platelets, may have simulated the clot observed after autologous serum use, thus facilitating a similar effect. This may have stimulated glial cell migration and proliferation, thus contributing to spontaneous hole closure. PMID:21733168

2011-01-01

299

CYP3A4 Polymorphism and Lopinavir Toxicity in an HIV-Infected Pregnant Woman.  

PubMed

Cytochrome P450 (CYP) 3A4 has been considered to be the most important enzyme system for metabolism of lopinavir/ritonavir (LPV/r), a widely used HIV protease inhibitor (PI) recommended during pregnancy. Herein we present a clinical case of a pregnant HIV-infected woman who was taking standard doses of LPV/r, 400/100 mg twice daily. The trough plasma concentrations for LPV were fourfold above that recommended for PI-pretreated patients and toxicity associated with LPV/r and PI regimens was observed. These high concentrations continued after delivery in spite of a dosage reduction. The pharmacogenetic analysis revealed a genetic polymorphism in the CYP3A4 gene that encodes a non-functional protein. The pharmacokinetic study could indicate the occurrence of a phenomenon of non-linear pharmacokinetics which would justify why dosage reduction after pregnancy did not proportionally affect the patient's degree of exposure to the drug. In addition, an increment in CYP3A activity during pregnancy could explain lower LPV/r exposure during this period compared to postpartum, despite the impaired activity of CYP3A4 caused by the polymorphism. PMID:25391550

López Aspiroz, Elena; Cabrera Figueroa, Salvador Enrique; Iglesias Gómez, Alicia; Valverde Merino, María Paz; Domínguez-Gil Hurlé, Alfonso

2015-01-01

300

Kaposiform lymphangiomatosis, a newly characterized vascular anomaly presenting with hemoptysis in an adult woman.  

PubMed

Disorders of the pulmonary lymphatic system include macro- and microcystic lymphatic malformations, primary or secondary lymphangiectasias, generalized lymphatic anomalies, diffuse pulmonary lymphangiomatosis, and combinations of lymphatic and other tissue anomalies, including lymphangioleiomyomatosis (LAM). We report a case of a patient with a newly defined entity classified as kaposiform lymphangiomatosis (KLA). This 50-year-old nonsmoking Hispanic woman presented with a 20-year history of cough, hemoptysis, chyloptysis, and pleuritic chest pain. Laboratory evaluation demonstrated a low normal platelet count, elevated d-Dimer, low normal fibrinogen, and elevated fibrin split products. Chest computerized tomography imaging showed enlarged hypodense lymph nodes in the mediastinum and hila, and peribronchovascular thickening, without evidence of cystic parenchymal lesions. Magnetic resonance imaging of the chest showed cystic mediastinal lymph nodes with heterogeneously increased T2 and decreased T1 signal intensity. Fiberoptic bronchoscopy revealed hyperemic mucosa with granular appearance suggestive of a submucosal infiltrative process. Pathological specimens revealed dilated, malformed lymphatic channels within the pleura, pulmonary septa, and bronchovascular bundles, and foci of perilymphatic and intralymphatic spindle cells which reacted with the Prospero homeobox protein 1 (PROX-1) immunostain. The morphology and immunohistochemistry results were consistent with a diagnosis of KLA. This newly recognized clinical-pathological entity among intrathoracic lymphatic anomalies is distinguished from generalized lymphatic anomaly and diffuse pulmonary lymphangiomatosis in part by characteristic hematological abnormalities and hemorrhagic complications, including hemoptysis, as experienced by our patient. PMID:24460439

Safi, Fadi; Gupta, Anita; Adams, Denise; Anandan, Vasuki; McCormack, Francis X; Assaly, Ragheb

2014-01-01

301

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

PubMed

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

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

2014-11-24

302

Typical carcinoid tumor of the larynx in a woman: a case report  

PubMed Central

Introduction Neuroendocrine tumors are the second most common neoplasms of the larynx. Histopathologically, neuroendocrine tumors can be classified into four types: typical carcinoid tumors, atypical carcinoid tumors, small cell neuroendocrine tumors and paragangliomas. Typical carcinoid tumor of the larynx is a particularly rare occurrence. We present a case of this rare disease, and review and discuss its diagnosis and treatment. Case presentation A 55-year-old Turkish woman presented with a two-year history of persistent hoarseness. Endoscopic laryngeal examination and computed tomography revealed a supraglottic mass. Direct laryngoscopy was performed and a biopsy taken. Results of the histopathologic examination and immunohistochemical analysis were consistent with typical carcinoid tumor of the larynx. A supraglottic laryngectomy was performed. There was no recurrence during a follow-up period of three years. Conclusion Carcinoid tumors require an accurate diagnosis because of their varied clinical behavior and prognosis. A correct pathologic diagnosis is essential, differentiating the tumors from other neuroendocrine neoplasms and medullary cancer of the thyroid gland. Immunohistochemical analysis is supplementary to a standard histopathologic evaluation. Currently, conservative surgical resection without elective neck dissection is the recommended treatment for typical carcinoid tumor of the larynx. Additional cases and case series with long-term follow-up will be useful for understanding the nature of this tumor and should clarify the prognosis. PMID:20939901

2010-01-01

303

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

PubMed Central

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

Flett, Gordon L.; Hewitt, Paul L.

2014-01-01

304

A protocol for evaluating progressive levels of simulation fidelity in the development of technical skills, integrated performance and woman centred clinical assessment skills in undergraduate midwifery students  

PubMed Central

Background Simulation as a pedagogical approach has been used in health professional education to address the need to safely develop effective clinical skills prior to undertaking clinical practice. However, evidence for the use of simulation in midwifery is largely anecdotal, and research evaluating the effectiveness of different levels of simulation fidelity are lacking. Woman centred care is a core premise of the midwifery profession and describes the behaviours of an individual midwife who demonstrates safe and effective care of the individual woman. Woman centred care occurs when the midwife modifies the care to ensure the needs of each individual woman are respected and addressed. However, a review of the literature demonstrates an absence of a valid and reliable tool to measure the development of woman centred care behaviours. This study aims to determine which level of fidelity in simulated learning experiences provides the most effective learning outcomes in the development of woman centred clinical assessment behaviors and skills in student midwives. Methods/Design Three-arm, randomised, intervention trial. In this research we plan to: a) trial three levels of simulation fidelity - low, medium and progressive, on student midwives performing the procedure of vaginal examination; b) measure clinical assessment skills using the Global Rating Scale (GRS) and Integrated Procedural Performance Instrument (IPPI); and c) pilot the newly developed Woman Centred Care Scale (WCCS) to measure clinical behaviors related to Woman-Centredness. Discussion This project aims to enhance knowledge in relation to the appropriate levels of fidelity in simulation that yield the best educational outcomes for the development of woman centred clinical assessment in student midwives. The outcomes of this project may contribute to improved woman centred clinical assessment for student midwives, and more broadly influence decision making regarding education resource allocation for maternity simulation. PMID:23706037

2013-01-01

305

New portrait reveals the appearance of Martha Washington as a young woman  

NSDL National Science Digital Library

Martha Washington â≠a hot first lady?http://www.guardian.co.uk/world/2009/feb/04/martha-george-washington-computer-portraitFresh Look at Martha Washingtonhttp://www.washingtonpost.com/wp-dyn/content/discussion/2009/02/02/DI2009020201374.htmlRare Letter from Martha to George Washington Returns to Mount Vernonhttp://www.mountvernon.org/visit/plan/index.cfm/pid/508/Gilder Lehman Institute of American History: Martha Washington to Francis B. Washingtonhttp://www.gilderlehrman.org/collection/docs_archive/docs_archive_balance.htmlFirst Ladieshttp://www.whitehouse.gov/about/first_ladies/National First Ladies' Libraryhttp://www.firstladies.org/Looking at portraits from the past can only provide one a snapshot of the given subjects' life. If most people are familiar with an iconic image from the later years of a subject's life, that image may be how most people visualize and remember a figure. One only need think of someone like Benjamin Franklin to be reminded of this curious fact. Another such personage is Martha Washington, who people tend to think of as somewhat dowdy and a bit matronly. This image may change as a result of a rather interesting portrait of Martha Washington as a young woman, created by a team of forensic anthropologists at the Louisiana State University Forensic Anthropology and Computer Enhancement Services group. Drawing on contemporary accounts written during Washington's life and a miniature watercolor-on-ivory portrait of Washington in middle age, the team used age regressions to create an image of Washington in her 20s. This version of Washington reveals an elegant looking young woman, bedecked in a deep purple dress complete with silk high heels. One of the historians who wrote a recent biography of Washington (and who also assisted with the research for this new portrait) commented, "I wanted to rescue her from old-ladyhood." The first link will take visitors to a news article from this Wednesday's Guardian which reports on this new rendering of Martha Washington. The second link leads to the transcript of an online chat held by Washington Post writer Brigid Schulte where she answers readers' queries about Martha Washington and her life. Moving on, the third link will take readers to the text of one of the two extant letters written from Martha Washington to George Washington, courtesy of the Mount Vernon Ladies Association. The fourth link leads to the text of a letter written in 1789 by Martha Washington to her niece and illustrates her conflicting feelings about political life. The fifth link leads to the White House's official First Ladies page. Here visitors can learn about every First Lady from Martha Washington to Michelle Obama. Finally, the last link leads to the homepage of the National First Ladies' Library in Canton, Ohio.

Grinnell, Max

2009-02-06

306

[A 63-year-old woman with muscle weakness, myotonia, and parkinsonism].  

PubMed

We report a 63-year-old woman who presented myotonia and parkinsonism. The patient was well until 15 years of the age when she noted that the ring finger of her left hand at times flexed when she did not intend to do so. She noted weakness in her left upper extremity at the age of 40, and difficulty in relaxing her hand grip at 45. She had an onset of tremor in her right foot at age 50, which was followed by difficulty in gait and hand writing. She was admitted to Juntendo University Urayasu Hospital when she was 63-year-old. Her mother, two sisters, and a son were affected with similar muscle weakness and myotonia. Although some of them developed stooped posture in the late stage of the disease, none of them had overt parkinsonism. General physical examination was unremarkable. Neurologic examination revealed an alert and oriented woman with some recent memory loss. She had bilateral ptosis, facial weakness, and a masked face. Myerson's sign was present. Her speech was small and monotonous. The sternocleidomastoid muscles were markedly atrophic and weak. The remaining of the cranial nerves were intact. She walked in small steps with freezing with support. She showed bradykinesia, retropulsion, and resting tremor in her right leg. Slight distal dominant weakness was noted in both upper and lower extremities more on the left. No cerebellar signs were noted. Muscle stretch reflexes were within normal limits in the upper extremities and diminished in the lower limbs. Sensation was intact. Routine laboratory findings were unremarkable. Cranial CT scan and MRI revealed slight cortical atrophy and leukoaraiosis. She responded to levodopa and she became able to walk by herself. She was transferred to another hospital one month after her admission. She had several bouts of airway obstruction with one episode of respiratory arrest. She expired six month after the transfer. The patient was discussed in a neurological CPC, and the chief discussant arrived at the conclusion that this patient suffered from myotonic dystrophy and Parkinson's disease which set in later years. Postmortem examination on the iliopsoas muscle revealed uneven muscle fiber diameters, central nuclei, and type 1 fiber predominance; the pathologic finding was consistent with myotonic dystrophy. The substantia nigra showed marked cell loss and Lewy bodies in the remaining neurons. The finding was consistent with Parkinson's disease. In myelin stain, diffuse myelin pallor was noted in the cerebral white matter which was the pathologic substrate of leukoaraiosis in this patient. Combination of these two disorders have never been reported in the literature to our knowledge. It appears to be that the coincidence is just a by-chance phenomenon, but it seems interesting to note that accelerated aging process appears to be present in both myotonic dystrophy and Parkinson's disease. PMID:8868342

Okuma, Y; Tanaka, S; Nomura, Y; Mori, H; Yan, H; Shirai, T; Kondo, T; Segawa, M; Mizuno, Y

1996-03-01

307

Chondroblastoma of the Medial Cuneiform Bone in a 32-Year-Old Woman  

PubMed Central

Patient: Female, 32 Final Diagnosis: Chondroblastoma Symptoms: Pain Medication: — Clinical Procedure: — Specialty: Oncology Objective: Unusual clinical course Background: 1% of all bone tumors are Chondroblastomas. Chondroblastomas, initially considered to be an osteoclastoma variant are benign, cartilaginous tumors which usually occur in the epiphysis of long bones, especially in the humerus, tibia, and femur, most common in children and young adults between the ages of 10 and 20 years. 4% of all chondroblastomas settle in the talus whereas cuneiform and other tarsal bones are very rare sites for the development of this benign chondroid lesion. Case Report: A case of chondroblastoma involving the medial cuneiform of the left foot of a 32-year-old woman is described. The patient presented with moderate localized pain and tenderness over the medial aspect of her left foot. Radiographs showed a lytic expansile lesion within the right cuneiform bone indicating a bone tumor. Biopsy demonstrated cellular areas made up of round, polygonal cells, with round-oval nucleus and chondroblasts that appear with a thin calcification rim. Intralesional curettage and synthetic bone grafting with PRP (Platelet-Rich Plasma) application was performed for its treatment. After 18 month follow up, osteointegration was observed with the defect completely filled and the patient was free of disease and pain. Conclusions: A painful, expansile, thin, sclerotic lesion detected at the cuneiform should arise suspicion for chondroblastoma even at age over 20 years. Meticulous curettage of the lesion from a small window with removal of the lesion followed by injectable phosphocalcic cement application with autologous PRP can be considered as a curative and technically simple treatment method. PMID:25072961

Ar?kan, Murat; Aktas, Erdem; To?ral, Guray; Y?ld?r?m, Ahmet; Kandemir, Olcay

2014-01-01

308

Postpartum woman with pneumomediastinum and reverse (inverted) takotsubo cardiomyopathy: a case report  

PubMed Central

Introduction Pneumomediastinum is known to occur during labor. Patients typically present with chest pain and symptoms may be suspicious, for example of pulmonary embolism or aortic dissection. The condition itself, however, is rather harmless and self-limiting. Takotsubo cardiomyopathy is associated with psychologically or physiologically stressful events and its symptoms mimic myocardial infarction. Yet, symptoms often improve quickly as the initially impaired cardiac function is usually restored within days or weeks. Although the initial presentation of the patient in this case report was dramatic, the clinical course was positive and the patient could be quickly dismissed in a good general condition. To the best of our knowledge, no presentation of a combined occurrence of postpartum pneumomediastinum and reverse (inverted) takotsubo cardiomyopathy exists. Case presentation We present the case of a 30-year-old Caucasian woman with sudden onset of thoracic back and chest pain approximately 24 hours after an otherwise unremarkable vaginal delivery. A contrast-enhanced chest computed tomography showed cervical and mediastinal emphysema without proof for pulmonary embolism or aortic dissection. She received a symptomatic analgesic treatment and was dismissed to the obstetrics department for monitoring. Within hours, slightly increased levels of troponin I were observed without corresponding electrocardiography changes. Immediate cardiac catheterization and a cardiovascular magnetic resonance imaging (performed within 24 hours) revealed basal to midventricular hypokinesia, but were otherwise unremarkable. A low-dose treatment for congestive heart failure was initiated, under which symptoms subsided within days. She was dismissed after 12 days in a good general condition. Conclusions Although the clinical presentation of the combination of the diseases initially was dramatic, the prognosis is positive. In the context of the preceding delivery, knowledge about the postpartum pneumomediastinum lets the radiologist of the emergency department quickly make this diagnosis. The takotsubo cardiomyopathy, however, needs broader diagnostics to not miss intervention-requiring causes. PMID:24597952

2014-01-01

309

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

PubMed

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

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

2015-04-01

310

Obstructing adenocarcinoma of the descending colon in a 31-year-old pregnant woman  

PubMed Central

INTRODUCTION Colon cancer in pregnant women is rare and tends to produce unspecific symptoms until advanced stage. Therefore common manifestations during pregnancy must be properly evaluated to avoid delayed diagnosis. PRESENTATION OF CASE A 31-year-old pregnant woman presented with nausea, vomiting and obstipation. An obtained magnetic resonance imaging (MRI) showed distended colon and the consecutive colonoscopy with biopsies confirmed the diagnosis of stenosing carcinoma of the descending colon. Left sided hemicolectomy was performed 10 days after initial presentation. Tumor histology confirmed the diagnosis of adenocarcinoma of the descendo-sigmoidal junction. Adjuvant chemotherapy with 5-fluorouracil was started in the 29th gestational week. The patient had an uneventful delivery of a healthy baby in her 39th gestational week. DISCUSSION Colorectal carcinoma during pregnancy is a rare event and its diagnosis is often delayed because symptoms are unspecific until the disease is advanced. Although constipation in pregnancy is a common symptom differential diagnosis of a mechanical stenosis should always be contemplated, especially when conservative treatment of constipation fails. MRI is the imaging tool of choice as abdominal computed tomography (CT) is contraindicated in pregnancy. Endoscopic confirmation should be obtained to gain pathological diagnosis of colorectal carcinoma. Surgery is the gold standard of treatment. In relation to the stage of the disease chemotherapy is of great importance. CONCLUSION Obstructing colorectal cancer can be a rare reason for the common problem of constipation in pregnancy. Beside clinical examination, MRI scan and colonoscopy will reveal the tumor in most cases and should be followed by surgical treatment and chemotherapy according to the stage of disease. PMID:25460446

Kraljevi?, Marko; Hoffmann, Henry; Knipprath, Alexandra; von Holzen, Urs

2014-01-01

311

Large Clitoral Leiomyoma in a Forty-Two Years Old Premenopausal Woman  

PubMed Central

Introduction: Clitromegaly can be congenital or acquired with the former type being more prevalent. The main etiology behind the acquired type is hormonal imbalance affecting mainly adult women. This type is seen mostly in association with polycystic ovarian syndrome, hyperthecosis, ovarian tumors, and clitoral cysts or it can be drug-induced. Clitoral leiomyoma is a rare benign tumor of female genitalia and is an uncommon cause of clitromegaly. Case Report: We reported a 42-year-old premenopausal woman with a progressively increasing mass since five years ago, who had attended our clinic with urinary retention. It was a fungating mass with ulceration arising from the crus of the clitoris with the size was 11 × 9 cm. After detailed laboratory investigations, she had normal karyotyping. Hormonal assay for testosterone, dehydroepiandrosterone sulphate, and follicle stimulating hormone, luteinizing hormone, parathormone, and prolactin levels revealed values within the normal range. Twenty-four hours urinary excretion levels of free cortisol and ketosteroids were within normal limits. Beta-hCG level was also in normal range. Thyroid function tests and X-ray chest results were normal. Contrast enhanced computed tomography (CECT) of the abdomen showed no abnormality in adrenals and there was no pituitary enlargement on brain MRI. Pelvis MRI showed a large 11 × 9 × 8 cm clitoral mass. Diagnostic biopsy done from ulcer margin was suggestive of leiomyoma. The mass was completely excised preserving the tip of clitoris. The histopathology showed spindle-shaped cells arranged in palisading form. On immunohistochemistry, tumor cells were positive for smooth muscle actin (SMA) as well as for estrogen and progesterone receptor (ER/PR), confirming the diagnosis of leiomyoma. The patient was regularly followed, and was doing well with no voiding difficulty. Conclusions: We reported the world largest clitoral leiomyoma presenting with symptoms of acute urinary retention. MRI has important role in diagnosis and biopsy is confirmative with spindle-shaped cells arranged in palisading pattern and simple excision would be curative. PMID:25032139

Kumar, Santosh; Agrawal, Swati; Jayant, Kumar; Shankargowda, Sriharsha Ajjoor

2014-01-01

312

Genome Sequence of Lactobacillus pentosus KCA1: Vaginal Isolate from a Healthy Premenopausal Woman  

PubMed Central

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

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

313

A 51-Year-Old Woman Crushed by an Elephant Trunk.  

PubMed

Wild and exotic animal attacks are not common in the United States. Animal-related injuries in the United States are usually caused by dog bites, followed by cattle and horse injuries. Exotic animal attacks can occur when the animals are provoked, depressed, or housed improperly by owners. We report the case of a 51-year-old woman who sustained multiple systemic traumatic injuries after she was pinned to a fence by an elephant's trunk. Upon arrival in the emergency department, she was hypothermic with a temperature of 35.1ºC (95.1ºF), hypotensive to 94/60 mm Hg after 5 L crystalloid, tachycardic at 108 beats/min, and intubated with oxygen saturation of 100%. Tranexamic acid was administered in addition to starting a massive transfusion protocol. Injuries included bilateral multiple rib fractures, left abdominal wall degloving injury, right pneumothorax, right hemothorax, left chest wall puncture wound, grade IV splenic laceration, 3 grade III liver lacerations, retroperitoneal hematoma, and degloving injuries to bilateral posterior thighs requiring more than 30 operations. Why should an emergency physician be aware of this? Several factors need to be considered when evaluating animal-related injuries, including type, age, and sex of the animal. Multisystem traumatic injuries should be assumed when a large animal is involved. Prehospital care and transport time are vital to a patient's survival in both urban and rural settings. During the initial resuscitation, administering antibiotics tailored to the specific animal can greatly decrease risk of infection and morbidity. Additionally, tetanus immunoglobulin, tetanus toxoid, and rabies immunoglobulin and vaccine may be needed, unless the victim has been previously vaccinated. PMID:25443758

Tsung, Ann H; Allen, Brandon R

2014-10-16

314

A Seizure Attributed to Ofloxacine in a Woman Undergoing Detoxification for Alcohol Dependence  

PubMed Central

Objective. To report one case of seizure following administration of ofloxacin. Case Summary. A 38-year-old woman with alcohol dependence but no prior history of seizure disorder admitted in our inpatient alcohol detoxification program was prescribed ofloxacin four days after admission for a lower urinary tract infection. She was currently prescribed diazepam 30?mg per day. This treatment was continued without modification following admission. Forty eight hours after starting ofloxacin and after receiving five doses of oral ofloxacin, the patient experienced a seizure. Ofloxacin treatment was stopped and no further seizures occurred. Neurological examination of the patient, laboratory tests, computerized tomography with contrast enhancement and electroencephalography did not detect any abnormalities. Up to the last consultation, six months after admission, the patient has reported no recurrence of the seizure. Discussion. Quinolone antibiotics vary in their ability to induce seizures, with ofloxacin having one of the least potentials. In the present case, the seizure could be attributed in all probability to taking ofloxacin; since she had no previous history of seizures, she did not present an alcohol withdrawal syndrome, benzodiazepine treatment was not modified, the seizure occurred 48?h after taking ofloxacin, but seven days after stopping drinking, no alternative aetiologies for the seizure could be identified and no seizure recurrence was reported over the following seven months. Of reported cases of seizures in patients treated with fluoroquinolones, none concerned patients with alcohol dependence or patients treated with benzodiazepines. Conclusions. The present case alerts us to the possibility that seizures may occur in alcohol dependent patients treated with benzodiazepines who concomitantly prescribed a fluoroquinolone. These widely-used antibiotics should thus be prescribed with caution to patients undergoing detoxification for alcohol dependence, particularly if they are also taking benzodiazepines, irrespective of whether they have a previous history of seizures or not. PMID:20145722

Lahmek, Pierre; Michel, Laurent; Meunier, Nadine; Aubin, Henri-Jean

2009-01-01

315

The Women on the Move Through Activity and Nutrition (WOMAN) study: final 48-month results.  

PubMed

The Women on the Move through Activity and Nutrition (WOMAN) study was designed to test whether a nonpharmacological intervention including qualitative and quantitative dietary changes to induce weight loss and increased physical activity levels would reduce blood triglyceride levels and number of low-density lipoprotein particles (LDL-P). Such decreases in lipoproteins and other risk factors could reduce or slow progression of subclinical cardiovascular disease (CVD). Study participants were randomized to either the intervention (Lifestyle Change) or assessment (Health Education) group. Most of the intervention ended at the 30-month visit. The last 48-month examination was completed in 9/2008. There was very substantial weight loss and increased exercise during the first 30 months of the trial resulting in significant decreases in CV risk factors. Most of the intervention effect was lost through 48 months. Weight loss was 3.4 kg in Lifestyle Intervention and 0.2 kg in the Health Education at 48 months (P = 0.000). There were no significant changes at 48 months in lipid levels, blood pressure (BP), glucose, insulin, or in the subclinical measures of coronary calcium, carotid intima media thickness, or plaque. There was a significant decrease in long-distance corridor walk time in the Lifestyle vs. Health Education groups. Significant lifestyle changes can be achieved that result in decreases in CV risk factors. Whether such changes reduce CV outcomes is still untested in clinical trials of weight loss or exercise. Long-term maintenance of successful lifestyle changes, weight loss and reduced risk factors is the hurdle for lifestyle interventions attempting to prevent CV and other chronic diseases. PMID:21494228

Kuller, Lewis H; Pettee Gabriel, Kelley K; Kinzel, Laura S; Underwood, Darcy A; Conroy, Margaret B; Chang, Yuefang; Mackey, Rachel H; Edmundowicz, Daniel; Tyrrell, Kim S; Buhari, Alhaji M; Kriska, Andrea M

2012-03-01

316

Delusional parasitosis with hyperthyroidism in an elderly woman: a case report  

PubMed Central

Introduction Delusional parasitosis is a rare, monosymptomatic psychosis involving a delusion of being infested with parasites. It is commonly observed among female patients over the age of 50. It is classified as a ‘delusional disorder’ according to the 10th revision of the International Classification of Diseases and as a ‘delusional disorder - somatic type’ according to the Diagnostic and Statistical Manual, Fourth Edition. Delusional parasitosis was reported to be associated with physical disorders such as hypoparathyroidism, Huntington’s chorea and Alzheimer’s disease, among others. Other than vitamin deficiencies however, a causal relationship has not to date been identified. We present this case due to the rarity of Turkish patients with this condition, its duration of follow-up, and its temporal pattern of symptoms paralleling thyroid function tests. Case presentation Our patient was a 70-year-old white Anatolian Turkish woman with primary school education who had been living alone for the past five years. She presented to our psychiatry department complaining of ‘feeling large worms moving in her body’. The complaints started after she was diagnosed with hyperthyroidism, increased when she did not use her thyroid medications and remitted when she was compliant with treatment. She was treated with pimozide 2mg/day for 20 months and followed-up without any antipsychotic treatment for an additional nine months. At her last examination, she was euthyroid, not receiving antipsychotics and was not having any delusions. Conclusion Although endocrine disorders, including hyperthyroidism, are listed among the etiological factors contributing to secondary delusional parasitosis, as far as we are aware this is the first case demonstrating a temporal pattern of thyroid hyperfunction and delusions through a protracted period of follow-up. It may be that the treatment of delusional parasitosis depends on clarifying the etiology and that atypical antipsychotics may help in the management of primary delusional parasitosis. Further studies on the relationship between thyroid hormones and dopaminergic neurotransmission may be warranted. PMID:23305525

2013-01-01

317

Acute hepatitis in a woman following excessive ingestion of an energy drink: a case report  

PubMed Central

Introduction The consumption of energy drinks has increased significantly. We report the case of a patient who presented to our hospital with jaundice, abdominal pain, and markedly increased liver transaminases likely due to the increased consumption of an energy drink. To the best of our knowledge, this is the first case report in the literature linking the development of acute hepatitis to the consumption of an energy drink. Case presentation A 22-year-old Caucasian woman presented to our hospital with epigastric pain, nausea, vomiting, and low-grade fever. She had been drinking 10 cans of an energy drink daily for two weeks prior to presentation. Her physical examination revealed mild epigastric tenderness. Her initial blood tests revealed elevated alanine aminotransferase, aspartate aminotransferase, and total bilirubin. A computed tomographic scan of the abdomen and pelvis was normal, and the patient was discharged to home. She returned to the Emergency Department of our hospital with worsening pain and new-onset jaundice. This time her physical examination revealed epigastric tenderness and icteric sclera. Her aspartate aminotransferase, alanine aminotransferase, and international normalized ratio were markedly elevated. Further radiological studies were non-specific, and she was admitted to our hospital with a diagnosis of acute hepatitis. Her viral serology and toxicology screens were negative. The patient was treated supportively and was discharged after resolution of her symptoms and a marked decrease in her liver enzymes. Conclusion The development of acute hepatitis in this patient was most likely due to the excessive ingestion of an energy drink, and we speculate that niacin was the culprit ingredient. PMID:21696583

2011-01-01

318

The Influence of Gender Role Stereotypes, the Woman's Race, and Level of Provocation and Resistance on Domestic Violence Culpability Attributions  

Microsoft Academic Search

The influence of traditional or egalitarian gender role stereotypes on perceptions of domestic violence was investigated when\\u000a the woman's race and her provocation of and resistance to domestic violence were varied. Two hundred eighty-eight European\\u000a American participants who varied in their gender role stereotype beliefs provided culpability ratings. A factor analysis reduced\\u000a culpability items to six concepts. Biases against the

Cynthia Willis Esqueda; Lisa A. Harrison

2005-01-01

319

Chromosomal instability in a woman with infertility and two unaffected brothers: a new familial chromosomal breakage syndrome?  

Microsoft Academic Search

Repeated chromosomal analysis of peripheral blood lymphocytes and skin fibroblasts from a woman referred for amenorrhoea,\\u000a streak gonads, hyperthyroidism, adiposity and elevated ?-fetoprotein levels but no other manifestations of known chromosomal\\u000a breakage syndromes demonstrated an increased spontaneous chromosomal breakage rate (ISCBR). Chromatid and chromosomal breaks\\u000a were more numerous than sporadic rearrangements and dicentric chromosomes. Exposure of the cells to mitomycin

Hans-Christoph Duba; Harald G. Weirich; Helga Weirich-Schwaiger; Barbara Utermann; David Nachbaur; Elisabeth Sölder; Gerd Utermann

1997-01-01

320

A rare case of watermelon stomach in woman with continuous ambulatory peritoneal dialysis and systemic lupus erythematosus.  

PubMed

We report a case of a 42-year-old woman with systemic lupus erythematosus and chronic kidney disease stage 5 undergoing continuous ambulatory peritoneal dialysis, presenting asthenia, dizziness, abdominal pain and small efforts dyspnea. After a complete physical and clinical examination, including laboratory tests, esophagogastroduodenal endoscopy and gastric lesions biopsy, she was diagnosed with gastric antral vascular ectasia. We are facing a rare case of antral vascular ectasia in a patient associating both chronic kidney disease and autoimmune disease. PMID:24322041

Jinga, Mariana; Checheri??, I A; Becheanu, G; Jinga, V; Peride, Ileana; Niculae, A

2013-01-01

321

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

PubMed Central

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

Tavakkoli, Mahmoud; Ghoreifi, Alireza

2013-01-01

322

Acute coronary syndrome in a 100-year-old woman treated successfully with primary percutaneous coronary angioplasty  

PubMed Central

We present a case of a 100-year-old woman living alone with ST-elevation myocardial infarction acute coronary syndrome of the infero-lateral wall treated with percutaneous coronary intervention. Coronary angiography revealed critical 99% stenosis in the marginal branch of the circumflex artery and insignificant lesions in other arteries. Two bare metal stents were implanted successfully in the same session. The patient was discharged home in good general condition, able to live and function independently. PMID:24570714

B??kowski, Maciej; Szwed, Hanna; Ciszewski, Andrzej

2013-01-01

323

Woman presenting with chronic iron deficiency anemia associated with hereditary hemorrhagic telangiectasia: a case report  

PubMed Central

Background Hereditary hemorrhagic telangiectasia is an autosomal dominant disorder associated with frequent nose bleeds that can be troublesome and difficult to contain. A further manifestation is telangiectasia, which may develop in the upper and lower gastrointestinal tract. The associated blood loss can be chronic, resulting in iron deficiency anemia which, when severe, has historically been treated by blood transfusions. Further pulmonary, neurologic, and hepatic complications may appear in later life, and are well documented. Administering blood transfusions requires provision, storage, and serological testing to select suitable units. Recognition of the inherent potential risks of donated blood, the expense, and the concerns regarding blood supply, has resulted in a national policy for conservation and appropriate use of blood. For an individual patient, there may be development of alloantibodies which complicates future cross-matching for transfusions. Case report SG is a 66-year-old Caucasian woman who first presented to our hematology department in 2003, having just moved to the area. She had suffered with nose bleeds since her teenage years and presented with a low hemoglobin level and symptoms of iron deficiency anemia. Medical and nonmedical interventions failed to arrest the blood loss, which had not been massive or associated with hypovolemic shock. Pursuant to conserving blood supplies, and based on experience of patients with other causes of iron deficiency anemia, a regimen of high-dose iron supplementation was adopted. The aim was to sustain iron stores as a substrate for erythropoiesis and thereby achieve adequate hemoglobin levels whilst minimizing the need for blood transfusion. Discussion This approach has maintained the patient’s hemoglobin levels at 6.4–11.6 g/dL over a period of 9 years. Until the time of writing in 2011, the maximum number of blood transfusions she has received in a year has been six, albeit there has been a steady slow increase since 2006. Her quality of life has been good throughout, with good levels of activity, a normal lifestyle, and no pain. The high-dose iron regimen is estimated to have avoided administration of up to 90 units of blood in 2011, at a saving to the National Health Service of at least £7000. PMID:24273414

Stross, Paul

2013-01-01

324

Large bilateral tubercular pyosalpinx in a young woman with genitourinary malformation: a case report  

PubMed Central

Introduction Tuberculosis is a chronic infectious disease, and the morbidity associated with it has major health implications. When tuberculosis affects the genital organs of young females, it has the devastating effect of causing irreversible damage to their fallopian tubes, resulting in a possible tubercular pyosalpinx and infertility. However, the disease often remains silent or presents with very few specific symptoms. In adolescents and young women, tuberculosis can also present with hypogastric recurrent symptoms and affectation of the general state, but because in our country genital tuberculosis is uncommon, its diagnosis is unlikely. Case presentation We describe the case of an 18-year-old Spanish woman who had been sexually active for 1 year, nulliparous, who presented with hypogastric discomfort and repeated urinary symptoms complicated with pelvic inflammatory disease after a hysterosalpingography. Genital tuberculosis was not suspected. The echographical findings and tumor markers mimicked those of ovarian tumors, and she was also a carrier of a genitourinary malformation (pelvic kidney and septate uterus). A laparotomy was performed and revealed large pelvic abscesses. On her right adnexum, the large pyosalpinx was free (floating pyosalpinx). Drainage, adhesiolysis and bilateral salpingectomy were performed, and cultures were taken. Histopathological study showed bilateral granulomatous abscessificated salpingitis with suspicion of genital tuberculosis, and cultures were positive for Mycobacterium tuberculosis. She followed a tuberculostatic treatment for 6 months. Eight years later, she presents with normal menstruations and is waiting for an in vitro fertilization cycle. Conclusions No other reported case showing similar association of genital tuberculosis and genitourinary malformation was found. The associated genitourinary malformation in this case probably has no relation but it could contribute to diagnosis delay and/or to reactivate the pathology. The hysterosalpingographical findings and the observation of a floating pyosalpinx must alert the clinician to genital tuberculosis, but the diagnosis is suggested by the histopathological studies and confirmed by cultures. In this case study, the necessity of considering the risk of pelvic inflammatory disease reactivation after hysterosalpingography, of suspecting the diagnosis of genital tuberculosis and of establishing the differential diagnosis with ovarian tumors in the presence of large pyosalpinges is highlighted. PMID:24894269

2014-01-01

325

Management of aplastic anemia in a woman during pregnancy: a case report  

PubMed Central

Introduction Aplastic anemia is a rare disease caused by destruction of pluripotent stem cells in bone marrow. During pregnancy it could be life-threatening for both mother and child. The only causal therapy for aplastic anemia is bone marrow transplantation, which is contraindicated during pregnancy because of potential embryo toxicity. Treatment options are erythrocytes and platelet transfusions and immunosuppressive therapy. There is, however, no agreement about the optimal supportive care and treatment regime for this disorder during pregnancy. Case Presentation A 26-year-old nulliparous Asian woman with an uneventful medical history was admitted to the hospital at 14 weeks' gestation because of excessive vomiting. Routine laboratory tests showed pancytopenia (Hb 3.5 mmol/L, leukocytes 3.5 *109/L, platelets 45 *109L). A bone marrow biopsy confirmed aplastic anemia. Methylprednisolon, cyclosporine A, packed cells and platelet transfusions were initiated. At 33 weeks she developed neutropenia (0.1 *109/L) for which oral colistin and tobramycin were given prophylactically. At 35 weeks labor was induced, during which she developed a fever of 38.2°C. She gave birth spontaneously to a healthy son weighing 2415 grams, who had no signs of pancytopenia. After delivery the blood count of the patient did not recover and did not respond to medication. Eighteen weeks after delivery she died of sepsis complicated by cerebral bleeding and infarction due to severe thrombocytopenia and neutropenia, despite optimal supportive treatment. Conclusion This potential life-threatening disease has a relatively good prognosis for both mother and child after optimal treatment. Transfusion during pregnancy is the first choice treatment with recommended hemoglobin levels of >5.5 mmol/L and platelet counts of >20 *109/L. Cyclosporine A seems a reasonable alternative therapy with a reported success rate in non-pregnant patients of 70% when combined with antithymocyte globuline. Our patient died 18 weeks postpartum from cerebral bleeding and infarction due to severe thrombocytopenia despite intensive supportive treatment, methylprednisolon and cyclosporine A. PMID:21324109

2011-01-01

326

[Charlotte Yhlén--the first Swedish woman becoming a medical doctor. She had to move from Sweden to work as a physician].  

PubMed

Charlotte Yhlén (1839-1919) was the first Swedish woman with medical education. New research has shed light on this forgotten pioneer. Charlotte was born in a Southern Sweden in a family without academical tradition. In her youth she got inspired by the woman emancipation movement. At an age of 28 she emigrated to the USA and studied at the Woman's Medical College of Pennsylvania. Her student thesis dealt with glaucoma. After graduation, Charlotte applied for work in Sweden but got rejected. Therefore, she moved back to the USA to work at Woman's Hospital of Philadelphia and later with a private practice as a general practitioner. In 1874, she married a Norwegian engineer and the couple got two children. Her husband's successful company Tinius Olsen Company was probably the reason why she gave up her medical career in her 50s. The article describes the conditions for love and work for the first Swedish women with academical education. PMID:24494405

Bro, Tomas

327

Efficacy of a Woman-Focused Intervention to Reduce HIV Risk and Increase Self-Sufficiency Among African American Crack Abusers  

PubMed Central

Objectives. This study compares 3- and 6-month outcomes of a woman-focused HIV intervention for crack abusers, a revised National Institute on Drug Abuse standard intervention, and a control group. Methods. Out-of-drug-treatment African American women (n = 620) who use crack participated in a randomized field experiment. Risk behavior, employment, and housing status were assessed with linear and logistic regression. Results. All groups significantly reduced crack use and high-risk sex at each follow-up, but only woman-focused intervention participants consistently improved employment and housing status. Compared with control subjects at 6 months, woman-focused intervention participants were least likely to engage in unprotected sex; revised standard intervention women reported greatest reductions in crack use. Conclusions. A woman-focused intervention can successfully reduce risk and facilitate employment and housing and may effectively reduce the frequency of unprotected sex in the longer term. PMID:15226138

Wechsberg, Wendee M.; Lam, Wendy K. K.; Zule, William A.; Bobashev, Georgiy

2004-01-01

328

Persistence of macroprolactinemia due to antiprolactin autoantibody before, during, and after pregnancy in a woman with systemic lupus erythematosus.  

PubMed

A woman with systemic lupus erythematosus (SLE) with marked increases in circulating 150-kDa PRL was studied from before conception, throughout pregnancy, and after pregnancy. The clinical features of the patient included idiopathic hyperprolactinemia without clinical symptoms such as amenorrhea and galactorrhea before pregnancy. No clinical lupus activity was present during follow-up. Serum PRL increase during pregnancy in this patient was considerably higher at weeks 27 and 33 than in normal pregnant women. In contrast, serum-free PRL levels were considerably lower at weeks 20, 27, and 33 than in normal pregnant women. A 150-kDa PRL (big big PRL) species persisted as the predominant circulating form of PRL throughout each measurement in this woman with SLE. In contrast, the predominant form of PRL in serum from healthy pregnant women was little PRL (or monomeric PRL). The nature of big big PRL was due to the presence of anti-PRL autoantibodies forming an IgG-23 kDa PRL complex, in accordance with the studies by affinity chromatography for IgG and Western blot analysis. The IgG-PRL complex was fully bioactive in vitro (Nb2 rat lymphoma cell assay). Injection of the serum into the rats demonstrated that the IgG-PRL complex was cleared more slowly than serum containing predominantly monomeric PRL. The data suggest that the IgG-PRL complex has biological activity; the absence of symptoms in this woman may be attributed to the fact that due to its large molecular weight, big big PRL does not easily cross the capillary walls. Delayed clearance may account for increased serum PRL levels in this SLE patient with anti-PRL autoantibodies. PMID:11397862

Leaños-Miranda, A; Pascoe-Lira, D; Chávez-Rueda, K A; Blanco-Favela, F

2001-06-01

329

Subchondral insufficiency fracture of the second metatatarsal head in an elderly woman treated with autologous osteochondral transplantation.  

PubMed

Freiberg's infraction is a rare disorder that arises mostly in adolescent athletes. We describe a 77-year-old woman with the collapse of second metatarsal head with similar clinical appearance to Freiberg's infraction. Radiological findings at initial visit of our hospital were normal. Her condition was obscure and magnetic resonance imaging showed the subchondral insufficiency fracture with bone marrow edema to the second metatarsal head. Despite the conservative treatment, the second metatarsal head collapsed. She was surgically treated with an osteochondral autograft without complications relating surgery. Furthermore, the histological findings showed that the site of collapse was considered to be secondary lesions resulting from the subchondral insufficiency fracture. PMID:17680255

Tsujii, Masaya; Hasegawa, Masahiro; Hirata, Hitoshi; Uchida, Atsumasa

2008-07-01

330

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

PubMed Central

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.

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

2014-01-01

331

Tight Bra in a 34-Year-Old Woman: An Unusual Cause of Mondor’s Disease  

PubMed Central

Mondor’s disease is characterized by thrombophlebitis of the superficial veins of the breast and the chest wall. The list of causes is long. Various types of clothing, mainly tight bras and girdles, have been postulated as causes. We report a case of a 34-year-old woman who referred typical symptoms and signs of Mondor’s disease, without other possible risk factors, and showed the cutaneous findings of the tight bra. Therefore, after distinguishing benign causes of Mondor’s disease from hidden malignant causes, the clinicians should consider this clinical entity. PMID:24995060

2014-01-01

332

Resistant hypertension in an aged woman presenting with clinical features simulating ectopic ACTH syndrome--response to spironolactone--.  

PubMed

A 91-year-old depressed woman had resistant hypertension despite a triple combination of anti-hypertensives, including a Ca-antagonist, an angiotensin receptor blocker, and a thiazide diuretic at optimal doses. She had hypokalemic metabolic alkalosis, elevated plasma cortisol and ACTH, and elevated urinary cortisol. The high-dose dexamethasone did not suppress the elevated ACTH and cortisol. The addition of spironolactone to her previous medications controlled and normalized hypertension, hypokalemia, and hormonal abnormalities within 4 months. Her blood pressure, serum electrolytes, and the hormonal states remained normalized for more than a year thereafter. Her depressed mental state also improved after spironolactone. PMID:20962442

Harada, Eisaku; Yasue, Hirofumi; Mizuno, Yuji; Morikawa, Yoshinobu; Nakagawa, Hitoshi; Semba, Fumie; Yoshimura, Michihiro; Saito, Yoshihiko

2010-01-01

333

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

Microsoft Academic Search

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

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

1981-01-01

334

Pneumothorax developing for the first time in a 73-year-old woman diagnosed with Birt-Hogg-Dubé syndrome.  

PubMed

Spontaneous pneumothorax in the elderly commonly occurs due to underlying pulmonary diseases, such as chronic obstructive pulmonary disease, interstitial lung disease, lung cancer, etc. A 73-year-old woman developed pneumothorax for the first time that was a clinical clue to a diagnosis of Birt-Hogg-Dubé syndrome (BHDS), an autosomal dominant condition characterized by fibrofolliculomas of the skin, renal tumors and multiple lung cysts predisposing to pneumothorax. Although BHDS patients frequently develop pneumothorax during their twenties to forties, the present case indicates that BHDS should be considered as an underlying cause of pneumothorax in the elderly with undisclosed BHDS. PMID:24190151

Kunogi Okura, Makiko; Yae, Toshifumi; Nagashima, Osamu; Hirai, Shu; Kumasaka, Toshio; Iwase, Akihiko

2013-01-01

335

Transactional relationships and sex with a woman in prostitution: prevalence and patterns in a representative sample of South African men  

PubMed Central

Background Sex motivated by economic exchange is a public health concern as a driver of the Sub-Saharan African HIV epidemic. We describe patterns of engagement in transactional sexual relationships and sex with women in prostitution of South African men, and suggest interpretations that advance our understanding of the phenomenon. Methods Cross-sectional study with a randomly-selected sample of 1645 sexually active men aged 18–49?years who completed interviews in a household study and were asked whether they had had sex with a woman in prostitution, or had had a relationship or sex they took to be motivated by the expectation of material gain (transactional sex). Results 18% of men had ever had sex with a woman in prostitution, 66% at least one type of transactional sexual relationship, only 30% of men had done neither. Most men had had a transactional relationship/sex with a main partner (58% of all men), 42% with a concurrent partner (or makhwapheni) and 44% with a once off partner, and there was almost no difference in reports of what was provided to women of different partner types. The majority of men distinguished the two types of sexual relationships and even among men who had once-off transactional sex and gave cash (n?=?314), few (34%) reported that they had had sex with a ‘prostitute’. Transactional sex was more common among men aged 25–34?years, less educated men and low income earners rather than those with none or higher income. Having had sex with a woman in prostitution varied little between social and demographic categories, but was less common among the unwaged or very low earners. Conclusions The notion of ‘transactional sex’ developed through research with women does not translate easily to men. Many perceive expectations that they fulfil a provider role, with quid pro quo entitlement to sex. Men distinguished these circumstances of sex from having sex with a woman in prostitution. Whilst there may be similarities, when viewed relationally, these are quite distinct practices. Conflating them is sociologically inappropriate. Efforts to work with men to reduce transactional sex should focus on addressing sexual entitlement and promoting gender inequity. PMID:22551102

2012-01-01

336

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

PubMed Central

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

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

2014-01-01

337

Managing arthralgia in a postmenopausal woman taking an aromatase inhibitor for hormonesensitive early breast cancer: a case study  

PubMed Central

Background In order to reduce the risk of recurrence, adjuvant treatment with an aromatase inhibitor (AI) is recommended for postmenopausal women following surgery for hormone receptor-positive breast cancer. AIs are associated with improved disease-free survival compared with tamoxifen. The adverse events associated with AIs resemble those of menopause, such as bone density loss and musculoskeletal symptoms. Purpose We examine the case of a postmenopausal woman who was prescribed anastrozole, a nonsteroidal AI, as adjuvant therapy following surgery for estrogen and progesterone receptor-positive (ER and PgR+) breast cancer. Methods and sample A 58-year-old postmenopausal woman diagnosed with ER and PgR+ breast cancer was prescribed anastrozole as adjuvant therapy following a right-inferior quadrantectomy. After experiencing joint pain and stiffness, she was prescribed paracetamol and a topical nonsteroidal anti-inflammatory drug. She was also counseled on nonpharmacological interventions. However, she continued to experience symptoms, and reported that she was not taking anastrozole regularly. Results The case study patient ultimately found relief by switching to letrozole, another aromatase inhibitor. This approach is supported by recent studies examining the benefits of switching strategies between aromatase inhibitors in order to relieve symptoms of arthralgia/myalgia. Conclusions Both adherence and strategies for managing aromatase inhibitor-associated arthralgia are key to deriving maximal clinical benefit from AI therapy. Switching from one aromatase inhibitor to another may provide a viable option in managing adverse events and enhancing adherence to medication. PMID:22570564

Bryce, Jane; Bauer, Martina; Hadji, Peyman

2012-01-01

338

"Embracing the present and fearing the future": the meaning of being an oldest old woman in a rural area.  

PubMed

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

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

2014-01-01

339

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

PubMed Central

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

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

2012-01-01

340

Two Cystic Cavernous Angiomas after Radiotherapy for Atypical Meningioma in Adult Woman : Case Report and Literature Review  

PubMed Central

A correlation between radiation therapy and cavernoma has been suspected since 1994. Since then, only a few cases of radio-induced cavernomas have been reported in the literature (85 patients). Most of them were children, and the most frequent original tumour had been medulloblastoma. The authors report a case of two cystic cavernous angiomas after radiation therapy for atypical meningioma in adult woman. This is the first case of cavernous angioma after radiotherapy for low grade meningioma. A 39-year-old, Latin american woman was operated on for a frontal atypical meningioma with intradiploic component and adjuvant radiotherapy was delivered (6000 cGy local brain irradiation, fractionated over 6 weeks). Follow-up MR imaging showed no recurrences of the tumour and no other lesions. Ten years later, at the age of 49, she consulted for progressive drug-resistant headache. MR imaging revealed two new well defined areas of different signal intensity at the surface of each frontal pole. Both lesions were surgically removed; the histopathological diagnosis was cavernous angioma. This is the first case of cavernous angioma after radiation therapy for atypical meningioma : it confirms the development of these lesions after standard radiation therapy also in patients previously affected by non-malignant tumours. PMID:24570817

Ruggeri, Andrea Gennaro; Pichierri, Angelo; Delfini, Roberto

2014-01-01

341

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

PubMed Central

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.

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

2015-01-01

342

Late-onset erythromelalgia in a previously healthy young woman: a case report and review of the literature  

PubMed Central

Introduction Erythromelalgia is a rare disorder characterized by episodic erythema and burning pain, which commonly involves the extremities. We present a case of late onset erythromelalgia in a previously healthy young woman and briefly review the literature. Our patient's case also has additional uncommon features not reported previously. Case presentation A 33-year-old previously healthy Caucasian woman presented with complaints of episodic burning pain and flushing occurring in a central distribution involving her face, ears, upper chest and, occasionally, her upper extremities. Her symptoms were triggered by lying down or warm temperature exposure and were relieved by cooling measures. Extensive diagnostic work-up looking for secondary causes for the symptoms was negative and the diagnosis of erythromelalgia was made based on details provided in her clinical history supported by raised temperature in the affected area measured by thermography during a symptomatic episode. The patient did not respond to pharmacological therapy or surgical sympathectomy. She was advised on lifestyle modification to avoid activities which triggered her symptoms. She was hypothermic with a core temperature between 92 and 95°F. She also had premature ovarian failure, which had not previously been reported. Conclusion Erythromelalgia is a rare disorder of unknown cause. There is no confirmatory diagnostic test; diagnosis is based on details provided in the patient's medical history and physical examination during the episodes. For those affected, this disorder leads to significant long-term morbidity and unfortunately, to date, no definitive therapy is available except for lifestyle modification. PMID:19946584

2009-01-01

343

A 44-year-old woman with hematemesis and cutaneous hemorrhages as a result of superwarfarin poisoning.  

PubMed

The authors present the case of a 44-year-old American Indian woman with hematemesis, spontaneous cutaneous hemorrhages, and multiple ecchymoses. Coagulation factor analyses demonstrated both prolonged prothrombin time (PT, >40 s) and prolonged partial thromboplastin time (PTT, >120 s). Measurement of the serum level of brodifacoum (37 ng/mL), one of the superwarfarin agents commonly used in rodenticides, confirmed poisoning as the cause of the patient's symptoms. Substantial amounts of fresh frozen plasma and vitamin K were required to obtain normal coagulation parameters and maintain these parameters over a 3-week inhospital period. Oral administration of vitamin K (100 mg daily) maintained normal PT (14.1 s), PTT (33.0 s), and international normalized ratio (INR, 1.48) at 2 weeks after the patient was discharged from the hospital. By 2 months postdischarge, PT, PTT, and INR returned to elevated levels because of patient noncompliance with the prescribed tapering vitamin K regimen. PMID:16717370

Dolin, Elizabeth K; Baker, Damon L; Buck, Steven C

2006-05-01

344

Somatic mutations found in the healthy blood compartment of a 115-yr-old woman demonstrate oligoclonal hematopoiesis  

PubMed Central

The somatic mutation burden in healthy white blood cells (WBCs) is not well known. Based on deep whole-genome sequencing, we estimate that approximately 450 somatic mutations accumulated in the nonrepetitive genome within the healthy blood compartment of a 115-yr-old woman. The detected mutations appear to have been harmless passenger mutations: They were enriched in noncoding, AT-rich regions that are not evolutionarily conserved, and they were depleted for genomic elements where mutations might have favorable or adverse effects on cellular fitness, such as regions with actively transcribed genes. The distribution of variant allele frequencies of these mutations suggests that the majority of the peripheral white blood cells were offspring of two related hematopoietic stem cell (HSC) clones. Moreover, telomere lengths of the WBCs were significantly shorter than telomere lengths from other tissues. Together, this suggests that the finite lifespan of HSCs, rather than somatic mutation effects, may lead to hematopoietic clonal evolution at extreme ages. PMID:24760347

Holstege, Henne; Pfeiffer, Wayne; Sie, Daoud; Hulsman, Marc; Nicholas, Thomas J.; Lee, Clarence C.; Ross, Tristen; Lin, Jue; Miller, Mark A.; Ylstra, Bauke; Meijers-Heijboer, Hanne; Brugman, Martijn H.; Staal, Frank J.T.; Holstege, Gert; Reinders, Marcel J.T.; Harkins, Timothy T.; Levy, Samuel; Sistermans, Erik A.

2014-01-01

345

An unusual case of collagenous gastritis in a middle- aged woman with systemic lupus erythromatosis: a case report  

PubMed Central

Introduction Collagenous gastritis is a rare histopathologic disease. It is characterized by marked subepithelial collagen deposition with associated inflammatory infiltrate. It is considered an uncommon disease among the general population. Collagenous gastritis without colonic involvement is an extremely rare disease. It is not known to be associated with systemic lupus erythromatosis. This is the first report of this type of association. Case presentation We present a 47-year-old woman from southeast Asia with dyspepsia and mild anemia. Her past medical history was significant for systemic lupus erythromatosis, autoimmune hemolytic anemia as well as hypothyroidism. Her gastroscopy and colonoscopy results were normal from an endoscopic point of view. However, the histopathology showed collagenous gastritis. Conclusions To the best of our knowledge, this is the first case reported of a patient with systemic lupus erythromatosis associated with collagenous gastritis. Further studies are needed to evaluate the association between both diseases from a pathophysiological and immunological perspective. PMID:25135519

2014-01-01

346

Blunt abdominal trauma to a pregnant woman resulting in a child with hemiplegic spastic cerebral palsy and permanent eye damage  

PubMed Central

Background In today's life trauma is a common and important complication of pregnancy and remains one of the major contributors to maternal and fetal morbidity and mortality. Case presentation The authors reported a case of 4 years old child with hemiplegic spastic cerebral palsy and permanent left eye damage due to antenatal trauma. He was an off spring to a 33 years old woman gravida 6 para 5 from western Sudan, who sustained a domestic blunt abdominal trauma during her routine daily activities. The abdominal trauma occurred during the third trimester at 36th week gestation of the pregnancy when the mother hit herself by the woody part of an axe non intentionally. Conclusions The findings from this case conclude that relatively minor trauma can have significant adverse effects on the fetus and can be devastating. PMID:24314440

2013-01-01

347

[Multifocal ischaemic stroke and myocardial infarction in a woman with occult lung cancer complicated with chronic DIC and thrombotic endocarditis].  

PubMed

Ischaemic stroke in thromboembolic mechanism may be a first sign of neoplastic disease, as in the presented case of a 56-year-old woman. Progressive trombocytopenia, anaemia with reticulocytosis and schistocytes in peripheral blood smear, elevated serum LDH activity as well as coexisting myocardial infarction initially suggested Moschcowitz syndrome. However, plasma exchange did not improve her neurological status and D-dimer values increase in subsequent evaluations indicated chronic DIC. At the same time, on transesophageal echocardiography, thrombotic endocarditis was diagnosed. Screening for cancer showed high CA 125 marker and chest computed tomography revealed lung tumor, not visible on earlier chest X-ray. In further treatment she underwent palliative radiotherapy and continued low molecular weight heparin. The neoplastic process had an unfavorable course and she died after four months. The authors point out that in case of multifocal ischaemic stroke and coexistent thrombocytopenia, neoplastic hypercoagulable state and thrombotic endocarditis should be considered. PMID:17199180

Elikowski, Waldemar; Maka, Krystyna; Ból, Krzysztofa; Jedli?ski, Ireneusz; Kubaszewska, Maria

2006-01-01

348

Treatment of uterine prolapse with bilateral hydronephrosis in a young nulliparous woman; a new minimally invasive extraperitoneal technique.  

PubMed

A 37-year-old nulligravid woman presented with a 2-year history of uterine prolapse along with mixed incontinence. Gynecological examination confirmed third degree cystocele and uterine prolapse. Renal ultrasonography showed enlarged kidneys and marked dilation of the bilateral pelvicalyceal system. She was hospitalized and a ring pessary was inserted after bladder catheterization. Her preoperative evaluation was performed and the patient was operated one month after her first admission. Anterior colporrhaphy along with Kurt Extraperitoneal Ligamentopexy was performed without any complication. A control visit on second postoperative month revealed recovery of incontinence symptoms and no prolapse was observed. To our knowledge this is the first reported treatment of a case with bilateral hydronephrosis due to uterine prolapse that were corrected and overcame with a novel minimally invasive extraperitoneal approach by fixation of bilateral round ligaments to the rectus fascia sheet. PMID:24943978

Kurt, S; Guler, T; Canda, M T; Demirtas, Ö; Tasyurt, A

2014-06-01

349

Postpartum cryptococcal pulmonary lesion incidentally discovered during a pulmonary-embolism evaluation of a 28-year-old caucasian woman.  

PubMed

We report a case of localized pulmonary cryptococcal infection in a 28-year-old Caucasian woman who was 1 month postpartum at the time of her arrival at the hospital. The patient reported right-side chest pain; on further work up, she was found to have an incidental pulmonary lesion of the left lower lung lobe. Surgical pathology examination and microbiology studies revealed localized cryptococcal infection. Cases of cryptococcal pneumonia in pregnant women and in the postpartum period have been described in the literature. However, cryptococcal infections are usually associated with various immunocompromised states, including human immunodeficiency virus (HIV) infection. Because pregnancy is associated with physiological immunosuppression, cryptococcal pneumonia should be considered in pregnant women, or women in the postpartum period, who have respiratory symptoms. PMID:25617397

Kaplan, Alesia; Berntson, Daniel G; Ferrieri, Patricia

2015-01-01

350

Refractory status epilepticus due to acute hepatic porphyria in a pregnant woman: induced abortion as the sole therapeutic option?  

PubMed

A 22-years old, 55 kg female patient in the twelfth week of pregnancy developed neuropsychiatric syndromes and in the following status epilepticus. Raised porphyrines and porphyrine precursors were found in the patient's urine. Despite intravenous glucose infusions and appropriate medication no reduction in seizure-frequency and neuropsychiatric syndromes was observed. An abortion was induced. After the interruption and starting of haem arginate therapy, seizure activity stopped and porphyrine precursors returned to normal levels, and after 6 weeks the patient was discharged in excellent clinical condition. This report describes a status epilepticus caused by acute hepatic porphyria, triggered by pregnancy, in a 22-years old woman. To our knowledge this is the first report of induced abortion as successful treatment in acute hepatic porphyria induced status epilepticus. PMID:15469454

Engelhardt, K; Trinka, E; Franz, G; Unterberger, I; Spiegel, M; Beer, R; Pfausler, B; Kampfl, A; Schmutzhard, E

2004-10-01

351

A leukemic presentation of alveolar rhabdomyosarcoma in a 52-year-old woman without an identifiable primary tumor.  

PubMed

A 52-year-old woman presented with fatigue and thrombocytopenia. Imaging studies were unremarkable with the exception of a positron emission tomography scan, which demonstrated intense F-18 fluorodeoxyglucose uptake fusing to the marrow. A bone marrow aspirate was notable for large discohesive cells with basophilic cytoplasm, and flow cytometric analysis identified a population of phenotypically unusual cells that coexpressed CD56 and CD71. Immunohistochemical findings in the marrow biopsy demonstrated that the neoplasm was alveolar rhabdomyosarcoma, further supported by the presence of a t(2;13). This unusual case demonstrates that leukemic presentations of rhabdomyosarcoma can occur in older adults in the absence of an identifiable primary tumor. PMID:25305220

Kern, Jason B; Hii, Anselm; Kruse, Matthew J; Szabo, Zsolt; Argani, Pedram; Hibbard, Michele K; Gladstone, Douglas E; Meyer, Christian; Zheng, Rui; Borowitz, Michael J; Duffield, Amy S

2015-02-01

352

Supraventricular tachycardia and urticaria complicating leuprolide-induced ovarian suppression in a young woman with breast cancer: a case report.  

PubMed

Gonadotropin-releasing hormone (GnRH) agonists are used for gonadal suppression in the treatment of breast and prostate cancers. In older men, their use has occasionally been associated with cardiovascular side effects such as supraventricular tachyarrhythmias (SVTs). Several reports document their occurrence in men receiving leuprolide for prostate cancer. We now report this complication with concomitant occurrence of migratory trunk and extremity urticaria in a young woman receiving this treatment after diagnosis of a T1cN0 premenopausal breast cancer. Changing from leuprolide to another GnRH agonist, goserelin, no additional problems with SVT or accompanying urticaria were encountered during the nearly two years of treatment and three subsequent years of follow-up. PMID:23888184

Sharma, Sharan Prakash; Muggia, Franco

2013-01-01

353

Rare Gastric Inflammatory Myofibroblastic Tumor in an Adult Woman: A Case Report with Review of the Literature  

PubMed Central

Inflammatory myofibroblastic tumor (IMT) of the stomach is extremely rare and its prognosis is unpredictable. We present a 37-year-old woman with a gastric IMT. She presented epigastric pain since 2 months, anemia and weight loss associated. Physical examination showed cutaneous pallor and mild abdominal tenderness in the epigastrium. Abdominal ultrasonography showed a tumor near the pancreas and the CT scan revealed that the lesion was arising from the stomach. Upper endoscopy showed a submucosal lesion of approximately 7.5?cm located in the posterior wall of the gastric body such as a gastrointestinal stromal tumor (GIST). The patient underwent a subtotal gastrectomy and Billroth I reconstruction. The histopathological and immunohistochemical analysis revealed an IMT that originated from the gastric wall. PMID:22570660

Ribeiro, Maxwel Capsy Boga; Lopes, Luiz Roberto; de Souza Neto, João Coelho; Meirelles, Luciana Rodrigues; de Carvalho, Rita Barbosa; Andreollo, Nelson Adami

2012-01-01

354

Successful Pregnancy Outcome in Malaysian Woman with Rare p Phenotype and Anti-PP1P(k) Antibody.  

PubMed

We report the first case of young woman with the p phenotype and anti-PP1P(k) antibody in the Malaysian population who was identified during a blood grouping and antibody screening procedure after her first miscarriage. Further family screening detected two other siblings who possessed the same rare phenotype and antibody. Because of difficulties in finding compatible units in the local population, the patient and her two siblings were advised to become regular blood donor. Their blood was frozen for future use. After she had two recurrent miscarriages, her third pregnancy was successfully managed using oral dydrogesterone, which was started from 10 weeks into the pregnancy. Her pregnancy was uneventful and she gave birth to a healthy term neonate. PMID:25332632

Mohd Azri, M S; Kunasegaran, K; Azrina, A; Siti Nadiah, A K

2014-09-01

355

Somatic mutations found in the healthy blood compartment of a 115-yr-old woman demonstrate oligoclonal hematopoiesis.  

PubMed

The somatic mutation burden in healthy white blood cells (WBCs) is not well known. Based on deep whole-genome sequencing, we estimate that approximately 450 somatic mutations accumulated in the nonrepetitive genome within the healthy blood compartment of a 115-yr-old woman. The detected mutations appear to have been harmless passenger mutations: They were enriched in noncoding, AT-rich regions that are not evolutionarily conserved, and they were depleted for genomic elements where mutations might have favorable or adverse effects on cellular fitness, such as regions with actively transcribed genes. The distribution of variant allele frequencies of these mutations suggests that the majority of the peripheral white blood cells were offspring of two related hematopoietic stem cell (HSC) clones. Moreover, telomere lengths of the WBCs were significantly shorter than telomere lengths from other tissues. Together, this suggests that the finite lifespan of HSCs, rather than somatic mutation effects, may lead to hematopoietic clonal evolution at extreme ages. PMID:24760347

Holstege, Henne; Pfeiffer, Wayne; Sie, Daoud; Hulsman, Marc; Nicholas, Thomas J; Lee, Clarence C; Ross, Tristen; Lin, Jue; Miller, Mark A; Ylstra, Bauke; Meijers-Heijboer, Hanne; Brugman, Martijn H; Staal, Frank J T; Holstege, Gert; Reinders, Marcel J T; Harkins, Timothy T; Levy, Samuel; Sistermans, Erik A

2014-05-01

356

Successful surgical management for duodenum obstruction in a 66 year-old woman previously undiagnosed intestinal malrotation.  

PubMed

Intestinal malrotation is a congenital abnormality and is rarely seen in the adulthood. Most adult cases would be classified to the non-rotation type with Ladd's band and Ladd procedure is the treatment of choice. A 66 year-old woman admitted to our hospital due to duodenum obstruction. Several tests revealed that she had intestinal malrotation previously undiagnosed. Operative findings showed the fusion of duodenum with jejunum by the incomplete Treitz ligament. There was no Ladd's band and the right colon was unfixed. Dissection of the fusion completely released her symptom and she discharged without any complication. This is the first report of untypically intestinal malrotation in the adulthood without Ladd's band. PMID:24693686

Motomura, Takashi; Takahashi, Ikuo; Noguchi, Shinichi; Ochi, Tomohiro; Kajiwara, Yuichiro; Mano, Yohei; Nakanishi, Ryota; Fujinaka, Yoshihiko; Nishida, Kojiro; Yamashita, Yo-ichi; Saeki, Hiroshi; Kawanaka, Hirofumi; Morita, Masaru; Ikeda, Tetsuo; Soejima, Yuji; Nishizaki, Takashi; Maehara, Yoshihiko

2013-12-01

357

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

PubMed

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

Bhuvaneswar, Chaya; Spiegel, David

2013-01-01

358

Young woman with branchio-oto-renal syndrome and a novel mutation in the EYA-1 gene.  

PubMed

Branchio-oto-renal (BOR) syndrome is an autosomal dominant disease clinically characterized by the coexistence of some or all of the following major disorders: deafness, cervical branchial fistulae, preauricular pits, and renal abnormalities. Most families with BOR syndrome have mutations on the EYA-1 gene on chromosome 8q. We present the case of a 23-year-old Italian woman without a familial history of BOR syndrome. The patient, who had hearing loss and a history of surgeries for correction of bilateral cervical branchial fistulae and bilateral preauricular pits, presented with renal impairment, hypertension and overt proteinuria. DNA sequencing showed a novel heterozygous mutation 1420-1421delCC in exon 14 of EYA-1 gene. PMID:21955869

Nardi, E; Palermo, A; Cusimano, P; Mulè, G; Cerasola, G

2011-10-01

359

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

PubMed Central

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 the histological study revealed fibrosis and diffuse lymphocytic infiltration with predominance of CD4 lymphocytes. This further case of lymphocytic hypophysitis was not related to pregnancy and produced diabetes insipidus, two uncommon associations. We discuss the features that can lead to a preoperative suspicion of this rare disorder. Images Figure 1 Figure 2 Figure 3 Figure 4 PMID:7910396

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

1994-01-01

360

Cardiogenic Shock with Complete Atrio-ventricular Block in an Octogenarian Woman: Are we going too far?  

PubMed Central

We report a case of an octogenarian woman who suffered from cardiogenic shock following an inferolateral myocardial infarction extending to the right ventricle associated with complete atrioventricular heart block. Her initial status was critical with a poor prognosis. She requested an invasive full management to be able to continue to take care of her ill husband. She was managed with circulatory assistance, temporary pacing and percutaneous coronary intervention. The procedure was successfully performed and the patient showed a remarkable improvement in clinical condition. Cardiogenic shock complicating right heart ventricle in elderly requires careful patient selection for invasive strategies that can sometimes rely on the willingness of the patient, as the procedural outcome appears to be poor in this high-risk population. PMID:25170415

Dahdouh, Ziad; Lemaitre, Adrien; Roule, Vincent; Troussard, Vincent; Grollier, Gilles

2014-01-01

361

Chyloperitoneum, chylothorax and lower extremity lymphedema in woman with sporadic lymphangioleiomyomatosis successfully treated with sirolimus: a case report.  

PubMed

Lymphangioleiomyomatosis (LAM) is a rare disease characterized by diffuse thin-walled cysts throughout the lungs on computed tomography and diffuse proliferation of abnormal smooth muscle-like cells (LAM cells) on lung biopsy. LAM affects women almost exclusively, predominantly in their reproductive age. The most typical presenting symptoms include dyspnea, spontaneous pneumothorax, cough and chylothorax. Abdominal findings represent less common initial manifestations of the disease and may pose diagnostic difficulties. The treatment of LAM has not been fully established. Recent studies report effectiveness of sirolimus in LAM patients. We report the case of a 45-year-old woman with sporadic LAM, successfully treated with sirolimus, in whom the first manifestation of the disease was chyloperitoneum and after three and nine years, respectively, lymphedema of the left lower extremity and right sided chylothorax occurred. PMID:23057149

Chachaj, A; Drozdz, K; Chabowski, M; Dziegiel, P; Grzegorek, I; Wojnar, A; Jazwiec, P; Szuba, A

2012-06-01

362

{sup 40}Ar/{sup 39}Ar thermochronology and thermobarometry of metamorphism, plutonism, and tectonic denudation in the Old Woman Mountains area, California  

SciTech Connect

Discrimination of individual tectonometamorphic events in polymetamorphosed terranes requires a comprehensive understanding of the relative timing and conditions of metamorphism and plutonism. We have applied a combination of {sup 40}Ar/{sup 39} Ar thermochronology, petrology, and thermobarometry to reconstruct the complex Early Proterozoic through early Cenozoic tectonic and metamorphic evolution of continental crust in the Old Woman Mountains area, southeastern California. Strong Mesozoic thermal events obscure the earlier history in much of the Old Woman Mountains area. In those areas where Early Proterozoic rocks underwent only lower-greenschist-facies metamorphism during the Mesozoic, thermobarometry of pelitic schists indicates that Proterozoic metamorphism occurred at 9 to 11 kbar and {approximately}700 {degrees}C. {sup 40}Ar/{sup 39}Ar ages of hornblende from samples of interbedded Proterozoic amphibolite indicate that this high-grade metamorphism took place before 1600 Ma. The relatively high-pressure conditions of Early Proterozoic metamorphism in the Old Woman Mountains area contrast with the low-pressure granulite-facies metamorphism that occurred elsewhere in the Mojave Desert at this time. {sup 40}Ar/{sup 39}Ar analyses of hornblende from Proterozoic rocks within Mesozoic shear zones and hornblende barometry from Jurassic intrusive rocks suggest that tectonism and burial of Paleozoic strata to >10 km began between 170 and 150 Ma. This tectonism resulted in regional greenschist-facies metamorphism. Late-stage mineral assemblages in Proterozoic and Paleozoic pelitic rocks in the Old Woman Mountains area indicate an increase in metamorphic grade from greenschist to upper amphibolite facies toward Later Cretaceous Plutons of the 73 Ma Old Woman-Piute batholith. Barometric calculations from garnet-bearing metamorphic rocks suggest that this Cretaceous metamorphism took place at 3.5 to 5.0 kbar in the Old Woman Mountains. 68 refs., 11 figs., 3 tabs.

Foster, D.A. [State Univ. of New York, Albany, NY (United States)] [State Univ. of New York, Albany, NY (United States); Miller, C.F. [Vanderbilt Univ., Nashville, TN (United States)] [Vanderbilt Univ., Nashville, TN (United States); Harrison, T.M. [Univ. of California, Los Angeles, CA (United States)] [Univ. of California, Los Angeles, CA (United States); Hoisch, T.D. [Northern Arizona Univ., Flagstaff, AZ (United States)] [Northern Arizona Univ., Flagstaff, AZ (United States)

1992-02-01

363

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

likely make more sense if placed at the beginning rather than at the end of the volume). Part I: Celebrating Celibacy focusses on the medieval period, with essays on Anglo-Norman single woman saints (Jane Zatta), variations on the fifteenth...-century legends of St. Katherine of Alexandria (Paul Price), and Malory?s use of the single woman as a determining signifier of the masculine (single man) virtue of chivalry (Dorsey Armstrong). Zatta?s and Price?s articles are nicely complementary: the former...

Lissa Beauchamp

2005-01-01

364

Aggressive and rapid progression of idiopathic bilateral avascular necrosis of femoral head in an old woman suffering from osteoporosis: A case report and review of the literature  

Microsoft Academic Search

Background  We present an unusual case of an aggressive and rapid progression of idiopathic bilateral avascular necrosis (AVN) of femoral\\u000a head in an old woman suffering from osteoporosis.\\u000a \\u000a \\u000a \\u000a \\u000a Case presentation   An 83-year-old woman with an unremarkable past medical history admitted to the Emergency Department of the Hospital with\\u000a ongoing bilateral groin and buttock pain started a week ago. Clinical examination revealed

Elias Fotiadis; Apostolos Gantsos; Eustathios Kenanidis; Theodoros Svarnas; Crisa Filitantzi; Efthimios Samoladas; Byron Chalidis

365

Disseminated cryptococcosis in an HIV-seronegative pregnant woman with transient T-lymphocytopenia: a case report and review of the literature.  

PubMed

We report a case of an HIV-seronegative pregnant woman with disseminated cryptococcosis, poorly controlled during gestation. Immunological studies showed T-lymphocytopenia during gestation, but rapid recovery postpartum. T-lymphocytopenia may play a role in increased susceptibility to and severity of cryptococcal infection during pregnancy. PMID:24974649

Meesing, Atibordee; Jittjareon, Apichat; Pornpetchpracha, Arpa; Tassaneetrithep, Boonrat; Phuphuakrat, Angsana; Kiertiburanakul, Sasisopin

2014-05-01

366

Graduated Exposure and Compliance Training Intervention for Blood Draw Avoidance and Refusal in a Woman with Intellectual Disability and Schizoaffective Disorder  

ERIC Educational Resources Information Center

This case report concerns a woman with intellectual disability, schizoaffective disorder, and avoidance and refusal of having her blood drawn. She required but refused blood draws to properly monitor the therapeutic dose of a necessary psychotropic medication. During intervention at a community-based habilitation setting and under simulated…

Cromartie, R. Samuel; Flood, William A.; Luiselli, James K.

2014-01-01

367

The Arrival of a New Woman Principal and Teachers' Self-Renewal: Reflections from Life Stories of Mid-Career Teachers  

ERIC Educational Resources Information Center

Oplatka demonstrates the process of self-renewal that was experienced by Israeli mid-career teachers subsequent to the arrival of a new woman principal and discusses contextual and biographical determinants of the process. He says that most teachers felt stagnated and even frustrated during the middle of their career cycle. He also stresses that…

Oplatka, Izhar

2004-01-01

368

The Fallen Woman Archetype: Media Representations of Lynndie England, Gender, and the (Ab)uses of U.S. Female Soldiers  

Microsoft Academic Search

In April 2004 revelations of the torture and abuse scandal at Abu Ghraib detention center in Iraq created a strategic and media crisis for the U.S. military. Media coverage focused on Private Lynndie England and framed her personal and professional behaviors via the fallen woman and warrior hero archetypes. We argue that England's media construction obfuscates military culpability for the

John W. Howard III; Laura C. Prividera

2008-01-01

369

Log Odds of Carrying an Ancestral Mutation in BRCA1 or BRCA2 for a Defined Personal and Family History in an Ashkenazi Jewish Woman (LAMBDA)  

Cancer.gov

Log Odds of Carrying an Ancestral Mutation in BRCA1 or BRCA2 for a Defined Personal and Family History in an Ashkenazi Jewish Woman (LAMBDA) Apicella C1,2, Andrews L3, Hodgson SV4, Fisher SA4, Lewis CM4, Solomon E4,Tucker K3, Friedlander M3, Bankier

370

'A woman's heaven is at her husband's feet'? The dilemmas for a community learning disability team posed by the arranged marriage of a Bangladeshi client with intellectual disability.  

PubMed

The present case report describes the arranged marriage of a Bangladeshi woman with moderate intellectual disability. It explores some of the social and cultural factors influencing the decision to arrange her marriage, and the dilemmas this presents in terms of bridging cultural differences between professional and lay concerns. PMID:10622372

Hepper, F

1999-12-01

371

Successful Transcatheter Closure of a Patent Ductus Arteriosus: Using Two Gianturco Coils in a 41YearOld WomanA Case Report  

Microsoft Academic Search

Patent ductus arteriosus (PDA) is a form of congenital heart disease uncommonly diagnosed in adult patients. Transcatheter closure of PDA has been widely used in children. However, the experience is limited in adults especially with use of Gianturco coils. The authors describe a case of successful transcatheter closure of a PDA, inciden tally diagnosed in a 41-year-old woman, by successively

Fadi Shamsham; Tak Kwan; Arshad M. Safi; Luther T. Clark

1999-01-01

372

Gorlin syndrome presenting with a unilateral ovarian fibroma in a 22-year-old woman: a case report  

PubMed Central

Introduction Nevoid basal cell carcinoma syndrome, or Gorlin syndrome, is an inherited disorder characterized by malignancies of the skin and other organs, skeletal abnormalities, and congenital malformations. The syndrome follows an autosomal dominant inheritance pattern with a gene mutation localized to 9q22.3. Case presentation We present the case of a 22-year-old Caucasian woman with a unilateral ovarian fibroma, falx cerebri calcification and odontogenic keratocysts, but without any skin manifestations. The diagnosis of nevoid basal cell carcinoma syndrome was made after a right salpingo-oophorectomy for a calcified ovarian fibroma with cystic degeneration. Pathologic examination of the 10?cm right ovarian mass revealed a well-circumscribed spindle cell lesion. Immunohistochemical staining of the lesion demonstrated positivity for vimentin and smooth muscle actin. Conclusion It is important to recognize that nevoid basal cell carcinoma syndrome may present in the absence of skin lesions. Additionally, ovarian fibromas are typically bilateral in nevoid basal cell carcinoma syndrome, but can uncommonly be unilateral, which may alter clinical management. Ovarian fibromas are managed with surgical excision with an attempt at ovarian functional preservation. PMID:22691621

2012-01-01

373

Xanthogranulomatous inflammation of the perimetrium with infiltration into the uterine myometrium in a postmenopausal woman: a case report  

PubMed Central

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

2014-01-01

374

Contraception for the HIV-Positive Woman: A Review of Interactions between Hormonal Contraception and Antiretroviral Therapy  

PubMed Central

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

Robinson, Jennifer A.; Jamshidi, Roxanne; Burke, Anne E.

2012-01-01

375

Mycobacterium avium-intracellulare pulmonary infection complicated by cutaneous leukocytoclastic vasculitis in a woman with anorexia nervosa.  

PubMed

A 53-year-old Caucasian woman with a history of anorexia nervosa developed a bilateral lower extremity rash comprised of palpable red to violaceous, sub-centimeter papular lesions that increased in quantity rapidly. She also noted a 2-month history of non-productive cough. Imaging modalities revealed a thin-walled cavitary lesion in the right lung apex and scattered nodular opacities. Acid fast bacilli (AFB) were found in sputum and subsequently identified by culture as Mycobacterium avium-intracellulare (MAI). Punch biopsies of her skin lesions yielded a histological diagnosis of small-to-medium vessel vasculitis. Stains and cultures for organisms were negative. Her skin lesions resolved quickly after the initiation of antimicrobial therapy for MAI. Hypersensitivity vasculitis associated with an atypical mycobacterial infection is unusual. The postulated underlying mechanism is the deposit of immune complexes and not the bacillus itself. While cutaneous leukocytoclastic vasculitis (CLV) due to MAI is certainly a rare entity, it should be entertained in patients with vasculitic skin lesions and a concomitant pulmonary disease. PMID:24363210

Walsh, T L; Baca, V; Stalling, S S; Natalie, A A; Veldkamp, P J

2014-06-01

376

A novel mutation in the sterol 27-hydroxylase gene of a woman with autosomal recessive cerebrotendinous xanthomatosis  

PubMed Central

Article abstract Mutations of the gene encoding the mitochondrial enzyme sterol 27-hydroxylase (CYP27A1 gene) cause defects in the cholesterol pathway to bile acids that lead to the storage of cholestanol and cholesterol in tendons, lenses and the central nervous system. This disorder is the cause of a clinical syndrome known as cerebrotendinous xanthomatosis (CTX). Since 1991 several mutations of the CYP27A1 gene have been reported. We diagnosed the clinical features of CTX in a caucasian woman. Serum levels of cholestanol and 7?-hydroxycholesterol were elevated and the concentration of 27-hydroxycholesterol was reduced. Bile alcohols in the urine and faeces were increased. The analysis of the CYP27A1 gene showed that the patient was a compound heterozygote carrying two mutations both located in exon 8. One mutation is a novel four nucleotide deletion (c.1330-1333delTTCC) that results in a frameshift and the occurrence of a premature stop codon leading to the formation of a truncated protein of 448 amino acids. The other mutation, previously reported, is a C - > T transition (c. c.1381C > T) that converts the glutamine codon at position 461 into a termination codon (p.Q461X). These truncated proteins are expected to have no biological function being devoid of the cysteine residue at position 476 of the normal enzyme that is crucial for heme binding and enzyme activity. PMID:20925952

2010-01-01

377

A calcific pelvic mass in a woman with chronic spinal pain: a case of mature cystic teratoma  

PubMed Central

Objective The purpose of this case is to describe findings of a mature cystic teratoma and to further provide differential diagnoses for ovarian pelvic masses and calcifications. Clinical Features A 27-year-old woman presented to a chiropractic teaching clinic with a chief complaint of chronic multilevel spinal pain. During a full spine radiographic examination, radiopaque densities were incidentally identified in the pelvic bowl visualized through a gonad shield. Follow-up pelvic radiography revealed several radiopacities of uniform density localized in the pelvic bowl. Intervention/Outcomes Medical (gynecological) consultation led to ultrasonography of the pelvis that revealed a mature cystic teratoma. The patient underwent complete excision of the mass through a laparotomy procedure. The patient continued to receive chiropractic treatment of her original cervical and lumbar spine complaints, further suggesting that the pelvic mass was not a source of her musculoskeletal complaints. Conclusion This case demonstrates the detection and proper referral of a patient with a calcific mass. The presence of a pelvic mass, suspected of arising from the ovary, requires additional diagnostic imaging and careful clinical correlation. PMID:22654694

Kaeser, Martha A.; McDonald, Jennifer K.; Kettner, Norman W.

2011-01-01

378

Cerebral venous sinus thrombosis due to spontaneous, progressive, and retrograde jugular vein thrombosis causing sudden death in a young woman.  

PubMed

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

De-Giorgio, Fabio; Peschillo, Simone; Vetrugno, Giuseppe; d'Aloja, Ernesto; Spagnolo, Antonio G; Miscusi, Massimo

2015-03-01

379

Placenta Percreta Invading Broad Ligament and Parametrium in a Woman with Two Previous Cesarean Sections: A Case Report  

PubMed Central

Introduction. The incidence of placenta accreta has dramatically increased due to increasing caesarean section rate all over the world. Placenta percreta is the most severe form of placenta accretes. It frequently results in maternal morbidity and mortality mainly caused by massive obstetric hemorrhage or emergency hysterectomy. Percreta invading into the broad ligament has rarely been previously reported. Case presenting. We presented a case of placenta percreta invading left broad ligament and parametrium in a woman with two previous cesarean sections, which led to massive intraoperative hemorrhage during hysterectomy and transient ischemic encephalopathy. Conclusion. In cases of parametrial involvement, it would be more difficult to decide whether to remove placenta or leave it in site. In surgical removal neither local excision of placental bed and uterine repair nor traditional hysterectomy is adequate if parametrium invaded by placenta. We suggest delayed elective hysterectomy in such cases. So, pregnancy-induced pelvic congestion would be decreased, we can gather an expert team of gynecologists, urologists, and vascular surgeons, we could get plenty of blood products, and we may have the chance to administer methotrexate. PMID:23097727

Vahdat, Mansoureh; Mehdizadeh, Abolfazl; Sariri, Elaheh; Chaichian, Shahla; Najmi, Zahra; Kadivar, Maryam

2012-01-01

380

Peripheral primitive neuroectodermal tumor of the dura in a 51-year-old woman following intensive treatment for breast cancer  

PubMed Central

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

Cole, Marion; Parajuli, Shobha; Laske, Douglas; Goldstein, Lori; Morrison, Tara; Mukherjee, Abir; Tumelty, Kathryn; Tetzlaff, Eric; von Mehren, Margaret; Inniss, Susan

2014-01-01

381

Molecular analysis of Dirofilaria repens removed from a subcutaneous nodule in a Japanese woman after a tour to Europe  

PubMed Central

A premature female Dirofilaria species, subsequently identified as Dirofilaria repens by its morphological features and mitochondrial 12S ribosomal RNA (12S rRNA) gene sequence, was removed from a subcutaneous nodule of the right temporal region of the head in a Japanese woman 2 years after she noticed swelling of her left calf following an insect sting during a tour to Europe; headache symptoms were noticed a few months later. The sequences of the mitochondrial 12S rRNA and cytochrome c oxidase subunit I genes from the organism were almost identical to those of sequences AM779772 (100% homology, 337/337) and AM749233 (99.8% homology, 536/537) of D. repens isolated from humans in Italy. However, the phylogenetic position of the 18S rRNA-internal transcribed spacer 1-5.8S rRNA region was in the same cluster as that of sequence JX290195 of Dirofilaria sp. “hongkongensis” (96.7% homology, 348/360), which was recently reported from Hong Kong as a novel Dirofilaria species. Information on regional genetic variation in D. repens isolated from animals and humans remains scarce. We report the detailed genetic features of this filaria as a reference isolate from a specific endemic area, to enrich the genetic database of D. repens. PMID:25619827

Suzuki, Jun; Kobayashi, Seiki; Okata, Utako; Matsuzaki, Hitomi; Mori, Mariko; Chen, Ko-Ron; Iwata, Satoshi

2015-01-01

382

Serotonin syndrome, disseminated intravascular coagulation, and hepatitis after a single ingestion of MDMA in an Asian woman.  

PubMed

N-Methyl-3,4-methylenedioxyamphetamine (MDMA), also called "Ecstasy," is a commonly abused psychoactive drug among the American youth. We present the case of a 23-year-old Korean-American woman who presented with seizure, delirium, and rigidity after MDMA ingestion. She was febrile (38.7°C), tachycardic (188 beats/min), tachypneic (26 breaths/min) with a borderline blood pressure (95/43 mm Hg). Examination revealed generalized muscle rigidity, tremors, hyperreflexia, and ocular clonus, leading to the diagnosis of serotonin syndrome. Urine toxicology screen was only positive for amphetamines, consistent with the history of MDMA ingestion. Initial laboratory testing showed thrombocytopenia, further testing showed deranged prothrombin time, partial thromboplastin time, decreased fibrinogen, and elevated D-dimer, suggesting disseminated intravascular coagulation. Hepatic transaminases trended up dramatically reflecting acute hepatitis. The patient received supportive care and improved by hospital day 3. MDMA toxicity manifested as serotonin syndrome, hepatitis, and coagulopathy is exceedingly rare. MDMA is metabolized by the hepatic CYP2D6 enzyme. Certain populations, such as Koreans, Chinese, and Japanese have a high prevalence of a polymorphism that confers reduced enzyme activity. We discuss this hypothesis as a possible cause for this severe presentation in our patient after a single ingestion. PMID:22713531

Nadkarni, Girish N; Hoskote, Sumedh S; Piotrkowski, Jared; Annapureddy, Narender

2014-01-01

383

Combining Wireless Sensor Networks and Semantic Middleware for an Internet of Things-Based Sportsman/Woman Monitoring Application  

PubMed Central

Wireless Sensor Networks (WSNs) are spearheading the efforts taken to build and deploy systems aiming to accomplish the ultimate objectives of the Internet of Things. Due to the sensors WSNs nodes are provided with, and to their ubiquity and pervasive capabilities, these networks become extremely suitable for many applications that so-called conventional cabled or wireless networks are unable to handle. One of these still underdeveloped applications is monitoring physical parameters on a person. This is an especially interesting application regarding their age or activity, for any detected hazardous parameter can be notified not only to the monitored person as a warning, but also to any third party that may be helpful under critical circumstances, such as relatives or healthcare centers. We propose a system built to monitor a sportsman/woman during a workout session or performing a sport-related indoor activity. Sensors have been deployed by means of several nodes acting as the nodes of a WSN, along with a semantic middleware development used for hardware complexity abstraction purposes. The data extracted from the environment, combined with the information obtained from the user, will compose the basis of the services that can be obtained. PMID:23385405

Rodríguez-Molina, Jesús; Martínez, José-Fernán; Castillejo, Pedro; López, Lourdes

2013-01-01

384

A case of mucoepidermoid carcinoma located in the left forearm of a middle-aged pregnant woman  

PubMed Central

In this article, we described a mucoepidermoid carcinoma (MEC) located in the left forearm of a 39-year-old pregnant woman. Here, the patient had a superficial tip size apophysis nearly 3 years, which begin to sustained growth after pregnant in 2012, and stopped growth after childbirth. MEC is a rare malignant tumor. Previously reports showed it mainly arise from the salivary, bronchial, thyroid, breast, lacrimal gland and conjunctiva. Here, we reported a case of MEC arising from the forearm gland for the first time. Histological finding showed a cystic and solid tumor in fibrous tissue below the squamous epithelium, and some columnar or cuboidal mucous cells covering on the epidermal cells or mixed with epidermal cells included in the tumor tissues. Also, Focal hyperplasia epidermal cells with round or oval nucleus in center were distributed in small pieces but no keratosis. The tumor tissues were immunopositive for CEA, P63, ki-67 (10%), CK7 and CK5/6, and immunonegative for CK20 and GCDFP-15. This case is a low-grade MEC and the patient’s postoperative recovery is smooth. PMID:25232441

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

2014-01-01

385

Uterine rupture in a nulliparous woman with septate uterus of the second trimester pregnancy and review in literature  

PubMed Central

INTRODUCTION Uterine rupture (UR) in early pregnancy in nulliparous women is a rare and unpredictable occurrence with high maternal morbidity and fatal fetal outcomes. Intrauterine anomalies could be the primum movens of this dangerous condition and underestimated in the literature. PRESENTATION OF CASE An uncommon case of uterine rupture at the 23rd week of gestation in a nulliparous woman, who became pregnant before the resection of an uterine septum. To provide more insight into the possible risk factors, a literature review was performed. DISCUSSION Loss of pregnancy is common, despite prompt uterine repair. In all cases reviewed abdominal pain characterized by indistinct vague symptoms constitutes the initial symptom of this obstetrical life threatening condition. CONCLUSION The current case highlights the association of curettage and septate uterus as a risk factor for UR in the second trimester of pregnancy. It's reasonable that obstetricians must take into account that common gastrointestinal tract problems might be an indicator of the initial weakness of uterine wall leading to the rupture, which is unpredictable all of cases reviewed. PMID:23333849

Damiani, Gianluca Raffaello; Gaetani, Maria; Landi, Stefano; Lacerenza, Loredana; Barnaba, Mario; Spellecchia, Domenico; Pellegrino, Antonio

2012-01-01

386

Interferon-?-induced pulmonary sarcoidosis in a 30-year-old woman treated for multiple sclerosis: a case report  

PubMed Central

Introduction With the increasing use of recombinant ? and ? interferon therapy for the treatment of various disorders, cases of interferon-associated sarcoidosis have been reported in the literature. The majority of these have been cases of interferon-?-induced sarcoidosis. We present the first case, to the best of our knowledge, of interferon-induced pulmonary sarcoidosis in a patient whose multiple sclerosis was treated with interferon-?. Case presentation We present the case of a 30-year-old Caucasian woman who presented with unusually persistent bilateral areas of lung consolidation on serial radiographs. Pulmonary sarcoidosis was diagnosed on transbronchial lung biopsy five months after the initiation of treatment with interferon-? for multiple sclerosis. Conclusions Sarcoidosis should be considered in the differential diagnosis of a patient who develops clinical or radiological pulmonary disease while undergoing interferon therapy. It is important to note that interferon-induced sarcoidosis, though usually seen in cases with interferon-?, can occur with interferon-?. Neurologists managing patients with multiple sclerosis should be aware of this association between interferon-? and sarcoidosis and promptly refer patients developing respiratory symptoms for further investigation. PMID:23043877

2012-01-01

387

Multiple Scedosporium apiospermum abscesses in a woman survivor of a tsunami in northeastern Japan: a case report  

PubMed Central

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

2011-01-01

388

Pregnancy in Woman with Spinal Cord Stimulator for Complex Regional Pain Syndrome: A Case Report and Review of the Literature  

PubMed Central

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

Yoo, Hyung Seok; Nahm, Francis Sahngun; Yim, Kyoung Hoon; Moon, Jee Youn; Kim, Yung Suk

2010-01-01

389

Combining wireless sensor networks and semantic middleware for an Internet of Things-based sportsman/woman monitoring application.  

PubMed

Wireless Sensor Networks (WSNs) are spearheading the efforts taken to build and deploy systems aiming to accomplish the ultimate objectives of the Internet of Things. Due to the sensors WSNs nodes are provided with, and to their ubiquity and pervasive capabilities, these networks become extremely suitable for many applications that so-called conventional cabled or wireless networks are unable to handle. One of these still underdeveloped applications is monitoring physical parameters on a person. This is an especially interesting application regarding their age or activity, for any detected hazardous parameter can be notified not only to the monitored person as a warning, but also to any third party that may be helpful under critical circumstances, such as relatives or healthcare centers. We propose a system built to monitor a sportsman/woman during a workout session or performing a sport-related indoor activity. Sensors have been deployed by means of several nodes acting as the nodes of a WSN, along with a semantic middleware development used for hardware complexity abstraction purposes. The data extracted from the environment, combined with the information obtained from the user, will compose the basis of the services that can be obtained. PMID:23385405

Rodríguez-Molina, Jesús; Martínez, José-Fernán; Castillejo, Pedro; López, Lourdes

2013-01-01

390

Persistent sciatic artery with monoplegia in right lower leg without vascular complication symptoms in an obese woman.  

PubMed

A rare case of a persistent sciatic artery (PSA) in a patient with monoplegia of the right lower leg without vascular complication symptoms is presented. A 44-year-old nervous and obese woman was referred with monoplegia of the right lower extremity. She was referred with an impression of a peripheral neuropathy due to nerve compression by a large uterine cyst. This impression was derived from a computed tomography (CT) scan that had been performed at the referring hospital the day before. On admission to our hospital, we repeated the CT scan and also obtained angiography that demonstrated that the problem was due to a persistent sciatic artery (PSA). The cyst was proved not to compress any vessels or nerves. The PSA was an aneurysmal dilatation from the internal iliac artery to the popliteal artery. It intermittently compressed the sciatic nerve. A persistent sciatic artery was noted to be the dominant blood supply to the right lower extremity. A right ilio-popliteal artery bypass using a 6-mm ringed ePTFE graft was performed. After arterial reconstruction, she recovered completely. PMID:17976747

Kim, Ho Jung; Cho, Young Soon; Lim, Hoon

2008-04-01

391

Expletives and Woman's Place.  

ERIC Educational Resources Information Center

In this study, the relationship between the expletives "bitch" and "bastard" is examined in terms of sex role stereotypes. The sex role implications of traits ascribed by male and female college students to each word are reported and discussed. (Author/WI)

Coyne, James C.; And Others

1978-01-01

392

The Woman Within.  

ERIC Educational Resources Information Center

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…

Rea, Lorraine

393

The Wonder (of) Woman  

Microsoft Academic Search

The following text is the German original followed by the English translation of a previously unpublished essay by Julia Franck, winner of the 2007 German Book Prize. Although Franck has received critical acclaim most recently for her novel Die Mittagsfrau (Lady Midday, 2007), she came to the attention of the mainstream German media with the publication of her second novel,

Julia Franck

2008-01-01

394

The Invisible Woman  

ERIC Educational Resources Information Center

Rural women in developing countries usually produce food for home consumption. Since this food has no exchange value women engaged in subsistence agriculture rank low on the socioeconomic scale. Colonization which brings farm technology and education to men only further deteriorates women's status in agriculture. (MR)

Presvelou, Clio

1975-01-01

395

The Texas woman hunter  

E-print Network

, marital relationships can create interpersonal barriers for one or both partners. If one spouse disapproves of a particular leisure activity, he or she creates an interpersonal barrier for the other spouse. Lastly, structural barriers are those which...) and nonhunters (n=64). " Family member Hunter (&) Nonhunter (~) No one Daughters Sons Spouse Mother Father Brothers 1. 7 23. 4 45. 9 82. 5 10. 0 33. 1 40. 5 18. 8 7. 8 35. 9 45. 3 0. 0 6. 3 18. 8 Sisters 14. 7 1. 6 ' Multiple responses...

Steen, Sara Jane

2012-06-07

396

Genome-wide paternal uniparental disomy mosaicism in a woman with Beckwith-Wiedemann syndrome and ovarian steroid cell tumour.  

PubMed

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

Gogiel, Magdalena; Begemann, Matthias; Spengler, Sabrina; Soellner, Lukas; Göretzlehner, Ulf; Eggermann, Thomas; Strobl-Wildemann, Gertrud

2013-07-01

397

Small intestinal gastrointestinal stromal tumor in a young adult woman: a case report and review of the literature  

PubMed Central

Introduction Gastrointestinal stromal tumor is the most common sarcoma of the gastrointestinal tract. We report a case of gastrointestinal stromal tumor in a small intestine, initially suspected for leiomyosarcoma given that gastrointestinal stromal tumors in young adult patients are limited due to their rarity. Case presentation A 30-year-old Caucasian ethnic Albanian woman from Kosovo presented with abdominal pain, nausea and vomiting. Subsequently, the tumor was detected in her small intestine, as an infiltrating mass approximately 10cm in diameter. The tumor was resected en bloc and duodenojejunal terminal-terminal anastomosis was performed. The tumor was a large, bulky, intramural mass, with fish-flesh to tan-brown appearance, as well as with foci of hemorrhage and necrosis. On histological examination the tumor showed transmural growth, deep infiltrative pattern and malignant feature, with mitotic count >5 per 50 high-power field, dense cellularity with plump spindle cells, and with eosinophilic cytoplasm within variably hyalinized and edematous stroma, skeinoid fibers (extracellular collagen globules) and foci of hemorrhage. In addition, the tumor was composed of areas with epithelioid morphology. The immunohistochemistry results showed high expression of proto-oncogene c-kit, CD117, CD34 and vimentin, whereas ?-smooth muscle actin was focally positive. Desmin and S-100 protein were negative. Conclusions Gastrointestinal stromal tumor should be included in the differential diagnoses of intestinal mesenchymal tumors presenting as a single mass in young female adults. Given that gastrointestinal stromal tumors in young adults represent a more heterogeneous group than gastrointestinal stromal tumor in pediatric cases, more effort should be made to investigate its pathogenesis and potentially more specific treatment. PMID:25264210

2014-01-01

398

Fulminant Type 1 diabetes in a pregnant woman as an initial manifestation of the insulin autoimmune syndrome.  

PubMed

Fulminant Type 1 diabetes is a subtype of Type 1 diabetes characterized by (1) abrupt onset of diabetes, (2) very short duration of hyperglycaemia with mildly elevated HbA(1c) (< 69 mmol/mol, 8.5%), (3) rapid progression to diabetic ketoacidosis, (4) very low C-peptide level, and (5) often associated with elevated serum pancreatic enzymes, and absence of diabetes-related autoantibodies. We encountered a case of fulminant Type 1 diabetes that developed with an initial manifestation of the insulin autoimmune syndrome and rapidly progressed to diabetic ketoacidosis during pregnancy. A 31-year-old Korean woman presented with recurrent sudden onset of sweating and change of consciousness during sleep at 19 weeks gestation. During a 72-h fasting test, hypoglycaemia (1.72 mmol/l) occurred at 4 h after the start of the test. At that time, there was a high insulin level (370.2 ?U/ml), a paradoxically low C-peptide level (0.01 nmol/l) and a positive insulin autoantibody test. An oral glucose tolerance test revealed postprandial hyperglycaemia. She was initially diagnosed as the insulin autoimmune syndrome. On the day 5 of admission, she developed diabetic ketoacidosis. Her HbA(1c) was 62 mmol/mol (7.8%). The rapid progression of diabetic ketoacidosis altered the diagnosis to fulminant Type 1 diabetes. This case differed from typical fulminant Type 1 diabetes because it presented with hypoglycaemia, and positive insulin and anti-phospholipid antibody tests. Her HLA typing was HLA-DQA1*0302, 0501, HLA-DRB1*0301 (DR3), 0901(DR9). Her glucose level was subsequently very well controlled with multiple insulin injections and she successfully delivered a healthy baby. PMID:22356444

Kim, H S; Lee, T-Y; Kim, E Y; Choi, J H; Kim, S Y; Hwang, Y-C; Kang, J-H; Ahn, K J; Chung, H Y; Jeong, I-K

2012-10-01

399

Advanced Composite of Large Cell Neuroendocrine Carcinoma and Squamous Cell Carcinoma: A Case Report of Uterine Cervical Cancer in a Virgin Woman  

PubMed Central

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

Kou, Iemasa; Date, Kenjiro; Nakayama, Hirofumi

2013-01-01

400

Emergency Sleeve Gastrectomy as Rescue Treatment for Acute Gastric Necrosis Due to Type II Paraesophageal Hernia in an Obese Woman with Gastric Banding  

Microsoft Academic Search

A morbidly obese 42-year-old woman presented with a 1-week history of left chest pain. She had undergone laparoscopic adjustable\\u000a gastric banding 16 months earlier with a body mass index (BMI) of 49.2 kg\\/m2. Diagnostic workup revealed a large left pleural empyema and ruled out band slippage. At left thoracotomy, a misdiagnosed\\u000a type II paraesophageal strangulated hernia with gastric necrosis and large perforation

Paolo Bernante; Cristiano Breda; Fabio Zangrandi; Fabio Pomerri; Maria Rosa Pelizzo; Mirto Foletto

2008-01-01

401

The Drop That Spilled the Cup: Acute Myocardial Infarction in a Young Woman with Underlying Thrombophilic Polymorphisms and Oral Contraceptive Use  

PubMed Central

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

Capilli, Gianfranco; Patané, Anella Antonietta

2014-01-01

402

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  

Microsoft Academic Search

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 α2(I)

L. D. Spotila; C. D. Constantinou; L. Sereda; A. Ganguly; D. J. Prockop; B. L. Riggs

1991-01-01

403

Transcatheter coil closure of large patent ductus arteriosus with 0.052-inch Gianturco coils using myocardial biopsy forceps in a 70-year-old woman  

Microsoft Academic Search

Small patent ductus arteriosus, is generally closed in children using a transcatheter coil. This is done less often in older\\u000a patients or those with large patent ductus arteriosus. We report successful antegrade transcatheter coil closure of patent\\u000a ductus arteriosus in a 70-year-old woman. Into the patent ductus arteriosus, using flexible myocardial biopsy forceps, we\\u000a placed two large 0.052-inch Gianturco coils,

Yoshiyuki Tokuda; Masahiko Matsumoto; Kenji Suda; Masahiko Matsumura

2001-01-01

404

Palaeodiet reconstruction in a woman with probable celiac disease: a stable isotope analysis of bone remains from the archaeological site of Cosa (Italy).  

PubMed

Stable isotope analysis in the reconstruction of human palaeodiets can yield clues to early human subsistence strategies, origins and history of farming and pastoralist societies, and intra- and intergroup social differentiation. In the last 10 years, the method has been extended to the pathological investigation. Stable isotope analysis to better understand a diet-related disease: celiac disease in ancient human bones was carried out. To do this, we analyzed the nitrogen and carbon isotopic composition of human (n?=?37) and faunal (n?=?8) bone remains from the archaeological site of Cosa at Ansedonia, on the Tyrrhenian coast near Orbetello (Tuscany), including the skeletal remains of a young woman (late 1st century-early 2nd century Common Era [CE]) with morphological and genetic features suggestive of celiac disease. We compared the young woman's isotopic data with those of other individuals recovered at the same site but from two later time periods (6th century CE; 11-12th century CE) and with literature data from other Italian archaeological sites dating to the same period. Her collagen ?(13) C and ?(15) N values differed from those of the samples at the same site, and from most but not all of the contemporary sites. Although the woman's diet appears distinct, chronic malnutrition resulting from severe malabsorption of essential nutrients due to celiac disease may have affected the isotopic composition of her bone collagen. PMID:24706415

Scorrano, Gabriele; Brilli, Mauro; Martínez-Labarga, Cristina; Giustini, Francesca; Pacciani, Elsa; Chilleri, Filberto; Scaldaferri, Franco; Gasbarrini, Antonio; Gasbarrini, Giovanni; Rickards, Olga

2014-07-01

405

Liposome bupivacaine for postsurgical pain in an obese woman with chronic pain undergoing laparoscopic gastrectomy: a case report  

PubMed Central

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

2014-01-01

406

Encephalopathic Susac’s Syndrome associated with livedo racemosa in a young woman before the completion of family planning  

PubMed Central

Background Susac’s Syndrome (SS) consists of the triad of encephalopathy, branch retinal artery occlusions (BRAO) and hearing loss (HL). Histopathologically, SS is characterised by a microangiopathy, and some observations suggest that an immune-mediated damage of endothelial cells might play a role. These findings also implicate a similarity between SS and other autoimmune diseases, most notably juvenile dermatomyositis (JDM). However, SS and JDM are commonly thought to affect distinct and non-overlapping sets of organs, and it is currently not clear how these specificities arise. Moreover, in the absence of clinical trials, some authors suggest that therapeutic approaches in SS should rely on the model of other autoimmune diseases such as JDM. Case presentation Here, we report a case of SS in a 32-year-old pregnant woman. She initially was admitted to the hospital with subacute severe encephalopathy and multifocal neurologic signs. As cranial magnetic resonance imaging (MRI) revealed multifocal white matter lesions including the corpus callosum, erroneously a diagnosis of multiple sclerosis (MS) was made, and intravenous methylprednisolone (IVMP) therapy was initiated. A few days later, an exanthema appeared on the trunk and extremities, which was diagnosed as livedo racemosa (LR). Several weeks later, the patient was readmitted to the clinic with an obscuration of her left visual hemifield and a bilateral HL. Ophthalmologic examination revealed extensive ischemic damage to both retinae. Now the correct diagnosis of SS was established, based on the above triad of clinical symptoms in conjunction with typical MRI and fundoscopic findings. When SS was diagnosed, the standard therapy with intravenous cyclophosphamide (IVCTX) was not instituted because of a significant risk of permanent infertility. Instead, sustained control of disease activity could be achieved with a therapeutic regime combining prednisolone, intravenous immunoglobulins (IVIG), mycophenylate mofetil (MM), and methotrexate (MTX). Conclusions An association with LR has only been described in very few cases of SS before and further underlines the pathogenetic relationship between SS and other autoimmune diseases such as JDM. In young women with SS and the desire for a child the combination of MM and MTX may represent a reasonable alternative to IVCTX. PMID:24274741

2013-01-01

407

[A 74-year-old woman with parkinsonism and dementia who died four years after the onset].  

PubMed

We report a 74-year-old woman with parkinsonism and dementia, who died 4 years after the onset of the disease. She was well until 70 years of the age (1993) when she noted slowness in the movement in her left hand. She also developed gait disturbance and the similar symptoms spread to the right upper and lower extremities. Two years after the onset, she had difficulty in walk, and was admitted to our hospital on March 9, 1995. Her daughter had the onset of hand tremor at 50 years of the age and gait disturbance at 52. Her gait improved after levodopa treatment, but her MRI revealed a liner T2-high signal lesion along the outer surface of each putamen. On admission, the patient was alert but slighted demented. Higher cerebral functions were normal. She had a masked face and small voice. Her gait was of small step without arm swing. Retropulsion was present. Rigidity was noted in the neck but not in the limbs. She was bradykinetic but tremor was absent. She was treated with levodopa/carbidopa, dops, and bromocriptine with considerable improvement and was discharged on March 30, 1995. On January 19, 1996, she developed fever and hallucination; she became more akinetic and admitted again. She showed marked dementia and stage IV parkinsonism. She was treated by supportive measures with improvement in the general condition, but she was found to have a gastric cancer for which a subtotal gastrectomy was performed on March 11, 1996. Post-operative course was uneventful, but her parkinsonism progressed to stage V. She was transferred to another hospital on May 13, 1996. In July 21, 1996, she developed dyspnea and fever and was admitted to our hospital again. She was somnolent. Rigidity was moderate to marked and she was unable to stand or walk. By supportive cares, her general condition improved and was discharged to home on November 4, 1996. She developed fever on June 13, 1997 and admitted to our service again. Her BP was 150/90 mmHg. She was alert but markedly demented. Laboratory examination revealed increases in liver enzymes (GOT 75 IU/l, GPT 101 IU/l) and renal dysfunction (BUN 68 mg/dl, creatinine 3.27 mg/dl). Subsequent hospital course was complicated by renal failure and thrombocytopenia (33,000/ml). She expired on July 1, 1997. The patient was discussed in a neurologic CPC, and a chief discussant arrived at the conclusion that the patient had diffuse Lewy body disease and her daughter striatonigral degeneration. Some participants thought both the patient and her daughter had diffuse Lewy body disease. Post-mortem examination revealed marked degeneration of the substania nigra and the locus coeruleus. The medial part of the nigra also showed marked cell loss. Lewy bodies were found in the remaining nigral and coeruleus neurons. Cortical Lewy bodies were very few and the striatum was intact. Pathologic diagnosis was Parkinson's disease. Dementia was in part attributed to the marked degeneration of the medial part of the substantia nigra. PMID:9739528

Okuma, Y; Hattori, N; Nobukawa, B; Mori, H; Suda, K; Takubo, H; Mizuno, Y

1998-07-01

408

Association of Hb New York with Hb E and ?(0)-thalassemia in a Chinese woman identified by Sebia CapillaryS2 system.  

PubMed

We describe a Chinese woman who was assumed to be heterozygous for both Hb E [?26(B8)Glu?Lys] and ?(0)-thalassemia (?(0)-thal) by a high performance liquid chromatography (HPLC) method, but was later also shown to be a Hb New York [?113(G15)Val?Glu] heterozygote by the Sebia CapillaryS2 system. This study suggested that a single test is never sufficient to allow the correct diagnosis of an abnormal hemoglobin (Hb). We also emphasize the importance of a correct diagnosis of interactions between ?- and ?-thalassemias. PMID:22356116

Li, Dong-Zhi; Zhou, Jian-Ying; Xie, Xing-Mei; Liao, Can

2012-01-01

409

Serious adverse drug reaction in a woman with hyperemesis gravidarum after first exposure to vitamin B complex containing vitamins B1, B6 and B12.  

PubMed

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

Kuwata, Yoshimine; Tsuruoka, Shuichi; Ohkuchi, Akihide; Matsubara, Shigeki; Izumi, Akio; Suzuki, Mitsuaki

2009-08-01

410

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

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.

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

411

Woman-centered post-abortion care in public hospitals in Tucumán, Argentina: assessing quality of care and its link to human rights.  

PubMed

Unsafe abortion is a major public health and human rights problem in Argentina. Implementation of a woman-centered post-abortion care (PAC) model is one strategy to improve the situation. The quality of PAC services was measured in three public hospitals in Tucumán, a province with high levels of poverty and maternal mortality due to unsafe abortion. Overall, the quality of PAC services was found to be poor. Women do not receive services in a manner that respects their human rights, in particular their rights to health and health care, information, and to the benefits of scientific progress. Findings from the evaluation are being used to develop collaborative NGO/hospital/policy-maker efforts to improve PAC services through better training of health care providers. PMID:17061775

Gómez Ponce de León, Rodolfo; Billings, Deborah L; Barrionuevo, Karina

2006-01-01

412

Novel treatment of chronic perineal pain in a woman by extracorporeal shock wave therapy: A case report and published work review.  

PubMed

In published work review, extracorporeal shock wave therapy (ESWT) has been showed to be effective in treating chronic perineal/pelvic pain in men, but there was no published report on its use in women. We report a case of female chronic perineal pain successfully treated by ESWT. A 51-year-old woman presented with persistent perineal scar pain after excision of a vulval-vaginal nodule despite oral analgesics and gabapentin. After 11 cycles of ESWT, she reported termination of analgesics consumption and decreased perineal pain score from 8 to 2. The Short Form 36 Questionnaire demonstrated improvement in physical and mental health conditions. There was no complication encountered. We postulate that the effect of ESWT in this patient was based on reduction of muscle tone and alternating the threshold of pain memory, similar to the mechanisms in male patients. Further study is required to determine the use of ESWT in treating female chronic perineal pain. PMID:25164767

Tung, Chi Wai; Cheon, Willy Cecilia; Tong, Anny

2014-08-28

413

A 60-year-old woman with PET scan-avid lung nodules and a history of a ruptured silicone breast implant.  

PubMed

A 60-year-old woman was referred to the pulmonary clinic for evaluation of lung nodules. Her medical history was notable for hypothyroidism, anxiety, and a ruptured breast implant for which incomplete surgical resection and evacuation had been performed 10 years previously. She was a lifelong nonsmoker and worked as a gym instructor. The patient denied occupational exposures and had not traveled recently. Medications included levothyroxine and alprazolam. Except for a 1-month history of occasional dry cough, the review of systems was negative. The patient's physician queried whether the previously ruptured silicone breast implant may have played a role in the genesis of the nodules and referred the patient to our institution for further management. The lack of systemic symptoms relative to the degree of lung involvement provided an early diagnostic clue. PMID:25288007

Karnatovskaia, Lioudmila V; Khoor, Andras; Johnson, Margaret M; Kaplan, Joseph

2014-10-01

414

Peri-partum cardiomyopathy in a pregnant woman at term revealed by acute pulmonary edema: what to do in front this catastrophic situation?  

PubMed Central

Peripartum Cardiomyopathy is insufficient congestive heart occurring in the last month of pregnancy and 5 months after delivery, in the absence of preexisting heart disease and identified etiology. This heart disease is associated with echocardiography systolic dysfunction and left ventricular dilatation. Its incidence ranges from 1/3000 to 1/15000, depending on the region, including much higher in some African countries, it particularly concern women over 30 years, multiparous and multiple pregnancies. The pathogenesis remains unclear, the prognosis is closely related to the complete recovery of cardiac function. We report through the clinical case of a woman aged 33 years admitted to the ICU for acute pulmonary edema of sudden onset of a term pregnancy and what to do before this critical situation PMID:25368718

Abdedaim, Hatim El ghadbane; Benali, Zine el abidine; Omari, Driss; Mohammed, Drissi; Hicham, Balkhi; Charki, Haimeur

2014-01-01

415

Thirty-five-year-old woman with signet ring cell gastric carcinoma secondary to the chernobyl nuclear accident: a case report.  

PubMed

The 1986 Chernobyl nuclear accident resulted in radiation exposures throughout much of Europe, with the highest exposures within the city of Pripyat, Ukraine, where the accident occurred. We report a woman who was exposed to the Chernobyl accident at age 13. Beginning in her early thirties, she experienced several years of upper abdominal pain that became progressively more severe. At age 35, she underwent upper endoscopy and gastric biopsy. Histological examination revealed a signet ring cell (SRC) gastric carcinoma. The tumor was discovered at an advanced stage and proved unresectable. She died 3 months following her diagnosis. The mean age for SRC gastric carcinoma diagnosis is about 62 years; the median survival following diagnosis is 13 months. The early appearance and aggressive clinical course of this malignancy in relation to the Chernobyl nuclear accident is discussed. PMID:23626554

Mayhall, Kim; Ghayouri, Masoumeh; Henry, Katherine; Margin, Veronica; Copolla, Domeinico; Shackelford, Rodney

2013-01-01

416

Thirty-Five-Year-Old Woman with Signet Ring Cell Gastric Carcinoma Secondary to the Chernobyl Nuclear Accident: A Case Report  

PubMed Central

The 1986 Chernobyl nuclear accident resulted in radiation exposures throughout much of Europe, with the highest exposures within the city of Pripyat, Ukraine, where the accident occurred. We report a woman who was exposed to the Chernobyl accident at age 13. Beginning in her early thirties, she experienced several years of upper abdominal pain that became progressively more severe. At age 35, she underwent upper endoscopy and gastric biopsy. Histological examination revealed a signet ring cell (SRC) gastric carcinoma. The tumor was discovered at an advanced stage and proved unresectable. She died 3 months following her diagnosis. The mean age for SRC gastric carcinoma diagnosis is about 62 years; the median survival following diagnosis is 13 months. The early appearance and aggressive clinical course of this malignancy in relation to the Chernobyl nuclear accident is discussed. PMID:23626554

Mayhall, Kim; Ghayouri, Masoumeh; Henry, Katherine; Margin, Veronica; Copolla, Domeinico; Shackelford, Rodney

2013-01-01

417

Bisphosphonate therapy and osteonecrosis of the jaw complicated with a temporal abscess in an elderly woman with rheumatoid arthritis: a case report  

PubMed Central

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

Manzon, Licia; Ettorre, Evaristo; Viscogliosi, Giovanni; Ippoliti, Stefano; Filiaci, Fabio; Ungari, Claudio; Fratto, Giovanni; Agrillo, Alessandro

2014-01-01

418

Multidrug resistant tuberculosis co-existing with aspergilloma and invasive aspergillosis in a 50 year old diabetic woman: a case report.  

PubMed

Aspergilloma and invasive aspergillosis coexisting with multidrug resistant Mycobacterium tuberculosis (MDR-TB) in the same patient is a rare entity. We report a 50 year old South Indian woman, a diabetic, who presented to us with complaints of productive cough and hemoptysis for the past 2 months. She was diagnosed to have pulmonary tuberculosis 2 years ago for which she took irregular treatment. Lung imaging showed features of a thick walled cavity in the right upper lobe with an indwelling aspergilloma. She underwent a right lung upper lobe resection. Biopsy and culture of the resected specimen showed the coexistence of Aspergillus fumigatus and multi-drug resistant Mycobacterium tuberculosis. 2 blood cultures grew Aspergillus fumigatus. She was successfully treated with Voriconazole and anti tuberculous therapy against MDR-TB. PMID:18992166

Kumar, Anita A; Shantha, Ghanshyam Palamaner Subash; Jeyachandran, Vijay; Rajkumar, K; Natesan, Senthilkumar; Srinivasan, Devasena; Joseph, Leena Dennis; Sundaresan, Manjunath; Rajamanickam, Deepan

2008-01-01

419

Local Facial Edema: a Novel Presentation of Subcutaneous Panniculitis-like T-Cell Lymphoma in a 30-Year-Old Iranian Woman.  

PubMed

Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is an infrequent cytotoxic T-cell lymphoma of the skin with a unique immunophenotypic profile. Here we describe this lymphoma in a 30-year-old Iranian woman. She presented with periorbital edema, mandibular swelling with edematous areas on her face and two small lymph nodes (6-7mm) in the cervical area. Histopathological findings revealed lobular infiltration of atypical lymphoid cells in subcutaneous tissue, especially around individual fat cells. Immunohistochemical evaluation of the atypical lymphocytes showed CD3 and CD8 immunoreactivity and CD4 and CD56  negativity. She was diagnosed as SPTCL based on clinical, histopathological and immunohistochemical findings. This report suggests that SPTCL should be considered in the differential diagnosis of any atypical skin lesion involving subcutaneous fat. Suitable deep skin biopsy and immunohistochemical staining are essential to differentiate between SPTCL and other more common diagnoses. PMID:25530062

Kosari, Farid; Akbarzadeh Hosseini, Sanam

2014-12-01

420

Potential role of thrombelastography in the monitoring of acquired factor VIII inhibitor hemophilia A: report on a 78-year-old woman with life-threatening bleedings.  

PubMed

A 78-year-old woman was admitted to our hospital because of syncope associated with hematomas in both legs. Acquired hemophilia A (AHA) with a low antifactor VIII antibodies activity was diagnosed. Whole blood (WB) thrombelastographic profile depicted a hypocoagulable state. During hospitalization, the patient experienced life-threatening bleedings in the neck and in the right thigh. FVIII concentrates and rFVIIa was safe and effective in controlling acute hemorrhagic symptoms. Immunosuppressive therapy was used successfully to eradicate the inhibitor. At discharge, FVIII inhibitor was absent and thrombelastogram showed a normal profile. Our report confirms that AHA is a heterogeneous condition in terms of risk of bleeding. Even though the criteria for the diagnosis of AHA is quite well defined, a laboratory test useful to predict the bleeding risk and monitor the response to treatment is lacking. ROTEM profile appears to be correlated with the response to treatment and with the eradication of the inhibitor. PMID:18930953

Spiezia, Luca; Meneghetti, Leonardo; Dalla Valle, Fabio; Tognin, Giulio; Radu, Claudia; Saggiorato, Graziella; Fadin, Mariangela; Zanon, Ezio; Simioni, Paolo

2009-01-01

421

Spotted fever from Rickettsia typhi in an older woman: a case report from a geographic area where it would not be expected.  

PubMed

We describe the case of a 75-year-old woman presenting with spotted fever followed by acute renal failure and septic shock. The infection was caused by Rickettsia typhi, not reported in Calabria district (southern Italy) since World War II. The diagnosis of murine typhus was made 3 days after admission and was based solely on clinical criteria when her worsening condition required a prompt move to the intensive care unit. Therapy with tigecycline was then started immediately and the patient improved dramatically. The diagnosis of murine typhus was confirmed 10 days after admission by immunofluorescence assay. Our case is an example of how the diagnosis of murine typhus is challenging. However, in the case of a disease lacking specific symptoms, clinicians should never forget that, even in geographic areas considered free of flea-borne diseases, the components of the enzootic cycle are present and the diagnosis should never be underestimated. PMID:25111740

Luciani, Filippo; Cione, Erika; Corsonello, Andrea; Guido, Francesca; De Santis, Salvatore; Cannataro, Roberto; Perri, Mariarita; Caroleo, Maria Cristina; Cannataro, Anna Maria

2014-10-01

422

An early onset of acute renal failure in a young woman with obesity and infertility who underwent gastric balloon positioning. A case report  

PubMed Central

Introduction Although intragastric balloons have been in use for several years to achieve weight reduction in obese patients, acute renal failure after gastric ballon positioning is reported in few studies Case report A 32-year-old white infertile woman undergone Bioenterics Intragastric Balloon (BIB) positioning in an attempt to weight loss and improve her fertility status. After only six days of persisting vomiting acute renal failure was found. A complete recovery of renal function was obtained after 14 days. Conclusion Acute renal failure was due to persistent vomiting leading to dehydration. Physicians involved in BIB patients management must consider the possibility of major complications in all hyperemetic subjects. BIB removal, with a concomitant intravenous fluid replacement and minerals or vitamins supplementation has to be taken into account as an emergency procedure. PMID:24841682

MILONE, M.; MAIETTA, P.; BIANCO, P.; PISAPIA, A.; GAUDIOSO, D.; CORETTI, G.; MILONE, F.; MUSELLA, M.

2014-01-01

423

"It is caused of the womans part or of the mans part": the role of gender in the diagnosis and treatment of sexual dysfunction in early modern England.  

PubMed

Philip Barrough wrote in 1590 that barrenness 'is caused of the womans part or of the mans part'. By the eighteenth century, however, barrenness was perceived as a female disorder distinguished from male impotence. Few historians have addressed the uncertainty surrounding early modern definitions of infertility, choosing instead to adopt set terms that fit comfortably with modern ideas. This article will highlight the difficulties surrounding the gender distinction of the terms 'barrenness' and 'impotence' during this period. Moreover, the discussion will examine the role of gender in diagnosing these disorders to sufferers. The article will argue that ideas of gender were more central to diagnosis of poor sexual health than to effectual treatment. Although it appears that barrenness and impotence were treated with separate remedies, many treatments were described as effectual for both sexes. Additionally, the ingredients used in such recipes were often sexual stimulants explained without reference to gender. PMID:22026034

Evans, Jennifer

2011-01-01

424

Recovery from endometrial thinning and successful pregnancy following vitamin E and C supplementation in infertile woman undergoing myomectomy for diffuse leiomyomatosis of the uterus: a case report.  

PubMed

The authors here report a case of an infertile woman with diffuse leiomyomatosis of the uterus, which is a rare benign pathological condition in which the myometrium is occupied by innumerable small fibroid nodules. Due to the progressive abdominal distension of the patient and the desire for pregnancy of the couple, myomectomy was performed as a primary treatment. Urgent relaparotomy was required for hematoma debridement on the following day. Despite the evidence of the follicular growth and cyclic ovarian steroid secretion, the patient had postoperative endometrial thinning that was unresponsive to hormone replacement therapy. Supplementation of oral tocopherol nicotinate/vitamin E and ascorbic acid/vitamin C was effective for immediate recovery of withdrawal bleeding and gradual gain of endometrial thickness. The patient had a successful pregnancy in an in vitro fertilization-embryo transfer program and gave a birth to a healthy baby. PMID:24992796

Kitaya, K; Yasuo, T; Nakamura, Y

2014-01-01

425

A brain-dead pregnant woman with prolonged somatic support and successful neonatal outcome: A grand rounds case with a detailed review of literature and ethical considerations  

PubMed Central

There are increased reports in the medical literature of brain death during pregnancy. In these rare cases, the decision was either to consider discontinuing homeostatic support and mechanical ventilation with an understanding that the fetus then will also die, or to continue full support in an attempt to prolong pregnancy for the purpose of maintaining the fetus alive until maturity. We report the first case in the United Arab Emirates and in literature of somatic support that extended up to 110 days with the successful delivery of a viable fetus. A 35-year-old woman suffered intracranial hemorrhage during the 16th week of pregnancy that lead to brain death despite maximal surgical and medical management. Upon confirmation of this diagnosis, the patient received full ventilatory and homeostatic support required to prolong gestation and improve the survival prognosis of her fetus. The status of the patient was discussed in a multidisciplinary approach and with the full involvement of her family. Somatic support continued until the patient was 32 of weeks gestation. Obstetric complications of the patient were frequently assessed and managed. Lower segment cesarean section (LSCS) was then performed. A preterm male in breech presentation was delivered with an average weight of 750 gm, and an Apgar score of 6, 7, and 9 at 1, 5, and 10 minutes, respectively. Prolonging somatic support in a pregnant woman with brain death to allow fetal survival resulted in a successful outcome in terms of saving the life of the fetus. The results are consistent with previous published case reports in the literature on the appropriateness and safety of such a strategy that involved an intensive multidisciplinary approach. Despite being a tragedy, maternal death can represent an opportunity to save the life of the fetus and for organ donation. Consensus future recommendations that can guide the management of similar conditions may also be adapted, especially with the growing medical experience in this context. PMID:24404463

Said, Abuhasna; Amer, Al Jundi; Masood, Ur Rahman; Dirar, Abdallah; Faris, Chedid

2013-01-01

426

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

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

Wakeman, Sarah E; Ghoshhajra, Brian B; Dudzinski, David M; Wilens, Timothy; Slavin, Peter L

2014-11-13

427

Sustained complete remission of human epidermal growth factor receptor 2-positive metastatic breast cancer in the liver during long-term trastuzumab (Herceptin) maintenance therapy in a woman: a case report  

Microsoft Academic Search

INTRODUCTION: This case report and short review discusses how long trastuzumab should be continued in metastatic breast cancer, the safety issues in case of pregnancy and the risk of relapse with trastuzumab cessation. CASE PRESENTATION: We present the case of a 34-year-old Caucasian woman with human epidermal growth factor receptor 2-positive metastatic breast cancer in the liver who achieved prolonged

John Syrios; Anna Dokou; Nicolas Tsavaris

2010-01-01

428

Cardiac tamponade mimicking tuberculous pericarditis as the initial presentation of chronic lymphocytic leukemia in a 58-year-old woman: a case report  

PubMed Central

Introduction Chronic lymphocytic leukemia is an indolent disease that often presents with complaints of lymphadenopathy or is detected as an incidental laboratory finding. It is rarely considered in the differential diagnosis of patients presenting with tamponade or a large, bloody pericardial effusion. In patients without known cancer, a large, bloody pericardial effusion raises the possibility of tuberculosis, particularly in patients from endemic areas. However, the signs, symptoms and laboratory findings of pericarditis related to chronic lymphocytic leukemia can mimic tuberculosis. Case Presentation We report the case of a 58-year-old African American-Nigerian woman with a history of travel to Nigeria and a positive tuberculin skin test who presented with cardiac tamponade. She had a mild fever, lymphocytosis and a bloody pericardial effusion, but cultures and stains were negative for acid-fast bacteria. Assessment of blood by flow cytometry and pericardial biopsy by immunohistochemistry revealed CD5 (+) and CD20 (+) lymphocytes in both tissues, demonstrating this to be an unusual manifestation of early stage chronic lymphocytic leukemia. Conclusion Although most malignancies that involve the pericardium clinically manifest elsewhere before presenting with tamponade, this case illustrates the potential for early stage chronic lymphocytic leukemia to present as a large pericardial effusion with tamponade. Moreover, the presentation mimicked tuberculosis. This case also demonstrates that it is possible to treat chronic lymphocytic leukemia-related pericardial tamponade by removal of the fluid without chemotherapy. PMID:20684780

2010-01-01

429

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

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

Zappacosta, Roberta; Lattanzio, Giuseppe; Viola, Patrizia; Ianieri, Manuel Maria; Gatta, Daniela Maria Pia; Rosini, Sandra

2014-01-01

430

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

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

Zappacosta, Roberta; Lattanzio, Giuseppe; Viola, Patrizia; Ianieri, Manuel Maria; Gatta, Daniela Maria Pia; Rosini, Sandra

2014-01-01

431

A healthy delivery of twins by assisted reproduction followed by preimplantation genetic screening in a woman with X-linked dominant incontinentia pigmenti  

PubMed Central

The purpose of this study is to report a successful twin pregnancy and delivery in a female patient with X-linked dominant incontinentia pigmenti (IP) who underwent assisted reproductive technology followed by preimplantation genetic screening (PGS). A 29-year-old female with IP had a previous history of recurrent spontaneous abortion. A molecular analysis revealed the patient had a de novo mutation, 1308_1309insCCCCTTG(p.Ala438ProfsTer26), in the inhibitor of the kappa B kinase gamma gene located in the Xq28 region. IVF/ICSI and PGS was performed, in which male embryos were sexed using array-based comparative genomic hybridization (aCGH). After IVF/ICSI and PGS using aCGH on seven embryos, two euploid male blastocysts were transferred with a 50% probability of a viable male pregnancy. The dizygotic twin pregnancy was confirmed and the amniocentesis results of each twin were normal with regard to the mutation found in the mother. The patient delivered healthy twin babies during the 37th week of gestation. This case shows the beneficial role of PGS in achieving a successful pregnancy through euploid male embryo gender selection in a woman with X-linked dominant IP with a history of multiple male miscarriages. PMID:25599040

Kim, Myung Joo; Lyu, Sang Woo; Seok, Hyun Ha; Park, Ji Eun

2014-01-01

432

24-year-old woman with an internal auditory canal mass. Hybrid peripheral nerve sheath tumor with schwannoma/perineurioma components.  

PubMed

Benign peripheral nerve sheath tumors are divided into schwannomas, neurofibromas and perineuriomas. In recent years, tumors with hybrid features, composed of multiple, discrete areas of different histological types, were described. These tumors may represent a diagnostic challenge. A 24-year-old woman with multiple sclerosis was found to have a 1.3 cm TV × 0.7 cm AP T2 intermediate lesion within the left internal auditory canal. Gross examination revealed a tan-white, well circumscribed mass. Histologic examination demonstrated a well demarcated, cellular, solid neoplasm with a biphasic pattern. Most of the tumor was composed of spindle cells arranged in fascicles with focal Verocay body formation and diffuse S100 positivity. A second, minor area showed concentric proliferation of neoplastic spindle cells around one or more axons. Tumor cells in this area were positive for perineurial markers, claudin-1 and Glut-1, and focally immunopositive for CD34.We present here a case of a benign peripheral nerve sheath tumor with histological and immunohistochemical features consistent with a dual pattern of differentiation of schwannoma and perineurioma, in the VIIIth cranial nerve. This is, to our knowledge, the first case of a hybrid perineurioma/schwannoma reported in a cranial nerve. PMID:23587143

Las Heras, Facundo; Martuza, Robert; Caruso, Paul; Rincon, Sandra; Stemmer-Rachamimov, Anat

2013-05-01

433

Neuroendocrine pancreatic carcinoma after initial diagnosis of acute postpartal coeliac disease in a 37-year old woman - fatal coincidence or result of a neglected disease?  

PubMed

An acute presentation after pregnancy of coeliac disease (CD) in the puerperium is a rare condition which has been described mostly in primigravidae in patients highly suspicious of latent CD. We report the case of a 37-year-old woman who was referred to our Hospital because of refractory watery diarrhea and malnutrition syndrome. Endoscopy of the upper gastrointestinal tract revealed the classic visual features of CD and in addition, some duodenal ulcers negative for Helicobacter pylori, which seems to be another clinical feature in patients with CD. The diagnosis of acute onset of fulminant postpartal CD (Marsh score stage 3c) was confirmed histologically. Remarkably, simultaneous well-differentiated neuroendocrine non-functioning pancreatic neuroendocrine carcinoma (PNET) was diagnosed on radiological abdominal imaging which was performed since serum gastrin was remarkably high, treated by distal pancreatectomy and splenectomy. This report is, to our knowledge, the first description of the two entities, CD and PNET occurring together. Since results of antral histological studies showed diffuse hyperplasia of G-cells, probably in response to hypergastrinaemia, enterochromaffin cell carcinogenesis might have served as a possible link between both diseases. PMID:24778059

Gundling, Felix; Nerlich, Andreas; Heitland, Wolf; Schepp, Wolfgang

2014-05-01

434

Recurrent arterial thromboses in a woman with heparin induced thrombocytopenia, successfully managed with iloprost followed by clopidogrel. An alternative therapeutic option for heparin induced thrombocytopenia type II syndrome.  

PubMed

In its more severe form heparin induced thrombocytopenia (HIT) is a rare immune mediated complication of heparin administration that potentially has catastrophic results, and significant mortality. In view of the severity of this condition it is important for the clinician to maintain a high index of suspicion and get alerted to the HIT syndrome by the precocity of platelet count decrease in any patient group, and especially in those previously exposed to heparin. We report on a 72-year-old woman who developed HIT syndrome that was complicated by recurrent arterial thromboses after receiving postoperative antithrombotic prophylaxis with tinzaparin, a low molecular weight heparin. The patient was successfully treated with iloprost (Ilomedin, iloprost tromethamine, Schering) a stable prostacyclin analogue, at the acute phase of the syndrome, followed by long-term treatment with clopidogrel (Plavix, clopidogrel bisulfate, Sanofi) an inhibitor of adenosine diphosphate (ADP) receptor. Although direct thrombin inhibitors have been proven to be effective for the treatment of HIT thrombosis, they do not completely eliminate the morbidity and mortality of this disorder. Our case report suggests that antithrombotic treatment by targeting of the activated platelets with a potent platelet inhibitor during the acute phase of type II HIT syndrome followed by long-term administration of oral anticoagulation may be an additional, safe and effective therapeutic alternative that merits to be systematically studied. PMID:16520730

Megalopoulos, A; Vasiliadis, K; Tsachalis, T; Tsalis, K; Blouhos, K; Alexandridou, S; Betsis, D

2006-03-01

435

Use of the Konno Procedure in an 80-year-old Woman with Aortic Stenosis, a Narrow Left Ventricular Outflow Tract, and a Small Aortic Annulus.  

PubMed

This report describes a technique for repairing an aortic stenosis in an elderly patient with a small aortic annulus and a narrow left ventricular outflow tract. Preoperative echocardiography in an 80-year-old woman showed severe aortic stenosis with a narrow outflow tract: the aortic valve area was 0.48 cm(2), the aortic annular diameter was 14 mm, and the left ventricular outflow tract diameter was 14 mm. The Konno procedure was used to enlarge both the small aortic annulus and the left ventricular outflow tract, and a 19-mm Carpentier-Edwards bioprosthetic valve was implanted. The patient's postoperative course was uneventful. The left ventricular mass decreased from a preoperative value of 236 g to 96 g, 3 years after surgery. Only a few reports have described the use of the Konno operation in adult patients. In the present case, the Konno operation was demonstrated to be a good option for aortic stenosis accompanied by a small aortic annulus and a narrow left ventricular outflow tract, even in an elderly patient. PMID:23518628

Misumi, Hiroyasu; Katayama, Yukihiro; Takaji, Kentaro; Oshitomi, Takashi; Uesugi, Hideyuki; Hirayama, Touitsu; Takeuchi, Takamasa

2013-03-22

436

Low Third-Trimester Serum Levels of Lamivudine/Zidovudine and Lopinavir/Ritonavir in an HIV-Infected Pregnant Woman with Gastric Bypass.  

PubMed

Pharmacokinetics of lamivudine (3TC)/zidovudine (ZDV) and lopinavir/ritonavir (LPV/r) are described in a gravid 27-year-old HIV-infected woman with gastric bypass. Blood levels were obtained for these medications at time points 0 (predose) and 1, 2, 4, 6, 8, and 12 hours postdose. For these times, the levels (µg/mL) of 3TC were 0.0801, 0.69, 0.339, 0.237, 0.202, 0.108, and 0.0461; the levels of ZDV were 0.0153, 0.433, 0.0717, 0.0481, 0.0107, 0.0214, and 0.00864; the levels of lopinavir (LPV) were 2.45, 2.64, 1.95, 2.78, 3.83, 3.20, and 1.92; and the levels of ritonavir (RTV) were 0.09, 0.10, 0.07, 0.11, 0.15, 0.15, and 0.06. These data suggest that gastric bypass affected these antiretroviral drug levels. A functional, intact small bowel is responsible for absorption of these medications. PMID:25361558

Michalik, David E; Jackson-Alvarez, Janielle T; Flores, Roxana; Tolentino-Baldridge, Christina; Batra, Jagmohan S

2014-10-31

437

Herpes simplex virus and cytomegalovirus co-infection presenting as exuberant genital ulcer in a woman infected with human immunodeficiency virus.  

PubMed

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

Gouveia, A I; Borges-Costa, J; Soares-Almeida, L; Sacramento-Marques, M; Kutzner, H

2014-12-01

438

Woman's Quest in Contemporary Fiction.  

ERIC Educational Resources Information Center

Depending primarily on Joseph Campbell's treatment of the quest or hero myth, this paper provides analyses of recent women's fiction in terms of contemporary women's quests for personal identity and freedom. Following discussions of a proposed definition of myth, its connotations, and its use as a literary device and as a tool for critical…

Semeiks, Jonna Gormely

439

Woman in Physics in Slovenia  

NASA Astrophysics Data System (ADS)

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.

Zeleznik, Nadja; Conradi, Marjetka; Remskar, Maja

2009-04-01

440

Portrait of a Devasi woman  

E-print Network

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...

Wickett, Elizabeth

441

Sustained virological response after ten days of triple anti-hepatitis C virus (HCV) therapy with telaprevir plus pegylated interferon and ribavirin in an HIV/HCV co-infected cirrhotic woman.  

PubMed

The introduction of first-generation protease inhibitors for the treatment of chronic hepatitis C in subjects infected with hepatitis C virus (HCV) genotype 1 has significantly improved the sustained virological response (SVR) rate. As liver cirrhosis reduces the probability of achieving SVR, current guidelines discourage response-guided therapy in cirrhotic patients. We report the first case of a cirrhotic woman with chronic HCV and HIV co-infection achieving virological response after an ultra-short course of therapy. A 40-year-old HIV/HCV co-infected woman with compensated liver cirrhosis was treated with anti-HCV triple therapy containing telaprevir plus pegylated interferon and ribavirin. Baseline plasma HCV RNA was 3.6 log IU/ml and transaminases were within the normal range. She harboured IL28B rs12979860C/C alleles. Ten days after starting therapy, the patient stopped treatment because of mild anorexia and nausea. Virological response was detected at treatment discontinuation and was maintained up to 24 weeks. This case describes an unexpected SVR after a 10-day course of antiviral therapy in a cirrhotic HIV/HCV co-infected woman presenting positive predictive factors for a response (low viral load, IL28B genotype). Nonetheless, there is no evidence to suggest a shorter duration of treatment in this subset of patients. PMID:25449243

Hasson, Hamid; Messina, Emanuela; Merli, Marco; Della Torre, Liviana; Morsica, Giulia; Bagaglio, Sabrina; Lazzarin, Adriano; Uberti-Foppa, Caterina

2014-12-01

442

On the psychology of the aging woman. Depression in late mid-life: change or repetition? Another chance for working through.  

PubMed

A woman of 58 came for psychotherapy for the first time suffering from a depressive reaction precipitated by two mid-life events: the marriage of her daughter and the realization that her own cherished marital dream would never be fulfilled. She had postponed coming to terms with the disappointments of her marriage as long as she had had other objects. When these objects were lost, and the distance she had maintained to handle her feelings was threatened, she sought help. There was suggestive evidence that a collusive marital system had sustained an unsatisfactory relationship for 35 years. Her husband was described as an obsessive-compulsive character. His traits were both needed, feared, and resented by the patient, representing the rejected part of herself and aspects of her hated grandmother. Mrs. A. had character traits and a developmental history which supported a diagnosis of primitive hysterical personality. (This type has been described by Zetzel (1968) as "the so-called good hysteric.") The paucity of object relationships in her life, her poor work habits, her inability to tolerate affects were striking. The patient had identified with a pathological mother in a family dominated by rejecting and depreciating attitudes. The patient's use of the defense mechanisms of splitting, projection, and withdrawal as ways of dealing with ambivalence significantly interfered with her self-object differentiation and her capacity for intense emotional or physical intimacy. She could only love men whom she rescued or protected, a pattern consistent with the fact that she could not relate to equals or superiors. Yet she was unable to draw on a good identification with a nuturing mother, so as to really be able to give. There was too much hurt and uncontrolled anger when she was in the superior position with the kind of man who could not meet her dependency needs. Feeling unprotected, she had married a "strong" man, who she expected would meet her narcissistic and dependency demands. He was inhibited and controlled and could neither need nor be needed by her during his active work life. This led to immediate disappointment of her conflicting conscious and unconscious expectations. She wanted him to be strong and ideal, yet to need her and never oppose her. Hence, there was a failure to establish a mature or satisfying marital relationship. She turned to her children for comfort, particularly her daughter, becoming depressed when her daughter married. She found gratification by staying busy tutoring and teaching underprivileged children. In the course of treatment her depressive symptoms disappeared. She felt hopeful, capable of being believed in, and able to cope as a result of the therapist's functioning as her uncritical ally. After she resumed living with her husband she began to acknowledge an ambivalence toward her cherished, confidante daughter and in some ways reversed her previous splitting of husband and daughter. The mean husband became a kindly saint and the darling daughter became a critical, spiteful queen... PMID:263175

Mathews, M A

1979-01-01

443

Differences in socioeconomic position, lifestyle and health-related pregnancy characteristics between Pakistani and White British women in the Born in Bradford prospective cohort study: the influence of the woman's, her partner's and their parents’ place of birth  

PubMed Central

Objective To examine differences between Pakistani and White British women in relation to socioeconomic position, lifestyle and health-related pregnancy characteristics, and to determine whether these differences vary depending on the woman's, her partner's and both of their parents’ place of birth. Design Prospective cohort study. Setting Bradford, UK Participants 3656 Pakistani and 3503 White British women recruited to the Born in Bradford study. Main outcome measures Socioeconomic position (employment status; level of education; receipt of benefits; housing tenure), lifestyle characteristics (body mass index (BMI) at the start of pregnancy; smoking during pregnancy) and health-related pregnancy characteristics (hypertensive disorders of pregnancy; gestational diabetes; fasting glucose, postload glucose and fasting insulin at ?27?weeks gestation). Results Fewer Pakistani women were employed (OR 0.17, 95% CI 0.15 to 0.19), the difference being markedly less for UK born women. UK born Pakistani women were more likely, and South Asian born less likely, to be educated post 16 than White British women. Smoking was uncommon among Pakistani women, though the difference comparing UK born Pakistani women to White British women was less than for other groups. BMI was lower among Pakistani compared to White British women (adjusted mean difference ?1.12, 95% CI ?1.43 to ?0.81), the difference being greatest when partners were UK born irrespective of the woman’s place of birth. Pakistani women had higher fasting and postload glucose (mean difference 0.20?mmol/L, 95% CI 0.17 to 0.24; 0.37, 95% CI 0.28 to 0.45), higher fasting insulin and were more likely to have gestational diabetes (GDM). Conclusions Our results suggest that some socioeconomic, lifestyle and pregnancy characteristics could be beginning to change in response to migration to the UK, with generally beneficial changes, that is, improving education and employment prospects, lower BMI and no evidence that being UK born has further increased the risk of GDM, but some negative, that is, slight increases in smoking. PMID:24948746

West, J; Lawlor, D A; Fairley, L; Wright, J

2014-01-01

444

La Dosis Hace al Veneno Cierto o No?  

NSDL National Science Digital Library

The issue-focused, peer-reviewed article reflects on how the degree of toxicity of substances should be determined. Two opposing views are presented. First, the dose makes the poison which maintains that all chemicals are toxic at high enough doses and the counterargument is that chemical sensitivity varies considerably, depending on species and life stages. To protect human and environmental health in spite of this uncertainty, some governments adhere to the Precautionary Principle.

Nancy Trautmann (Cornell University;)

2005-01-01

445

"Dieu a cree la femelle, l'homme a fait la femme." En rekognoscering i dansk og undenlandsk konssprogsforskning ("God Created the Female, Man Created Woman." A Reconnaissance in Danish and Foreign Research on Sex Differences and Language). ROLIG papir 32.  

ERIC Educational Resources Information Center

Research on sex differences and language includes the following (many titles are English translations): "Language--The Child, the Women, the Family"; "Woman and Man"; "In Society's Words"; "The Life of Words"; "Verbs and Women"; "Lines from a Ladies Luncheon"; "The History of the Danish Language"; "How Sex Roles Are Represented and Conserved in…

Bennicke, Annette

446

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

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

Dahlberg, Marie; Södergård, Björn; Thorson, Anna; Alfvén, Tobias; Awiti-Ujiji, Opondo

2015-03-01

447

Sequential occurrence of thrombotic thrombocytopenic purpura, essential thrombocythemia, and idiopathic thrombocytopenic purpura in a 42-year-old African-American woman: a case report and review of the literature  

PubMed Central

Introduction Thrombotic thrombocytopenic purpura and idiopathic thrombocytopenic purpura are two well recognized syndromes that are characterized by low platelet counts. In contrast, essential thrombocythemia is a myeloproliferative disease characterized by abnormally high platelet numbers. The coexistence of thrombotic thrombocytopenic purpura and idiopathic thrombocytopenic purpura in a single patient has been reported in the literature on a few occasions. However, having essential thrombocythemia complicating the picture has never been reported before. Case presentation We present a case where thrombotic thrombocytopenic purpura, essential thrombocythemia, and idiopathic thrombocytopenic purpura were diagnosed in a 42-year-old African-American woman in the space of a few years; we are reporting this case with the aim of drawing attention to this undocumented occurrence, which remains under investigation. Conclusions As the three conditions have different natural histories and require different treatment modalities, it is important to recognize that these diseases may be seen sequentially. This case emphasizes the importance of reviewing peripheral blood smears for evaluation of thrombocytopenia and bone marrow aspirations for diagnosis of thrombocythemia in order to reach an accurate diagnosis and tailor therapy accordingly. Moreover, this case demonstrates the variability and complexity of platelet disorders. This occurrence of three different types of platelet disorders in one patient remains a pure observation on our part; regardless, this does raise the possibility of a common underlying, as yet undiscovered, pathophysiology that could explain the phenomenon. PMID:22472269

2012-01-01

448

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

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

van Amerongen, Barbara M.; Feron, François

2012-01-01

449

BONE CARE FOR THE POSTMENOPAUSAL WOMAN  

E-print Network

becomes fragile, so that even a slight bump or fall can lead to a broken bone, (referred to as a fragility It is estimated that worldwide an osteoporotic fracture occurs every three seconds. At 50 years of age, one HEALTH PROBLEM The risk of sustaining a fracture increases exponentially with age due not only

Shihadeh, Alan

450

The Invisible Woman and the Silent University  

ERIC Educational Resources Information Center

Anna Eliot Ticknor (1823-1896) founded the first correspondence school in the United States, the Society to Encourage Studies at Home. In the fall of 1873 an educational movement was quietly initiated from her home in Boston, Massachusetts. A politically and socially sophisticated leader, she recognized the need that women felt for continuing…

Cole, Elizabeth Robinson

2012-01-01

451

Science: A History of Woman's Work  

ERIC Educational Resources Information Center

Discussed are significant female contributors to scientific discovery. Fields of inquiry include astronomy, geology, meteorology, physics, chemistry, public health and home economics. The importance of appropriate role models for female students in science as teachers and scientists is stressed. (CS)

Kadar, Agnes; Shupe, Barbara

1977-01-01

452

You Can Be a Woman Paleontologist.  

ERIC Educational Resources Information Center

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…

Gabriel, Diane L.; Cohen, Judith Love

453

Devaluing Teacher Knowledge: One Woman's Experience  

Microsoft Academic Search

This paper explores several reasons why knowledge developed by classroom teachers is often devalued in American society as opposed to the more highly revered educational research and writing done by those in academia. I explore this problem through a personal narrative that recounts a recent experience where my roles as experienced teacher and novice graduate student merged. I argue that

Lisa M. Jilk

454

Fecal incontinence in the postreproductive woman.  

PubMed

Magnetic resonance imaging (MRI) of the pelvic floor specifically to evaluate causes of fecal incontinence is relatively new. Along with physical examination and endoanal ultrasound, recently developed MRI techniques can be used to more accurately diagnose and characterize pelvic floor disorders leading to fecal incontinence. All three compartments of the pelvic floor can be evaluated simultaneously using MRI. During an MRI study, images are rapidly obtained in the sagittal plane at rest and during strain, and in the axial plane at rest. In symptomatic patients, abnormal descent of pelvic viscera is indicative of muscle or fascial weakness. Abnormal descent of pelvic viscera is readily detected on sagittal MR images. Muscle and sphincter tears can also be visualized, although most fascial damage is incurred secondarily. The detailed information gained from an MRI can be used to plan optimal treatment, surgical or otherwise. PMID:12959700

Birchard, Katherine R; Fielding, Julia R

2003-10-01

455

Psychotherapy of a fatherless young woman.  

PubMed

Psychotherapy of some fatherless adult patients suggests that they may replace the shameful experience of their childhood by an illusory picture of their past, and that they may exalt their absent fathers to an ideal perfection in order not to face the possibility that their fathers might have been irresponsible deserters. The two conflicting versions of the absent father, one conscious and one unconscious, are reflected in their image of themselves. They do not talk of their shame, because they hide it from themselves and from others, but it emerges in their dreams. They are driven to enact shame repeatedly, not by experiencing it themselves, but by subjecting their partners and lovers to shame. Their anger against the deserting father remains unexpressed, and is revealed, instead, in relation to the therapist, and in other relationships, and should be interpreted as an unconscious device to conceal their shame at the hands of their fathers. Such interpretations take time to be effective, because knowing the true source of anger (the absent father) would bring the patients too close to the unbearable experience of shame. PMID:1954187

Gill, H S

1991-09-01

456

Asymptomatic uterine torsion in a pregnant woman.  

PubMed

Some degree rotation of the gravid uterus in the third trimester of pregnancy is not an abnormal finding. However, extreme uterine torsion of 180° around its cervical junction is a relatively rare event in obstetrical practice. We report here such a case that detected at laparotomy for an emergency cesarean section due to rapture of amniotic membrane. PMID:25278659

Farhadifar, Fariba; Nikkhoo, Bahram; Shahgheibi, Sholeh; Soofizadeh, Nasrin; Rezaie, Masomeh

2014-08-01

457

Recurrent variceal bleeding in a young woman.  

PubMed

Congenital hepatic fibrosis is an uncommon fibrocystic disorder affecting the intrahepatic bile ducts. It has autosomal recessive inheritance. The main consequence of this condition is portal hypertension and it is often misdiagnosed as cirrhosis. Patients with congenital hepatic fibrosis usually present during childhood or early adolescence with oesophageal variceal bleeding. Portosystemic shunt surgery is the treatment of choice for these patients as the risk of postoperative hepatic encephalopathy is low. We report a patient with congenital hepatic fibrosis who presented with oesophageal variceal bleeding at the age of 16 years, initially misdiagnosed as having cryptogenic liver cirrhosis. The patient experienced two further episodes of oesophageal variceal bleeding in subsequent years. She eventually underwent portosystemic shunt surgery. One year after the operation, the shunt remained patent on Doppler ultrasonography, and there had been no further episodes of variceal bleeding post-surgery. PMID:16085947

Leung, V K S; Loke, T K L; Luk, I S C; Lui, P C W; Kung, N N S; Lam, S H

2005-08-01

458

The Journey Toward Liberation for Fellini's Woman.  

ERIC Educational Resources Information Center

The characterizations of women in three of Federico Fellini's films can be used to demonstrate the process of self-actualization real women experience during the fulfillment of the promises of the women's liberation movement. The films "La Dolce Vita" and "8 1/2" portray traditional stereotypes of women with traditional societal roles. However, in…

Reynolds, Lessie M.

459

Woman Suffrage Movement: 1848-1920.  

ERIC Educational Resources Information Center

This unit is designed to be used in a history or government class in grades 5-12. It introduces students to individuals, organizations, and the political processes of the women's suffrage movement. In addition, the guide links past women's organizations to today's womens organizations, and helps students understand political strategies used in…

Eisenberg, Bonnie

460

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 ...

461

Leiomyomatosis peritonealis disseminata in a pregnant woman  

Microsoft Academic Search

Background  Leiomyomatosis peritonealis disseminata (LPD) is a rare disease occurring as intraabdominal benign tumors. The underlying\\u000a mechanism of LPD development in premenopausal females is still unknown, but high levels of estrogen and progesterone seem\\u000a to play a major role.\\u000a \\u000a \\u000a \\u000a Case  We present a case of a 29-year-old gravida 1, 22 6\\/7 weeks of gestation with symptoms of an acute abdomen. Abdominal ultrasound\\u000a and

Birte Summa; Christian Schem; Marion Weigel; Alexander Strauss; Walter Jonat; Nicolai Maass; Fritz Schäfer; Dirk O. Bauerschlag

2010-01-01

462

THE NATIONALIZATION OF THE GLOBAL INDIAN WOMAN  

Microsoft Academic Search

This article examines various image?texts of Indian female beauty in Femina, India's most widely circulating English?language women's magazine. It argues that in Femina, race (calibrated through whiteness, brownness and even Indianness) and gender (calibrated through normative femininity) intervene in certain epistemologies about India, the West and ‘the world’. In order to posit these ‘geographies of beauty,’ the first part of

Vanita Reddy

2006-01-01

463

Antenatal anaesthetic assessment of the pregnant woman  

Microsoft Academic Search

The aims of antenatal anaesthetic assessment are to: identify problems or potential problems; arrange investigations; refer to specialists for advice and\\/or treatment; institute treatment; discuss options for analgesia in labour and\\/or anaesthesia for operative delivery; formulate a management plan; and highlight special requirements (e.g. latex-free equipment, extra staff, intensive care bed). In the UK, few, if any, units have the

Satya Francis; Steve Yentis

2004-01-01

464

A Woman's World: Cabbages and Calico.  

ERIC Educational Resources Information Center

Uses the writing of women authors to reflect on the value of women's domestic world. Suggests that far from being inferior, women's traditional perspective is a source of much needed humanism for both men and women. (MM)

Searles, Jo C.

1982-01-01

465

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.

466

Special Edition: Woman Researchers in Kyoto University  

E-print Network

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

Takada, Shoji

467

Management of the pregnant substance abusing woman.  

PubMed

Operation PAR has been involved in prevention and treatment service development for drug-dependent women for nearly 40 years. Management starts with prevention programs. For opiate-addicted pregnant women, methadone is the treatment of choice and should be maintained throughout pregnancy, despite the manageable problem of neonatal opiate withdrawal. Women are actively engaged in innovative educational and therapeutic activities to help moms build skills to enhance their personal health and develop recovery orientation and drug refusal skills. Specific parenting skills are modeled and taught both on an outpatient and inpatient basis as appropriate. PMID:23337845

Sheehan, Michael; Sheehan, Mary G

2013-03-01

468

Complete genome sequence and lifestyle of black-pigmented Corynebacterium aurimucosum ATCC 700975 (formerly C. nigricans CN-1) isolated from a vaginal swab of a woman with spontaneous abortion  

PubMed Central

Background Corynebacterium aurimucosum is a slightly yellowish, non-lipophilic, facultative anaerobic member of the genus Corynebacterium and predominantly isolated from human clinical specimens. Unusual black-pigmented variants of C. aurimucosum (originally named as C. nigricans) continue to be recovered from the female urogenital tract and they are associated with complications during pregnancy. C. aurimucosum ATCC 700975 (C. nigricans CN-1) was originally isolated from a vaginal swab of a 34-year-old woman who experienced a spontaneous abortion during month six of pregnancy. For a better understanding of the physiology and lifestyle of this potential urogenital pathogen, the complete genome sequence of C. aurimucosum ATCC 700975 was determined. Results Sequencing and assembly of the C. aurimucosum ATCC 700975 genome yielded a circular chromosome of 2,790,189 bp in size and the 29,037-bp plasmid pET44827. Specific gene sets associated with the central metabolism of C. aurimucosum apparently provide enhanced metabolic flexibility and adaptability in aerobic, anaerobic and low-pH environments, including gene clusters for the uptake and degradation of aromatic amines, L-histidine and L-tartrate as well as a gene region for the formation of selenocysteine and its incorporation into formate dehydrogenase. Plasmid pET44827 codes for a non-ribosomal peptide synthetase that plays the pivotal role in the synthesis of the characteristic black pigment of C. aurimucosum ATCC 700975. Conclusions The data obtained by the genome project suggest that C. aurimucosum could be both a resident of the human gut and possibly a pathogen in the female genital tract causing complications during pregnancy. Since hitherto all black-pigmented C. aurimucosum strains have been recovered from female genital source, biosynthesis of the pigment is apparently required for colonization by protecting the bacterial cells against the high hydrogen peroxide concentration in the vaginal environment. The location of the corresponding genes on plasmid pET44827 explains why black-pigmented (formerly C. nigricans) and non-pigmented C. aurimucosum strains were isolated from clinical specimens. PMID:20137072

2010-01-01

469

Magnetic resonance imaging findings within the posterior and lateral columns of the spinal cord extended from the medulla oblongata to the thoracic spine in a woman with subacute combined degeneration without hematologic disorders: a case report and review of the literature  

Microsoft Academic Search

Introduction  Subacute combined degeneration of the spinal cord is a rare cause of demyelination of the dorsal and lateral columns of the\\u000a spinal cord and is a neurological complication of vitamin B12 deficiency. Subacute combined degeneration without anemia or macrocytosis is rare.\\u000a \\u000a \\u000a \\u000a \\u000a Case presentation  We present a case of cobalamin deficiency in a 29-year-old Moroccan woman who presented with subacute combined degeneration

Samira Rabhi; Mustapha Maaroufi; Hajar Khibri; Faouzy Belahsen; Siham Tizniti; Rhizlane Berrady; Wafaa Bono

2011-01-01

470

When Black + Lesbian + Woman ? Black Lesbian Woman: The Methodological Challenges of Qualitative and Quantitative Intersectionality Research  

Microsoft Academic Search

The notion that social identities and social inequality based on ethnicity, sexual orientation, and sex\\/gender are intersectional\\u000a rather than additive poses a variety of thorny methodological challenges. Using research with Black lesbians (Bowleg, manuscripts\\u000a in preparation; Bowleg et al., Journal of Lesbian Studies, 2008; Bowleg et al., Cultural Diversity & Ethnic Minority Psychology 10:229–240, 2004; Bowleg et al., Journal of

Lisa Bowleg

2008-01-01

471

An Autoethnographic Study: An African American Woman’s Perception of her Journey to the Principalship  

E-print Network

blessed me with many people who care and pray for me. Please forgive me if I did not list, for I feel you are my silent angels forever lifting me up in prayer. You forever have a place in my heart and I again thank Him for allowing you in my life. May... models, and we were told of how they succeeded, so we, too, could succeed. 7 7 I honestly did not experience racism until the fourth grade when we moved to the Great State of Texas. Suddenly people were identified as ?Black or White.? My...

Rose, Shirley A

2013-05-02

472

What Factors Impact upon a Woman’s Decision to Undertake Genetic Cancer Testing?  

PubMed Central

Introduction: The advent of human genome project has lead to genetic tests that identify high-risk states for certain cancers. Many are privately marketed on the Internet. Despite the availability of tests, limited data has evaluated factors that lead to test uptake. The aim of the present study was to explore the attitudes of a cohort of new mothers toward uptake of a genetic cancer test with a 50% predictive value of cancer. Methods: A cross-sectional survey was undertaken. The project targeted women who had recently given birth at an Australian tertiary referral hospital. Women were asked about a theoretical blood test that detected an increased risk for the development of cancer. Attitudes and knowledge questionnaires were completed. Results: Of 232 consecutive women approached, 32 declined, giving a response rate of 86.2%. Only 63 (31.5%) women stated they would have the test. Absence of religious belief, higher level of education, better knowledge of terms used in genetics, an absence of concern over emotional, employment, and insurance discrimination, and previous acceptance of Down syndrome screening in pregnancy were each associated with significantly higher rate of test uptake in univariate analysis (all p?

Quinlivan, Julie A.; Battikhi, Zain; Petersen, Rodney W.

2014-01-01

473

Cogeneration System Analysis Summary Reports for Texas Woman’s University, Denton, Texas  

E-print Network

$1,000,000 per year in reduced utility bills and have a simple payback from 3.9 to 3.2 years. The system would, based on current costs, produce electricity at 6.14electricity and $7... Information Assumptions Cogeneration is defined as the generation of electrical power and the coincident recovery of useful thermal energy. A 1984 feasibility study conducted by the authors while under contract to the Energy Efficiency Division of the Public...

Turner, W. D.; Murphy, W. E.; Hartman, R.; Heffington, W. M.; Bolander, J. N.; Propp, A. D.

1985-01-01

474

[Dosis sola facit venenum: outcome of intoxications in a Swiss university hospital].  

PubMed

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

Muster, C; Exadaktylos, A; Haberkern, M

2012-03-14