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Sample records for lymphadenopathie bei infektion

  1. [Unexplained lymphadenopathy: Whipple disease].

    PubMed

    Wientjes, Caroline A; Luykx-de Bakker, Sylvia A; Prins, M E F Eric; Lobatto, Sacha

    2009-01-01

    A 58-year-old man was referred to the internal medicine outpatient department because of abdominal pain and lymphadenopathy. CT imaging revealed multiple mediastinal, para-aortic, mesenteric and pelvic lymphoma. Biopsy of an inguinal lymph node for histology purposes revealed granulomatous lymphadenitis. A watchful waiting approach was adopted. Two and a half years after first presentation, the patient presented with weight loss, fever and night sweats. CT imaging showed progressive lymphadenopathy and hepatosplenomegaly. Histopathological examination of a laparoscopically removed lymph node showed extensive infiltration with macrophages with stained rod-shaped bacteria (periodic acid-Schiff staining), which is typical of Whipple disease. PCR and biopsies of the small intestine confirmed the diagnosis. Antibiotic therapy was started with rapid clinical and biochemical improvement. A year later PCR of the duodenal biopsies was negative and the antibiotics were discontinued. Whipple disease is a rare chronic infection caused by Tropheryma whipplei. Clinical symptoms can vary, so it often takes a long time to diagnose.

  2. Immunopathology of angioimmunoblastic lymphadenopathy.

    PubMed Central

    Jones, D. B.; Castleden, M.; Smith, J. L.; Mepham, B. L.; Wright, D. H.

    1978-01-01

    Eight patients with angioimmunoblastic lymphadenopathy have been studied by a variety of immunological and pathological techniques. They exhibited a spectrum of immunological reactivities that, in this small series, could be roughly correlated with survival. Those patients with relative B-cell predominance as shown by cell marker studies, histologically showed large numbers of plasma cells, and this pattern was associated in 3 of our patients with a survival of 3 years or more. T-cell predominance or both B- and T-cell depletion was associated histologically with large numbers of blast cells and eosinophils, but with few plasma cells. These patients responded poorly to therapy and had short survival times. One patient with B-cell predominance subsequently died of a histiocytic lymphoma. Images Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 Fig. 7 Fig. 8 Fig. 9 Fig. 10 PMID:678427

  3. Cervical lymphadenopathy: Unwinding the hidden truth

    PubMed Central

    Ramadas, Athira Aruna; Jose, Renju; Varma, Beena; Chandy, Marina Lazar

    2017-01-01

    Lymphadenopathy is a common clinical finding in a patient seeking oral health care. It may be in a localized, limited, or generalized form. Malignancies, infections, autoimmune disorders, iatrogenic, and other miscellaneous conditions are considered as the causes for cervical lymphadenopathy. Unexplained cervical lymphadenopathy is a cause of concern for physician and patient because sometimes it could be the manifestation of an underlying malignancy. However, a methodological approach to lymphadenopathy can disclose the accurate diagnosis causing minimal discomfort for the patient and in a short time. This paper reports the significance of cervical lymph node examination and ensuing investigations, which led to a diagnosis of non-Hodgkins lymphoma. PMID:28348622

  4. Unexplained Lymphadenopathy: Evaluation and Differential Diagnosis.

    PubMed

    Gaddey, Heidi L; Riegel, Angela M

    2016-12-01

    Lymphadenopathy is benign and self-limited in most patients. Etiologies include malignancy, infection, and autoimmune disorders, as well as medications and iatrogenic causes. The history and physical examination alone usually identify the cause of lymphadenopathy. When the cause is unknown, lymphadenopathy should be classified as localized or generalized. Patients with localized lymphadenopathy should be evaluated for etiologies typically associated with the region involved according to lymphatic drainage patterns. Generalized lymphadenopathy, defined as two or more involved regions, often indicates underlying systemic disease. Risk factors for malignancy include age older than 40 years, male sex, white race, supraclavicular location of the nodes, and presence of systemic symptoms such as fever, night sweats, and unexplained weight loss. Palpable supraclavicular, popliteal, and iliac nodes are abnormal, as are epitrochlear nodes greater than 5 mm in diameter. The workup may include blood tests, imaging, and biopsy depending on clinical presentation, location of the lymphadenopathy, and underlying risk factors. Biopsy options include fine-needle aspiration, core needle biopsy, or open excisional biopsy. Antibiotics may be used to treat acute unilateral cervical lymphadenitis, especially in children with systemic symptoms. Corticosteroids have limited usefulness in the management of unexplained lymphadenopathy and should not be used without an appropriate diagnosis.

  5. Experimental Toxoplasmic Lymphadenopathy in Rabbits

    PubMed Central

    Henry, L.; Beverley, J. K. A.; Shortland, J. R.; Coup, A. J.

    1973-01-01

    The pathogenesis of toxoplasmic lymphadenopathy was studied in rabbits. Sixteen were infected with a high virulence strain of Toxoplasma gondii and 32 with one of low virulence. The former group were killed and examined at intervals up to 9 days and the latter up to 129 days. The high virulence strain quickly caused paracortical hyperplasia but only moderate follicular reaction. Later, lymphoid depletion occurred. The low virulence strain caused follicular reaction so that at 16 days germinal centres had developed with evidence of cellular phagocytosis. Histiocytes were present and plasma cells were found in the medullary cords. These appearances were seen up to 51 days. At 86 days the follicular reaction was no longer present but had returned at 129 days. These results were supplemented by serological, parasitological, immunofluorescence and electron microscopic data. The histological changes seen in the low virulence infections up to 51 days are unlike those caused by the high virulence strain but closely parallel those found in acquired infections in man, which are usually caused by strains of the low virulence type. These findings may help to elucidate the nature of the complex immune responses and the pathogenesis of toxoplasma infections. ImagesFigs. 14-15Figs. 16, 18 and 19Figs. 12-13Figs. 7-11Figs. 1-6 PMID:4577945

  6. Primary actinomycosis of vulva with inguinal lymphadenopathy

    PubMed Central

    Asia, Anand J; Tapre, Vaibhav N

    2016-01-01

    Actinomycosis is a chronic suppurative granulomatous infection of subcutaneous tissues caused by bacterium Actinomyces israelii. It is a normal commensal of the oral cavity, gastrointestinal tract, respiratory tract, and vagina. Infection is first established locally by breach of mucosal barrier during various procedures, aspiration, trauma, or human bite. Rarely, it may spread through hematogenous and lymphatic system. We present a case of actinomycosis involving the vulva, extending to the inguinal region along with inguinal lymphadenopathy. Involvement of vulva by actinomycosis is uncommon in literature. PMID:27730039

  7. Immunoblastic lymphadenopathy: case report and literature review.

    PubMed Central

    Cooperberg, A. A.; de Champlain, M. B.; Siminovitch, J.; Rosenberg, A.; Schwartz, J. P.

    1977-01-01

    A patient with immunoblastic lymphadenopathy (IL) had an unusual course of illness, with frequent episodes, over a 20-month period, of chills, fever, abdominal pain, hepatosplenomegaly and weight loss. The episodes were short-lived and many resolved spontaneously. Eventually generalized lymphadenopathy and profound monoclonal IgG gammopathy developed, with atypical mononuclear cells in the peripheral blood and increased numbers of plasmacytoid cells in the bone marrow. Lymph node biopsy revealed the morphologic triad typical of IL: proliferation immunoblasts, proliferation of small blood vessels and the deposit of an amorphous acidophillic material in the vascular walls and the interstitium. Up to October 1976 110 cases had been reported of this disorder, first described 3 years ago, which indicates that IL is not rare. Remissions have occurred spontaneously and after steroid therapy or chemotherapy or both. However, death has been reported in almost 50% of the cases, and the best approach to therapy remains to be determined. Images FIG. 1 FIG. 2 FIG. 3 FIG. 4 FIG. 5 PMID:861911

  8. Lymphadenopathy in celiac disease: computed tomographic observations

    SciTech Connect

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

    1984-06-01

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

  9. Autoimmune Lymphoproliferative Syndrome (ALPS) in a Boy with Massive Lymphadenopathy.

    PubMed

    Kianifar, Hamid Reza; Khalesi, Maryam; Farid, Reza; Badiee, Zahra; Rastin, Maryam; Ahanchian, Hamid

    2010-09-01

    Autoimmune lymphoproliferative syndrome (ALPS) is an uncommon nonmalignant lymphoproliferative disease which is characterized by chronic, persistent or recurrent lymphadenopathy, splenomegaly, hepatomegaly, immune cytopenia , hypergammaglobinemia and increased risk of lymphoma. We report a 2-year old boy with hepatosplenomegaly as first presentation. Petechial and purpuric rashes with massive cervical lymphadenopathies developed 10 months later.In laboratory tests anemia, thrombocytopenia and hypergammaglobinemia were observed. According to flocytometry increased double negative T cells and by apoptosis assay decrease apoptosis of lymphocytes accompanied clinical manifestations, thus diagnosis of ALPS was established. In conclusion; in all patients with massive lymphadenopathy and hepatosplenomegay; especially with cytopenia; ALPS should be considered.

  10. Genetics Home Reference: histiocytosis-lymphadenopathy plus syndrome

    MedlinePlus

    ... Histiocytosis-lymphadenopathy plus syndrome (also known as SLC29A3 spectrum disorder) is a group of conditions with overlapping ... considered to be part of the same disease spectrum. While some affected individuals have signs and symptoms ...

  11. Biogenic Emission Inventory System (BEIS)

    EPA Pesticide Factsheets

    Biogenic Emission Inventory System (BEIS) estimates volatile organic compound (VOC) emissions from vegetation and nitric oxide (NO) emission from soils. Recent BEIS development has been restricted to the SMOKE system

  12. An interleukin-6-producing cardiac myxoma associated with mediastinal lymphadenopathy.

    PubMed

    Takizawa, T; Sumino, H; Kanda, T; Kobayashi, I; Nagai, R; Ichikawa, S

    1999-01-01

    We report our experience with a patient whose mediastinal lymphadenopathy resolved after resection of a cardiac myxoma that secreted interleukin-6 (IL-6). The patient was a 68-year-old female who complained of nocturnal chest discomfort related to congestive heart failure. An echocardiogram demonstrated a large left atrial mass. A computed tomogram showed not only the left atrial mass but multiple enlarged mediastinal lymph nodes. The serum IL-6 level was markedly elevated at 13.7 pg/ml. After resection of the cardiac myxoma, serum IL-6 returned to the normal range. A repeat computed tomogram showed no mediastinal lymphadenopathy. We believe that overproduction of IL-6 by the cardiac myxoma was the cause of the mediastinal lymphadenopathy.

  13. Multiple lymphadenopathy as an initial sign of extramammary Paget disease.

    PubMed

    Hirakawa, S; Tanemura, A; Mori, H; Katayama, I; Hashimoto, K

    2011-01-01

    Extramammary Paget disease (EMPD) often develops in external genitalia. Paget cells can, however, adopt an invasive phenotype and metastasize to regional lymph nodes and beyond, leading to poor patient outcomes. Based on this clinical observation, multiple lymphadenopathy may represent an initial sign of EMPD. To address the potential significance of multiple lymph node swelling in EMPD, we report two patients with cutaneous primary EMPD who showed multiple lymphadenopathy as an initial sign during the clinical course of the disease as well as tumour metastasis. Significantly, marked lymphatic vessel growth was observed in regional lymph nodes that underwent massive tumour cell invasion. Therefore, nodal lymphangiogenesis may promote tumour cell invasion and metastasis to distant organs, including the lymph nodes, emphasizing the clinical relevance of multiple lymphadenopathy.

  14. Inactivation of lymphadenopathy associated virus by chemical disinfectants.

    PubMed

    Spire, B; Barré-Sinoussi, F; Montagnier, L; Chermann, J C

    1984-10-20

    Reverse transcriptase activity of lymphadenopathy associated virus was assayed after exposure to various standard chemical disinfectants. 25% ethanol or 1% glutaraldehyde should prove sufficient to disinfect medical instruments, and 0.2% sodium hypochlorite for cleaning floors and benches. 0.1% formalin is too slow to be recommended.

  15. Acute eosinophilic pneumonia accompanied by mediastinal lymphadenopathy and thrombocytopenia.

    PubMed Central

    Esme, Hidir; Sahin, Onder; Sezer, Murat; Fidan, Fatma; Unlu, Mehmet

    2006-01-01

    Acute eosinophilic pneumonia, which was described in 1989, is thought to represent a hypersensitivity reaction to unidentified inhaled antigens. Here, we present a case of a marble mine worker with acute eosinophilic pneumonia complicated with mediastinal lymphadenopathy, neutrophilia, thrombocytopenia and acute respiratory distress syndrome. Images Figure 1 Figure 2 PMID:17128696

  16. Human Lymphadenopathy Caused by Ratborne Bartonella, Tbilisi, Georgia

    PubMed Central

    Kandelaki, George; Malania, Lile; Bai, Ying; Chakvetadze, Neli; Katsitadze, Guram; Imnadze, Paata; Nelson, Christina; Harrus, Shimon

    2016-01-01

    Lymphadenopathy and fever that developed in a woman in Tbilisi, Georgia, most likely were caused by a ratborne Bartonella strain related B. tribocorum and B. elizabethae. The finding suggests that this Bartonella strain could be spread by infected rats and represents a potential human risk. PMID:26889959

  17. Analysis of data in 30 patients with cat scratch disease without lymphadenopathy.

    PubMed

    Tsuneoka, Hidehiro; Tsukahara, Masato

    2006-08-01

    The prominent clinical manifestation of cat scratch disease is regional lymphadenopathy at the site of the cat scratch or bite, associated with fever or general symptoms. A serological study of 540 patients with either lymphadenopathy, persistent fever, or pet ownership disclosed that 30 (16.1%) of the 186 patients with a serological diagnosis of cat scratch disease had no regional lymphadenopathy, and in these 30 patients, the absence of lymphadenopathy was closely related to the presence of persistent fever, fever of unknown origin, or systemic complications. Physicians should be alert to cat scratch disease that is not associated with lymphadenopathy to enable prompt diagnosis and treatment.

  18. Spina ventosa with lupus vulgaris and lymphadenopathy: Multifocal tuberculosis.

    PubMed

    Sharma, Sanjeev; Sood, Shikha; Gupta, Mudita

    2015-12-01

    Tuberculous dactylitis is a rare yet well-recognized disease of small bones of the hands and feet. It occurs in young children below five years of age. Tubercular dactylitis with lupus vulgaris and lymphadenopathy was suspected clinically and radiologically in an 8-year-old girl who had multiple soft tissue swelling of hands and feet with ulceration, encrustations, and an atrophic scar with lytic expansile lesions of the small bones of the hands and feet. Tubercular lymph node involvement was confirmed histopathologically.

  19. Adult onset Still’s disease with dermatopathic lymphadenopathy

    PubMed Central

    Qureshi, Ahmad Z.; AlSheef, Mohammad; Qureshi, Waqas T.; Amjad, Waseem

    2016-01-01

    Adult onset Still’s disease (AOSD) is a chronic inflammatory disorder involving multiple systems. The symptoms mimic those of lymphomas, therefore, the diagnosis of lymphoma needs to be excluded prior to establishing the diagnosis of AOSD. Another similar condition is dermatopathic lymphadenopathy (DL). In DL, the histopathological appearance of lymph node biopsy may also mimic AOSD. The DL is associated with several systemic pathologies, such as malignant lymphomas, and rarely AOSD. We present a case of a 43-year-old male presented with 3 months history of fatigue, fever, and lymphadenopathy. Initial work-up satisfactorily met the criteria for diagnosis of AOSD. But considering the well-known association of DL with hematological malignancies, detailed pathological studies were considered, including tumor markers to rule out the possibility of malignancy. The patient was started on steroids and showed remarkable recovery within 2 weeks. Evaluation of malignant lymphomas in a patient with DL is important, in order to diagnose AOSD and rule out hematological malignancy. PMID:27761568

  20. From persistent generalised lymphadenopathy to AIDS: who will progress?

    PubMed

    Carne, C A; Weller, I V; Loveday, C; Adler, M W

    1987-04-04

    The current rate of progression of persistent generalized lymphadenopathy to acquired immunodeficiency syndrome (AIDS) was tested in a cohort of 105 homosexual men in London, UK. 5 patients were lost to follow-up, and the remaining 100 were seen every 3 months. All tested positive for the human immunodeficiency virus antibody. Previous clinical observations had shown oral candida; anemia; leucopenia; thrombocytopenia; enthrocyte sedimentation rate 15 mm in the 1st hour to be possible predictors of AIDS. 5 of the 13 patients who developed AIDS during a mean follow-up period of 22 months (range 12-32) developed Pneumocystis carinii; 5 Karposi's sarcoma; 1 both; 1 P carinii and cryptosporidiosis; and 1 cryptococcal meningitis. A life table technic calculation showed that over 3 years the probability of patients with persistent generalized lymphadenopathy progressing to AIDS was 20.9%. Of the clinical features examined, those most likely to indicate progression to AIDS were Oral candida (relative risk (RR)=12); Lymphopenia (RR=7); Erythrocyte sedimentation rate 15mm (RR=7); and anemia (RR=6). There were figures for median time before AIDS onset and the range of variation of these median times for these symptoms, e.g. oral candida, 8 months median; range of 1-24 months. Similar prospective studies performed in the US are reviewed. It is determined that a clinical examination and hematological measurements are useful in determining progression risk.

  1. Lymphadenopathy in Patients With Chikungunya Virus Infection Imported From Hispaniola: Case Reports.

    PubMed

    Norman, Francesca F; Monge-Maillo, Begoña; Perez-Molina, Jose-Antonio; de Ory, Fernando; Franco, Leticia; Sánchez-Seco, María-Paz; López-Vélez, Rogelio

    2015-01-01

    Chikungunya virus (CHIKV) is currently spreading in the Caribbean and America. Lymphadenopathy, described in infections with other alphaviruses, is not commonly reported in CHIKV infections. Painful lymphadenopathy was found in three of the first six CHIKV infections from the current outbreak diagnosed at a reference center in Madrid, Spain.

  2. Unexplained lymphadenopathies: autoimmune lymphoproliferative syndrome in an adult patient

    PubMed Central

    Leal-Seabra, Fatima; Costa, Gonçalo Sarmento; Coelho, Henrique Pereira; Oliveira, Agripino

    2016-01-01

    Autoimmune lymphoproliferative syndrome (ALPS) is characterised by massive enlargement of the lymphoid organs, autoimmune cytopenias and a predisposition to develop lymphoid malignancies. The basic defect is a disturbance of the lymphocyte apoptosis, and a high number of circulating TCRab CD3+CD4−CD8− T-cells (double-negative T cells (DNT cells)). We describe a case of a 41-year-old man with fever, hepatosplenomegaly, multiple lymphadenopathy, autoimmune haemolytic anaemia and severe thrombocytopenia. Peripheral blood immunophenotyping revealed elevation of the characteristic DNT cells in 8% and high levels of interleukin 10. Histopathological analysis of lymph nodes showed lymphadenitis with paracortical hyperplasia. It was assumed as a probable diagnosis of ALPS, and the procedure was to medicate the patient with steroids. As a result, a significant clinical improvement was achieved, and he has been in remission for 2 years. To our knowledge, this is the first case reported in a Portuguese adult patient. PMID:27979843

  3. Unexplained lymphadenopathies: autoimmune lymphoproliferative syndrome in an adult patient.

    PubMed

    Leal-Seabra, Fatima; Costa, Gonçalo Sarmento; Coelho, Henrique Pereira; Oliveira, Agripino

    2016-12-15

    Autoimmune lymphoproliferative syndrome (ALPS) is characterised by massive enlargement of the lymphoid organs, autoimmune cytopenias and a predisposition to develop lymphoid malignancies. The basic defect is a disturbance of the lymphocyte apoptosis, and a high number of circulating TCRab CD3(+)CD4(-)CD8(-) T-cells (double-negative T cells (DNT cells)). We describe a case of a 41-year-old man with fever, hepatosplenomegaly, multiple lymphadenopathy, autoimmune haemolytic anaemia and severe thrombocytopenia. Peripheral blood immunophenotyping revealed elevation of the characteristic DNT cells in 8% and high levels of interleukin 10. Histopathological analysis of lymph nodes showed lymphadenitis with paracortical hyperplasia. It was assumed as a probable diagnosis of ALPS, and the procedure was to medicate the patient with steroids. As a result, a significant clinical improvement was achieved, and he has been in remission for 2 years. To our knowledge, this is the first case reported in a Portuguese adult patient.

  4. [Fever and lymphadenopathy: acute toxoplasmosis in an immunocompetent patient].

    PubMed

    Kaparos, Nikolaos; Favrat, Bernard; D'Acremont, Valérie

    2014-11-26

    Toxoplasmosis is an infectious disease caused by the intracellular parasite Toxoplasma gondii. In Switzerland about a third of the population has antibodies against this pathogen and has thus already been in contact with the parasite or has contracted the disease. Immunocompetent patients are usually asymptomatic (80-90%) during primary infection. The most common symptom is neck or occipital lymphadenopathy. Serology is the diagnostic gold standard in immunocompetent individuals. The presence of IgM antibodies is however not sufficient to make a definite diagnosis of acute toxoplasmosis. Distinction between acute and chronic toxoplasmosis requires additional serological tests (IgG avidity test). If required, the most used and probably most effective treatment is the combination of pyrimethamine and sulfadiazine, with folinic acid.

  5. Generalized Lymphadenopathy as Presenting Feature of Systemic Lupus Erythematosus: Case Report and Review of the Literature

    PubMed Central

    Afzal, Wais; Arab, Talal; Ullah, Tofura; Teller, Katerina; Doshi, Kaushik J.

    2016-01-01

    Lymphadenopathy could represent a vast spectrum of etiologies including infectious and non-infectious diseases. Besides proper history taking, physical examination, and laboratory investigations, a tissue diagnosis is often necessary to unmask the cause of generalized lymphadenopathy. Here we present a 23-year-old woman who was admitted for diffuse generalized lymphadenopathy, fatigue, malaise, weight loss, nausea, and bilateral lower extremity edema. She reported a history of seizures as well as stroke 2 years prior with no other medical conditions present. Although malignant and infectious etiologies were initially the primary targets for workup, her history of seizures and stroke remained a dilemma. Extensive workup for malignant and infectious diseases was unrevealing; however, rheumatologic workup was eventually positive for systemic lupus erythematosus (SLE). This case illustrates that extensive generalized diffuse lymphadenopathy may be a presenting feature of SLE and should be considered in the differential diagnosis of patients presenting with diffuse lymphadenopathy and constitutional symptoms. PMID:27738484

  6. Studies in homosexual patients with and without lymphadenopathy. Relationships to the acquired immune deficiency syndrome.

    PubMed

    deShazo, R D; Penico, J P; Pankey, G A; Nordberg, J A; Newton, J L; Bozelka, B; Cortez, L M; Dalovisio, J R

    1984-06-01

    We studied the immunologic function of 19 sexually active homosexual men, ten of whom had persistent lymphadenopathy. Analysis of mononuclear cell populations distinguished homosexuals from heterosexual controls since, as a group, homosexuals had increased percentages of natural killer cells (Leu 7+), decreased helper-inducer T lymphocytes (OKT-4+), increased suppressor/cytotoxic (OKT-8+) T lymphocytes, low OKT-4:OKT-8 ratios, and depressed mitogenic responses. Homosexuals without lymphadenopathy were distinguishable from controls by increased percentages of Ia+ cells, decreased OKT-4+ cells, and decreased OKT-4:OKT-8 ratios. Four had positive findings simultaneously for hepatitis B surface antigen (HBsAg) and surface antibody, and five had positive findings for HBsAg alone. Homosexuals with lymphadenopathy were distinguishable from controls by increased percentages of Leu 7+ cells, increased total lymphocyte numbers per cubic millimeter, decreased percentages of both OKT-4+ and OKT-8+ cells, abnormal OKT-4:OKT-8 ratios, and depressed mitogenic responses. Only histories of larger numbers of sexually acquired diseases, higher numbers of OKT-8+ cells per cubic millimeter, and lower mitogenic responses in homosexuals with lymphadenopathy distinguished this group from homosexuals without lymphadenopathy. Furthermore, none of the nine patients tested in this group was HBsAg positive. We conclude that homosexuals without lymphadenopathy are distinguishable from those with lymphadenopathy by both immunologic and serologic abnormalities.

  7. Sequential appearance of immunoblastic lymphoma and acute nonlymphocytic leukemia in a patient with angioimmunoblastic lymphadenopathy.

    PubMed

    Pereira, A; Cervantes, F; Viñolas, N; Llebaría, C; Pedro-Botet, J; Rozmann, C

    1985-01-01

    Immunoblastic lymphoma developed in a patient diagnosed as having angioimmunoblastic lymphadenopathy 5 years earlier. Chemotherapy schedules including alkylating agents were administered for 1 year, resulting in subsequent remission of the lymphoma. Thirty months after the start of chemotherapy, preleukemic changes were observed in peripheral blood and bone marrow, and acute nonlymphocytic leukaemia (M5 of the FAB classification) was diagnosed shortly afterwards. The possible role of both chemotherapy and the immunodeficiency associated to angioimmunoblastic lymphadenopathy in the pathogenesis of the leukemia is discussed.

  8. Apparent Diffusion Coefficient Measurement in Mediastinal Lymphadenopathies: Differentiation between Benign and Malignant Lesions

    PubMed Central

    Ustabasioglu, Fethi Emre; Samanci, Cesur; Alis, Deniz; Samanci, Nilay Sengul; Kula, Osman; Olgun, Deniz Cebi

    2017-01-01

    Objectives: We aimed to prospectively assess the diagnostic value of apparent diffusion coefficient (ADC) measurement in the differentiation of benign and malignant mediastinal lymphadenopathies. Materials and Methods: The study included 63 consecutive patients (28 women, 35 men; mean age 59.3 years) with 125 mediastinal lymphadenopathies. Echoplanar diffusion-weighted magnetic resonance imaging of the mediastinum was performed with b-factors of 0 and 600 mm2/s before mediastinoscopy and mediastinotomy, and ADC values were measured. The ADC values were compared with the histological results, and statistical analysis was done. P < 0.05 was considered statistically significant. Results: The mean ADC value of malignant mediastinal lymphadenopathy (1.030 ± 0.245 × 10−3 mm2/s) was significantly lower (P < 0.05) when compared to benign lymphadenopathies (1.571 ± 0.559 × 10−3 mm2/s). For differentiating malignant from benign mediastinal lymphadenopathy, the best result was obtained when an ADC value of 1.334 × 10−3 mm2/s was used as a threshold value; area under the curve 0.848, accuracy 78.4%, sensitivity 66%, specificity of 86%, positive predictive value 76.7%, and negative predictive value of 79.2%. Interobserver agreement was excellent for ADC measurements. Conclusions: ADC measurements could be considered an important supportive method in differentiating benign from malignant mediastinal lymphadenopathies.

  9. Fluorodeoxyglucose positron emission tomography (FDG-PET) for monitoring lymphadenopathy in the autoimmune lymphoproliferative syndrome (ALPS).

    PubMed

    Rao, V Koneti; Carrasquillo, Jorge A; Dale, Janet K; Bacharach, Stephen L; Whatley, Millie; Dugan, Faith; Tretler, Jean; Fleisher, Thomas; Puck, Jennifer M; Wilson, Wyndham; Jaffe, Elaine S; Avila, Nilo; Chen, Clara C; Straus, Stephen E

    2006-02-01

    Autoimmune lymphoproliferative syndrome (ALPS) is associated with mutations that impair the activity of lymphocyte apoptosis proteins, leading to chronic lymphadenopathy, hepatosplenomegaly, autoimmunity, and an increased risk of lymphoma. We investigated the utility of fluorodeoxyglucose positron emission tomography (FDG-PET) in discriminating benign from malignant lymphadenopathy in ALPS. We report that FDG avidity of benign lymph nodes in ALPS can be high and, hence, by itself does not imply presence of lymphoma; but FDG-PET can help guide the decision for selecting which of many enlarged nodes in ALPS patients to biopsy when lymphoma is suspected.

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

    SciTech Connect

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

    1988-05-01

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

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

    PubMed Central

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

    2011-01-01

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

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

    PubMed

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

    2011-07-01

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

  13. IgG4-related prostatitis progressed from localized IgG4-related lymphadenopathy

    PubMed Central

    Li, Dujuan; Kan, Yunzhen; Fu, Fangfang; Wang, Shuhuan; Shi, Ligang; Liu, Jie; Kong, Lingfei

    2015-01-01

    Immunoglobulin G4-related disease (IgG4-RD) is a recently described inflammatory disease involving multiple organs. Prostate involvement with IgG4-RD is very rare. In this report, we describe a case of IgG4-related prostatitis progressed from localized IgG4-related lymphadenopathy. This patient was present with urine retention symptoms. MRI and CT examination revealed the prostatic enlargement and the multiple lymphadenopathy. Serum IgG4 levels were elevated. Prostatic tissue samples resected both this time and less than 1 year earlier showed the same histological type of prostatitis with histopathologic and immunohistochemical findings characteristic of IgG4-RD. The right submandibular lymph nodes excised 2 years earlier were eventually proven to be follicular hyperplasia-type IgG4-related lymphadenopathy. This is the first case of IgG4-RD that began as localized IgG4-related lymphadenopathy and progressed into a systemic disease involving prostate and multiple lymph nodes. This patient showed a good response to steroid therapy. This leads us to advocate a novel pathogenesis of prostatitis, and a novel therapeutic approach against prostatitis. Pathologists and urologists should consider this disease entity in the patients with elevated serum IgG4 levels and the symptoms of prostatic hyperplasia to avoid ineffective medical or unnecessary surgical treatment. PMID:26617921

  14. IgG4-related prostatitis progressed from localized IgG4-related lymphadenopathy.

    PubMed

    Li, Dujuan; Kan, Yunzhen; Fu, Fangfang; Wang, Shuhuan; Shi, Ligang; Liu, Jie; Kong, Lingfei

    2015-01-01

    Immunoglobulin G4-related disease (IgG4-RD) is a recently described inflammatory disease involving multiple organs. Prostate involvement with IgG4-RD is very rare. In this report, we describe a case of IgG4-related prostatitis progressed from localized IgG4-related lymphadenopathy. This patient was present with urine retention symptoms. MRI and CT examination revealed the prostatic enlargement and the multiple lymphadenopathy. Serum IgG4 levels were elevated. Prostatic tissue samples resected both this time and less than 1 year earlier showed the same histological type of prostatitis with histopathologic and immunohistochemical findings characteristic of IgG4-RD. The right submandibular lymph nodes excised 2 years earlier were eventually proven to be follicular hyperplasia-type IgG4-related lymphadenopathy. This is the first case of IgG4-RD that began as localized IgG4-related lymphadenopathy and progressed into a systemic disease involving prostate and multiple lymph nodes. This patient showed a good response to steroid therapy. This leads us to advocate a novel pathogenesis of prostatitis, and a novel therapeutic approach against prostatitis. Pathologists and urologists should consider this disease entity in the patients with elevated serum IgG4 levels and the symptoms of prostatic hyperplasia to avoid ineffective medical or unnecessary surgical treatment.

  15. Persistent generalized lymphadenopathy in homosexual men: clinical, pathological and immunologic characteristics.

    PubMed Central

    Gilmore, N. J.; Prchal, J. F.; Jothy, S.

    1983-01-01

    Eighteen homosexual men who had had lymphadenopathy in two or more extrainguinal sites for more than 5 months but had no evidence of other illnesses or infections were studied. All had extreme malaise, and 90% had additional symptoms (fever, night sweats, weight loss or gastrointestinal dysfunction). They were compared with 10 healthy homosexual and 10 healthy heterosexual male controls. The mean numbers of circulating T8 (suppressor) lymphocytes were increased equally in the two homosexual groups, but the mean number of T4 (helper) lymphocytes was decreased only in the group with lymphadenopathy. The response to testing for recall anergy was diminished in both homosexual groups but was significantly lower in the group with lymphadenopathy. The serum immunoglobulin and complement concentrations and the numbers of circulating B lymphocytes were normal in each group. Seven of nine lymph node biopsy specimens showed characteristic hyperplasia and confluence of follicles. Thus, idiopathic persistent, generalized lymphadenopathy in homosexual men without opportunistic infections or malignant diseases appears to be a distinct syndrome; it may also be related to the acquired immune deficiency syndrome. Images FIG. 1 PMID:6231088

  16. Trajektoriendichte bei Magnetic Particle Imaging

    NASA Astrophysics Data System (ADS)

    Knopp, Tobias; Sattel, Timo; Biederer, Sven; Weizenecker, Jürgen; Gleich, Bernhard; Borgert, Jörn; Buzug, Thorsten M.

    Magnetic Particle Imaging ist ein neues bilgebendes Verfahren zur Darstellung der räumlichen Verteilung von magnetisierbaren Nanopartikeln. In einer Simulationsstudie wurde zuletzt das Auflösungsvermögen und die Sensitivität dieser Methode untersucht. Die Abtast-trajektorie wurde dabei so gewählt, dass der Messbereich deutlich überabgetastet wurde. In dieser Arbeit wird in einer Simulationsstudie untersucht, welchen Einfluss die Dichte der Trajektorie auf die Bildqualität der rekonstruierten Bilder hat. Es wird gezeigt, dass die Auflösung in den rekonstruierten Bildern durch die Feldstärke des angelegten Magnetfeldes und die Trajektoriendichte beschränkt ist. Die Trajektorie kann bei konstanter Feldstärke bis zu einem gewissen Grad ausgedünnt werden. Der Simulation liegt dabei ein Model zu Grunde, welches das Signal entsprechend der Langevin-Theorie des Paramagnetismus approximiert.

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

    SciTech Connect

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

    1988-08-01

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

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

    PubMed Central

    Meillier, Andrew; Commodore, Marius

    2015-01-01

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

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

    PubMed

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

    2011-12-01

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

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

    SciTech Connect

    Brelsford, Donald L.

    1999-10-01

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

  1. Validation of BeiDou Observations

    NASA Astrophysics Data System (ADS)

    El-Mowafy, Ahmed; Hu, Congwei

    2014-06-01

    This study presents validation of BeiDou measurements in un-differenced standalone mode and experimental results of its application for real data. A reparameterized form of the unknowns in a geometry-free observation model was used. Observations from each satellite are independently screened using a local modeling approach. Main advantages include that there is no need for computation of inter-system biases and no satellite navigation information are needed. Validation of the triple-frequency BeiDou data was performed in static and kinematic modes, the former at two continuously operating reference stations in Australia using data that span two consecutive days and the later in a walking mode for three hours. The use of the validation method parameters for numerical and graphical diagnostics of the multi-frequency BeiDou observations are discussed. The precision of the system’s observations was estimated using an empirical method that utilizes the characteristics of the validation statistics. The capability of the proposed method is demonstrated in detection and identification of artificial errors inserted in the static BeiDou data and when implemented in a single point positioning processing of the kinematic test.

  2. On How Fas Apoptosis-Independent Pathways Drive T Cell Hyperproliferation and Lymphadenopathy in lpr Mice

    PubMed Central

    Balomenos, Dimitrios; Shokri, Rahman; Daszkiewicz, Lidia; Vázquez-Mateo, Cristina; Martínez-A, Carlos

    2017-01-01

    Fas induces massive apoptosis in T cells after repeated in vitro T cell receptor (TCR) stimulation and is critical for lymphocyte homeostasis in Fas-deficient (lpr) mice. Although the in vitro Fas apoptotic mechanism has been defined, there is a large conceptual gap between this in vitro phenomenon and the pathway that leads to in vivo development of lymphadenopathy and autoimmunity. A striking abnormality in lpr mice is the excessive proliferation of CD4+ and CD8+ T cells, and more so of the double-negative TCR+CD4−CD8−B220+ T cells. The basis of lpr T cell hyperproliferation remains elusive, as it cannot be explained by Fas-deficient apoptosis. T cell-directed p21 overexpression reduces hyperactivation/hyperproliferation of all lpr T cell subtypes and lymphadenopathy in lpr mice. p21 controls expansion of repeatedly stimulated T cells without affecting apoptosis. These results confirm a direct link between hyperactivation/hyperproliferation, autoreactivity, and lymphadenopathy in lpr mice and, with earlier studies, suggest that Fas apoptosis-independent pathways control lpr T cell hyperproliferation. lpr T cell hyperproliferation could be an indirect result of the defective apoptosis of repeatedly stimulated lpr T cells. Nonetheless, in this perspective, we argue for an alternative setting, in which lack of Fas would directly cause lpr T cell hyperactivation/hyperproliferation in vivo. We propose that Fas/Fas ligand (FasL) acts as an activation inhibitor of recurrently stimulated T cells, and that its disruption causes overexpansion of T cells in lpr mice. Research to define the underlying mechanism of this Fas/FasL effect could resolve the phenotype of lpr mice and lead to therapeutics for related human syndromes. PMID:28344578

  3. Kawasaki Disease with Fever and Cervical Lymphadenopathy as the Sole Initial Presentation

    PubMed Central

    Jun, Woo Young; Ann, Yu Kyung; Kim, Ja Yeong; Kim, Soo-Jin; Yang, Hyun Suk; Bae, Sun Hwan; Chung, Sochung; Kim, Kyo Sun

    2017-01-01

    Background and Objectives Some patients with Kawasaki disease (KD) present with fever and cervical lymphadenopathy alone. The purpose of this study was to characterize the clinical features of these unusual KD patients and determine whether this is a severe form of KD associated with increased risks of intravenous immunoglobulin (IVIG) resistance and coronary artery lesions (CALs). Subjects and Methods A total of 146 children with KD were reviewed retrospectively, and classified into two groups according to initial clinical features. Those presenting with only fever and cervical lymphadenopathy (LKD) were classified as LKD patients. Other-KD patients included all except the LKD patients. Results Among 146 KD patients, 13 (8.9%) were classified as LKD patients. The LKD patients were significantly older and admitted earlier. The duration between fever onset and KD diagnosis was significantly longer in the LKD patients (5.9 days vs. 4.9 days, p=0.023). The frequency of IVIG resistance was not different between the two groups., In the LKD patients, the incidence of CALs was significantly higher in the acute phase, and without significant difference in the convalescent phase. The percentage of neutrophils and C-reactive protein, albumin, and total bilirubin levels were significantly higher in LKD patients. Conclusion Even though LKD patients were older, admitted earlier, and had higher inflammatory marker levels, they did not have a greater risk of CALs or IVIG resistance. However, echocardiography may be helpful in the acute stage if patients have only fever and cervical lymphadenopathy and are unresponsive to empirical antibiotics. PMID:28154598

  4. On How Fas Apoptosis-Independent Pathways Drive T Cell Hyperproliferation and Lymphadenopathy in lpr Mice.

    PubMed

    Balomenos, Dimitrios; Shokri, Rahman; Daszkiewicz, Lidia; Vázquez-Mateo, Cristina; Martínez-A, Carlos

    2017-01-01

    Fas induces massive apoptosis in T cells after repeated in vitro T cell receptor (TCR) stimulation and is critical for lymphocyte homeostasis in Fas-deficient (lpr) mice. Although the in vitro Fas apoptotic mechanism has been defined, there is a large conceptual gap between this in vitro phenomenon and the pathway that leads to in vivo development of lymphadenopathy and autoimmunity. A striking abnormality in lpr mice is the excessive proliferation of CD4(+) and CD8(+) T cells, and more so of the double-negative TCR(+)CD4(-)CD8(-)B220(+) T cells. The basis of lpr T cell hyperproliferation remains elusive, as it cannot be explained by Fas-deficient apoptosis. T cell-directed p21 overexpression reduces hyperactivation/hyperproliferation of all lpr T cell subtypes and lymphadenopathy in lpr mice. p21 controls expansion of repeatedly stimulated T cells without affecting apoptosis. These results confirm a direct link between hyperactivation/hyperproliferation, autoreactivity, and lymphadenopathy in lpr mice and, with earlier studies, suggest that Fas apoptosis-independent pathways control lpr T cell hyperproliferation. lpr T cell hyperproliferation could be an indirect result of the defective apoptosis of repeatedly stimulated lpr T cells. Nonetheless, in this perspective, we argue for an alternative setting, in which lack of Fas would directly cause lpr T cell hyperactivation/hyperproliferation in vivo. We propose that Fas/Fas ligand (FasL) acts as an activation inhibitor of recurrently stimulated T cells, and that its disruption causes overexpansion of T cells in lpr mice. Research to define the underlying mechanism of this Fas/FasL effect could resolve the phenotype of lpr mice and lead to therapeutics for related human syndromes.

  5. Evaluation of unexplained peripheral lymphadenopathy and suspected malignancy using a distinct quick diagnostic delivery model: prospective study of 372 patients.

    PubMed

    Bosch, Xavier; Coloma, Emmanuel; Donate, Carolina; Colomo, Lluís; Doti, Pamela; Jordán, Anna; López-Soto, Alfonso

    2014-10-01

    Although rapid diagnostic testing is essential in suspicious peripheral lymphadenopathy, delays in accessing them can be considerable. We investigated the usefulness of an internist-led outpatient quick diagnosis unit (QDU) in assessing patients with unexplained peripheral lymphadenopathy, focusing on the characteristics, diagnostic, and treatment waiting times of those with malignancy. Patients aged ≥ 18 years, consecutively referred from 12 primary health care centers (PHCs) or the emergency department (ED) for unexplained peripheral lymphadenopathy, were prospectively evaluated during 7 years. Diagnostic investigations were done using a predefined study protocol. Three experienced cytopathologists performed a fine-needle aspiration cytology (FNAC) systematic approach of clinically suspicious lymphadenopathy with cytomorphology and immunophenotyping analyses. We evaluated 372 patients with a mean age (SD) of 45.3 (13.8) years; 56% were women. Malignancy was diagnosed in 120 (32%) patients, including 81 lymphomas and 39 metastatic tumors. Metastatic lymphadenopathy was diagnosed by FNAC in all 39 patients and the primary tumor site was identified in 82% of them when cytomorphology and immunocytochemistry were combined. A correct diagnosis of lymphoma was reached by FNAC in 73% of patients. When accepting "suspicious of" as correct diagnosis, the FNAC diagnosis rate of lymphoma increased to 94%. Among patients with malignancy, FNAC yielded 1.3% of false negatives and no false positives. All patients with an FNAC report of correct or suspicious lymphoma underwent a surgical biopsy, as it is a mandatory requirement of the hematology department. Mean times from first QDU visit to FNAC diagnosis of malignancy were 5.4 days in metastatic lymphadenopathy and 7.5 days in lymphoma. Mean times from receiving the initial referral report to first treatment were 29.2 days in metastatic lymphadenopathy and 40 days in lymphoma. In conclusion, a distinct internal medicine QDU

  6. Kongenitale Chagas. Einfluss einer Trypanosoma Cruzi-Infektion auf die Embryonalentwicklung bei Traechtigen Maeusen (Congenital Chagas Diseases. Effect of ’Trypanosoma cruzi’ Infection on Embryogeny in Gravid Mice),

    DTIC Science & Technology

    Congenital Chagas’ disease in man and animals entailing abortion , premature delivery and deformation has been reported in the literature, although...the effect of T. cruzi infection on the fetal development of mice has been investigated after inoculating three different strains of T. cruzi in...in either early death or retarded growth of the embryos and fetuses, although trypanosomes were not demonstrable in injured fetuses (however

  7. A Case of Rheumatoid Arthritis and Limited Systemic Sclerosis Overlap Successfully Treated with Tocilizumab for Arthritis and Concomitant Generalized Lymphadenopathy and Primary Biliary Cirrhosis

    PubMed Central

    Saito, Eiko; Sato, Shinji; Nogi, Shinichi; Sasaki, Noriko; Chinen, Naofumi; Honda, Kiri; Wakabayashi, Takayuki; Yamada, Chiho; Nakamura, Naoya; Suzuki, Yasuo

    2014-01-01

    A 57-year-old woman with rheumatoid arthritis (RA) and limited systemic sclerosis (lSSc) was suspected to have lymphadenopathy and primary biliary cirrhosis (PBC). Lymph node biopsy showed reactive follicular lymphadenopathy with intrafollicular plasmacyte infiltration that was interleukin-6 positive by immunohistostaining. Because of gradually worsening arthritis, tocilizumab was administered and arthritis improved markedly. Interestingly, lymphadenopathy and PBC improved simultaneously. This suggested that interleukin-6 might play an important role in reactive lymphadenopathy and PBC associated with RA/lSSc. PMID:24839573

  8. A case of progressively transformed germinal center-type IgG4-related lymphadenopathy.

    PubMed

    Seki, Nobuhiko; Yamazaki, Norikazu; Koizumi, Jun-ichi; Takano, Ken-ichi; Abe, Ayumi; Ikeda, Tatsuru; Noguchi, Hiroko; Himi, Tetsuo

    2015-08-01

    Progressively transformed germinal centers (PTGC), a lymph node process unfamiliar to most otolaryngologists, is a morphological variant of reactive lymphofollicular hyperplasia of lymph nodes. Immunoglobulin (Ig)G4-related disease (IgG4-RD) is a newly identified condition, characterized by hyper-IgG4-γ-globulinemia and mass-forming or hypertrophic lesions associated with infiltration of IgG4(+) plasma cells in the affected organs. Recently, a case study of PTGC was reported that fulfilled the diagnostic criteria of IgG4-RD (IgG4(+) PTGC) [1]. A 68-year-old male was referred to our hospital with swelling in the left submandibular region. Palpation revealed swollen lymph nodes, the largest of which measured 5cm in diameter. (18)F-fluorodeoxyglucose (FDG)-positron emission tomography/computed tomography identified lymphadenopathy with high (18)F-FDG uptake in the left submandibular region. We strongly suspected malignant lymphoma, and excisional biopsy of the submandibular lymph node was performed under general anesthesia. Pathological findings were consistent with IgG4(+) PTGC, and serological examination demonstrated elevated levels of IgG4. These findings were consistent with IgG4-RD. The patient did not have systemic lesions; therefore, he has not undergone corticosteroid therapy. IgG4(+) PTGC should be considered as a differential diagnosis for cervical lymphadenopathy by otolaryngologists as well as pathologists.

  9. Lymphadenopathy and lymph node infarction as a result of gold injections

    PubMed Central

    Roberts, C; Batstone, P; Goodlad, J

    2001-01-01

    This report describes a case of lymphadenopathy and lymph node infarction as a consequence of intramuscular gold administered to a patient suffering from rheumatoid arthritis, to highlight this rare association. A 34 year old woman with a four year history of rheumatoid arthritis affecting multiple joints was started on intramuscular gold injections after little response to anti-inflammatory medication. After her sixth injection the patient developed enlarged neck and axillary lymph nodes. Biopsy showed subtotal infarction of a reactive node, confirmed by histochemical, immunohistochemical, and molecular techniques. The patient continued to suffer from rheumatoid arthritis with no evidence of malignant lymphoma after three years. This case provides strong evidence that lymphadenopathy with infarction is a rare complication of gold injections. In such a situation, it is particularly important to exclude a diagnosis of lymphoma, because this is the most common cause of spontaneous lymph node infarction. This can be achieved through awareness of the association, and by the use of ancillary histochemical, immunohistochemical, and molecular techniques on the biopsy material. Key Words: lymph node infarction • gold • rheumatoid arthritis PMID:11429432

  10. Primary Sjögren's syndrome with chronic tubulointerstitial nephritis and lymphadenopathy mimicking IgG4-related disease.

    PubMed

    Kawano, Mitsuhiro; Suzuki, Yasunori; Yamada, Kazunori; Mizushima, Ichiro; Matsumura, Masami; Nakajima, Kenichi; Yamagishi, Masakazu; Yamaguchi, Yutaka

    2015-07-01

    We describe a 62-year-old woman with Sjögren's syndrome (SS) presenting with tubulointerstitial nephritis (TIN) and lymphadenopathy mimicking IgG4-related disease (IgG4-RD). Computed tomography revealed multiple swollen lymph nodes. Biopsy of the largest lymph node showed reactive lymphadenopathy with dense IgG4 positive plasma cell (IgG4 + PC) infiltration. Renal biopsy showed chronic plasma cell-rich TIN with IgG4 + PC infiltration. This case suggests that Immunoglobulin G4 immunostaining does not always support the diagnosis of IgG4-RD in the differential diagnosis between SS and IgG4-RD.

  11. Silicone granuloma from ruptured breast implants as a cause of cervical lymphadenopathy.

    PubMed

    Borghol, K; Gallagher, G; Skelly, B L

    2016-09-01

    A 56-year-old woman with a 10-year history of bilateral silicone breast implants presented to the ear, nose and throat outpatient clinic with a 2-month history of a right-sided neck lump. She was found to have a 1.3cm supraclavicular lymph node that gave the clinical impression of being reactive. Ultrasonography guided fine needle aspiration was inconclusive and initial review of subsequent computed tomography failed to identify a cause. This was followed by excisional biopsy of the lymph node, which revealed a silicone granuloma that was linked to a ruptured right-sided breast implant placed ten years previously. This case highlights the importance for otolaryngologists to consider silicone granuloma among the differential diagnoses of cervical lymphadenopathy in patients with a history of silicone breast implants. Recognising this differential diagnosis could avoid undue anxiety for patient and clinician regarding more serious pathology.

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

    PubMed

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

    2015-01-01

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

  13. Sinus histiocytosis with massive lymphadenopathy. Is the lymph node enlargement always massive?

    PubMed

    Sachdev, Ritesh; Setia, Namrata; Jain, Shyama

    2007-05-01

    Sinus histiocytosis with massive lymphadenopathy (SHML) is a benign proliferating histiocytic disorder, predominantly of lymph nodes with extra-nodal involvement in some cases. It is a self-limiting disease and has a good prognosis; however some patients need steroid therapy. Therein lays a need to differentiate it from other lympho proliferative disorders of poorer prognosis. Clinically, it is suspected only when there is a significant lymph node enlargement in younger age group as the term signifies. Recently, we came across a case where a middle-aged female presented with a subtle swelling in submental region, clinically suspected of reactive or tubercular etiology. However on fine needle aspiration cytology, the smears showed many histiocytes, some of them showing lymphocytes and plasma cells in their cytoplasm, a morphological feature called as "emperipolesis" classically seen in SHML. The present case is reported because of unusual clinical presentation and possibly the need for a revision of existing terminology.

  14. [Generalized persistent lymphadenopathy syndrome in parenteral drug addicts. Lymph node biopsy study of 41 patients].

    PubMed

    Vera-Sempere, G; Vera-Sempere, F J; Guix-García, J

    1990-12-01

    Of a total of 41 VIH positive patients, parenteral drug addicts, with persistent generalized lymphadenopathy syndrome, we performed 43 lymph-node biopsies. In two sequential biopsies, 2 and 12 months respectively after the first biopsy, were carried-out. After a clinical follow-up (ranging between 4-28 months) 12 patients (24.3%) were qualified as SIDA cases according to CDC-1987 criteria. Lymph-node biopsy was of diagnostic or prognostic value in 16.27% and in 6.97% respectively. Upon comparing histological types and peripheral lymphocyte subsets it was demonstrated how the forms of major morphological deterioration tend to associate with a lower number of OKT4+ lymphocytes and a lower relation OKT4+/OKT8+.

  15. Clinico-pathological correlates of cervical lymphadenopathy: a hospital based study.

    PubMed

    Biswas, Gautam; Das, Anjan; Haldar, Dibakar; Mukherjee, Ankur; Dutta, Sirshak; Sinha, Ramanuj

    2013-07-01

    Neck is the most common site of peripheral lymph node enlargement and is very frequently encountered in oto-laryngological practice. This study was done to delineate distribution of clinico-demographic parameters in patients presenting with cervical lymphadenopathy in the otolaryngology out-patient department of a state hospital in India in a 1 year period and to correlate them with fine needle aspiration cytological diagnosis. Record-based cross sectional study in the department of Otolaryngology and department of Pathology, Calcutta National Medical College and Hospital, Kolkata. Case reports and cytological reports of 423 patients who underwent Fine Needle Aspiration Cytology (FNAC) of cervical lymph nodes between January 2009 and December 2009 were reviewed in relation to their demographic and clinical profiles. The cases were divided into three groups according to age and different parameters were described according to these groups. In the cyto-pathological diagnosis, tubercular lymph-adenitis was most prevalent diagnosis (45.4%). Among the metastatic secondaries, squamous cell carcinoma was most common (8.5%). Non-specific/reactive lymphadenitis was significantly more common in <14 years, TB lymph node in 15-59 years and malignancy among the ≥60 years age group. Jugulo-omohyoid (level III) and Supraclavicular (level VB) groups of Lymph nodes were found significantly more involved by malignancy whereas Jugulo-diagastric (level II), Post-auricular, Submandibular groups (level IB) were more commonly involved in TB. Malignancy patients presented late in respect to the tuberculosis patients. Knowledge about clinico-demographic perspectives of cervical lymphadenopathy in respect to their cytopathological diagnosis will help care giver practioners to detect/refer the respective cases early for investigations and treatment.

  16. Evidence for reactivation of human herpesvirus 6 in generalized lymphadenopathy in a patient with drug-induced hypersensitivity syndrome.

    PubMed

    Saraya, Takeshi; Mikoshiba, Michiaki; Kamiyama, Harumi; Yoshizumi, Masakazu; Tsuchida, Shigeru; Tsukagoshi, Hiroyuki; Ishioka, Taisei; Terada, Miho; Tanabe, Eiichi; Tomioka, Chizuko; Ishii, Haruyuki; Kimura, Hirokazu; Kozawa, Kunihisa; Shiohara, Tetsuo; Takizawa, Hajime; Goto, Hajime

    2013-06-01

    The present case provides direct evidence of human herpesvirus 6 reactivation in resected lymph node tissue in a patient with drug-induced hypersensitivity syndrome. This case clearly demonstrates that appropriate pathological evaluation of lymphadenopathy for drug-induced hypersensitivity syndrome, which mimics malignant lymphoma in clinical, radiological, and pathological findings, is required.

  17. Epstein-Barr virus-infected cells in IgG4-related lymphadenopathy with comparison with extranodal IgG4-related disease.

    PubMed

    Takeuchi, Mai; Sato, Yasuharu; Yasui, Hiroshi; Ozawa, Hiroaki; Ohno, Kyotaro; Takata, Katsuyoshi; Gion, Yuka; Orita, Yorihisa; Tachibana, Tomoyasu; Itoh, Tomoo; Asano, Naoko; Nakamura, Shigeo; Swerdlow, Steven H; Yoshino, Tadashi

    2014-07-01

    IgG4-related lymphadenopathy with increased numbers of Epstein-Barr virus (EBV)-infected cells has been reported but not fully described. We analyzed 31 cases of IgG4-related lymphadenopathy and 24 cases of extranodal IgG4-related diseases for their possible relationship with EBV. Other types of reactive lymph nodes (22) and angioimmunoblastic T-cell lymphoma (AITL) (10) were also studied for comparison. EBV-encoded RNA (EBER) in situ hybridization revealed EBER(+) cells in 18 of 31 cases (58%) of IgG4-related lymphadenopathy. Increased EBER(+) cells were found in only 4 of 22 (18.1%) non-IgG4-related reactive lymphoid hyperplasia in patients of a similar age (P=0.002) and in only 5 of 24 (21%) extranodal IgG4-related biopsies (P=0.006). Interestingly, all patients with EBER(+) progressively transformed germinal center-type IgG4-related lymphadenopathy had systemic lymphadenopathy and/or extranodal involvement. AITL also is associated with EBV, and IgG4-related lymphadenopathy sometimes mimics the morphology of AITL; however, the number of IgG4(+) cells in AITL was significantly less than that in IgG4-related lymphadenopathy (P<0.001). Increased numbers of regulatory T cells are seen in IgG4-related disease; however, there was not a significant difference between the EBER(+) and EBER(-) cases. In conclusion, the presence of increased numbers of EBV-infected cells in IgG4-related lymphadenopathy, compared with other reactive lymphadenopathy or extranodal IgG4-related disease, suggests that there may be a relationship at least between nodal IgG4-related disease and EBV. It is important to avoid overdiagnosing these cases as malignant lymphomas or EBV-related lymphoproliferative disorders.

  18. Tumor in undescended intrapelvic testis revealed by supraclavicular lymphadenopathy: a case report and literature review

    PubMed Central

    2013-01-01

    Background Testicular cancer is a rare disease. The incidence of testicular cancer in undescended testicles is of 3 to 48 times greater than in the general population. In the developed countries, the existence of undescended testicles in the adult population is rare, due to systematic practice of elective orchidopexy before the second year of life and orchiectomy in post adolescent males with undescended testicles. Despite these prevention measures, there are still some isolated cases of intra-abdominal testicular tumors in adults. We report a case of testicular cancer in cryptorchid testis revealed by supraclavicular lymphadenopathy. Case presentation We report a case of a 46 year old fertile man with a history of unilateral cryptorchidism who presented with a palpable left supraclavicular mass and absence of the right testicle. On investigations an intrapelvic testis tumor was diagnosed. Laparotomy and complete excision was carried out. The possible association between the undescended testis and cancer transformations is briefly discussed. Conclusion Testicular cancer in undescended testicles should not be ignored. Only early diagnosis and lower of testis in scrotumprevent such clinical forms. PMID:23622500

  19. IgG4-related disease: description of a case with pulmonary lesions, mediastinal lymphadenopathies and rapidly progressive renal failure.

    PubMed

    Fernández Lorente, Loreto; Álvarez, Dolores López; López, Virginia García; Kollros, Vesna Abujder; Ariza, Aurelio; Gálvez, Alejandro; Bonet, Josep

    2015-01-01

    This is a case report of a 73-year-old man with new-onset acute renal failure while being investigated for pulmonary infiltrates and mediastinal lymphadenopathies. Urine tests showed tubular range proteinuria with no microhaematuria. Immunology tests showed elevated serum IgG and hypocomplementaemia (classical pathway activation). Renal biopsy and clinical-pathological correlation were crucial in this case, reinforcing their important role in the final diagnosis of acute kidney injury.

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

    PubMed

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

    2016-08-01

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

  1. Overcoming the challenges of BeiDou receiver implementation.

    PubMed

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

    2014-11-21

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

  2. Overcoming the Challenges of BeiDou Receiver Implementation

    PubMed Central

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

    2014-01-01

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

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

    PubMed Central

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

    2015-01-01

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

  4. Endobronchial Ultrasound–guided Transbronchial Needle Aspiration Prevents Mediastinoscopies in the Diagnosis of Isolated Mediastinal Lymphadenopathy

    PubMed Central

    Lawrence, David R.; Kolvekar, Shyam; Hayward, Martin; McAsey, Dorcas; Kocjan, Gabrijela; Falzon, Mary; Capitanio, Arrigo; Shaw, Penny; Morris, Stephen; Omar, Rumana Z.; Janes, Sam M.

    2012-01-01

    Rationale: Patients with isolated mediastinal lymphadenopathy (IML) are a common presentation to physicians, and mediastinoscopy is traditionally considered the “gold standard” investigation when a pathological diagnosis is required. Endobronchial ultrasound–guided transbronchial needle aspiration (EBUS-TBNA) is established as an alternative to mediastinoscopy in patients with lung cancer. Objective: To determine the efficacy and health care costs of EBUS-TBNA as an alternative initial investigation to mediastinoscopy in patients with isolated IML. Methods: Prospective multicenter single-arm clinical trial of 77 consecutive patients with IML from 5 centers between April 2009 and March 2011. All patients underwent EBUS-TBNA. If EBUS-TBNA did not provide a diagnosis, then participants underwent mediastinoscopy. Measurements and Main Results: EBUS-TBNA prevented 87% of mediastinoscopies (95% confidence interval [CI], 77–94%; P < 0.001) but failed to provide a diagnosis in 10 patients (13%), all of whom underwent mediastinoscopy. The sensitivity and negative predictive value of EBUS-TBNA in patients with IML were 92% (95% CI, 83–95%) and 40% (95% CI, 12–74%), respectively. One patient developed a lower respiratory tract infection after EBUS-TBNA, requiring inpatient admission. The cost of the EBUS-TBNA procedure per patient was £1,382 ($2,190). The mean cost of the EBUS-TBNA strategy was £1,892 ($2,998) per patient, whereas a strategy of mediastinoscopy alone was significantly more costly at £3,228 ($5,115) per patient (P < 0.001). The EBUS-TBNA strategy is less costly than mediastinoscopy if the cost per EBUS-TBNA procedure is less than £2,718 ($4,307) per patient. Conclusions: EBUS-TBNA is a safe, highly sensitive, and cost-saving initial investigation in patients with IML. Clinical trial registered with ClinicalTrials.gov (NCT00932854). PMID:22652031

  5. Precise Point Positioning with the BeiDou Navigation Satellite System

    PubMed Central

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

    2014-01-01

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

  6. Precise point positioning with the BeiDou navigation satellite system.

    PubMed

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

    2014-01-08

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

  7. Primary pancreatic sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): an unusual extranodal manifestation clinically simulating malignancy.

    PubMed

    Podberezin, Mark; Angeles, Ronald; Guzman, Grace; Peace, David; Gaitonde, Sujata

    2010-02-01

    Abstract Sinus histiocytosis with massive lymphadenopathy (SHML), also called Rosai-Dorfman disease, is a rare entity. Its etiology and pathogenesis are still essentially unclear. The histologic hallmark of this disease is proliferation of distinctive histiocytes within lymph node sinuses and in extranodal sites. Approximately 23% of patients with SHML, documented in the SHML Registry, presented with disease primarily in extranodal sites, and very few cases of SHML (<1%) involving the gastrointestinal system have been described in the literature. We report an unusual case of primary pancreatic SHML with infiltration of the process into peripancreatic, perinephric, and perisplenic adipose tissue, simulating malignancy.

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

    NASA Astrophysics Data System (ADS)

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

    2014-09-01

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

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

    EPA Science Inventory

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

  10. [Rosai-Dorfman's disease (sinus histiocytosis with massive lymphadenopathy): a report of a case and bibliographic review].

    PubMed

    Pérez, Enrique Quezada; Garibay, Gabriela Escobar; Vázquez, Maria Isabel Castrejón; de la Mora, Maria Teresa Gorraez; Bayardo, Ricardo Guido; Camaño, María Eugenia Vargas

    2008-01-01

    Rosai-Dorfman's illness, also denominated sinus histiocytosis with massive lymphadenopathy is considered benign entity of unknown etiology; although it is believed it may be due to alterations of immune system. It was described in 1969 by Rosai and Dorfman and there are nearly 500 cases worldwide reported. The most frequent clinical manifestation is massive lymph node enlargement, mainly cervical, but almost in the fifth percent of cases any lymph node may be affected. Diagnosis is pathological, without treatment of choice, evolution is often spontaneous resolution. In extraganglionar compromise, illness may be progressive and fatal. A45 year-old woman with cervical and nasal lymphadenopathy and fever is presented. Biopsy report: histiocytosis with emperipolesis phenomenon and immunohistochemical markers S-100, CD48, and CD45, positives. Encountering total T lymphopenia, mainly CD4+ diminished relationship CD4/CD8 and polyclonal gammopathy. Relevant in this case, clinical presentation multiple lymph nodes, distinct of other reported in our country whose presentation was mainly cutaneous plus association among Rosai-Dorfman with immunological changes and good clinical response to immunomodulator treatment, not previously seen, as in this patient.

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

    ERIC Educational Resources Information Center

    Lichtenstein, Amanda Leigh

    2003-01-01

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

  12. BeiDou Time Transfer With the Standard CGGTTS.

    PubMed

    Huang, Wei; Defraigne, Pascale

    2016-07-01

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

  13. Differential diagnosis between AML infiltration, lymphoma and tuberculosis in a patient presenting with fever and mediastinal lymphadenopathy: A case report

    PubMed Central

    ZHAO, NA; YANG, JUN-JIE; ZHANG, GUANG-SEN

    2014-01-01

    The diagnosis of tuberculosis in immunocompromised hosts is often difficult as the hosts have atypical tuberculosis symptoms. The current study presents a case of scrofula and pulmonary tuberculosis with acute myelocytic leukemia (AML). As the disease became aggravated, the patient presented with fever, hemophagocytosis in the bone marrow, lymphadenopathy of the supraclavicular fossa, and mediastinal and nodular shadow in the chest by computed tomography. The symptoms presented successively or were coexistent, which made differentiation between tuberculosis, lymphoma, AML infiltration or other infections challenging. The diagnosis of tuberculosis was based on clinical and radiographic observations, morphological observation of the biopsies and the positive effect of antituberculosis drugs, while Ziehl-Neelsen stainings for acid fast bacilli were negative. The patient was treated with antituberculosis drugs, while receiving chemotherapy for AML. It is important to distinguish tuberculosis in adults with AML from other causes of fever, mediastinal masses in radiographic observations and hemophagocytosis in the bone marrow. PMID:24527075

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

    PubMed Central

    Schmezer, Peter; Plass, Christoph

    2009-01-01

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

  15. Cat-scratch disease in adult hospitalized for prolonged-Fever associated with multiple lymphadenopathies and weight loss.

    PubMed

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

    2013-01-01

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

  16. Ultrasound Guided Core Biopsy versus Fine Needle Aspiration for Evaluation of Axillary Lymphadenopathy in Patients with Breast Cancer

    PubMed Central

    Ganott, Marie A.; Zuley, Margarita L.; Abrams, Gordon S.; Lu, Amy H.; Kelly, Amy E.; Chivukula, Mamatha; Carter, Gloria; Austin, R. Marshall; Bandos, Andriy I.

    2014-01-01

    Rationale and Objectives. To compare the sensitivities of ultrasound guided core biopsy and fine needle aspiration (FNA) for detection of axillary lymph node metastases in patients with a current diagnosis of ipsilateral breast cancer. Materials and Methods. From December 2008 to December 2010, 105 patients with breast cancer and abnormal appearing lymph nodes in the ipsilateral axilla consented to undergo FNA of an axillary node immediately followed by core biopsy of the same node, both with ultrasound guidance. Experienced pathologists evaluated the aspirate cytology without knowledge of the core histology. Cytology and core biopsy results were compared to sentinel node excision or axillary dissection pathology. Sensitivities were compared using McNemar's test. Results. Of 70 patients with axillary node metastases, FNA was positive in 55/70 (78.6%) and core was positive in 61/70 (87.1%) (P = 0.18). The FNA and core results were discordant in 14/70 (20%) patients. Ten cases were FNA negative/core positive. Four cases were FNA positive/core negative. Conclusion. Core biopsy detected six (8.6%) more cases of metastatic lymphadenopathy than FNA but the difference in sensitivities was not statistically significant. Core biopsy should be considered if the node is clearly imaged and readily accessible. FNA is a good alternative when a smaller needle is desired due to node location or other patient factors. This trial is registered with NCT01920139. PMID:24649373

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

    EPA Science Inventory

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

  18. Bedeutung der Informationsqualität bei Kaufentscheidungen im Internet

    NASA Astrophysics Data System (ADS)

    Gräfe, Gernot; Maaß, Christian

    Bei Kauf- und Verkaufsentscheidungen ist das Internet eine bedeutende Informationsquelle für Anbieter und Nachfrager. Während Anbieter ihre Produkte und Dienstleistungen sehr gut kennen und dazu Informationen bereitstellen, sehen sich Nachfrager oft mit einem Informationsdefizit konfrontiert. Sie haben unvollständige Kenntnisse über die Anbieter, ihre Produkte, Preise und weitere Geschäftsbedingungen und informieren sich daher im Internet. Die unausgewogene Informationsverteilung zwischen beiden Parteien wird als Informationsasymmetrie bezeichnet [Kaas 1991, S. 360], [Kleinaltenkamp 1992, S. 812], [Rohrbach 1997, S. 49].

  19. Use of core biopsy in diagnosing cervical lymphadenopathy: a viable alternative to surgical excisional biopsy of lymph nodes?

    PubMed

    Allin, D; David, S; Jacob, A; Mir, N; Giles, A; Gibbins, N

    2017-03-01

    OBJECTIVES Lymphoma often presents with a neck mass and while fine-needle aspiration cytology may be suggestive, tissue biopsy is required for reliable diagnosis and classification of a lymphoma that is sufficient to deliver the correct treatment for the patient. Traditionally, excisional biopsy of a lymph node has been the standard method of tissue sampling, providing ample tissue for assessment. However, this requires theatre time, and preceding fine-needle aspiration cytology, which may incur a delay. With careful use of tissue, coupled with advances in immunohistochemical and molecular investigative techniques, core biopsy provides a possible alternative to traditional fine-needle aspiration and excisional biopsy. In this study, we aimed to determine the efficacy of diagnosing neck masses. METHOD A retrospective analysis was performed of patients being investigated for a neck mass who were undergoing ultrasound-guided core biopsies of cervical lymph nodes over a 17-month period. The final histology report was scrutinised to assess whether adequate tissue was obtained to allow for full tissue diagnosis. RESULTS Over the 17-month period analysed, 70 patients with cervical lymphadenopathy underwent core biopsy. Of these, 63 (90%) were diagnostic for either lymphoma or other pathology and did not require further tissue sampling. Overall, 19 patients were diagnosed with lymphoma, of which only 1 required further biopsy due to inconclusive initial core biopsy. CONCLUSIONS Current guidelines for investigating lymphomas require that excisional biopsy be performed to obtain ample tissue to allow full nodal architecture assessment and ancillary investigation to reach an accurate histological classification. Within our head and neck multidisciplinary team, however, it is considered that results from core biopsies can be obtained in a more timely fashion and with histological accuracy equal to those of open biopsy. The results obtained demonstrate that core biopsy is an

  20. Elevated levels of interferon-induced 2'-5' oligoadenylate synthetase in generalized persistent lymphadenopathy and the acquired immunodeficiency syndrome.

    PubMed

    Read, S E; Williams, B R; Coates, R A; Evans, W K; Fanning, M M; Garvey, M B; Shepherd, F A

    1985-09-01

    The levels of the 2'-5' oligoadenylate enzyme synthetase in extracts of peripheral blood mononuclear cells from individuals with acquired immunodeficiency syndrome (AIDS) and AIDS-related complex (ARC) were measured and compared with synthetase levels in peripheral blood mononuclear cells (PBMs) from healthy heterosexual and homosexual controls. The mean basal synthetase level in heterosexual and homosexual controls was 14 +/- 13 and 12 +/- 9 pmol per hr/10(5) PBMs, respectively. Thirteen individuals with AIDS had a mean basal level of 129 +/- 75 pmol. Serial levels were persistently elevated in six of these individuals over a one- to 10-month period. Twelve of the 13 individuals had antibodies to human T cell lymphotrophic virus-III/lymphadenopathy-associated virus (HTLV-III/LAV). Thirty-three individuals with ARC had a mean basal synthetase level of 68 +/- 84 pmol. Thirty-two of the 33 had antibodies to HTLV-III/LAV. Eleven (33%) have had consistently normal synthetase levels (less than 2 SD above the mean for the homosexual controls, i.e., 30 pmol) over a three- to nine-month follow-up period. Fourteen (42%) had persistently elevated levels over the same period; four (29%) of these developed AIDS during the follow-up period. Eight have had fluctuating levels but have remained clinically well. These studies suggest that persistently elevated synthetase levels in individuals with ARC and antibodies to HTLV-III/LAV indicate progressive virus-induced disease activity. Elevated synthetase levels may be an important prognostic indicator of increased risk of progression to AIDS.

  1. Effective pressure law for permeability of E-bei sandstones

    NASA Astrophysics Data System (ADS)

    Li, M.; Bernabé, Y.; Xiao, W.-I.; Chen, Z.-Y.; Liu, Z.-Q.

    2009-07-01

    Laboratory experiments were conducted to determine the effective pressure law for permeability of tight sandstone rocks from the E-bei gas reservoir, China. The permeability k of five core samples was measured while cycling the confining pressure pc and fluid pressure pf. The permeability data were analyzed using the response-surface method, a statistical model-building approach yielding a representation of k in (pc, pf) space that can be used to determine the effective pressure law, i.e., peff = pc - κpf. The results show that the coefficient κ of the effective pressure law for permeability varies with confining pressure and fluid pressure as well as with the loading or unloading cycles (i.e., hysteresis effect). Moreover, κ took very small values in some of the samples, even possibly lower than the value of porosity, in contradiction with a well-accepted theoretical model. We also reanalyzed a previously published permeability data set on fissured crystalline rocks and found again that the κ varies with pc but did not observe κ values lower than 0.4, a value much larger than porosity. Analysis of the dependence of permeability on effective pressure suggests that the occurrence of low κ values may be linked to the high-pressure sensitivity of E-bei sandstones.

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

    SciTech Connect

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

    1996-12-31

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

  3. A Patient with Supraclavicular Lymphadenopathy and Anterior Mediastinal Mass Presenting as a Rare Case of Composite Lymphoma: A Case Report and Literature Review

    PubMed Central

    Raufi, Alex; Jerkins, James; Lyou, Yung; Jeyakumar, Deepa

    2016-01-01

    Composite lymphoma (CL) is a rare disease with 2 distinct lymphomas concurrently arising in a single patient with an estimated incidence of 1–4.7% of newly diagnosed lymphomas per year. CL most commonly involves 2 B-cell non-Hodgkin lymphomas (NHL) or a B-cell NHL with a Hodgkin lymphoma. Our case is unique in that it was a bilineage CL with both a T-cell and B-cell NHL, which has only been reported in a few case reports. A 49-year-old woman presented with several months of progressive cough, weight loss, dyspnea, and supraclavicular lymphadenopathy. Computed tomographic imaging done upon admission to the hospital found that she had extensive anterior and middle mediastinal lymphadenopathy as well as bilateral supraclavicular lymphadenopathy. The patient underwent an excisional biopsy on the supraclavicular lymph node and was found to have a composite lymphoma involving both a T-cell and B-cell NHL. Her final pathological diagnosis was peripheral T-cell lymphoma and lymphoplasmacytic lymphoma. The patient was found to have stage IIIB disease. Her HIV, hepatitis panel, and tuberculosis tests were all negative. She then underwent chemotherapy with dose-adjusted EPOCH-R (etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, and rituximab). The patient showed a complete response and was then referred to a bone marrow transplant center for an autologous hematopoietic stem cell transplant. CL is a rare disease composed of at least 2 distinct lymphomas concurrently arising in a single patient. Due to the complexity in having to treat multiple types of lymphoma simultaneously CL presents challenges with treatment and assessing prognosis. PMID:28203178

  4. EBUS-FNA of a station seven lymph node: an unusual presentation of a young nonsmoker male with hemoptysis and subcarinal lymphadenopathy.

    PubMed

    Lowenthal, Brett Matthew; Mahooti, Sepi

    2015-03-01

    Endobronchial ultrasound-guided fine needle aspiration (EBUS-FNA) is a safe and minimally invasive bronchoscopic technique that allows both visualization and cytologic sampling with a high diagnostic yield in a patient with mediastinal lymphadenopathy. Besides the most common indication of staging for a patient with a primary lung carcinoma, EBUS-FNA can be used to identify benign infectious and noninfectious processes as well as lymphoma and malignancy of unknown primary. Triaging of procured specimen for diagnostic, prognostic, and therapeutic ancillary studies requires appropriate clinical information at the time of rapid on site evaluation (ROSE) of smears. This case report demonstrates a young, previously healthy nonsmoker presenting clinically with cough, hemoptysis, and a 1.7 cm enlarged subcarinal lymph node by imaging. EBUS-FNA obtained smears from the lymph node revealed a pleomorphic population of smaller cells with a low nuclear to cytoplasmic ratio and prominent nucleoli, and larger cells had nuclei with bizarre shapes, mitoses, multinucleation, enlarged nucleoli, and pigmentation in a background of lymphocytes. The cytomorphologic and immunohistochemical workup of this case confirmed the unexpected diagnosis of metastatic melanoma. This result was a complete surprise to the clinical team managing the patient and prompted a thorough clinical workup. Subcarinal lymphadenopathy with metastatic malignant melanoma as the cause is rare. This case report highlights how ROSE and appropriate triaging of specimen were crucial in appropriately working up this case. We also survey the literature to review the reported unusual presentations of metastatic melanoma.

  5. Research Article. Improved Dual Frequency PPP Model Using GPS and BeiDou Observations

    NASA Astrophysics Data System (ADS)

    Afifi, A.; El-Rabbany, A.

    2017-02-01

    This paper introduces a new dual-frequency precise point positioning (PPP) model, which combines GPS and BeiDou observations. Combining GPS and BeiDou observations in a PPP model offers more visible satellites to the user, which is expected to enhance the satellite geometry and the overall PPP solution in comparison with GPSonly PPP solution. However, combining different GNSS constellations introduces additional biases, which require rigorous modelling, including GNSS time offset and hardware delays. In this research, ionosphere-free linear combination PPP model is developed. The additional biases, which result from combining the GPS and BeiDou observables, are lumped into a new unknown parameter identified as the inter-system bias. Natural Resources Canada's GPSPace PPP software is modified to enable a combined GPS/BeiDou PPP solution and to handle the newly introduced biases. A total of four data sets at four IGS stations are processed to verify the developed PPP model. Precise satellite orbit and clock products from the IGS-MGEX network are used to correct both of the GPS and BeiDou measurements. It is shown that a sub-decimeter positioning accuracy level and 25% reduction in the solution convergence time can be achieved with combining GPS and Bei-Dou observables in a PPP model, in comparison with the GPS-only PPP solution.

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

    PubMed

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

    2013-07-22

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

  7. Photochemical modeling of the Ozark isoprene volcano: MEGAN, BEIS, and their impacts on air quality predictions.

    PubMed

    Carlton, Annmarie G; Baker, Kirk R

    2011-05-15

    Biogenic volatile organic compounds (BVOCs) contribute substantially to atmospheric carbon, exerting influence on air quality and climate. Two widely used models, the Model of Emissions of Gases and Aerosols from Nature (MEGAN) and the Biogenic Emission Inventory System (BEIS) are employed to generate emissions for application in the CMAQ air quality model. Predictions of isoprene, monoterpenes, ozone, formaldehyde, and secondary organic carbon (SOC) are compared to surface and aloft measurements made during an intensive study in the Ozarks, a large isoprene emitting region. MEGAN and BEIS predict spatially similar emissions but magnitudes differ. The total VOC reactivity of the emissions, as developed for the CB05 gas-phase chemical mechanism, is a factor of 2 different between the models. Isoprene estimates by CMAQ-MEGAN are higher and more variable than surface and aloft measurements, whereas CMAQ-BEIS predictions are lower. CMAQ ozone predictions are similar and compare well with measurements using either MEGAN or BEIS. However, CMAQ-MEGAN overpredicts formaldehyde. CMAQ-BEIS SOC predictions are lower than observational estimates for every sample. CMAQ-MEGAN underpredicts SOC ∼ 80% of the time, despite overprediction of precursor VOCs. CMAQ-MEGAN isoprene predictions improve when prognostically predicted solar radiation is replaced with the GEWEX satellite product. CMAQ-BEIS does not exhibit similar photosensitivity.

  8. Pulmonary lesion of idiopathic plasmacytic lymphadenopathy with polyclonal hyperimmunoglobulinemia appears to be a cause of lymphoplasmacytic proliferation of the lung: a report of five cases.

    PubMed

    Kojima, Masaru; Nakamura, Naoya; Otuski, Yoshiro; Itoh, Hideaki; Ogawa, Yoshiyuki; Kobayashi, Hiroshi; Nakamura, Shigeo

    2008-01-01

    We report on pulmonary lesions seen in five cases of idiopathic plasmacytic lymphadenopathy with polyclonal hyperimmunoglobulinemia (IPL). This group of five patients consisted of two Japanese men (age: 33 and 45 years), and three Japanese women (age: 25, 43, and 48 years). All five cases were detected incidentally on routine chest X-rays, and had multiple small nodular lesions in the bilateral lungs. These pulmonary lesions were the initial clinical presentation of IPL in three cases in which, at the onset of disease, no lymphadenopathy was detected. At the disease onset, all five cases showed prominent IPL. In three cases examined, serum interleukin-6 was elevated, and anti-human immunodeficiency type-1 antibody was negative in three cases. Clinically, autoimmune disease was suspected for all five cases, and the various autoantibodies were investigated. Although anti-Scl 70 antibody was positive in one case, this patient had no symptoms of systemic sclerosis. Pathologically, all five lesions were characterized by well-demarcated masses that consisted of abundant reactive germinal centers and a dense lymphoplasmacytic infiltrate in the interfollicular area with a variable degree of interfollicular fibrosis. The immunohistochemical study and polymerase chain reaction demonstrated the polytypic nature of the plasma cells and B-cells. IPL is rare in lymphoproliferative disorders. However, pulmonary involvement may frequently occur in IPL patients. Moreover, pulmonary involvement seems to represent the initial clinical manifestation of IPL. Therapeutically, it is important to discriminate between pulmonary involvement of IPL and pulmonary benign or malignant pulmonary lymphoplasmacytic proliferation, particularly marginal zone B-cell lymphoma of the mucosa-associated lymphoid tissue type.

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

    PubMed Central

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

    2014-01-01

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

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

    PubMed

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

    2014-04-15

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

  11. User's guide to the Personal Computer version of the Biogenic Emissions Inventory System (PC-BEIS)

    SciTech Connect

    Pierce, T.E.; Baugues, K.A.

    1991-07-01

    The Personal Computer version of the Biogenic Emissions Inventory System (PC-BEIS) has been developed to allow users to estimate hourly emissions of biogenic non-methane hydrocarbon emissions for any county in the contiguous United States. PC-BEIS has been compiled using Microsoft FORTRAN and tested on IBM-compatible personal computers. The source code was written in ANSI FORTRAN 77 and should be transportable to most other computers. Emission rates depend on land use, leaf biomass, and emission factors. PC-BEIS also includes adjustments due to temperature and sunglight. A simple leaf energy balance module is included to allow more refined calculations of leaf temperature and sunlight through forest canopies. The user's guide briefly describes the technical background, provides an overview of computer aspects, and shows an example test case.

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

    NASA Astrophysics Data System (ADS)

    Li, Bofeng

    2016-07-01

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

  13. An atypical case of late-onset systemic lupus erythematosus with systemic lymphadenopathy and severe autoimmune thrombocytopenia/neutropenia mimicking malignant lymphoma.

    PubMed

    Tamaki, Keita; Morishima, Satoko; Nakachi, Sawako; Kitamura, Sakiko; Uchibori, Sachie; Tomori, Shouhei; Hanashiro, Taeko; Shimabukuro, Natsuki; Tedokon, Iori; Morichika, Kazuho; Nishi, Yukiko; Tomoyose, Takeaki; Karube, Kennosuke; Fukushima, Takuya; Masuzaki, Hiroaki

    2017-04-01

    Here, we report a rare case of systemic lupus erythematosus (SLE) with conspicuous manifestation of hematological abnormalities. At onset, the 52-year-old male patient showed systemic lymphadenopathy and splenomegaly, severe autoimmune thrombocytopenia, and autoimmune neutropenia. Bone marrow examination and lymph node biopsy excluded the possibility of malignant lymphoma. Based on laboratory findings, he was finally diagnosed with combined autoimmune cytopenia coupled with SLE. Atypical clinical manifestations of SLE prompted us to explore the possibility of autoimmune lymphoproliferative syndrome (ALPS). However, we did not detect an increased number of CD4(-)/CD8(-), CD3(+), TCRαβ(+) double-negative T cells in the circulating blood or dysfunctional T cell apoptosis in the Fas/Fas ligand pathway due to mutations in the FAS, FASLG or CASP10 genes. Combined autoimmune cytopenia is a rare clinical entity that in some cases co-occurs with other autoimmune diseases. Given that most SLE patients presenting atypical hematological manifestations at an early stage subsequently exhibit typical systemic manifestations, the present case raises the possibility that initial hematological abnormalities may be signs of unexpected SLE manifestations.

  14. Precise Point Positioning Model Using Triple GNSS Constellations: GPS, Galileo and BeiDou

    NASA Astrophysics Data System (ADS)

    Afifi, Akram; El-Rabbany, Ahmed

    2016-12-01

    This paper introduces a comparison between dual-frequency precise point positioning (PPP) post-processing model, which combines the observations of three different GNSS constellations, namely GPS, Galileo, and BeiDou and real-time PPP model. A drawback of a single GNSS system such as GPS, however, is the availability of sufficient number of visible satellites in urban areas. Combining GNSS observations offers more visible satellites to users, which in turn is expected to enhance the satellite geometry and the overall positioning solution. However, combining several GNSS observables introduces additional biases, which require rigorous modelling, including the GNSS time offsets and hardware delays. In this paper, a GNSS post-processing PPPP model is developed using ionosphere-free linear combination. The additional biases of the GPS, Galileo, and BeiDou combination are accounted for through the introduction of a new unknown parameter, which is identified as the inter-system bias, in the PPP mathematical model. Natural Resources Canada's GPSPace PPP software is modified to enable a combined GPS / Galileo / BeiDou PPP solution and to handle the newly inter-system bias. A total of four data sets at four IGS stations are processed to verify the developed PPP model. Precise satellite orbit and clock products from the IGS-MGEX network are used to correct of the GPS, Galileo and BeiDou measurements. For the real-time PPP model the corrections of the satellites orbit and clock are obtained through the international GNSS service (IGS) real-time service (RTS). GPS and Galileo Observations are used for the GNSS RTS-IGS PPP model as the RTS-IGS satellite products are not available for BeiDou satellites. This paper provides the GNSS RTS-IGS PPP model using different satellite clock corrections namely: IGS01, IGC01, IGS01, and IGS03. All PPP models results of convergence time and positioning precision are compared to the traditional GPS-only PPP model. It is shown that combining

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

    PubMed

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

    2016-11-15

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

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

    SciTech Connect

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

    2013-10-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2016-01-01

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

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

    PubMed

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

    2013-03-01

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

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

    PubMed

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

    2016-09-06

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

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

    PubMed Central

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

    2016-01-01

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

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

    PubMed Central

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

    2013-01-01

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

  2. [Lymphadenopathy: demarcation to malignant lymphomas].

    PubMed

    Feller, A C

    2013-05-01

    Recognition of the differential diagnosis between lymphadenitis and malignant lymphoma requires good knowledge of the basic forms of the disease as well in depth knowledge of the structure of the individual compartments. There are defined forms of lymphadenitis where the differential diagnosis to certain lymphoma entities is known. Other reactive structural alterations show indistinct limits so that a decision is only possible after using additional techniques, such as immunohistochemistry and molecular analyses. Finally, there are marginal areas which can only be clarified by including clinical data.

  3. Improving BeiDou real-time precise point positioning with numerical weather models

    NASA Astrophysics Data System (ADS)

    Lu, Cuixian; Li, Xingxing; Zus, Florian; Heinkelmann, Robert; Dick, Galina; Ge, Maorong; Wickert, Jens; Schuh, Harald

    2017-02-01

    Precise positioning with the current Chinese BeiDou Navigation Satellite System is proven to be of comparable accuracy to the Global Positioning System, which is at centimeter level for the horizontal components and sub-decimeter level for the vertical component. But the BeiDou precise point positioning (PPP) shows its limitation in requiring a relatively long convergence time. In this study, we develop a numerical weather model (NWM) augmented PPP processing algorithm to improve BeiDou precise positioning. Tropospheric delay parameters, i.e., zenith delays, mapping functions, and horizontal delay gradients, derived from short-range forecasts from the Global Forecast System of the National Centers for Environmental Prediction (NCEP) are applied into BeiDou real-time PPP. Observational data from stations that are capable of tracking the BeiDou constellation from the International GNSS Service (IGS) Multi-GNSS Experiments network are processed, with the introduced NWM-augmented PPP and the standard PPP processing. The accuracy of tropospheric delays derived from NCEP is assessed against with the IGS final tropospheric delay products. The positioning results show that an improvement in convergence time up to 60.0 and 66.7% for the east and vertical components, respectively, can be achieved with the NWM-augmented PPP solution compared to the standard PPP solutions, while only slight improvement in the solution convergence can be found for the north component. A positioning accuracy of 5.7 and 5.9 cm for the east component is achieved with the standard PPP that estimates gradients and the one that estimates no gradients, respectively, in comparison to 3.5 cm of the NWM-augmented PPP, showing an improvement of 38.6 and 40.1%. Compared to the accuracy of 3.7 and 4.1 cm for the north component derived from the two standard PPP solutions, the one of the NWM-augmented PPP solution is improved to 2.0 cm, by about 45.9 and 51.2%. The positioning accuracy for the up component

  4. Monte Carlo estimation of uncertainties in BEIS3 emission outputs and their effects on uncertainties in chemical transport model predictions

    NASA Astrophysics Data System (ADS)

    Hanna, S. R.; Russell, A. G.; Wilkinson, J. G.; Vukovich, J.; Hansen, D. A.

    2005-01-01

    A Monte Carlo (MC) probabilistic approach is used to estimate uncertainties in the emissions outputs of the Biogenics Emission Inventory System Version 3 (BEIS3) model and subsequent ozone outputs of three Chemical Transport Models (CTMs) due to uncertainties in many key BEIS3 biogenics emissions model parameters and inputs. BEIS3 was developed by the Environmental Protection Agency to estimate emissions of biogenic substances such as isoprene, monoterpenes, oxygenated and other volatile organic compounds (OVOCs), and biogenic nitric oxide (BNO). Uncertainties are investigated for three time periods, 24-29 May, 11-15 July, and 4-9 September 1995, which are ozone episodes that have been extensively studied by others as part of emissions control planning exercises. In the MC approach, 1000 samples are drawn randomly and independently from seventeen BEIS3 parameters and inputs, whose distribution shapes and variances are determined from literature reviews. The 95% confidence range on the calculated uncertainties in isoprene and BNO emissions cover approximately an order of magnitude. On the other hand, the 95% confidence ranges on the calculated uncertainties in monoterpenes and OVOC emissions are much smaller: about ±20%. Correlations are calculated between the 1000 MC samples of pairs of variations in model parameters or inputs and variations in BEIS3 daily emissions estimates for individual grid squares. A few significant correlations are found for some of the assumed model parameters. The MC uncertainties in the CTM-predicted 1- and 8-hour averaged ozone concentrations were studied by drawing 20 random samples from the 1000 sets of BEIS3 outputs and running each CTM (MAQSIP, UAM-V, and URM) 20 times for the three episodes. The estimated total uncertainties of ±15 to 20% are found to be nearly the same for the three CTMs over the three time periods, for 1- and 8-hour averages.

  5. Global Ionospheric Modelling using Multi-GNSS: BeiDou, Galileo, GLONASS and GPS.

    PubMed

    Ren, Xiaodong; Zhang, Xiaohong; Xie, Weiliang; Zhang, Keke; Yuan, Yongqiang; Li, Xingxing

    2016-09-15

    The emergence of China's Beidou, Europe's Galileo and Russia's GLONASS satellites has multiplied the number of ionospheric piercing points (IPP) offered by GPS alone. This provides great opportunities for deriving precise global ionospheric maps (GIMs) with high resolution to improve positioning accuracy and ionospheric monitoring capabilities. In this paper, the GIM is developed based on multi-GNSS (GPS, GLONASS, BeiDou and Galileo) observations in the current multi-constellation condition. The performance and contribution of multi-GNSS for ionospheric modelling are carefully analysed and evaluated. Multi-GNSS observations of over 300 stations from the Multi-GNSS Experiment (MGEX) and International GNSS Service (IGS) networks for two months are processed. The results show that the multi-GNSS GIM products are better than those of GIM products based on GPS-only. Differential code biases (DCB) are by-products of the multi-GNSS ionosphere modelling, the corresponding standard deviations (STDs) are 0.06 ns, 0.10 ns, 0.18 ns and 0.15 ns for GPS, GLONASS, BeiDou and Galileo, respectively in satellite, and the STDs for the receiver are approximately 0.2~0.4 ns. The single-frequency precise point positioning (SF-PPP) results indicate that the ionospheric modelling accuracy of the proposed method based on multi-GNSS observations is better than that of the current dual-system GIM in specific areas.

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

    NASA Astrophysics Data System (ADS)

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

    2016-04-01

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

  7. Comparison and Analysis of BeiDou Satellite Single-system Precise Orbit Determination

    NASA Astrophysics Data System (ADS)

    Liu, W. P.; Hao, J. M.; Deng, K.; Chen, Y. L.

    2016-09-01

    The method of double-difference dynamic precise orbit determination for BeiDou satellites by using both carrier phase and smoothed pseudo-range is presented. The data processing flows of zero-difference and double-difference dynamic precise orbit determination for BeiDou satellites are presented. And the two methods are analyzed. The precision of two methods is compared based on the real data. The results show that in the condition of stations layout and by using the two methods, the three-dimension precision of GEO (Geostationary Earth Orbit Satellite) can reach about 1 m, and those of IGSO (Inclined Geosynchronous Earth Orbit Satellite) and MEO (Medium Earth Orbit Satellite) can be better than 0.5 m. And the radial precision of the three kinds of orbit satellites can be all better than 10 cm. Compared with the zero-difference dynamic method, the orbit precision of GEO is better with the double-difference dynamic method, and that of IGSO is comparable, but that of MEO is worse.

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

    NASA Astrophysics Data System (ADS)

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

    2014-11-01

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

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

    EPA Science Inventory

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

  10. INTEGRATION OF THE BIOGENIC EMISSIONS INVENTORY SYSTEM (BEIS3) INTO THE COMMUNITY MULTISCALE AIR QUALITY MODELING SYSTEM

    EPA Science Inventory

    The importance of biogenic emissions for regional air quality modeling is generally recognized [Guenther et al., 2000]. Since the 1980s, biogenic emission estimates have been derived from algorithms such as the Biogenic Emissions Inventory System (BEIS) [Pierce et. al., 1998]....

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

    NASA Astrophysics Data System (ADS)

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

    2014-12-01

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

  12. Preface: BeiDou Navigation Satellite System (BDS)/GNSS+: Recent progress and new applications

    NASA Astrophysics Data System (ADS)

    Jin, Shuanggen

    2017-02-01

    Nowadays, the new China's BeiDou Navigation Satellite System (BDS) has been developed well. At the end of 2016, over 23 BDS satellites were launched, including five geostationary Earth orbit (GEO) satellites, five inclined geosynchronous orbit (IGSO) satellites and nine medium Earth orbit (MEO) satellites. The current BDS service covers China and most Asia-Pacific regions with accuracy of better than 10 m in positioning, 0.2 m/s in velocity and 50 ns in timing. The BDS with global coverage will be completely established by 2020 with five GEO satellites and 30 MEO satellites. The main function of BDS is the positioning, navigation and timing (PNT) as well as short message communications. Together with the United States' GPS, Russia's GLONASS and the European Union's Galileo system as well as other regional augmentation systems, more new applications of multi-Global Navigation Satellite Systems (GNSS) will be exploited and realized in the next decades.

  13. Min Bei Irradiation Center Food and Agriculture Organization project experience Jianou, Fujian Province, China

    NASA Astrophysics Data System (ADS)

    Thomas, Bruce John; Dan, Xu; Jingzhang, Ren

    1993-07-01

    The Food and Agriculture Organization(FAO), a Unitede Nations Organization, in an effort to increase food supplies by post harvest irradiation treatment participated in the development of the Min Bei Irradiation Center(MBIC) Located in Fujian Province, China. FAO inconjunction with Shanghai Nuclear Energy Research and Design Institute(SNERDI), MBIC staff, and the Ministry of Agriculture completed Project TCP CPR 6763/8961 culminating in the recent comissioning of one of China's nesest irradiation facilities. From the feasibility phase initiated in 1986, through the construction period and the eventual commissioning in 1991 FAO participated in the technical overview of the irradiation center. MBIC was developed both as a research and development center as well as a production irradiation facility for the primary purposes of reduction of post harvest food loss in Fujian Province. This retrospective review of the project provides a hindsight view for the development of MBIC.

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

    NASA Astrophysics Data System (ADS)

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

    2015-09-01

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

  15. Global Ionospheric Modelling using Multi-GNSS: BeiDou, Galileo, GLONASS and GPS

    NASA Astrophysics Data System (ADS)

    Ren, Xiaodong; Zhang, Xiaohong; Xie, Weiliang; Zhang, Keke; Yuan, Yongqiang; Li, Xingxing

    2016-09-01

    The emergence of China’s Beidou, Europe’s Galileo and Russia’s GLONASS satellites has multiplied the number of ionospheric piercing points (IPP) offered by GPS alone. This provides great opportunities for deriving precise global ionospheric maps (GIMs) with high resolution to improve positioning accuracy and ionospheric monitoring capabilities. In this paper, the GIM is developed based on multi-GNSS (GPS, GLONASS, BeiDou and Galileo) observations in the current multi-constellation condition. The performance and contribution of multi-GNSS for ionospheric modelling are carefully analysed and evaluated. Multi-GNSS observations of over 300 stations from the Multi-GNSS Experiment (MGEX) and International GNSS Service (IGS) networks for two months are processed. The results show that the multi-GNSS GIM products are better than those of GIM products based on GPS-only. Differential code biases (DCB) are by-products of the multi-GNSS ionosphere modelling, the corresponding standard deviations (STDs) are 0.06 ns, 0.10 ns, 0.18 ns and 0.15 ns for GPS, GLONASS, BeiDou and Galileo, respectively in satellite, and the STDs for the receiver are approximately 0.2~0.4 ns. The single-frequency precise point positioning (SF-PPP) results indicate that the ionospheric modelling accuracy of the proposed method based on multi-GNSS observations is better than that of the current dual-system GIM in specific areas.

  16. The Ionospheric Scintillation Effects on the BeiDou Signal Receiver.

    PubMed

    He, Zhijun; Zhao, Hongbo; Feng, Wenquan

    2016-11-09

    Irregularities in the Earth's ionosphere can make the amplitude and phase of radio signals fluctuate rapidly, which is known as ionospheric scintillation. Severe ionospheric scintillation could affect the performance of the Global Navigation Satellite System (GNSS). Currently, the Multiple Phase Screen (MPS) technique is widely used in solving problems caused by weak and strong scintillations. Considering that Southern China is mainly located in the area where moderate and intense scintillation occur frequently, this paper built a model based on the MPS technique and discussed the scintillation impacts on China's BeiDou navigation system. By using the BeiDou B1I signal, this paper analyzed the scintillation effects on the receiver, which includes the acquisition and tracking process. For acquisition process, this paper focused on the correlation peak and acquisition probability. For the tracking process, this paper focused on the carrier tracking loop and the code tracking loop. Simulation results show that under high scintillation intensity, the phase fluctuation could be -1.13 ± 0.087 rad to 1.40 ± 0.087 rad and the relative amplitude fluctuation could be -10 dB to 8 dB. As the scintillation intensity increased, the average correlation peak would decrease more than 8%, which could thus degrade acquisition performance. On the other hand, when the signal-to-noise ratio (SNR) is comparatively lower, the influence of strong scintillation on the phase locked loop (PLL) is much higher than that of weak scintillation. As the scintillation becomes more intense, PLL variance could consequently results in an error of more than 2.02 cm in carrier-phase based ranging. In addition, the delay locked loop (DLL) simulation results indicated that the pseudo-range error caused by strong scintillation could be more than 4 m and the consequent impact on positioning accuracy could be more than 6 m.

  17. Global Ionospheric Modelling using Multi-GNSS: BeiDou, Galileo, GLONASS and GPS

    PubMed Central

    Ren, Xiaodong; Zhang, Xiaohong; Xie, Weiliang; Zhang, Keke; Yuan, Yongqiang; Li, Xingxing

    2016-01-01

    The emergence of China’s Beidou, Europe’s Galileo and Russia’s GLONASS satellites has multiplied the number of ionospheric piercing points (IPP) offered by GPS alone. This provides great opportunities for deriving precise global ionospheric maps (GIMs) with high resolution to improve positioning accuracy and ionospheric monitoring capabilities. In this paper, the GIM is developed based on multi-GNSS (GPS, GLONASS, BeiDou and Galileo) observations in the current multi-constellation condition. The performance and contribution of multi-GNSS for ionospheric modelling are carefully analysed and evaluated. Multi-GNSS observations of over 300 stations from the Multi-GNSS Experiment (MGEX) and International GNSS Service (IGS) networks for two months are processed. The results show that the multi-GNSS GIM products are better than those of GIM products based on GPS-only. Differential code biases (DCB) are by-products of the multi-GNSS ionosphere modelling, the corresponding standard deviations (STDs) are 0.06 ns, 0.10 ns, 0.18 ns and 0.15 ns for GPS, GLONASS, BeiDou and Galileo, respectively in satellite, and the STDs for the receiver are approximately 0.2~0.4 ns. The single-frequency precise point positioning (SF-PPP) results indicate that the ionospheric modelling accuracy of the proposed method based on multi-GNSS observations is better than that of the current dual-system GIM in specific areas. PMID:27629988

  18. Ionenquelle mit Plasma-Anregung durch Mikrowellen bei Elektronen-Zyklotron-Resonanz

    NASA Astrophysics Data System (ADS)

    Hammer, K.; Weissmantel, C.

    Mit der Mikrowellen-Entladung bei Zyklotron-Resonanz ist eine effektive Plasma-Anregung möglich; es lassen sich Ionisationsgrade um 0,1 in Edel- und Reaktivgasen erreichen. Die Nutzung für Ionenquellen bietet gegenüber der unselbständigen Niederdruck-Bogenentladung eine Reihe von Vorteilen, insbesondere durch den Wegfall der Glühkatode. Es wird eine Breitstrahl-Ionenquelle beschrieben, die bei einer Extraktionsspannung von 1 kV Ionenströme bis zu 150 mA liefert. Die Ionenstromdichte läßt sich über einen Strahldurchmesser von 150 mm weitgehend konstant halten. Damit erfüllt die Mikrowellen-Ionenquelle Forderungen, wie sie beim Einsatz von Ionenstrahlverfahren in der Mikroelektronik gestellt werden.Translated AbstractIon Source with Plasma Generation by Microwaves in Electron Cyclotron ResonanceThe microwave discharge operated at cyclotron resonance allows to achieve an effective plasma generation; degrees of ionization of about 0,1 are feasible. The utilization in ion sources offers compared with non-selfsustained are discharges several advantages, in particular because the hot cathode is emitted. A broad-beam ion source is described which yields ion currents up to 150 mA at an extraction voltage of 1 kV. The ion current density could be maintained nearly constant over a beam diameter of 150 mm. Hence, the microwave ion source is shown to match the requirements for applications of ion beam processes in microelectronics.

  19. The Ionospheric Scintillation Effects on the BeiDou Signal Receiver

    PubMed Central

    He, Zhijun; Zhao, Hongbo; Feng, Wenquan

    2016-01-01

    Irregularities in the Earth’s ionosphere can make the amplitude and phase of radio signals fluctuate rapidly, which is known as ionospheric scintillation. Severe ionospheric scintillation could affect the performance of the Global Navigation Satellite System (GNSS). Currently, the Multiple Phase Screen (MPS) technique is widely used in solving problems caused by weak and strong scintillations. Considering that Southern China is mainly located in the area where moderate and intense scintillation occur frequently, this paper built a model based on the MPS technique and discussed the scintillation impacts on China’s BeiDou navigation system. By using the BeiDou B1I signal, this paper analyzed the scintillation effects on the receiver, which includes the acquisition and tracking process. For acquisition process, this paper focused on the correlation peak and acquisition probability. For the tracking process, this paper focused on the carrier tracking loop and the code tracking loop. Simulation results show that under high scintillation intensity, the phase fluctuation could be −1.13 ± 0.087 rad to 1.40 ± 0.087 rad and the relative amplitude fluctuation could be −10 dB to 8 dB. As the scintillation intensity increased, the average correlation peak would decrease more than 8%, which could thus degrade acquisition performance. On the other hand, when the signal-to-noise ratio (SNR) is comparatively lower, the influence of strong scintillation on the phase locked loop (PLL) is much higher than that of weak scintillation. As the scintillation becomes more intense, PLL variance could consequently results in an error of more than 2.02 cm in carrier-phase based ranging. In addition, the delay locked loop (DLL) simulation results indicated that the pseudo-range error caused by strong scintillation could be more than 4 m and the consequent impact on positioning accuracy could be more than 6 m. PMID:27834867

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

    NASA Astrophysics Data System (ADS)

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

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

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

    NASA Astrophysics Data System (ADS)

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

    2016-06-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2015-06-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2016-02-01

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

  4. Using BeiDou system for precise positioning in central Europe

    NASA Astrophysics Data System (ADS)

    Kwasniak, Dawid; Cellmer, Slawomir; Nowel, Krzysztof

    2016-04-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2015-11-01

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

  6. BeiDou Signal Acquisition with Neumann–Hoffman Code Modulation in a Degraded Channel

    PubMed Central

    Zhao, Lin; Liu, Aimeng; Ding, Jicheng; Wang, Jing

    2017-01-01

    With the modernization of global navigation satellite systems (GNSS), secondary codes, also known as the Neumann–Hoffman (NH) codes, are modulated on the satellite signal to obtain a better positioning performance. However, this leads to an attenuation of the acquisition sensitivity of classic integration algorithms because of the frequent bit transitions that refer to the NH codes. Taking weak BeiDou navigation satellite system (BDS) signals as objects, the present study analyzes the side effect of NH codes on acquisition in detail and derives a straightforward formula, which indicates that bit transitions decrease the frequency accuracy. To meet the requirement of carrier-tracking loop initialization, a frequency recalculation algorithm is proposed based on verified fast Fourier transform (FFT) to mitigate the effect, meanwhile, the starting point of NH codes is found. Then, a differential correction is utilized to improve the acquisition accuracy of code phase. Monte Carlo simulations and real BDS data tests demonstrate that the new structure is superior to the conventional algorithms both in detection probability and frequency accuracy in a degraded channel. PMID:28208776

  7. Airborne pseudolite aiding BeiDou system to improve positioning precision in low latitude areas

    NASA Astrophysics Data System (ADS)

    Ma, Weihua; Yuan, Jianping; Luo, Jianjun

    2005-11-01

    The BeiDou System (BDS), which has three satellites in Geostationary Earth Orbit (GEO), is a regional satellite navigation system of China and its positioning performance is notorious in low latitude areas. The two mending plans using Airborne Pseudolite (APL) aiding BDS to improve navigation precision in such areas are put forward. Plan I uses three BDS satellites and one APS to supply navigation data and Plan II employs two BDS satellites, one APS and altimeter to work. Both of the plans adopt point positioning with code pseudo-range algorithm. Geometric Dilution of Precision (GDOP), which is calculated by Positioning Error Transfer Coefficient Matrix (PETCM), is used to evaluate the positioning performance of new plans. PETCM is predigested when user is in low latitude areas. The key elements of predigested PETCM that effect the Geometric Dilution of Precision (GDOP) are analyzed. The character of GDOP is forecasted easily with the predigested PETCM. The simulations show that the precision of plans are expected to be hundreds of meters except some region where the latitudes of user and APL are close to each other and Plan II is better than plan I. The phenomenal consists with the theoretical analysis.

  8. Inhibition of the in vitro infectivity and cytopathic effect of human T-lymphotrophic virus type III/lymphadenopathy-associated virus (HTLV-III/LAV) by 2',3'-dideoxynucleosides.

    PubMed Central

    Mitsuya, H; Broder, S

    1986-01-01

    Human T-lymphotropic virus type III (HTLV-III)/lymphadenopathy-associated virus (LAV) is a a newly discovered lymphotropic retrovirus that is cytopathic for helper/inducer T cells in vitro. This virus is the etiologic agent of the acquired immunodeficiency syndrome and related diseases. In the current study, we tested the capacity of purine and pyrimidine nucleoside derivatives to inhibit the infectivity and cytopathic effect of human T-lymphotropic virus type III in vitro. With the ribose moiety of the molecule in a 2',3'-dideoxy configuration, every purine (adenosine, guanosine, and inosine) and pyrimidine (cytidine and thymidine) nucleoside tested suppressed the virus, although the thymidine derivative seemed to have substantially less activity in our system than the others. In general, we observed essentially complete suppression of the virus at doses that were lower by a factor of 10 to 20 than those needed to inhibit the proliferation of the target T cells and the immune reactivity of normal T cells in vitro. An analysis of five adenosine congeners, which differed only in the sugar moiety, revealed that reduction (an absence of hydroxyl determinants) at both the 2' and 3' carbons of the ribose was necessary for an anti-viral effect, and an additional reduction at the 5' carbon nullified the anti-viral activity. These observations may be of value in developing a new class of experimental drugs for the therapy of human T-lymphotropic virus type III infections. PMID:3006077

  9. User's guide to the Personal Computer Version of the Biogenic Emissions Inventory System (PC-BEIS). Final report, June 1989-December 1990

    SciTech Connect

    Pierce, T.

    1991-01-01

    The Personal Computer Version of the Biogenic Emissions Inventory System (PC-BEIS) has been developed to allow users to estimate hourly emissions of biogenic non-methane hydrocarbon emissions for any county in the contiguous United States. PC-BEIS has been compiled using Microsoft FORTRAN and tested on IBM-compatible personal computers. The source code was written in ANSI FORTRAN 77 and should be transportable to most other computers. Emission rates depend on land use, leaf biomass, and emission factors. PC-BEIS also includes adjustments due to temperature and sunlight. A simple leaf energy balance module is included to allow more refined calculations of leaf temperature and sunlight through forest canopies. The user's guide briefly describes the technical background, provides an overview of computer aspects, and shows an example test case.

  10. Applications of two-way satellite time and frequency transfer in the BeiDou navigation satellite system

    NASA Astrophysics Data System (ADS)

    Zhou, ShanShi; Hu, XiaoGong; Liu, Li; Guo, Rui; Zhu, LingFeng; Chang, ZhiQiao; Tang, ChengPan; Gong, XiuQiang; Li, Ran; Yu, Yang

    2016-10-01

    A two-way satellite time and frequency transfer (TWSTFT) device equipped in the BeiDou navigation satellite system (BDS) can calculate clock error between satellite and ground master clock. TWSTFT is a real-time method with high accuracy because most system errors such as orbital error, station position error, and tropospheric and ionospheric delay error can be eliminated by calculating the two-way pseudorange difference. Another method, the multi-satellite precision orbit determination (MPOD) method, can be applied to estimate satellite clock errors. By comparison with MPOD clock estimations, this paper discusses the applications of the BDS TWSTFT clock observations in satellite clock measurement, satellite clock prediction, navigation system time monitor, and satellite clock performance assessment in orbit. The results show that with TWSTFT clock observations, the accuracy of satellite clock prediction is higher than MPOD. Five continuous weeks of comparisons with three international GNSS Service (IGS) analysis centers (ACs) show that the reference time difference between BeiDou time (BDT) and golbal positoning system (GPS) time (GPST) realized IGS ACs is in the tens of nanoseconds. Applying the TWSTFT clock error observations may obtain more accurate satellite clock performance evaluation in the 104 s interval because the accuracy of the MPOD clock estimation is not sufficiently high. By comparing the BDS and GPS satellite clock performance, we found that the BDS clock stability at the 103 s interval is approximately 10-12, which is similar to the GPS IIR.

  11. Ground track maintenance for BeiDou IGSO satellites subject to tesseral resonances and the luni-solar perturbations

    NASA Astrophysics Data System (ADS)

    Fan, Li; Jiang, Chao; Hu, Min

    2017-02-01

    Eight inclined geosynchronous satellite orbit (IGSO) satellites in the Chinese BeiDou Navigation Satellite System (BDS) have been put in orbit until now. IGSO is a special class of geosynchronous circular orbit, with the inclination not equal to zero. It can provide high elevation angle coverage to high-latitude areas. The geography longitude of the ground track cross node is the main factor to affect the ground coverage areas of the IGSO satellites. In order to ensure the navigation performance of the IGSO satellites, the maintenance control of the ground track cross node is required. Considering the tesseral resonances and the luni-solar perturbations, a control approach is proposed to maintain the ground track for the long-term evolution. The drifts of the ground track cross node of the IGSO satellites are analyzed, which is formulated as a function of the bias of the orbit elements and time. Based on the derived function, a method by offsetting the semi-major axis is put forward to maintain the longitude of the ground track cross node, and the offset calculation equation is presented as well. Moreover, the orbit inclination is adjusted to maintain the location angle intervals between each two IGSO satellites. Finally, the precision of the offset calculation equation is analyzed to achieve the operational deployment. Simulation results show that the semi-major axis offset method is effective, and its calculation equation is accurate. The proposed approach has been applied to the maintenance control of BeiDou IGSO satellites.

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

    NASA Astrophysics Data System (ADS)

    Wang, Shi-tai; Peng, Jun-huan

    2015-12-01

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

  13. Ambiguity resolved precise point positioning with GPS and BeiDou

    NASA Astrophysics Data System (ADS)

    Pan, Li; Xiaohong, Zhang; Fei, Guo

    2017-01-01

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

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed

    Xun, Yan; Xuegang, Luo

    2015-07-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2014-09-01

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

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

    PubMed

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

    2015-02-09

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

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

    NASA Astrophysics Data System (ADS)

    Guo, Ying; Jin, Lili; Sun, Hongjuan

    2010-11-01

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

  19. BeiDou satellite's differential code biases estimation based on uncombined precise point positioning with triple-frequency observable

    NASA Astrophysics Data System (ADS)

    Fan, Lei; Li, Min; Wang, Cheng; Shi, Chuang

    2017-02-01

    The differential code bias (DCB) of BeiDou satellite is an important topic to make better use of BeiDou system (BDS) for many practical applications. This paper proposes a new method to estimate the BDS satellite DCBs based on triple-frequency uncombined precise point positioning (UPPP). A general model of both triple-frequency UPPP and Geometry-Free linear combination of Phase-Smoothed Range (GFPSR) is presented, in which, the ionospheric observable and the combination of triple-frequency satellite and receiver DCBs (TF-SRDCBs) are derived. Then the satellite and receiver DCBs (SRDCBs) are estimated together with the ionospheric delay that is modeled at each individual station in a weighted least-squares estimator, and the satellite DCBs are determined by introducing the zero-mean condition of all available BDS satellites. To validate the new method, 90 day's real tracking GNSS data (from January to March in 2014) collected from 9 Multi-GNSS Experiment (MGEX) stations (equipped with Trimble NETR9 receiver) is used, and the BDS satellite DCB products from German Aerospace Center (DLR) are taken as reference values for comparison. Results show that the proposed method is able to precisely estimate BDS satellite DCBs: (1) the mean value of the day-to-day scattering for all available BDS satellites is about 0.24 ns, which is reduced in average by 23% when compared with the results derived by only GFPSR. Moreover, the mean value of the day-to-day scattering of IGSO satellites is lower than that of GEO and MEO satellites; (2) the mean value of RMS of the difference with respect to DLR DCB products is about 0.39 ns, which is improved by an average of 11% when compared with the results derived by only GFPSR. Besides, the RMS of IGSO and MEO satellites is at the same level which is better than that of GEO satellites.

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

    PubMed Central

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

    2015-01-01

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

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

    PubMed

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

    2016-01-20

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

  2. Sea level change from BeiDou Navigation Satellite System-Reflectometry (BDS-R): First results and evaluation

    NASA Astrophysics Data System (ADS)

    Jin, Shuanggen; Qian, Xiaodong; Wu, X.

    2017-02-01

    Sea level changes affect human living environments, particularly ocean coasts. The tide gauges (TG) can measure sea level change, while it is the relative variations with respect to the land. Recently, GPS-Reflectometry (GPS-R) has been demonstrated to measure sea level change as an altimetry. With the rapid development of China's BeiDou Navigation Satellite System (BDS), it may provide a new possible opportunity to monitor sea level changes with three frequencies (L2, L6 and L7). In this paper, BDS-Reflectometry (BDS-R) is the first time used to estimate the sea level changes based on Signal-to-Noise Ratio (SNR) data and triple-frequency phase and code combinations, which are compared to tide gauge observations. Results show that sea level changes from BDS SNR and phase combination have a good agreement with correlation coefficients of 0.83-0.91 and RMSEs of less than 0.6 m, while BDS code combination is not as good as others. Furthermore, a new negative linear model between phase and code peak frequencies and tide gauge observations is further obtained and analyzed, which improves the results from three-frequency phase and code combinations with the RMSE of about 10 cm and 18 cm.

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

    PubMed

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

    2015-12-01

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

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

    PubMed Central

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

    2016-01-01

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

  5. Accuracy analysis of continuous deformation monitoring using BeiDou Navigation Satellite System at middle and high latitudes in China

    NASA Astrophysics Data System (ADS)

    Jiang, Weiping; Xi, Ruijie; Chen, Hua; Xiao, Yugang

    2017-02-01

    As BeiDou Navigation Satellite System (BDS) has been operational in the whole Asia-Pacific region, it means a new GNSS system with a different satellite orbit structure will become available for deformation monitoring in the future. Conversely, GNSS deformation monitoring data are always processed with a regular interval to form displacement time series for deformation analysis, where the interval can neither be too long from the time perspective nor too short from the precision of determined displacements angle. In this paper, two experimental platforms were designed, with one being at mid-latitude and another at higher latitude in China. BDS data processing software was also developed for investigating the accuracy of continuous deformation monitoring using current in-orbit BDS satellites. Data over 20 days at both platforms were obtained and were processed every 2, 4 and 6 h to generate 3 displacement time series for comparison. The results show that with the current in-orbit BDS satellites, in the mid-latitude area it is easy to achieve accuracy of 1 mm in horizontal component and 2-3 mm in vertical component; the accuracy could be further improved to approximately 1 mm in both horizontal and vertical directions when combined BDS/GPS measurements are employed. At higher latitude, however, the results are not as good as expected due to poor satellite geometry, even the 6 h solutions could only achieve accuracy of 4-6 and 6-10 mm in horizontal and vertical components, respectively, which implies that it may not be applicable to very high-precision deformation monitoring at high latitude using the current BDS. With the integration of BDS and GPS observations, however, in 4-h session, the accuracy can achieve 2 mm in horizontal component and 4 mm in vertical component, which would be an optimal choice for high-accuracy structural deformation monitoring at high latitude.

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

    PubMed Central

    Guo, Fei; Li, Xin; Liu, Wanke

    2016-01-01

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

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

    PubMed

    Guo, Fei; Li, Xin; Liu, Wanke

    2016-06-18

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

  8. [The classification method of syndromes in the Bei ji qian jin yao fang (Essential Recipes for Emergent Use Worth A Thousand Gold)].

    PubMed

    Shen, Xiaowei; Zheng, Wenjie; Ma, Mingyue; Zhang, Zhibin

    2014-03-01

    Bei ji qian jin yao fang (Essential Recipes for Emergent Use Worth A Thousand Gold) epitomizes the medical achievements of the Tang Dynasty with an extensive coverage. The classification method of syndromes in this book is derived from Nei jing (Inner Canon), Nan jing (Classic of Questioning), Shang han za bing lun (Treatise on Cold Pathogenic and Miscellaneous Diseases), Zhu bing yuan hou lun (General Treatise on Causes and Manifestations of All Diseases), and enlightens the later generation with many unique characteristics, reflecting the mature recognition of the diseases in the contemporary clinical medicine from one side. It is still of great significance for understanding the diseases and exploring its pathogenesis even today.

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

    NASA Astrophysics Data System (ADS)

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

    2015-01-01

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

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

    NASA Astrophysics Data System (ADS)

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

    2015-10-01

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

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

    PubMed Central

    Jan, Shau-Shiun; Tao, An-Lin

    2016-01-01

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

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

    PubMed

    Jan, Shau-Shiun; Tao, An-Lin

    2016-05-13

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

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

    NASA Astrophysics Data System (ADS)

    Kirchner, H.

    1981-08-01

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

  14. Nqrs Data for BeH14I4O18 [BeI2O6·2(HIO3)·6(H2O)] (Subst. No. 0389)

    NASA Astrophysics Data System (ADS)

    Chihara, H.; Nakamura, N.

    This document is part of Subvolume A `Substances Containing Ag … C10H15' of Volume 48 `Nuclear Quadrupole Resonance Spectroscopy Data' of Landolt-Börnstein - Group III `Condensed Matter'. It contains an extract of Section `3.2 Data tables' of the Chapter `3 Nuclear quadrupole resonance data' providing the NQRS data for BeH14I4O18 [BeI2O6·2(HIO3)·6(H2O)] (Subst. No. 0389)

  15. Persistent Lymphadenopathy due to IgG4-Related Disease

    DTIC Science & Technology

    2012-10-01

    unnecessary tests and procedures. 2. Case Presentation A 28-year-old female with no significant past medical history presented to her primary care...removed, again without an obvious etiology. Rheumatology was then consulted and expanded the differential to include systemic lupus erythematosus...count on cytometry Mycobacterial infection AFB culture of lymph node (negative) Systemic lupus erythematosus ANA panel (1 : 160) Anti-dsDNA and anti

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

    SciTech Connect

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

    1996-03-01

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

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

    NASA Astrophysics Data System (ADS)

    Geng, T.

    2015-12-01

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

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

    PubMed Central

    Jan, Shau-Shiun; Tao, An-Lin

    2014-01-01

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

  19. [Effects of compound Zhe-Bei granule (CZBG) combined with doxorubicin on expression of membrane transport proteins in K562/A02 cell xenografts].

    PubMed

    Li, Dong-Yun; Zheng, Zhi; Hou, Li; Jiang, Miao; Dong, Qing; Tian, Shao-Dan; Ma, Wei; Chen, Ju; Wang, Jing; Chen, Xin-Yi

    2010-02-01

    This study was purposed to investigate the effects of compound Zhe-Bei granule (CZBG) combined with doxorubicin on expressions of P-gp, MRP, LRP in K562/A02 cell xenografts. Tumor xenograft model were established by injecting the multidrug resistant cell line K562/A02 in the axillary flank of BALB/c-nu-nu mice. CZBG-intragastric administration and doxorubicin-intraperitoneal injection in combination were given to the BALB/c-nu nude mice. The tumor xenografts were made into slice after the dissection, and the expression of P-gp, MRP, LRP in K562/A02 tumor xenografts in mice were investigated by immunohistochemical technique. The integral optical density (IOD) of P-gp, MRP, LRP in K562/A02 tumor xenografts were measured by Image Pro Plus 6.0. The results showed that as compared with the doxorubicin alone, the combination of the doxorubicin and CZBG with high, middle and low dosage could decrease IOD of P-gp, MRP in K562/A02 tumor xenografts with statistical significance (p < 0.05). The LRP expression in K562/A02 tumor xenografts was not observed in five groups. It is concluded that the combination of CZBG with doxorubicin decreases the expressions of P-gp, MRP in K562/A02 tumor xenografts of mice.

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

    PubMed

    Jan, Shau-Shiun; Tao, An-Lin

    2014-08-19

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

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

    NASA Astrophysics Data System (ADS)

    Möseneder, Jutta M.

    2002-01-01

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

  2. A Geometry-Based Cycle Slip Detection and Repair Method with Time-Differenced Carrier Phase (TDCP) for a Single Frequency Global Position System (GPS) + BeiDou Navigation Satellite System (BDS) Receiver

    PubMed Central

    Qian, Chuang; Liu, Hui; Zhang, Ming; Shu, Bao; Xu, Longwei; Zhang, Rufei

    2016-01-01

    As the field of high-precision applications based on carriers continues to expand, the development of low-cost, small, modular receivers and their application in diverse scenarios and situations with complex data quality has increased the requirements of carrier-phase data preprocessing. A new geometry-based cycle slip detection and repair method based on Global Position System (GPS) + BeiDou Navigation Satellite System (BDS) is proposed. The method uses a Time-differenced Carrier Phase (TDCP) model, which eliminates the Inner-System Bias (ISB) between GPS and BDS, and it is conducive to the effective combination of GPS and BDS. It avoids the interference of the noise of the pseudo-range with cycle slip detection, while the cycle slips are preserved as integers. This method does not limit the receiver frequency number, and it is applicable to single-frequency data. The process is divided into two steps to detect and repair cycle slip. The first step is cycle slip detection, using the Improved Local Analysis Method (ILAM) to find satellites that have cycle slips; The second step is to repair the cycle slips, including estimating the float solution of changes in ambiguities at the satellites that have cycle slips with the least squares method and the integer solution of the cycle slips by rounding. In the process of rounding, in addition to the success probability, a decimal test is carried out to validate the result. Finally, experiments with filed test data are carried out to prove the effectiveness of this method. The results show that the detectable cycle slips number with GPS + BDS is much greater than that with GPS. The method can also detect the non-integer outliers while fixing the cycle slip. The maximum decimal bias in repair is less than that with GPS. It implies that this method takes full advantages of multi-system. PMID:27929390

  3. A Geometry-Based Cycle Slip Detection and Repair Method with Time-Differenced Carrier Phase (TDCP) for a Single Frequency Global Position System (GPS) + BeiDou Navigation Satellite System (BDS) Receiver.

    PubMed

    Qian, Chuang; Liu, Hui; Zhang, Ming; Shu, Bao; Xu, Longwei; Zhang, Rufei

    2016-12-05

    As the field of high-precision applications based on carriers continues to expand, the development of low-cost, small, modular receivers and their application in diverse scenarios and situations with complex data quality has increased the requirements of carrier-phase data preprocessing. A new geometry-based cycle slip detection and repair method based on Global Position System (GPS) + BeiDou Navigation Satellite System (BDS) is proposed. The method uses a Time-differenced Carrier Phase (TDCP) model, which eliminates the Inner-System Bias (ISB) between GPS and BDS, and it is conducive to the effective combination of GPS and BDS. It avoids the interference of the noise of the pseudo-range with cycle slip detection, while the cycle slips are preserved as integers. This method does not limit the receiver frequency number, and it is applicable to single-frequency data. The process is divided into two steps to detect and repair cycle slip. The first step is cycle slip detection, using the Improved Local Analysis Method (ILAM) to find satellites that have cycle slips; The second step is to repair the cycle slips, including estimating the float solution of changes in ambiguities at the satellites that have cycle slips with the least squares method and the integer solution of the cycle slips by rounding. In the process of rounding, in addition to the success probability, a decimal test is carried out to validate the result. Finally, experiments with filed test data are carried out to prove the effectiveness of this method. The results show that the detectable cycle slips number with GPS + BDS is much greater than that with GPS. The method can also detect the non-integer outliers while fixing the cycle slip. The maximum decimal bias in repair is less than that with GPS. It implies that this method takes full advantages of multi-system.

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

    PubMed

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

    2016-06-01

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

  5. Reactive lymphadenopathy in Ugandan patients and its relationship to EBV and HIV infection.

    PubMed

    Kalungi, Sam; Wabinga, Henry; Bostad, Leif

    2009-04-01

    In Uganda, a large number of biopsied enlarged lymph nodes is diagnosed as reactive lymphoid hyperplasia (RLH) not indicative of a specific etiologic agent. The aim of this study was to examine the spectrum of RLH in lymph node biopsies in Ugandan patients and their possible association with HIV and EBV infection. Ninety biopsies were retrieved and included in the study. The predominant RLH type was follicular, found in 45 (50.0%) of the cases. Positive staining for LMP-1 was found in six cases (6.7%), EBNA-1 in 36 cases (40.0%) and HIV1-p24 in 15 cases (16.7%), respectively. A combination of EBV and HIV positivity was found in 46 (52.2%) of the cases. EBV infection was associated with hyperplastic germinal centers (p<0.01). HIV1-p24 positive staining was associated with follicle fragmentation (p<0.01) but not hyperplastic GC (p=0.08). In conclusion, RLH in Ugandan patients is frequently associated with EBV and HIV infection. The histologic features of the lymph nodes are not specific for any individual infection, but a high number of EBV-positive cases are associated with hyperplastic GC, and follicular fragmentation is characteristic of HIV infection.

  6. A Case of an Epithelioid Hemangioendothelioma Arising from the Innominate Vein Mimicking Cervical Metastatic Lymphadenopathy

    PubMed Central

    Schwartz, Isaac E.; Prescher, Lindsey M.; Pratt, Theodore C.

    2016-01-01

    Background. Epithelioid hemangioendothelioma (EHE) is a rare tumor usually presenting in soft tissue. EHE is a vascular malignancy of intermediate clinical behavior, with a histologic appearance of endothelial cells growing in nests or cords. Although EHE often originates from a vessel, it is relatively rare for a primary vascular EHE to originate from a large vein or artery. Occurrence in the mediastinum is exceptionally rare. There are no known associations with other malignancies. Case Presentation. We present a case of mediastinal invasive EHE in a 39-year-old female with concurrent papillary thyroid cancer. She initially presented with a thyroid mass found by her primary care provider, with preoperative imaging concerning for extension into the superior mediastinum. Operative exploration revealed a mediastinal mass distinct from her thyroid carcinoma with invasion into the great vessels, requiring off-pump interposition graft bypass for en bloc resection. Final pathology confirmed pT3N1b multifocal papillary thyroid carcinoma with a separate grade 1 pT1b EHE. Review of the literature describes the demographics, updated pathologic outcomes, histologic findings, and reported incidence of EHE. Conclusions. This is the first reported case of thyroid malignancy with separate and concurrent EHE. Surgeons should remain aware of this entity given its variable behavior. Although initially described as an indolent neoplasm, tumors with poor prognostic factors have been shown to be locally aggressive. PMID:28058125

  7. Serum immunoglobulin G subclass dysbalances in the lymphadenopathy syndrome and acquired immune deficiency syndrome.

    PubMed Central

    Aucouturier, P; Couderc, L J; Gouet, D; Danon, F; Gombert, J; Matheron, S; Saimot, A G; Clauvel, J P; Preud'homme, J L

    1986-01-01

    Serum IgG subclass levels were measured by an indirect competitive immunoenzymatic assay with monoclonal antibodies in 61 adult patients of different geographic origins affected either with the lymphoadenopathy syndrome (LAS, 46 cases) or with the acquired immune deficiency syndrome (AIDS, 15 cases). In spite of considerable variations from patient to patient, IgG-1 and IgG-3 levels were higher than in normal Caucasians, with IgG-1 levels much more elevated in LAS than in AIDS patients. In Caucasians with AIDS or LAS, IgG-4 levels were low. IgG-2 levels tended to be low and correlated negatively with IgG-1 levels. IgG subclass imbalances were especially striking in patients with lymphoid interstitial pneumonitis. The results suggest that the IgG increase predominantly affects the less T-dependent subclasses. The low levels of the more T-dependent isotypes do not appear to play a clear role in the occurrence of pyogenic infections in certain patients. PMID:3955884

  8. Unverstandene Horaz-Zitate bei Nicolaus Copernicus.

    NASA Astrophysics Data System (ADS)

    Krafft, F.

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

  9. Recurrent neck abscesses due to cervical tuberculous lymphadenopathy in an elderly woman post-splenectomy: a case report

    PubMed Central

    2011-01-01

    Introduction There are approximately 7000 new cases of tuberculosis every year in the UK, the majority of which are pulmonary. Approximately 5% affect the lymph nodes in immunocompetent patients. Scrofula is an old term used to describe lymph nodes of the neck infected with tuberculosis Case presentation In the elderly population, growing neck lumps are always treated as red flags until a diagnosis is confirmed. Here, the case of an 89-year-old Caucasian woman is presented. She was reluctant to seek medical help as she feared the cause was sinister and did not want surgical intervention. Conclusion It is difficult to culture tuberculosis from superficial swabs, resulting in a high proportion of false negative results. Where there is a high degree of clinical suspicion for tuberculosis, it is important to consider a biopsy with culture. Patients over the age of 65 have waning immunity and are therefore a vulnerable group for acute infections as well as the re-activation of indolent organisms. Post-splenectomy patients are at a major disadvantage during sepsis and when a cellular immune response is required, such as when faced with a Mycobacterium tuberculosis infection. Scrofula is treated with a similar regime as pulmonary tuberculosis and has a near 100% success rate. PMID:22185644

  10. Cat scratch disease, a rare cause of hypodense liver lesions, lymphadenopathy and a protruding duodenal lesion, caused by Bartonella henselae.

    PubMed

    van Ierland-van Leeuwen, Marloes; Peringa, Jan; Blaauwgeers, Hans; van Dam, Alje

    2014-10-29

    A 46-year-old woman presented with right upper abdominal pain and fever. At imaging, enlarged peripancreatic and hilar lymph nodes, as well as hypodense liver lesions, were detected, suggestive of malignant disease. At endoscopy, the mass adjacent to the duodenum was seen as a protruding lesion through the duodenal wall. A biopsy of this lesion, taken through the duodenal wall, showed a histiocytic granulomatous inflammation with necrosis. Serology for Bartonella henselae IgM was highly elevated a few weeks after presentation, consistent with the diagnosis of cat scratch disease. Clinical symptoms subsided spontaneously and, after treatment with azithromycin, the lymphatic masses, liver lesions and duodenal ulceration disappeared completely.

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

    PubMed

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

    1992-04-01

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

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

    ERIC Educational Resources Information Center

    Grabski, Michael; Stede, Manfred

    2006-01-01

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

  13. Astronomen bei der Arbeit - Live-Konferenz mit La Palma

    NASA Astrophysics Data System (ADS)

    Beck, Paul G.

    2012-02-01

    "Wie kann man sich die nächtliche Arbeit eines Astronomen am Teleskop vorstellen?" Diese Frage stellen sich viele wissenschaftlich interessierte Menschen, die noch kein professionelles Observatorium besuchen konnten. Das multimediale Experiment "Call a Scientist" verband Besucher einer österreichischen Amateursternwarte live mit dem Großobservatorium in La Palma und brachte damit einer interessierten Öffentlichkeit seltene Einblicke in die Arbeitsweise der modernen Astronomie nahe.

  14. 78 FR 16680 - Shu Bei Yuan: Debarment Order

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    ... debarment to the Division of Dockets Management (HFA-305), Food and Drug Administration, 5630 Fishers Lane... between 9 a.m. and 4 p.m., Monday through Friday. Dated: February 28, 2013. Melinda K. Plaisier,...

  15. Langfristige Performance mit Thin Clients bei HSBC Trinkaus

    NASA Astrophysics Data System (ADS)

    HSBC Trinkaus nutzt Thin Clients als grafikstarke Desktops einer Citrix-basierenden Server Based Computing-Umgebung. Die neuen Dualview-Arbeitsplätze sind zuverlässiger, pflegeleichter und stromsparender als die bisherigen Terminal-PCs. Selbst die Administration erfolgt im Zweibildschirmbetrieb.

  16. Kalkbohrende Mikrothalli bei Helminthocladia und Scinaia (Nemaliales, Rhodophyta)

    NASA Astrophysics Data System (ADS)

    Kornmann, P.; Sahling, P.-H.

    1980-03-01

    Shell-boring microthalli in Helminthocladia and Scinaia (Nemaliales, Rhodophyta). Spores shed from pink mussel shells were shown to develop into branched monosiphonous thalli, their filaments penetrating into shell fragments. Isolates from four single germlings were cultivated. Two of these produced gametophytes of Helminthocladia and Scinaia; the others have so far only reproduced by tetraspores or monospores. Evidently the microthalli of some genera of the Nemaliales — which are, with the exception of Nemalion multifidum, known only from cultures — are shell-inhabiting and have therefore not been found in nature. The adult algae occur mainly on shells and CaCO3 substrates. Until the beginning of the century, Helminthocladia and Scinaia frequently occurred at Helgoland, but they have not been found there for more than 50 years. Their microthalli, however, are still present as shell-boring algae. This study is intended to stimulate similar ones in other genera of the Nemaliales so as to obtain a broader basis for discussion of systematic and phylogenetic relationships.

  17. Radio occultation based on BeiDou satellite navigation

    NASA Astrophysics Data System (ADS)

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

    2014-11-01

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

  18. Evaluation of an intervention program to prevent hospital-acquired catheter-associated urinary tract infections in an ICU in a rural Egypt hospital.

    PubMed

    Amine, Amira Ezzat Khamis; Helal, Mohamed Omar Mohamed; Bakr, Wafaa Mohamed Kamel

    2014-01-01

    Zielsetzung: Katheter-assoziierte Harnweginfektionen (CAUTI) sind die häufigste nosokomiale Infektion auf der ITS. Ziel der Studie war die Ermittlung der Effektivität eines Interventionsprogramms mit Implementierung eines Bundles zur Prävention von CAUTI auf einer ITS. Methode: Die Interventionsstudie wurde über einen Zeitraum von 6 Monaten durchgeführt. Während der Präinterventionsperiode wurde die Baseline für die Inzidenz von CAUTI ermittelt und mit der Inzidenz während der Postinterventionsperiode verglichen. Außerdem wurde die Compliance des Personals zur Einhaltung des Bundles ermittelt. Das CAUTI Bundle enthielt die Elemente Händehygiene, Tragen persönlicher Schutzausrüstung, Benutzung von Einmalhandschuhen, Reinigung des Meatus urethrae vor der Katheterinsertion mit steriler Kochsalzlösung, Beurteilung der Notwendigkeit des Harnwegkatheters, aseptische Harnableitung und korrekte Position des Auffangbeutels.Ergebnisse: Im Verlauf der Studie wurde bei 55 von 77 Patienten eine CAUTI diagnostiziert. Die mittlere Inzidenz betrug in der Präinterventionsperiode 90,12 CAUTI/1.000 Kathetertage und in der Postinterventionsperiode 65,69 CAUTI/1.000 Kathetertage. Die CAUTI-Rate verhielt sich indirekt proportional zur Einführung der Bundleelemente und zur Compliance der Einhaltung des Bundles. Dieser Zusammenhang war nur für die Einhaltung der Bundleelemente statistisch sicherbar (p=0,042) (rs=–0,828). Die Compliance der Pflegekräfte zur Einhaltung des Bundles wurde während der letzten 2 Monate der Postinterventionsperiode auf 100% erhöht. Schlussfolgerung: Durch verbesserte Compliance für die empfohlenen Maßnahmen zur Prävention von CAUTI konnte die Inzidenz von CAUTI auf einer ITS reduziert werden. Die Einführung eines CAUTI-Präventionsbundles ist einfach und effektiv und wird daher als Bestandteil zur Gewährleistung der Patientensicherheit empfohlen.

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

    NASA Astrophysics Data System (ADS)

    Langenbruch, Paul-Friedrich

    1985-09-01

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

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

    NASA Astrophysics Data System (ADS)

    Leinsle, Ulrich G.

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

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

    NASA Astrophysics Data System (ADS)

    Guo, Fei; Zhang, Xiaohong; Wang, Jinling

    2015-05-01

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

  2. Verminderte Tiefbrunnenergiebigkeit durch Versandung und Versinterung bei Veränderung der Grundwasserchemie

    NASA Astrophysics Data System (ADS)

    Knuth, Christoph; Wisotzky, Frank; Becke, Norbert

    2017-01-01

    In three deep wells of a water works in the Lower Rhine Valley (Germany) decreasing well yield has been observed. To investigate the reasons for this decline, solids analysis (microscopy, Cinorg measurements, XRD-, SEM-analysis) was completed and hydrogeochemical calculations were carried out. The samples examined from the bottom of the wells indicate both hydromechanical entry of sand from the aquifer into the well, and formation of incrustations in the form of calcite within the well. The water analysis results show that almost all measured ion concentrations have increased over the past 10 years, which indicates a general change of the hydrochemical conditions of the aquifer. Hydrogeochemical models suggest that oversaturation exists regarding the mineral phases iron hydroxide and calcium carbonate, and therefore the formation of incrustations is possible.

  3. Erfahrungen bei der Arbeit am russischen Wortschatz (Experiences in Work on the Russian Vocabulary)

    ERIC Educational Resources Information Center

    Kruechten, Christa von

    1975-01-01

    Reports on experiences with vocabulary booklets written by the students from Grade 5 through Grade 10. These included vocabularies grouped as to subject matter; special attention was given to vocabularies which would have a bearing on the whole school career and on developing free speaking ability. (Text is in German.) (IFS/WGA)

  4. Oszillationen der reaktionsgeschwindigkeit bei der reaktion von NO MIT CO an platin im Knudsengebiet

    NASA Astrophysics Data System (ADS)

    Adlhoch, Wolfgang; Lintz, Hans-Günther; Weisker, Tilman

    1981-02-01

    The reduction of NO by CO on a polycrystalline platinum ribbon is studied in a open system at pressures less than 5 × 10 -4Torr (6.7 × 10 -2Pa). In the temperature range 440 < T/K < 520 one can initiate sustained oscillations of the reaction rate in an oxidizing atmosphere (1 < pNO/ pCO < 4). At constant feed of gas to the reactor this can be obtained by a temperature jump, at constant temperature of the catalyst these oscillations may be created by the variation of the partial pressure of one of the reactants. As the oscillations arise isothermally under Knudsen conditions they cannot be due to the coupling of transport phenomena and reactions at the catalyst surface. The interaction between adsorbed gases and the surface structure must play the determinant roll.

  5. "Hirnsymptome bei Carcinomatose" - Hermann Oppenheim and an Early Description of a Paraneoplastic Neurological Syndrome.

    PubMed

    Schulz, Paulina; Prüss, Harald

    2015-01-01

    Paraneoplastic neurological syndromes belong to the most enigmatic and fascinating disorders. Their remarkable clinical spectrum ranges from sensory neuronopathy to cerebellar degeneration or limbic encephalitis. We retrace the clinical and pathological description of a forgotten case published by Hermann Oppenheim in 1888, which to our knowledge represents the first report of a paraneoplastic neurological syndrome. The young Oppenheim used thorough observation and good clinical judgment to suggest a causal link between the seemingly mere association of an underlying malignancy and a neurological syndrome, decades before Denny-Brown's identification of sensory neuronopathy in 1948 and a century before the discovery of "anti-Hu" antibodies. Oppenheim anticipated that scientific progress was required to prove this link, and he indicated his finding as "a pointer for future observers." In this way, he leaves the reader with the fascinating question of which observations during our current neurology practice could be the next "pointers" in medical research.

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

    NASA Astrophysics Data System (ADS)

    Krafft, Fritz

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

  7. Verminderte Tiefbrunnenergiebigkeit durch Versandung und Versinterung bei Veränderung der Grundwasserchemie

    NASA Astrophysics Data System (ADS)

    Knuth, Christoph; Wisotzky, Frank; Becke, Norbert

    2017-03-01

    In three deep wells of a water works in the Lower Rhine Valley (Germany) decreasing well yield has been observed. To investigate the reasons for this decline, solids analysis (microscopy, Cinorg measurements, XRD-, SEM-analysis) was completed and hydrogeochemical calculations were carried out. The samples examined from the bottom of the wells indicate both hydromechanical entry of sand from the aquifer into the well, and formation of incrustations in the form of calcite within the well. The water analysis results show that almost all measured ion concentrations have increased over the past 10 years, which indicates a general change of the hydrochemical conditions of the aquifer. Hydrogeochemical models suggest that oversaturation exists regarding the mineral phases iron hydroxide and calcium carbonate, and therefore the formation of incrustations is possible.

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

    NASA Astrophysics Data System (ADS)

    Johnen, Heiko

    2002-10-01

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

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

    EPA Science Inventory

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

  10. Management Strategies in Rosai-Dorfman Disease: To Do or Not To Do.

    PubMed

    Shrirao, Neha; Sethi, Aditya; Mukherjee, Bipasha

    2016-10-01

    Rosai-Dorfman disease or sinus histiocytosis with massive lymphadenopathy is an extremely rare non-Langerhans cell histiocytosis. Orbital involvement is even rarer and may be accompanied by lymph node involvement. Treatment options range from systemic steroids and immunosuppressants to radiation and debulking. We present a rare case of bilateral orbital sinus histiocytosis with massive lymphadenopathy with cervical and circumaortic lymphadenopathy.

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

    NASA Technical Reports Server (NTRS)

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

    2013-01-01

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

  12. Die Temperaturabhängigkeit semilunarer und diurnaler Schlüpfrhythmen bei der intertidalen Mücke Clunio marinus (Diptera, Chironomidae)

    NASA Astrophysics Data System (ADS)

    Krüger, M.; Neumann, D.

    1983-12-01

    On Helgoland (North Sea), the imagines of Clunio emerge during two seasonal periods (late spring and summer) from water temperatures of 8° 18 °C. The temperature dependence of the known semilunar eclosion rhythm of Clunio (correlated in nature with the spring tides every 14 15 days) was tested in the laboratory. Between 15° and 23 °C the semilunar eclosion maxima varied by only one day within the artifical 15-day zeitgebercycle, below 15 °C they were delayed up to 8 days at 8 °C. However, the days of pupation were approximately independent of the temperature level. One can conclude the existence of a temperature-independent physiological switch inducing the pupation only within a few days of the semilunar zeitgeber-cycle. Moreover, a semilunar synchronized differentiation of the imaginal discs already starts in the preceding larval instar, indicating an additional physiological switch. A model is suggested in which the semilunar eclosion rhythm and its relatively slight temperature dependence is explained by the action of two physiological switches which are coupled with the endogenous temperature-compensated lunar timing mechanism on the same days of the 15-day zeitgeber-cycle. In the laboratory, the diurnal eclosion and its underlying circadian timing mechanism (correlated on Helgoland with the time of spring low water in the late afternoon) also proved to be temperature independent between 12° and 20 °C. A comparison of field and laboratory data showed very similar results at temperatures around 18 °C (summer swarming period). In contrast, the midges emerged on all days of the semimonthly cycle of springs and neaps during the spring swarming period. This lack of semilunar synchronization may be the consequence of fluctuating temperatures during the larval and pupal development in spring time due to a general rise in the water temperature (4° 8 °C) and to short temperature rises up to 18 °C during exposure of the intertidal habitat at about low tide. Since some higher parts of the Clunio habitat suitable for egg deposition are exposed on almost every day of the semimonthly cycle, even such animals that undergo lunar unsynchronized metamorphosis can reproduce within the short imaginal life duration (ca 2 h) if they emerge just about the time of low water. In correspondence with the daily delay in the times of low water by about 50 min, the diurnal eclosion rhythm was in fact modified with the tides during the spring period resulting in shifts of the diurnal eclosion time of up to 12 hours within the semimonthly cycle of springs and neaps.

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

    ERIC Educational Resources Information Center

    Mayer, Elizabeth M.

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

  14. Molekülinterne Dipolorientierung und dielektrische Absorption in verdünnter Lösung bei Mikro-und Submillimeterwellen. V.Acetyl-Verbindungen

    NASA Astrophysics Data System (ADS)

    Klages, Gerhard

    1989-09-01

    The dielectric loss of sixteen molecules, eleven with the acetyle group in aromatic bonds and five in aliphatic bonds, has been measured in very dilute solutions of cyclohexene at 20 °C. Five of these molecules are investigated in decalene solutions, too. The measurements have been made at wavenumbers in the range 0.08 to 140 cm -1 above 8 cm -1 making use of a pumped molecular laser. They are supplemented by the data of a Fourier transform spectrometer up to 300 cm -1. All microwave spectra of loss factor ɛ″ are analysed in terms of three absorption areas using the two variable Mori formalism. On the other hand, Lorentz curves are fitted to the FIR absorption spectra of α(v¯). The fast relaxation process of the aliphatic compounds is suggested to be due to intramolecular reorientation of the acetyle group itself, since in acetyle cyclohexene the remaining part of the molecule is rigid. To the contrary, the acetyle group is not able to reorientate swiftly, if bounded to aromatic rings. Presumably, it is fixed by mesomeric interaction with the dipole in the plain of the ring. However, 2-methyl acetophenone and 1-acetyle naphthone show some quick dipole reorientation, which coincides with a steric hindrance of the group in entering the plain of the ring.

  15. Sozialindex und gewichtenregeling . Berücksichtigung von sozialräumlichen Rahmenbedingungen bei der Mittelvergabe an Schulen am Beispiel Nordrhein-Westfalens und den Niederlanden

    NASA Astrophysics Data System (ADS)

    Terpoorten, Tobias

    2016-12-01

    In Germany and the Netherlands spatial information about the social structure of the inhabitants is used for the coordination of financial and human resources in the local school-system. The aim is to reduce educational inequalities by taking the social context of the schools into account. The article explains two approaches. In North Rhine-Westphalia (Germany) a so called Sozialindex is used to distribute additional teachers to municipalities with difficult social surroundings. The Dutch government uses an instrument to give each pupil a weight (gewichtenregeling) depending on the specific educational background. Combined with an evaluation of the school location an additional budget, if necessary, will be payed.

  16. Eichfunktion und analysenfehler in der spektrochemischen Analytik—I. Regression bei konstanter standardabweichung für die meßgröße

    NASA Astrophysics Data System (ADS)

    Klockenkämper, R.; Bubert, H.

    For spectrochemical analyses, calibration is a basic operation generally necessary for quantitative determinations. It yields the calibration function and by inversion the analytical function which is not directly accessible.—In the following, a scheme is developed in order to find-according to different methods of analysis-the respective suitable calibration function: it should give an expectable standard deviation as small as possible for the estimated content, it should, if possible, be linear and it should be applicable in a range of content as large as possible. The condition of Part I of this paper is the constant standard deviation for the measuring quantity in this range.-The scheme is examined by five analytical examples: for trace analyses (OES-ICP and AAS) the simple relationship between the intensity I and the concentration c is linear anyhow and yields a constant absolute standard deviation not dependent on the trace content. For analyses over a large range of concentration, a double-logarithmic transformation leads to linearity and constant relative standard deviation (OES with Laser). If physical matrix effects are existing, for example in surface analysis (ISS) the 'binary-ratio method' is recommended; in this case, the relative standard deviation is proportional to (1 - c). For XRF of main and additional components, the non-linear regression of the equation of Beattie and Brissey is to be realized with √ I-values.

  17. [Qualitätsmessung bei der Behandlung von Kindern und Jugendlichen mit Entwicklungsstörungen - Eine Machbarkeitsstudie am Beispiel ADHS].

    PubMed

    Ulusoy, Marta; Borusiak, Peter; Hameister, Karin A; Geraedts, Max

    2017-04-03

    The question of a possible presence of attention deficit/hyperactivity disorder (ADHD) is raised with increasing frequency in pediatric practice. There are guidelines and expert recommendations for diagnostic approaches. But there are no instruments available to evaluate the structural, process and outcome quality. In this pilot study, a set of quality indicators on the treatment quality of ADHD was analyzed in terms of their feasibility in tertiary referral centers.A set of 39 quality indicators (QI) on ADHD developed in advance in a multistage procedure was assessed at 9 tertiary referral centers, with a focus on process verifiability and feasibility. QI values were calculated as ratios for individual centers as well as across centers, followed by an explorative analysis to assess feasibility under due consideration of possible influencing factors.QI assessment is possible but highly complex and expensive in practice. Calculated QI values showed a high degree of heterogeneity between facilities as well as between institutions, which was mainly due to a lack of standardization in the documentation of required data.Basically, it is possible to assess the quality of ADHD treatment via QIs. The approach described here in assessing QIs may be also applied to other types of developmental disorders.

  18. Angioimmunoblastic T-Cell Lymphoma with Polyarthritis Resembling Rheumatoid Arthritis.

    PubMed

    Yachoui, Ralph; Farooq, Nouman; Amos, Jonathan V; Shaw, Gene R

    2016-12-01

    Angioimmunoblastic T-cell lymphoma (AITL) is a rare subtype of peripheral T-cell lymphoma (PTCL). AITL typically presents with lymphadenopathy, fever, rash, hepatosplenomegaly, and rarely polyarthritis. We report the case of a 50-year-old female who presented with lymphadenopathy, rash, and symmetric polyarthritis. She was later diagnosed with AITL and was treated with chemotherapy with resolution of arthritis. AITL should be suspected in paitents presenting with rheumatoid-like arthritis and diffuse lymphadenopathy.

  19. Juan-Ron fever: A rare case report.

    PubMed

    Acharya, Sourya; Shukla, Samarth

    2015-01-01

    Juan-Ron fever named after Juan Rosai and Ronald Dorfman is the fever associated with Rosai-Dorfman disease also known as sinus histiocytosis with massive lymphadenopathy (SHML). It is a rare disorder of unknown etiology that is characterized by abundant macrophages in the lymph nodes throughout the body. Usually patient presents with painless lymphadenopathy. We present a case of a 45-year-old male who presented to us with bilateral cervical lymphadenopathy and fever, later on diagnosed to have SHML.

  20. Angioimmunoblastic T-Cell Lymphoma with Polyarthritis Resembling Rheumatoid Arthritis

    PubMed Central

    Yachoui, Ralph; Farooq, Nouman; Amos, Jonathan V.; Shaw, Gene R.

    2016-01-01

    Angioimmunoblastic T-cell lymphoma (AITL) is a rare subtype of peripheral T-cell lymphoma (PTCL). AITL typically presents with lymphadenopathy, fever, rash, hepatosplenomegaly, and rarely polyarthritis. We report the case of a 50-year-old female who presented with lymphadenopathy, rash, and symmetric polyarthritis. She was later diagnosed with AITL and was treated with chemotherapy with resolution of arthritis. AITL should be suspected in paitents presenting with rheumatoid-like arthritis and diffuse lymphadenopathy. PMID:28188140

  1. Videoscopic Versus Open Inguinal Lymphadenectomy for Cancer

    ClinicalTrials.gov

    2015-05-04

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

  2. Metformin Hydrochloride and Ritonavir in Treating Patients With Relapsed or Refractory Multiple Myeloma or Chronic Lymphocytic Leukemia

    ClinicalTrials.gov

    2017-03-22

    Anemia; Fatigue; Fever; Lymphadenopathy; Lymphocytosis; Night Sweats; Recurrent Chronic Lymphocytic Leukemia; Recurrent Plasma Cell Myeloma; Refractory Chronic Lymphocytic Leukemia; Refractory Plasma Cell Myeloma; Splenomegaly; Thrombocytopenia; Weight Loss

  3. The joint in vitro action of polymyxin B and miconazole against pathogens associated with canine otitis externa from three European countries

    PubMed Central

    Pietschmann, Silvia; Meyer, Michael; Voget, Michael; Cieslicki, Michael

    2013-01-01

    mayoría de cepas de E. coli y P. aeruginosa, y a mayores concentraciones frente a cepas de S. pseudintermedius. El miconazol fue bactericida frente a todas las cepas de Staphylococcus. Se observó sinergismo frente a cepas de E. coli y P. aeruginosa (FICI = 0.25 y 0,50, respectivamente), mientras en general no hubo sinergismo frente a las cepas de S. pseudintermedius (FICI = 1.25). Cepas de Proteus mirabilis no fueron inhibidas por los fármacos individualmente ni en combinación. Conclusiones e importancia clínica el sinergismo in vitro de la polimixina B y el miconazol frente a aislados de E. coli y P. aeruginosa indica un motivo para utilizar ambos agentes en combinación para tratar casos de otitis externa producidos por infecciones con estas bacterias. Zusammenfassung Hintergrund Die canine Otitis externa, eine Entzündung des äußeren Ohrkanals, kann durch eine bakterielle Infektion oder durch eine Infektion mit Hefepilzen aufrechterhalten bzw. verschlimmert werden. Zur topischen Behandlung werden hauptsächlich Kombinationen aus entzündungshemmenden und antimikrobiellen Wirkstoffen verwendet. Hypothese/Ziele Diese Studie wurde durchgeführt, um die in vitro Aktivität von Polymyxin B und Mikonazol gegenüber klinischen Bakterienisolaten aus drei europäischen Ländern zu beleuchten und um mögliche Unterschiede in der Sensibilität zu untersuchen und um Interaktionen von Medikamenten zu beurteilen. Tiere Siebzehn Stämme von Escherichia coli, 24 Stämme von Pseudomonas aeruginosa, 24 Stämme von Proteus mirabilis und 25 Stämme von Staphylokokkus pseudintermedius von Hunden mit einer diagnostizierten Otitis externa waren in Deutschland, Frankreich und Italien isoliert worden. Methoden Die Wirkstoffaktivitäten wurden mittels minimaler inhibitorischer Konzentration (MIC) und minimaler bakterizider Konzentration evaluiert. Die Potenzierung von Polymyxin B plus Mikonazol wurde mittels „Fractional Inhibitory Concentration Index” (FICI) kalkuliert. Ein

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

    PubMed

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

    2016-07-01

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

  5. Combining cytomorphology and serology for the diagnosis of cat scratch disease.

    PubMed

    Youssef, Dima; Shams, Wael E; El Abbassi, Adel; Moorman, Jonathan P; Al-Abbadi, Mousa A

    2011-03-01

    Cat scratch disease (CSD) is a self limited zoonotic disease that presents most commonly as a regional lymphadenopathy. We are reporting a case of a 25-year-old male patient who presented with fever and large right inguinal lymphadenopathy. The diagnosis of cat scratch disease was confirmed based on the characteristic cytopathological features on aspirate smears from the lymph node and the serological titers for Bartonella henselae. This case report emphasizes the importance of combining Bartonella serology, and cytopathology in the diagnostic work-up of febrile lymphadenopathy and suspected CSD since the culture of this organism is arduous.

  6. Wiederholungswochen bei integriertem Fernsehkurs Englisch. Dargestellt an Beispielen aus English for you 2 (Review Weeks in the Integrated Television Course in English. Presented through Examples from "English for You 2")

    ERIC Educational Resources Information Center

    Festag, Ewald

    1974-01-01

    Discusses the following: designing the review for the end of the school year using the example of "English for You 2," lessons 61 and 62; exercises in vocabulary review and orthography; and hints on written language practice and grammar review. (Text is in German.) (IFS/WGA)

  7. Sarcoidosis Overview

    MedlinePlus

    ... system in the body. People with sarcoidosis develop granulomas (small abnormal clumps of tissue) in certain parts ... staff Tags: bilateral hilar lymphadenopathy, granulomatous uveitis, hepatic granulomas, mediastinal adenopathy, multisystem granulomatous disorder, non-caseating epithelioid ...

  8. Waldenström macroglobulinemia: 2017 update on diagnosis, risk stratification, and management.

    PubMed

    Gertz, Morie A

    2017-02-01

    Disease Overview: Waldenström macroglobulinemia (WM) is a lymphoplasmacytic lymphoma with immunoglobulin M (IgM) monoclonal protein. Clinical features include anemia, thrombocytopenia, hepatosplenomegaly, lymphadenopathy, and rarely hyperviscosity.

  9. Bilateral painful parotid lumps and a lump in the groin: An uncommon presentation of common Kikuchi's disease

    PubMed Central

    Mirgh, Sumeet Prakash; Satiya, Jinendra; Sorabjee, Jehangir Soli

    2016-01-01

    Kikuchi-Fujimoto disease (KFD) is an under-recognized disease most commonly presenting with cervical lymphadenopathy, fever, and cytopenias in young females. Bilateral parotid enlargement is usually caused by infections (e.g., mumps) and autoimmune conditions (e.g., Sjogren syndrome). Parotid enlargement, inguinal lymphadenopathy, and pyrexia of unknown origin are uncommon presenting features of KFD and should be suspected in the appropriate setting. PMID:27843864

  10. Cat Scratch Disease in a Renal Transplant Recipient.

    PubMed

    Yalin, Serkan Feyyaz; Sahin, Serdar; Yemisen, Mucahit; Tuzuner, Nukhet; Altiparmak, Mehmet Riza; Seyahi, Nurhan

    2016-09-01

    Cat scratch disease (CSD) is a disorder characterized by self-limited regional lymphadenopathy and fever. We reported a case of CSD in a kidney transplant recipient who presented with fever and lymphadenopathy. Lymph node biopsy demonstrated bacterial histiocytic lymphadenitis. The patient was diagnosed with CSD. Patient had good clinical improvement after treatment. Therefore, CSD should also be borne in mind for kidney recipients though CSD had been infrequently reported in this group.

  11. Cat-Scratch Disease: Case Report and Review of the Literature.

    PubMed

    Gai, M; d'Onofrio, G; di Vico, M C; Ranghino, A; Nappo, A; Diena, D; Novero, D; Limerutti, G; Messina, M; Biancone, L

    2015-09-01

    Cat-scratch disease (CSD) is caused by Bartonella henselae and characterized by self-limited fever and granulomatous lymphadenopathy. In some cases signs of a visceral, neurologic, and ocular involvement can also be encountered. In this report we describe the development of CSD in a kidney transplant patient. Immunocompromised hosts are more susceptible to infection from Bartonella compared with the standard population. Infection of Bartonella should be considered as a differential diagnosis in kidney transplant patients with lymphadenopathy of unknown origin.

  12. The Political Views of Students at the Universities of the Armed Forces in Comparison to Those of Students at Public Institutions (Die politischen Orientierungen der Studenten an den Universitaeten der Bundeswehr im Vergleich zu den Studenten an oeffentlichen Hochschulen)

    DTIC Science & Technology

    2001-12-01

    zu sein scheint" ( Noelle - Neumann , E. und Petersen, Th., S. 40).5 4 Gerade auch bei den rasant zunehmenden Aufgaben der Bundeswehr bei...Bonnemann A., Hoffmann-Broll U., 1999 Studentische Orientierungen zwischen akademischer und soldatischer Lebenswelt. Noelle - Neumann E., Petersen Th

  13. Implementation of a Biomass Energy Island for a Forested Air Force Installation.

    DTIC Science & Technology

    1983-01-01

    pine (CSP) plantations on Eglin AFB to establish Eglin as a Biomass Energy Island (BEI). Previous studies have demonstrated: (1) the feasibility of...AFB as a Biomass Energy Island (BEI). As such, Eglin would satisfy all energy needs of the facility by using 540,000 green tons of wood chips harvested

  14. Clinical implication of prolonged fever in children with cat scratch disease.

    PubMed

    Tsujino, Kumiko; Tsukahara, Masato; Tsuneoka, Hidehiro; Ichihara, Kiyoshi; Furuya, Tomoko; Kawauchi, Shigeto; Oga, Atsunori; Sasaki, Kohsuke

    2004-08-01

    Cat scratch disease, caused by Bartonella henselae, typically presents with a localized lymphadenopathy with a brief period of fever and general symptoms. However, there are atypical cases with a wide spectrum of clinical manifestations including prolonged fever (> or =37.5 degrees C, for more than 7 days), or with systemic complication, or without lymphadenopathy. We analyzed relationships among those manifestations in children with cat scratch disease. A total of 127 patients were serologically diagnosed as having Bartonella infection between 1997 and 2003. Relationships among clinical manifestations were analyzed by use of multiple regression and multiple logistic regression analyses. Of the 127 seropositive cases, 75 (59.1%) had typical cat scratch disease and 52 (40.9%) had an atypical one. As atypical manifestations, 46 (36.2%) had prolonged fever, 23 (18.1%) had no lymphadenopathy, and 21 (16.5%) had complications: hepatic/splenic abscesses or low-echoic lesions, hepatic granuloma, and central nervous system involvements. Prolonged fever was observed in 20 (87%) of the 23 cases without lymphadenopathy and 16 (76.2%) of the 21 cases with complications. By multiple regression analysis, the duration of fever was significantly associated with both the absence of lymphadenopathy and the presence of complications. The child suffering from cat scratch disease without lymphadenopathy or with complication tends to have prolonged fever. Conversely, when a child has a prolonged fever of unknown origin, possibility of cat scratch disease should be considered, and a search for underlying systemic complications is recommended for prompt diagnosis and appropriate treatment.

  15. [Prevalence and intensity of nightmares in traumatized versus non-traumatized children and adolescents].

    PubMed

    Ossa, Fanny Carina; Bering, Robert; Pietrowsky, Reinhard

    2013-09-01

    Fragestellung: Alpträume können bei Kindern, wie auch bei Erwachsenen, als Symptom für eine Traumatisierung gelten. Daher ist zu vermuten, dass bei traumatisierten Kindern und Jugendlichen die Alptraumbelastung höher ist als bei nicht traumatisierten Kindern und Jugendlichen. Methodik: Insgesamt nahmen 38 traumatisierte und 40 nicht traumatisierte Kinder und Jugendliche an der Untersuchung teil. Anhand eines Fragebogens wurde die Alptraumbelastung (u. a. die Alptraumhäufigkeit und die empfundene Intensität) erfasst. Ergebnisse: Die Ergebnisse zeigen, dass traumatisierte Kinder und Jugendliche signifikant mehr Alpträume berichten (9.7 Alpträume pro Monat) und diese als intensiver und furchtauslösender bewerten als die Teilnehmer der Kontrollgruppe (1.7 Alpträume pro Monat). Die Anzahl der Alpträume bei traumatisierten Mädchen ist im Vergleich zu der Anzahl der Alpträume bei traumatisierten Jungen doppelt so hoch. Zudem geben traumatisierte Kinder und Jugendliche signifikant häufiger an, Angst vor einer Traumwiederholung zu haben, sich während des Alptraums hilflos und sich am Tag durch den Traum nachhaltig beeinträchtigt zu fühlen. Schlussfolgerung: Patienten mit einer Traumatisierung erleben in ihren Träumen mehr Gewalt und Lebensbedrohung. Eine erhöhte Alptraumbelastung ist damit auch bei Kindern und Jugendlichen ein Merkmal einer vorausgegangenen Traumatisierung.

  16. Chronic dermal sinuses as a manifestation of histiocytosis X.

    PubMed Central

    Sacks, S H; Hall, I; Ragge, N; Pritchard, J

    1986-01-01

    Two young patients presented with generalised lymphadenopathy, otorrhoea, otitis, and rash. Over the next few years chronically discharging sinuses began to form over enlarged nodes and histological appearances were typical of histiocytosis X. In neither case were micro-organisms isolated from the lesions, and in both patients healing occurred with immunosuppressive agents. Chronic dermal sinus formation secondary to lymph node disease has never before been recorded as a manifestation of histiocytosis X. Histiocytosis X should therefore be considered in the differential diagnosis of "suppurative" lymphadenopathy so that appropriate treatment may be given without delay. Images Case 1 PMID:3084014

  17. Advances in the management and understanding of autoimmune lymphoproliferative syndrome (ALPS).

    PubMed

    Teachey, David T; Seif, Alix E; Grupp, Stephan A

    2010-01-01

    Autoimmune lymphoproliferative syndrome (ALPS) is a disorder of T cell dysregulation caused by defective Fas-mediated apoptosis. Patients with ALPS can develop a myriad of clinical manifestations including lymphadenopathy, hepatosplenomegaly, autoimmunity and increased rates of malignancy. ALPS may be more common that originally thought, and testing for ALPS should be considered in patients with unexplained lymphadenopathy, hepatosplenomegaly, and/or autoimmunity. As the pathophysiology of ALPS is better characterized, a number of targeted therapies are in preclinical development and clinical trials with promising early results. This review describes the clinical and laboratory manifestations found in ALPS patients, as well as the molecular basis for the disease and new advances in treatment.

  18. Cat scratch disease from a domestic dog.

    PubMed

    Chen, Tun-Chieh; Lin, Wei-Ru; Lu, Po-Liang; Lin, Chun-Yu; Chen, Yen-Hsu

    2007-02-01

    Cat scratch disease (CSD), caused by Bartonella henselae, is a zoonosis and characterized by self-limited lymphadenopathy. It is transmitted commonly by scratch or bite from cats or kitten. We report an unusual case of CSD caused by a domestic dog scratch that we believe is the first report in Taiwan. A 23-year-old healthy woman developed cervical lymphadenopathy, mild fever, headache, and malaise 3 days after dog scratch. Her symptoms improved after azithromycin treatment. Serology proved B. henselae infection. The owners of a domestic dog might be at risk of "cat" scratch disease.

  19. Alimentary lymphoma in cats and dogs.

    PubMed

    Gieger, Tracy

    2011-03-01

    Gastrointestinal (GI) lymphoma should be suspected in animals with an acute or prolonged history of signs of disease related to the GI tract. Systemic staging tests (complete blood count/chemistry/urinalysis/thyroxin levels/thoracic radiographs) are used to identify concurrent disease. Abdominal ultrasonography is useful to document intestinal wall thickening, mass lesions, concurrent organ involvement, lymphadenopathy, and abdominal lymphadenopathy. Ultrasound findings can be used to decide if the next diagnostic test should be laparotomy, laparoscopy, or endoscopy, with the goal of obtaining diagnostic histologic specimens. Histopathologically, lymphoma may be lymphoblastic or lymphocytic. Chemotherapy, including steroids and nutritional support, are essential in the management of alimentary lymphoma.

  20. Low Grade Lymphoma Mimicking Metastatic Urothelial Carcinoma: When Do We Need Further Histologic Staging?

    PubMed Central

    Skelton IV, William P.; Akhavan, Neeka N.; Nguyen, Thu-Cuc; Taylor, Zachary A.; Townsend, Tabitha; Hasija, Nalini; Li, Li; Indrisek, Jacqueline; Watson, Scott; Nixon, Isis; Dang, Nam H.; Zlotecki, Robert; Allan, Robert; Abbitt, Patricia

    2016-01-01

    Introduction. Patients with urothelial carcinoma of the bladder often present with metastases to regional lymph nodes, with lymphadenopathy on physical examination or radiographic imaging. Case Presentation. We present the case of a 73-year-old Caucasian man with presumed metastatic urothelial carcinoma of the bladder to regional pelvic and retroperitoneal lymph nodes. He underwent systemic chemotherapy for treatment of urothelial carcinoma and was discovered on restaging to have findings suggestive of disease progression but ultimately was found to have a concurrent secondary malignancy. Conclusion. Our case suggests that in patients with urothelial carcinoma, the concurrent presentation of regional lymphadenopathy may not be metastatic urothelial carcinoma and may warrant further investigation. PMID:27994899

  1. Primary gastric Hodgkin's lymphoma: favourable outcome following multi-agent chemotherapy without surgical intervention.

    PubMed

    Quintyne, K I; Mulcahy, E; Wallis, F; Wilson, L; Gupta, R K

    2011-02-15

    The authors report the case of a 51-year-old man who presented with left-sided abdominal pain and weight loss associated with drenching night sweats. Preliminary blood tests yielded no specific cause for his symptoms, but abdominal ultrasound revealed multiple hepatic lesions and peripancreatic lymphadenopathy. Further imaging, including positron emission tomography (PET)/CT, revealed fludeoxyglucose 18F (FDG) avid uptake within lymphadenopathy above and below the diaphragm and also noted gastric thickening. Diagnosis was established with gastric biopsy and revealed gastric Hodgkin's lymphoma. He was started on and tolerated multi-agent chemotherapy. Repeated PET/CT and gastric biopsy showed complete metabolic and pathologic response to treatment.

  2. Follicular cell dendritic sarcoma of cervical nodes in a patient with significant WTC exposure.

    PubMed

    Shemen, Larry; Kaplan, Barry; Sussman, Louis

    2015-01-07

    A patient who worked at the World Trade Center (WTC) site presented with right cervical lymphadenopathy. He underwent right neck dissection. The final pathology showed follicular dendritic cell sarcoma. He was treated with radiation and chemotherapy and remained free of disease initially. He then presented with left cervical lymphadenopathy 2.5 years later and underwent a left neck dissection with similar pathology. A discussion of the disease process and WTC exposure is presented. Clinicians should be cognisant of this disease process and the latency between WTC exposure and the onset of sarcomas.

  3. Follicular cell dendritic sarcoma of cervical nodes in a patient with significant WTC exposure

    PubMed Central

    Shemen, Larry; Kaplan, Barry; Sussman, Louis

    2015-01-01

    A patient who worked at the World Trade Center (WTC) site presented with right cervical lymphadenopathy. He underwent right neck dissection. The final pathology showed follicular dendritic cell sarcoma. He was treated with radiation and chemotherapy and remained free of disease initially. He then presented with left cervical lymphadenopathy 2.5 years later and underwent a left neck dissection with similar pathology. A discussion of the disease process and WTC exposure is presented. Clinicians should be cognisant of this disease process and the latency between WTC exposure and the onset of sarcomas. PMID:25568274

  4. Rosai-Dorfman disease presenting with extensive cutaneous manifestation - Case report*

    PubMed Central

    Leal, Paula Azevedo Borges; Adriano, Adrilena Lopes; Breckenfeld, Marcelle Parente; Costa, Igor Santos; de Sousa, Antônio Renê Diógenes; Gonçalves, Heitor de Sá

    2013-01-01

    Rosai-Dorfman disease is a benign, self-limited, idiopathic proliferative histiocytic disorder. It was first described in 1969 by Rosai and Dorfman. In its typical form the disease is characterized by extensive cervical lymphadenopathy associated with fever, polyclonal gammopathy and leukocytosis with neutrophilia. The skin is the most common site affected. Extranodal manifestations have been reported in 43% of cases. In this study, we report an atypical case of Rosai-Dorfman disease in a female with massive cutaneous manifestation on the thigh, associated with a minimal lymphadenopathy limited to the regional inguinal lymph nodes. PMID:23739703

  5. [Gougerot-Sjögren syndrome, periarteritis nodosa, non-Hodgkin's lymphoplasmocytic lymphoma and acquired C4 deficiency].

    PubMed

    Herreman, G; Ferme, I; Diebold, J; Baviera, E; Audouin, J; Bazin, C; Godeau, P

    1983-01-01

    A Sjögren syndrome was confirmed histologically in a 19 year old woman. Four years later, periarteritis nodosa (PAN) with characteristic vascular lesions on muscle biopsy occurred simultaneously with lymphatic hyperplasia comprising splenomegaly and polyadenopathy. The PAN was cured with corticosteroids and cyclophosphamide and the lymphadenopathy regressed. Several months after treatment was stopped the lymphadenopathy recurred which histologically resembled a malignant non-hodgkin lymphoplasmocytoma secreting an IgM kappa monoclonal immunonoglobulin. During the PAN and the establishment of the lymphoproliferative syndrome a severe C4 deficit was detected which disappeared after chemotherapy.

  6. Polymorphous hemangioendothelioma in a child with acquired immunodeficiency syndrome (AIDS).

    PubMed

    Paul, Stephan R; Hurford, Matthew T; Miettinen, Markku M; Aronoff, Stephen C; Delvecchio, Michael; Grewal, Harsh; Tuluc, Madalina

    2008-03-01

    Polymorphous hemangioendotheliomas (PH) are rare and borderline malignant tumors that are among the wide range of vascular tumors. We report here a 13-year-old male presenting with a history of weight loss, opportunistic infections, and lymphadenopathy. He was determined to be HIV positive and to have acquired immunodeficiency syndrome (AIDS). A biopsy of a femoral node was diagnostic of PH. His systemic lymphadenopathy appeared to resolve with anti-retroviral therapy. This tumor should be considered within the differential diagnoses of pediatric and immunocompromised patients.

  7. Schichtübergreifende Früherkennung von Verbindungsausfällen in drahtlosen Mesh-Netzwerken

    NASA Astrophysics Data System (ADS)

    Lindhorst, Timo

    Drahtlose Mesh-Netzwerke (WMNs) bilden aufgrund ihrer Selbstorganisation ein flexibles Kommunikationssystem. Bei der Erkennung einzelner Verbindungsausfälle, die bei der Integration mobiler Teilnehmer unvermeidbar sind, ist bei aktuellen Routingprotokollen die Kommunikation jedoch für mehrere Sekunden unterbrochen. In dieser Arbeit wird gezeigt, wie durch Nutzung von Informationen aus der MAC-Schicht ein Ausfall frühzeitig erkannt und dadurch die Anzahl der Paketverluste von mehreren Hundert auf maximal vier reduziert werden kann. Hierdurch wird die Zuverlässigkeit und Verfügbarkeit von WMNs erhöht und ihr Einsatz für Echtzeit-Anwendungen ermöglicht.

  8. Combined Therapy of Septicemia with Ofloxacin and/or Synthetic Trehalose Dicorynomycolate (S-TDCM) in Irradiated and Wounded Mice (Die Kombinierte Therapie der Septikaemie mit Ofloxacin und/oder Synthetischem Trehalose- Dicorynomycolat (S-TDCM) bei Bestrahlten und Verwundeten Maeusen)

    DTIC Science & Technology

    1989-01-01

    for effective therapy of polymicrobic infections in irradiated/wounded mice. ZUSAMMENFASSUNG Im Gefolge letaler Bestrahlung fallen MAuse normalerweise...durch die Inhalation von Methoxyfluran andsthetisiert wurden. Eine Stunde nach 8.0 G.- Germma- Bestrahlung wurden dorsal Haut- und Muskelgewebe in Ent

  9. The void comprises everything - natural philosophy and science in Otto von Guericke's proof of existence of empty and infinite space. (German Title: Alles umfasst es, das Nichts - Naturphilosophie und Naturwissenschaft im Existenzbeweis des leeren und unendlichen Weltraums bei Otto von Guericke)

    NASA Astrophysics Data System (ADS)

    Gabriel, Peter

    Otto von Guericke showed in his book Experimenta nova (ut vocantur) Magdeburgica de vacuo spatio that space is an infinite void. This contribution illustrates how Guericke mixed natural philosophy and natural science in his argumentation with each other.

  10. Combined therapy of septicemia with ofloxacin and/or synthetic trehalose dicorynomycolate (S-TDCM) in irradiated and wounded mice (kombinierte therapie der septikaemie mit ofloxacin und/oder synthetischem trehalose-dicorynomycolat (s-tdcm) bei bestrahlten und verwundeten maeusen)

    SciTech Connect

    Madonna, G.S.; Moore, M.M.; Ledney, G.D.; Elliot, T.B.; Brook, I.

    1989-01-01

    Following lethal irradiation, mice usually succumb to sepsis as a result of translocation of intestinal bacteria and impairment of the host defense system. Additional trauma in these immunocompromised mice further increases susceptibility to bacterial infection from either endogenous or exogenous origin. Treatment with ofloxacin or synthetic trehalose dicorynemycolate (S-TDCM) was evaluated in mice, which were lethally irradiated and wounded, and which died with sepsis within six days. Wounding was performed on C3H/HeN mice anesthetized by inhalation of methoxyfurane. Dorsal skin and muscle equal to 30% total body surface was removed 1 h after 8.0 Gy gamma radiation. S-TDCM, which augments nonspecific resistance to infection in irradiated mice, was given once i.p. immediately after wounding. Oxfloxacin was injected s.c. daily from day 0 to day 10. Staphylococcus aureus, Streptococcus faecium, and Escherichia coli were isolated from both the livers and wound sites of moribund, untreated mice 4 and 5 days postirradiation.

  11. On the size of the ptolemaic system of the world - a study based on two figures by Johannes Kepler. (German Title: Über die Gröszlig;e des ptolemäischen Weltsystems - Eine Studie, veranlasst durch zwei Bilder bei Johannes Kepler)

    NASA Astrophysics Data System (ADS)

    Oberschelp, Arnold

    It is well known that the geocentric system according to Ptolemy is almost twice as large as the heliocentric planetary system of Copernicus. There are, however, two pictures, given by Kepler in his «Mysterium Cosmographicum» of 1596 which - at first glance - seem to contradict this. The first picture of the heliocentric system is drawn to scale. The second picture shows a geocentric system, which seems to be too small. The puzzle about the size is solved rather trivially by the fact - which is not mentioned by Kepler and which may be overlooked - that the geocentric picture is not drawn to scale and that the angles do not correspond to the degrees noted at them. In order to get a geocentric picture drawn to scale - taking Kepler's degrees for granted - it is necessary to discuss some details of the ptolemaic system. The result is, however, a geocentric system which is too big. The solution of this new puzzle is not obvious. It turns out that one of Keplers degrees (for Mars) does not correspond to the parameters of Ptolemy. Actually, in his book of 1596, Kepler's topic is not the ptolemaic system nor the copernican distances, but his heliocentric model with the five regular polyhedra. While it is interesting to note all these facts, Kepler's pictures and degrees, for the size of the ptolemaic system, lead to a dead end. Using the parameters from the «Almagest» and the principle of nested spheres from the «Planetary Hypotheses» a distance scale (Tab. 10) for the geocentric system is derived. This distance scale, however, is somewhat different from the well known ptolemaic distance scale (Tab. 1). This puzzle is not resolved, but due to the fact that different sources («Almagest» and «Planetary Hypotheses») of Ptolemy are involved. The distances of Tab. 10 correspond better to the ptolemaic system, since the relative thickness of the spheres is computed from the rather precise parameters (eccentricities and epicycle radii) of the «Almagest». The distances of Tab. I, given in the «Planetary Hypotheses», use values for the relative thicknesses of the spheres which are rounded off. Since the pictures of Kepler, when viewed together, are misleading, two new pictures of the copernican and ptolemaic planetary systems are given drawn to the same scale. A final remark is about the radius of the «tychonic system».

  12. Meine Arbeit an der Entwicklung des Sprechens bei integriertem Fernsehkurs Russisch (1). Dargestellt am Beispiel der Lektion 3 - Klasse 10 (My Work in the Development of Speaking, in the Integrated Television Course in Russian (1). Presented Using as Example Lesson 3 - Grade 10)

    ERIC Educational Resources Information Center

    Mueller, Renate

    1974-01-01

    Presents among other things the didactic-methodological procedure in Teaching Units 3 and 4, Grade 10; the development of (predominantly monologue) speaking proficiency and proper translation into the foreign language, with special attention to measures to be taken immediately before and after watching the television program. (Text is in German.)…

  13. 78 FR 32699 - Shipping Coordinating Committee; Notice of Committee Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... --Application of the satellite navigation system ``BeiDou'' in the maritime field --International Telecommunication Union (ITU) matters, including Radiocommunication ITU-R Study Group matters --Development of an...

  14. Sustainability Indicators and Metrics

    EPA Science Inventory

    Sustainability is about preserving human existence. Indicators and metrics are absolutely necessary to provide at least a semi-quantitative assessment of progress towards or away from sustainability. Otherwise, it becomes impossible to objectively assess whether progress is bei...

  15. 76 FR 585 - In the Matter of Certain Handbags, Luggage, Accessories and Packaging Thereof; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-05

    .... Golden West Avenue, Arcadia, CA 91007-6563. Alice Bei Wang (a/k/a Alice B. Wang), 886 S. Golden West..., SW., Suite 401, Washington, DC 20436; and (3) For the investigation so instituted, the Honorable...

  16. Angiosarcoma of penis.

    PubMed

    Gogoi, Debojit; Hazra, Shankar; Ghosh, Bastab; Pal, DilipKumar

    2013-12-18

    A 29-year-old male patient presented with proliferative lesion in the glans penis without any inguinal lymphadenopathy. The biopsy showed a highly vascular malignant lesion. Subsequent metastasis work-up was negative. Partial amputation of the penis with close follow-up was performed. Final histopathology was consistent with angiosarcoma of the penis.

  17. Interactions Between HIV-Infected Monocytes and the Extracellular Matrix: HIV-Infected Monocytes Secrete Neutral Metalloproteases That Degrade Basement Membrane Protein Matrices,

    DTIC Science & Technology

    1992-08-01

    staining in the gels 113). Data cio, E. Western blot profiles, lymph node uhrastructure and presented are representative of results in at least three...lymphadenopathy- associated virus Enzyme profile, regulation, and expression during cellular de- ( HTLV -III/LAV). j Immunol. 137, 323, 1986. velopment. j Clin

  18. Cutaneous lymphoid hyperplasia mimicking cutaneous lymphoma in a hyperthyroid cat.

    PubMed

    Snead, Elisabeth; Kerr, Moira; Macdonald, Valerie

    2013-10-01

    A 12-year-old neutered male domestic shorthair cat presented for chronic, localized, swelling and crusting of the left upper lip, weight loss, sporadic vomiting, and focal alopecia between the scapulae was diagnosed with hyperthyroidism and regional eosinophilic lymphadenitis. Treatment with methimazole exacerbated an underlying hypersensitivity disorder leading to marked generalized lymphadenopathy that histologically mimicked lymphoma.

  19. Autoimmune lymphoproliferative syndrome (ALPS): a rare cause of immune cytopenia.

    PubMed

    John, M Joseph; Rajasekhar, Reena; Mathews, Vikram

    2008-02-01

    Autoimmune Lymphoproliferative syndrome (ALPS) is an inherited disorder manifesting with autoimmune cytopenia, lymphadenopathy and splenomegaly. The differential diagnosis includes infections, autoimmune disorders or malignancies. The disease is characterized by accumulation of double negative (CD3+ CD4- CD8-) T cells (DNT) in the peripheral blood. We describe a case and review the literature.

  20. Beyond cat scratch disease: a case report of bartonella infection mimicking vasculitic disorder.

    PubMed

    Spinella, Amelia; Lumetti, Federica; Sandri, Gilda; Cestelli, Valentina; Mascia, Maria Teresa

    2012-01-01

    Cat scratch disease (CSD) is a bacterial disease caused by Bartonella henselae and it is mainly characterized by self-limiting lymphadenopathy in the draining site of a cat scratch or bite. We report a patient with history of fever, swelling lymph nodes, vasculitic-like skin lesions, and positivity of Bartonella serology initially considered as expression of a disimmune disease.

  1. [Cat scratch disease with deradenoncus and high fever: report of one case].

    PubMed

    Wang, Xing; Meng, Jian

    2013-02-01

    Cat scratch disease (CSD) is a bacterial disease caused by Bartonella henselae. It is mainly characterized by self-limiting lymphadenopathy in the draining site after cat scratch or bite. This paper reported a case of cat scratch disease with deradenoncus and high fever, and discussed the etiology, pathogenesis, epidemiology, pathology, clinical characteristics, diagnosis and treatment methods of CSD.

  2. [Lung infiltrations in Hodgkin lymphoma].

    PubMed

    Ciurea-Löchel, A; Ciurea, A; Stey, C; Pestalozzi, B

    2001-08-02

    We report the case of a young patient presenting with cervical lymphadenopathy and interstitial pulmonary infiltrates due to Hodgkin's Disease. Although lung involvement regressed under chemotherapy, we observed new alveolar infiltrates during treatment. Steroid administration after exclusion of an infectious cause was followed by rapid clinical and radiological improvement, indicating the probable presence of pulmonary bleomycine toxicity.

  3. Post-Ganglionic Horner's Syndrome: An Unusual Presentation of Non-Hodgkin Lymphoma

    PubMed Central

    Ruiz e Resende, Lucilene Silva; Gaiolla, Rafael Dezen; Niéro-Melo, Lígia; Custódio Domingues, Maria Aparecida; de Lima Resende, Luiz Antônio

    2012-01-01

    In this paper, we present the rare case of a patient with cervical lymphadenopathy diagnosed as a T-cell-rich B-cell non-Hodgkin lymphoma that manifested Horner's syndrome due to a post-ganglionic sympathetic neuron lesion caused by the tumor. PMID:22611367

  4. Angiosarcoma of penis

    PubMed Central

    Gogoi, Debojit; Hazra, Shankar; Ghosh, Bastab; Pal, DilipKumar

    2013-01-01

    A 29-year-old male patient presented with proliferative lesion in the glans penis without any inguinal lymphadenopathy. The biopsy showed a highly vascular malignant lesion. Subsequent metastasis work-up was negative. Partial amputation of the penis with close follow-up was performed. Final histopathology was consistent with angiosarcoma of the penis. PMID:24351513

  5. Haemophilus ducreyi causing chronic skin ulceration in children visiting Samoa.

    PubMed

    Ussher, James E; Wilson, Elizabeth; Campanella, Silvana; Taylor, Susan L; Roberts, Sally A

    2007-05-15

    Chancroid is a sexually transmitted infection associated with genital ulceration and lymphadenopathy caused by Haemophilus ducreyi. Localized skin infections, in the absence of genital lesions, have not been previously reported. We report 3 cases of lower limb ulceration in children caused by H. ducreyi and postulate that H. ducreyi may be a previously unrecognized cause of chronic skin ulceration.

  6. SPECT gallium imaging in abdominal lymphoma

    SciTech Connect

    Adcock, K.A.; Friefeld, G.D.; Waldron, J.A. Jr.

    1986-05-01

    A case of non-Hodgkin's lymphoma of the abdomen studied by gallium SPECT imaging is reported. The tomographic slices accurately demonstrated the location of residual disease after chemotherapy in the region of the transverse mesocolon. Previous transmission CT had shown considerable persistent retroperitoneal lymphadenopathy, but was not helpful in determining the presence of viable lymphoma.

  7. [Parinaud's oculoglandular syndrome. A rare differential diagnosis of "red eye"].

    PubMed

    Jäckel, M C; Glock, T; Künster, A

    2006-01-01

    Two cases of Parinaud's oculoglandular syndrome, which represents an ocular manifestation of cat-scratch disease, are reported. The symptoms are subacute and include unilateral conjunctivitis and pre-auricular lymphadenopathy. Diagnosis primarily relies on the recognition of suggestive clinical signs in conjunction with positive serologic testing. In most cases, therapy is not necessary.

  8. Travelers' Health: Rickettsial (Spotted and Typhus Fevers) and Related Infections (Anaplasmosis and Ehrlichiosis)

    MedlinePlus

    ... Mediterranean spotted fever), R. rickettsii (known as both Rocky Mountain spotted fever and Brazilian spotted fever), O. tsutsugamushi (scrub typhus), ... and lymphadenopathy R. raoultii Tick Unknown Europe, Asia ... Mountain spotted fever, Brazilian spotted fever, febre maculosa, São Paulo exanthematic ...

  9. Multi-antigen CMV-MVA Triplex Vaccine in Reducing CMV Complications in Patients Previously Infected With CMV and Undergoing Donor Hematopoietic Cell Transplant

    ClinicalTrials.gov

    2017-01-31

    Accelerated Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Acute Lymphoblastic Leukemia in Remission; Acute Myeloid Leukemia in Remission; Chronic Lymphocytic Leukemia; Chronic Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Cytomegaloviral Infection; Hodgkin Lymphoma; Lymphadenopathy; Lymphoblastic Lymphoma; Myelodysplastic Syndrome; Myelofibrosis; Myeloproliferative Neoplasm; Non-Hodgkin Lymphoma

  10. Prolonged fever and splinter hemorrhages in an immunocompetent traveler with disseminated histoplasmosis.

    PubMed

    Bitterman, Roni; Oren, Ilana; Geffen, Yuval; Sprecher, Hannah; Schwartz, Eli; Neuberger, Ami

    2013-01-01

    We present a case of progressive disseminated histoplasmosis in an immunocompetent traveler. Histoplasmosis was acquired in South America; its manifestations included prolonged fever, splinter hemorrhages, erythema multiforme, arthritis, and mediastinal lymphadenopathy. To the best of our knowledge no splinter hemorrhages had previously been reported in a patient with histoplasmosis.

  11. THE CLINICAL ASPECTS, DIAGNOSIS AND EPIDEMIOLOGY OF HISTOPLASMOSIS

    DTIC Science & Technology

    Histoplasmosis in adults can have an acute, subacute, or chronic course. In children, particularly in the early ages, the disease has an acute...this its clinical manifestations are extremely varied. Generalized histoplasmosis is accompanied by an irregular type fever, splenohepatomegaly, anemia, lymphadenopathy, and sharp emaciation.

  12. 38 CFR 4.88b - Schedule of ratings-infectious diseases, immune disorders and nutritional deficiencies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... provisions of § 3.105(e) of this chapter. Rate residuals such as liver damage or lymphadenopathy under the.... Thereafter rate residuals such as liver or spleen damage under the appropriate system 6305Lymphatic... disease 100 Thereafter rate residuals such as liver or spleen damage or central nervous system...

  13. Cutaneous lymphoid hyperplasia mimicking cutaneous lymphoma in a hyperthyroid cat

    PubMed Central

    Snead, Elisabeth; Kerr, Moira; MacDonald, Valerie

    2013-01-01

    A 12-year-old neutered male domestic shorthair cat presented for chronic, localized, swelling and crusting of the left upper lip, weight loss, sporadic vomiting, and focal alopecia between the scapulae was diagnosed with hyperthyroidism and regional eosinophilic lymphadenitis. Treatment with methimazole exacerbated an underlying hypersensitivity disorder leading to marked generalized lymphadenopathy that histologically mimicked lymphoma. PMID:24155419

  14. Plague's partners in crime.

    PubMed

    Davis, Kimberly M; Isberg, Ralph R

    2014-09-18

    The hallmark of bubonic plague is the presence of grotesquely swollen lymph nodes, called buboes. This frenzied inflammatory response to Yersinia pestis is poorly understood. In this issue of Immunity, St. John et al. (2014) explore the mechanism by which Y. pestis spreads and thus leads to this striking lymphadenopathy.

  15. Entospletinib and Obinutuzumab in Treating Patients With Relapsed Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, or Non-Hodgkin Lymphoma

    ClinicalTrials.gov

    2017-03-24

    Anemia; B-Cell Prolymphocytic Leukemia; Fatigue; Fever; Grade 1 Follicular Lymphoma; Grade 2 Follicular Lymphoma; Grade 3a Follicular Lymphoma; Hairy Cell Leukemia; Lymphadenopathy; Lymphocytosis; Lymphoplasmacytic Lymphoma; Mantle Cell Lymphoma; Marginal Zone Lymphoma; Night Sweats; Recurrent Chronic Lymphocytic Leukemia; Recurrent Small Lymphocytic Lymphoma; Refractory Chronic Lymphocytic Leukemia; Refractory Small Lymphocytic Lymphoma; Richter Syndrome; Splenomegaly; Thrombocytopenia; Weight Loss

  16. Genome Sequence of the Tick-Borne Pathogen Rickettsia raoultii.

    PubMed

    El Karkouri, Khalid; Mediannikov, Oleg; Robert, Catherine; Raoult, Didier; Fournier, Pierre-Edouards

    2016-04-21

    ITALIC! Rickettsia raoultiiis a tick-associated spotted fever group (SFG) organism, causing scalp eschar and neck lymphadenopathy after tick bite (SENLAT) in humans. We report here the genome sequence of ITALIC! R. raoultiistrain Khabarovsk(T)(CSUR R3(T), ATCC VR-1596(T)), which was isolated from a ITALIC! Dermacentor silvarumtick collected in Russia.

  17. Disseminated aspergillosis attributable to Aspergillus deflectus in a springer spaniel.

    PubMed

    Kahler, J S; Leach, M W; Jang, S; Wong, A

    1990-10-01

    Disseminated aspergillosis attributable to Aspergillus deflectus was diagnosed in a Springer Spaniel with lethargy, lameness, anorexia, weight loss, pyrexia, lymphadenopathy, hematuria, and urinary incontinence. Necropsy revealed granulomatous inflammation and numerous fungal hyphae in many organs. The conidial heads of the fungus have a characteristic briar-pipe appearance in culture.

  18. Monitoring the Brain-Stem State Through the Assessment of the Baroreceptor-Heart Rate Reflex in Critically Brain-Injured Patients

    DTIC Science & Technology

    2001-10-25

    death . We estimated during impending brain death in 11 comatose patients hospitalized in ICU 1) spontaneous variability of systolic and diastolic...and baroreflex effectiveness index (BEI) by the sequence technique. Brain death was associated with significant spectral changes, including a...generalized reduction in PI spectra and a decrease of the 0,1 Hz power in SBP and DBP spectra, BRS and BEI, close to normal values just before brain death , dropped

  19. [Agreement between self-report and clinician's assessment in depressed adolescents, using the example of BDI-II and CDRS-R].

    PubMed

    Straub, Joana; Plener, Paul L; Koelch, Michael; Keller, Ferdinand

    2014-07-01

    Fragestellung: Vorhergehende Studien zeigen eine hohe Übereinstimmung von Selbst- und Klinikerurteil bei der Erfassung von Depressivität. Die Übereinstimmung auf Summen-, Subskalen- und Einzelitemebene wurde aber bisher nicht bei einer psychiatrischen jugendlichen Stichprobe untersucht. Der Einfluss von Drittvariablen, wie Alter, Geschlecht, IQ und Behandlungssetting wurde bei Jugendlichen bisher unzureichend überprüft. Methodik: Untersucht wurden 105 depressive Jugendliche (mittleres Alter = 15.94) bei welchen innerhalb einer Woche das BDI-II und CDRS-R durchgeführt wurde. Korrelationsanalysen erfolgten auf Ebene der Summenwerte, Subskalen und Einzelitems. Ergebnisse: Es zeigte sich eine hohe Korrelation zwischen Selbst- und Klinikerurteil (r = .67). Auf Subskalen-Ebene zeigten Items, die somatische Inhalte erfassen, keine höhere Konkordanz als Subskalen, die kognitive oder affektive Inhalte messen. Auf Symptom-Ebene zeigte sich die höchste Übereinstimmung bei dem Item Selbstmordgedanken. Drittvariablen hatten keinen signifikanten Einfluss auf die Höhe der Korrelation aber Jugendliche mit einem eher hohen IQ und ambulant Behandelte neigten zur relativen Überschätzung ihrer Symptomatik. Schlussfolgerungen: Die Gesamtkorrelation war hoch und unterschied sich nicht von Ergebnissen vergleichbarer Korrelationsstudien. Die höchste Übereinstimmung bei dem Item «Selbstmordgedanken» spricht für die gute Erfassbarkeit von Suizidalität auch im Klinikerurteil. Der Fragebogen kann somit deutliche Hinweise auf das Vorliegen einer Depression liefern, jedoch sollte trotz hoher Korrelationen nicht ein Verfahren durch ein anderes ersetzt werden.

  20. New identification of outliers and ventilator-associated pneumonia rates from 2005 to 2007 within the German Nosocomial Infection Surveillance System.

    PubMed

    Meyer, E; Sohr, D; Gastmeier, P; Geffers, C

    2009-11-01

    This study presents data for ventilator use and ventilator-associated pneumonia (VAP) rates from the German hospital surveillance system for nosocomial infections (KISS: Krankenhaus Infektions Surveillance System). New Centers for Disease Control and Prevention (CDC) definitions became effective during 2005 and we describe the new method used by KISS to determine individual units with data at extreme ranges. The number of VAP cases per 1000 device-days was calculated and a new visual method, specifically funnel plots, was introduced to identify outliers. The VAP rate will be highly influenced by chance variability if only a few VAP cases are observed during a low number of ventilator-days. Funnel plots take this relationship between event rate and volume of cases into account. A total of 391 intensive care units (ICUs) reported surveillance data from 8 86 816 patients and included 6896 VAPs and 3 113 983 patient-days for the period January 2005 to December 2007. The mean VAP rate according to the new CDC definitions was 5.5 cases per 1000 ventilator-days (median: 4.4). The mean ventilator use in all ICUs was 35.7 (median: 29.3). Funnel plots identified 14.3% as outliers; 34 of them as high, and 22 as low, outliers. Since 2008, visual feedback to the KISS ICUs has been supplied by funnel plots. These are less prone to misinterpretation than histograms and they indicate when investigation is required for increasing VAP.

  1. Kultivierungsverfahren für Bakterien

    NASA Astrophysics Data System (ADS)

    Messelhäußer, Ute

    Lange Zeit war die Isolierung bakterieller pathogener Mikroorganismen mithilfe von entsprechenden Nährmedien die einzige Möglichkeit zum Nachweis der Erreger in Lebensmittel-, Human- und Veterinärproben. Diese Vorgehensweise wurde Mitte des 19. Jahrhunderts entwickelt. Damals gehörte Louis Pasteur zu den ersten Mikrobiologen, die es für notwendig erachteten, Krankheitserreger auch außerhalb des menschlichen Körpers kultivieren zu können und entwickelte deshalb 1861 die erste flüssige Anreicherungsbouillon [7]. Er legte damit einen der Grundsteine für die heutige mikrobiologische Diagnostik und alle weiteren, darauf aufbauenden Disziplinen. Grundlage der modernen bakteriellen Lebensmittelsuntersuchung sind, im Gegensatz zur viralen Diagnostik, nach wie vor entsprechende Anreicherungsschritte. Vor allem die oftmals sehr geringe Infektionsdosis der unterschiedlichen lebensmittelrelevanten Infektionserreger bedingt eine Nulltoleranz derartiger Mikroorganismen in verzehrfertigen Lebensmitteln und somit die Notwendigkeit einer Kultivierung mittels unterschiedlicher Anreicherungsmethoden vor dem Einsatz molekularer Nachweisverfahren, wie z. B. PCR und Real-Time-PCR. Nach den derzeitigen gesetzlichen Vorgaben ist zusätzlich zu dem molekularbiologischen Nachweis von Infektions- und Intoxikationserregern in der Lebensmittelanalytik der kulturelle Keimnachweis zwingend notwendig. Molekulare Nachweisverfahren können somit entweder als Screeningmethoden für einen schnellen und hohen Probendurchsatz oder nach entsprechenden Kultivierungsschritten zur Bestätigung bestimmter genetischer Eigenschaften von Isolaten herangezogen werden [12].

  2. Retrospective analysis of a VACM (vacuum-assisted closure and mesh-mediated fascial traction) treatment manual for temporary abdominal wall closure - results of 58 consecutive patients.

    PubMed

    Beltzer, Christian; Eisenächer, Alexander; Badendieck, Steffen; Doll, Dietrich; Küper, Markus; Lenz, Stefan; Krapohl, Björn Dirk

    2016-01-01

    Einleitung: Das optimale Behandlungskonzept eines temporären Bauchdeckenverschlusses (temporary abdominal closure, TAC) bei kritisch kranken viszeralchirurgischen Patienten mit offenem Abdomen („open abdomen“, OA) ist weiterhin unklar. Durch eine VACM-Therapie (vacuum-assisted closure and mesh-mediated fascial traction) scheinen sich gegenüber anderen Verfahren des TAC höhere Faszienverschlussraten (delayed primary fascial closure rate, FCR) realisieren zu lassen. Material und Methoden: Patienten unserer Klinik (n=58), welche in den Jahren 2005 bis 2008 mittels eines VAC/VACM-Behandlungsmanuals behandelt wurden, wurden retrospektiv analysiert. Ergebnisse: Die FCR aller Patienten betrug insgesamt 48,3% (95%-Konfidenzintervall: 34,95–61,78). Bei Patienten, bei denen im Verlauf ein Vicryl-Netz auf Faszienebene implantiert wurde (VACM-Therapie), konnte eine FCR von 61,3% realisiert werden. Die Letalität der mittels VACM therapierten Patienten betrug 45,2% (95%-KI: 27,32–63,97).Schlussfolgerung: Die Ergebnisse der eigenen Untersuchung bestätigen bisherige Studienergebnisse, die eine akzeptable FCR bei non-trauma-Patienten durch Anwendung der VACM-Therapie zeigen konnten. Die VACM-Therapie scheint aktuell Therapiekonzept der ersten Wahl bei Patienten mit OA und Indikation zum TAC zu sein.

  3. Studioakustik

    NASA Astrophysics Data System (ADS)

    Maier, Peter

    Tonstudios zählen zu den Gebäuden und Räumen mit den höchsten Ansprüchen an die akustische Gestaltung. Die Akustik, die bei Gebäuden für Wohn- oder Büronutzung häufig eher nebensächlich behandelt wird, wird im Studiobau zu einem zentralen Bestandteil der Funktion. Daher spielen in der Planung von Studios einerseits Schallschutz und Bauakustik, also die Schallübertragung zwischen Räumen innerhalb eines Gebäudes, die Schallabstrahlung durch ein Gebäude und die Schalleinwirkung von außen, vor allem aber die Raumakustik, also die Schallübertragung innerhalb eines Raumes eine wichtige Rolle. Bei bauakustischen Aufgabenstellungen unterscheidet sich die Vorgehensweise im Studiobau grundsätzlich nur wenig von der im Bereich "ziviler“ Bauten, wenngleich die Anforderungen bei weitem höher liegen, die Konstruktionen aufwändiger sind, und die Qualität der Ausführung von erheblich größerer Bedeutung ist. In der Raumakustik dagegen weichen die Zielsetzungen im Studiobau so weit von denen beim Bau von Wohn-, Büro- und Konferenzräumen und selbst Theater- und Konzertsälen ab, dass bei der Planung völlig andere Sichtweisen und Beschreibungsformen auftreten und bei deren Umsetzung Konstruktionen notwendig werden, wie man sie kaum in anderen Bauten wiederfinden wird.

  4. Preliminary Analyses of Beidou Signal-In Anomaly Since 2013

    NASA Astrophysics Data System (ADS)

    Wu, Y.; Ren, J.; Liu, W.

    2016-06-01

    As BeiDou navigation system has been operational since December 2012. There is an increasing desire to use multiple constellation to improve positioning performance. The signal-in-space (SIS) anomaly caused by the ground control and the space vehicle is one of the major threats to affect the integrity. For a young Global Navigation Satellite System, knowledge about SIS anomalies in history is very important for not only assessing the SIS integrity performance of a constellation but also providing the assumption for ARAIM (Advanced Receiver Autonomous Integrity Monitoring). In this paper, the broadcast ephemerides and the precise ones are pre-processed for avoiding the false anomaly identification. The SIS errors over the period of Mar. 2013-Feb. 2016 are computed by comparing the broadcast ephemerides with the precise ones. The time offsets between GPST (GPS time) and BDT (BeiDou time) are estimated and removed by an improved estimation algorithm. SIS worst-UREs are computed and a RMS criteria are investigated to identify the SIS anomalies. The results show that the probability of BeiDou SIS anomalies is in 10-3 level in last three years. Even though BeiDou SIS integrity performance currently cannot match the GPS integrity performances, the result indicates that BeiDou has a tendency to improve its integrity performance.

  5. Signet ring cell-type adenocarcinoma arising in a mature teratoma of the testis

    PubMed Central

    HA, HONG KOO; LEE, WAN; LEE, SANG DON; LEE, JEONG ZOO; CHUNG, MOON KEE

    2010-01-01

    A 48-year-old male who presented with an enlarged right scrotum was diagnosed with malignant transformation of testicular teratoma. Physical examination revealed a right scrotal mass of hard consistency with no inguinal lymphadenopathy. Since prepuberty, his right testis had been larger than the left one, with no pain or tenderness. Computed tomography and bone scan revealed retroperitoneal lymphadenopathy and multiple bone metastases. Right orchiectomy was performed immediately, and a pathological examination revealed a mature teratoma associated with adenocarcinoma, showing signet ring cell differentiation. Cisplatin-based combination chemotherapy was administered; however, the metastatic lesions progressed, and the patient succumbed to the disease after 15 months. Only a few cases of primary malignant transformation of teratoma in the testis have been reported, and this is the first case report of primary malignant transformation of teratoma in the testis with signet ring cell-type differentiation. PMID:22966298

  6. Cervical lymph node metastases from remote primary tumor sites

    PubMed Central

    López, Fernando; Rodrigo, Juan P.; Silver, Carl E.; Haigentz, Missak; Bishop, Justin A.; Strojan, Primož; Hartl, Dana M.; Bradley, Patrick J.; Mendenhall, William M.; Suárez, Carlos; Takes, Robert P.; Hamoir, Marc; Robbins, K. Thomas; Shaha, Ashok R.; Werner, Jochen A.; Rinaldo, Alessandra; Ferlito, Alfio

    2016-01-01

    Although most malignant lymphadenopathy in the neck represent lymphomas or metastases from head and neck primary tumors, occasionally, metastatic disease from remote, usually infraclavicular, sites presents as cervical lymphadenopathy with or without an obvious primary tumor. In general, these tumors metastasize to supraclavicular lymph nodes, but occasionally may present at an isolated higher neck level. A search for the primary tumor includes information gained by histology, immunohistochemistry, and evaluation of molecular markers that may be unique to the primary tumor site. In addition, 18F-fluoro-2-deoxyglocose positron emission tomography combined with CT (FDG-PET/CT) has greatly improved the ability to detect the location of an unknown primary tumor, particularly when in a remote location. Although cervical metastatic disease from a remote primary site is often incurable, there are situations in which meaningful survival can be achieved with appropriate local treatment. Management is quite complex and requires a truly multidisciplinary approach. PMID:26713674

  7. Thrombocytopenia and fever: not just another infection….

    PubMed

    Sriskandarajah, Priya; Davies, Rhys

    2016-05-12

    Diffuse large B-cell lymphoma (DLBCL) is a high-grade, aggressive disease that typically presents with widespread lymphadenopathy and active 'B' symptoms, making it easy to recognise and manage. However, a small proportion of patients can present with no evidence of lymphadenopathy or organomegaly, with the disease confined to the bone marrow; this presentation is also known as 'Primary Bone Marrow DLBCL'. Subsequently, diagnosis can be a challenge, resulting in delayed treatment and an overall poorer prognosis. Given the rarity of this disease, we wished to describe a patient who presented initially with fevers associated with isolated thrombocytopenia and was later diagnosed with this condition. Unfortunately, due to the aggressive nature of this disease, subsequent treatment was unsuccessful. Overall, we felt that in future cases of fevers with thrombocytopenia, clinicians should include this rare lymphoma subtype as part of the differential diagnosis, as early identification and treatment can be associated with a favourable outcome.

  8. MR imaging of uterine cervical carcinoma.

    PubMed

    Waggenspack, G A; Amparo, E G; Hannigan, E V

    1988-01-01

    We retrospectively analyzed the magnetic resonance (MR) imaging findings of 20 consecutive patients with primary untreated carcinoma of the cervix who underwent surgery and one patient who underwent percutaneous needle biopsy of enlarged pelvic lymph nodes. Most of the patients were clinical Stage IB. The clinical assessment of the parametria in these patients was more accurate than the MR assessment of the parametria (95 versus 79%). Magnetic resonance was valuable for detecting metastatic pelvic lymphadenopathy. Enlarged pelvic lymph nodes (greater than 1.5 cm in diameter) were demonstrated by MR in all three patients with histologic verification of metastatic lymphadenopathy. In summary, the major therapeutic value of MR in patients with untreated cervical carcinoma is in assessing the pelvic lymph nodes. In patients with clinical Stage IB disease, MR assessment of the parametria does not add useful additional information.

  9. Clinical presentation of nasopharyngeal carcinoma in Sarawak Malaysia.

    PubMed

    Tiong, T S; Selva, K S

    2005-12-01

    Nasopharyngeal carcinoma (NPC) is a common cancer in Malaysia. The clinical presentation in Sarawak has not been well documented. A retrospective review of 213 selected NPC cases was undertaken on the clinical records in Sarawak General Hospital, Sarawak, from June 1999 to June 2003. There were 116 patients in Kuching and 97 in Serian. There were twice as many males as females. The youngest patient was 16 and the oldest 88 years old with a mean age of 51 years. The four most common symptoms in order of frequencies were cervical lymphadenopathy, epistaxis, hearing loss and diplopia. 80.8% of the patients presented with cervical lymphadenopathy and about 85% of the patients presented in the advanced stages. Very small percentages of the patients were found to have single presenting symptoms of epistaxis (2.4%) and hearing loss (0.5%).

  10. Acute hemiplegia associated with cat-scratch disease.

    PubMed

    Rocha, J L; Pellegrino, L N; Riella, L V; Martins, L T

    2004-06-01

    Cat scratch disease (CSD) is an infectious illness caused by a Gram-negative rod named Bartonella henselae. Typical CSD is characterized by a small skin lesion at the site of a scratch or a bite, followed by regional lymphadenopathy, one to two weeks later. Atypical forms may present as ocular manifestations, neurological manifestations, hepatosplenic involvement and vertebral osteomyelitis. Among neurological complications, encephalopathy is by far the most common. Other neurological manifestations are very rare. We report a case of an 11-year-old boy, with a posterior cervical lymphadenopathy and fever. Cat scratch disease was diagnosed and treated after a positive "Whartin-Starry" stain on lymph node biopsy. Two weeks after treatment, the patient was readmitted presenting an acute episode of left hemiplegia. A brain MRI demonstrated a right subcortical fronto-parietal lesion with no contrast enhancement. Complete recovery was observed after corticosteroid treatment.

  11. Autoimmune lymphoproliferative syndrome misdiagnosed as hemophagocytic lymphohistiocytosis.

    PubMed

    Rudman Spergel, Amanda; Walkovich, Kelly; Price, Susan; Niemela, Julie E; Wright, Dowain; Fleisher, Thomas A; Rao, V Koneti

    2013-11-01

    Autoimmune lymphoproliferative syndrome (ALPS) is a rare inherited disorder of apoptosis, most commonly due to mutations in the FAS (TNFRSF6) gene. It presents with chronic lymphadenopathy, splenomegaly, and symptomatic multilineage cytopenias in an otherwise healthy child. Unfortunately, these clinical findings are also noted in other childhood lymphoproliferative conditions, such as leukemia, lymphoma, and hemophagocytic lymphohistiocytosis, which can confound the diagnosis. This report describes a 6-year-old girl with symptoms misdiagnosed as hemophagocytic lymphohistiocytosis and treated with chemotherapy before the recognition that her symptoms and laboratory values were consistent with a somatic FAS mutation leading to ALPS. This case should alert pediatricians to include ALPS in the differential diagnosis of a child with lymphadenopathy, splenomegaly, and cytopenias; obtain discriminating screening laboratory biomarkers, such as serum vitamin B-12 and ferritin levels; and, in the setting of a highly suspicious clinical scenario for ALPS, pursue testing for somatic FAS mutations when germ-line mutation testing is negative.

  12. Cat-scratch disease presenting as a solitary splenic abscess in an elderly man

    PubMed Central

    Nakamura, Momoko; Kurimoto, Mio; Kato, Takehiro; Kunieda, Takeshige

    2015-01-01

    Patients with cat-scratch disease (CSD), which is caused by Bartonella henselae, typically present with local lymphadenopathy with a brief period of fever and general symptoms. Most cases are self-limiting and usually afflict children and young adults. Although rare, CSD can lead to serious complications, especially in immunocompromised patients. These rare complications often require intensive treatment. We describe the case of a 79-year-old man who presented with general malaise and a high fever. The physical examination findings were unremarkable. Of note, the lymph nodes were not enlarged. An abdominal CT scan with intravenous contrast revealed a solitary splenic abscess and no lymphadenopathy. The initial antibiotic treatment was ineffective and a splenectomy was indicated. A history of contact with cats raised the possibility of CSD, which was confirmed by a positive serology test result for B henselae. Antibiotic treatment with azithromycin successfully treated the splenic abscess and splenectomy was avoided. PMID:25804947

  13. Cat-scratch disease: historic, clinical, and pathologic perspectives.

    PubMed

    Lamps, Laura W; Scott, Margie A

    2004-06-01

    Cat-scratch disease (CSD) initially was described in 1931, but the etiologic agent (Bartonella henselae) was not elucidated until decades later. This disease is the most common cause of chronic lymphadenopathy among children and adolescents, characteristically manifesting as subacute regional lymphadenitis with an associated inoculation site due to a cat scratch or bite, often accompanied by fever. The hallmark histologic lesion is granulomatous inflammation with a central stellate microabscess. Numerous atypical manifestations of CSD have been described, and these often lack the characteristic superficial lymphadenopathy and inoculation site papule. These atypical forms may be misdiagnosed initially as other infectious processes or neoplasms. We present a review of the history and epidemiologic features of CSD, describe common and unusual clinicopathologic manifestations, and discuss current diagnostic modalities.

  14. Cat Scratch Disease in kidney transplant receptors: is it a rare or underdiagnosed pathology?

    PubMed

    Verçoza, Ana Maria Teixeira; de los Santos, Carlos Abaeté; Vargas, José Amadeu

    2014-01-01

    Cat Scratch Disease (CSD) is an infectious disorder which appears after cat scratching particularly in children and adolescents. Bartonella henselae is the etiologic agent more frequently involved. There are only a few recent reports demonstrating the disease after transplantation, although the illness is not infrequent in immunologically competent people. Indeed CSD in transplant receptors has only been recently emphasized in the literature and it was concluded that fever and lymphadenopathy in patients who had been exposed to cats should prompt clinicians to maintain a suspicion for the infection. In this report CSD infecting a renal transplanted adolescent complaining of headache, blurred vision and fever, presenting a cat scratching lesion in the right arm, with a bilateral painful cervical lymphadenopathy was related. He also presented indirect immunofluorescency identifying that the two subtype's titles of Bartonella--henselae and quintana--were elevated. Treatment with doxicicline e rifampicin was introduced and the patient became asymptomatic in about 3 weeks.

  15. A serologically proven case of cat-scratch disease presenting with neuroretinitis.

    PubMed

    Chu, Benjamin C Y; Tam, Victor T Y

    2009-10-01

    Cat-scratch disease is a clinical syndrome that usually presents as a self-limiting illness featuring regional lymphadenopathy, fever, and small skin lesions in association with a cat scratch or bite. It is caused by the Gram-negative bacillus Bartonella henselae, which commonly affects children and young adults. Ocular bartonellosis is the most common atypical manifestation of cat-scratch disease. It can present with a wide spectrum of ocular diseases including neuroretinitis, Parinaud's oculoglandular syndrome, and other forms of intra-ocular inflammation. This case report describes cat-scratch disease neuroretinitis in a 10-year-old girl who presented with typical signs, including optic disc swelling and a macular star, preceded by pyrexia of unknown origin and cervical lymphadenopathy.

  16. Cat-scratch disease presenting as a solitary splenic abscess in an elderly man.

    PubMed

    Nakamura, Momoko; Kurimoto, Mio; Kato, Takehiro; Kunieda, Takeshige

    2015-03-24

    Patients with cat-scratch disease (CSD), which is caused by Bartonella henselae, typically present with local lymphadenopathy with a brief period of fever and general symptoms. Most cases are self-limiting and usually afflict children and young adults. Although rare, CSD can lead to serious complications, especially in immunocompromised patients. These rare complications often require intensive treatment. We describe the case of a 79-year-old man who presented with general malaise and a high fever. The physical examination findings were unremarkable. Of note, the lymph nodes were not enlarged. An abdominal CT scan with intravenous contrast revealed a solitary splenic abscess and no lymphadenopathy. The initial antibiotic treatment was ineffective and a splenectomy was indicated. A history of contact with cats raised the possibility of CSD, which was confirmed by a positive serology test result for B henselae. Antibiotic treatment with azithromycin successfully treated the splenic abscess and splenectomy was avoided.

  17. Cat-scratch disease relapse in a kidney transplant recipient.

    PubMed

    Rheault, Michelle N; van Burik, Jo-Anne; Mauer, Michael; Ingulli, Elizabeth; Ferrieri, Patricia; Jessurun, Jose; Chavers, Blanche M

    2007-02-01

    Cat-scratch disease, an infectious illness infrequently reported in kidney transplant patients, is caused by the organism Bartonella henselae and is transmitted through contact with cats or kittens. It is a self-limited disorder in the general pediatric population. Here we present a case of unsuspected cat-scratch disease in a pediatric kidney transplant patient who presented with fever and lymphadenopathy. Eight months after treatment with a short course of azithromycin, the patient developed a recurrence of cat-scratch disease. We emphasize that the evaluation of a young immunocompromised kidney transplant patient presenting with fever and lymphadenopathy should include unusual infections such as cat-scratch disease. We review the diagnosis and treatment of this uncommon infection in the organ transplant population.

  18. Effects of thymectomy or androgen administration upon the autoimmune disease of MRL/Mp-lpr/lpr mice.

    PubMed

    Steinberg, A D; Roths, J B; Murphy, E D; Steinberg, R T; Raveche, E S

    1980-08-01

    MRL/lpr and NZB X NZW F1 mice were neonatally thymectomized or treated with androgens from 2 weeks of age, and their natural histories were studied. Neonatal thymectomy of MRL/lpr mice led to marked reduction in the usual massive lymphadenopathy as well as significant reduction in antibodies to native DNA and prolonged survival. In contrast, neonatal thymectomy of NZB X NZW F1 mice led to accelerated disease. Androgen therapy of both mice led to reduced anti-DNA and prolonged survival. This occurred in the MRL/lpr mice without significant reduction in lymphadenopathy. Taken together, these studies suggest that different T cell abnormalities may underlie the development of autoimmunity in MRL/lpr and NZB X NZW F1 mice, but that disease may be expressed through a common androgen-sensitive pathway.

  19. Potential of the polymerase chain reaction in the diagnosis of active Toxoplasma infection by detection of parasite in blood.

    PubMed

    Guy, E C; Joynson, D H

    1995-07-01

    Blood samples from 54 patients presenting with acute toxoplasmic lymphadenopathy were tested for the presence of Toxoplasma gondii DNA using a nested polymerase chain reaction (PCR). PCR test results of a single blood sample obtained 2-23 weeks after onset of illness were positive for 19 (35%) of the 54 patients. Nine (53%) of 17 patients were positive by PCR when the initial blood sample was collected within the first 5 weeks of illness. In 7 of the 19 patients found positive, further blood samples were available, and subsequent clearance of T. gondii DNA from the blood was demonstrated. On the basis of positive findings among patients with acute toxoplasmosis and the absence of positive findings among 10 uninfected persons and 43 with past Toxoplasma infection, a positive PCR result appears to be a helpful indicator of active disease. However, since only 53% of patients with lymphadenopathy persisting < or = 5 weeks were positive, a negative PCR result does not exclude recent infection.

  20. Anterior mediastinal mass in a young marijuana smoker: a rare case of small-cell lung cancer.

    PubMed

    Kothadia, Jiten P; Chhabra, Saurabh; Marcus, Alan; May, Michael; Saraiya, Biren; Jabbour, Salma K

    2012-01-01

    The use of cannabis is embedded within many societies, mostly used by the young and widely perceived to be safe. Increasing concern regarding the potential for cannabis to cause mental health effects has dominated cannabis research, and the potential adverse respiratory effects have received relatively little attention. We report a rare case of 22-year-old man who presented with bilateral neck lymphadenopathy, fatigue, and sore throat without significant medical or family history. The patient had smoked one marijuana joint three times a week for three years but no cigarettes. Chest CT demonstrated a large anterior mediastinal mass compressing the superior vena cava and mediastinal lymphadenopathy. A final diagnosis of small-cell lung cancer was reached. Although rare, a small-cell lung cancer in this patient should alert the physician that cannabis smoking may be a risk factor for lung cancer.

  1. DRESS and Ischemic Stroke.

    PubMed

    Cahyanur, Rahmat; Oktavia, Dina; Koesno, Sukamto

    2012-07-01

    DRESS (drug rash eosinophilia and systemic symptoms) is a life threatening condition characterized by skin rash, fever, leucocytosis with eosinophilia or atypical lymphocytosis, lymphadenopathy, and internal organ involvement. This case report would like to describe an interesting case of DRESS coincidence with ischemic stroke. A 38 year old woman had been admitted with skin rash and fever since four days before. Four weeks before admission she received antibiotic and multivitamin for one week. The patient looked ill, with body temperature 38.0°C. Marked physical findings were cervical lymphadenopathy and hepatomegaly. Dermatological examination finding was generalized exanthema. Laboratory evaluation showed leucocytosis, eosinophilia, and increased level of ALT and AST. During hospitalization the patient also suffered from ischemic stroke. Treatments administered in this patient were oxygen, adequate intravenous fluid, parenteral nutrition, methyl prednisolone, cethirizin bid, ranitidin bid, and antibiotic. The antibiotic treatment in this case was performed with graded challenge or test dosing.

  2. Non-Hodgkin's lymphoma associated with Gaucher's disease.

    PubMed

    Perales, M; Cervantes, F; Cobo, F; Montserrat, E

    1998-11-01

    Gaucher's disease is an uncommon disorder which has been reported to be associated with an increased risk of lymphoproliferative disorders, including Non-Hodgkin's lymphoma (NHL). A new instance of such an association is described here. This was a 58 year-old-patient with adult type I Gaucher's disease who, one and a half year after the above diagnosis, presented with supraclavicular lymphadenopathy, massive splenomegaly, prominent retroperitoneal lymphadenopathy and increased serum LDH levels. This led to the diagnosis of large-cell NHL of B-cell type, successfully treated with chemotherapy. The previously published cases of Gaucher's disease associated with NHL as well as the possible mechanisms leading to this association are reviewed here.

  3. Systemic Kikuchi-Fujimoto disease bordering lupus lymphadenitis: A fresh look?

    PubMed Central

    Behdadnia, Aram; Allameh, Seyyed Farshad; Gharabaghi, Mehrnaz Asadi; Najafizadeh, Seyed Reza; Roudsari, Ahmad Tahamoli; Ghajar, Alireza; Ganji, Morsaleh; Afarideh, Mohsen

    2016-01-01

    Summary A 31-year old woman with persistent fever for 6 weeks and unresponsive to antibiotic therapy came for rheumatologic investigation. After computed tomography (CT) studies of her neck, thorax and abdomen revealed bilateral cervical, axillary and retroperitoneal lymph node enlargements, histopathologic evaluation of the resected nodes showed features of histiocytic necrotizing lymphadenopathy suggestive of Kikuchi-Fujimoto's lymphadenopathy. Kikuchi-Fujimoto Disease (KFD) involving the retroperitoneal nodes is extremely unusual and even more challenging to diagnose when there are no early signs of extranodal involvement or abdominopelvic pain. We present a case of systemic KFD involving the cervical, axillary and retroperitoneal lymph nodes and emphasize the clinical interest to properly differentiate between the benign condition of KFD that requires no more than minimal to low dosage steroid therapy and the potentially life-threatening lupus lymphadenitis that mandates intensive immunosuppressive treatment. PMID:27904829

  4. Recognition of distinctive patterns of gallium-67 distribution in sarcoidosis

    SciTech Connect

    Sulavik, S.B.; Spencer, R.P.; Weed, D.A.; Shapiro, H.R.; Shiue, S.T.; Castriotta, R.J. )

    1990-12-01

    Assessment of gallium-67 ({sup 67}Ga) uptake in the salivary and lacrimal glands and intrathoracic lymph nodes was made in 605 consecutive patients including 65 with sarcoidosis. A distinctive intrathoracic lymph node {sup 67}Ga uptake pattern, resembling the Greek letter lambda, was observed only in sarcoidosis (72%). Symmetrical lacrimal gland and parotid gland {sup 67}Ga uptake (panda appearance) was noted in 79% of sarcoidosis patients. A simultaneous lambda and panda pattern (62%) or a panda appearance with radiographic bilateral, symmetrical, hilar lymphadenopathy (6%) was present only in sarcoidosis patients. The presence of either of these patterns was particularly prevalent in roentgen Stages I (80%) or II (74%). We conclude that simultaneous (a) lambda and panda images, or (b) a panda image with bilateral symmetrical hilar lymphadenopathy on chest X-ray represent distinctive patterns which are highly specific for sarcoidosis, and may obviate the need for invasive diagnostic procedures.

  5. [Rickettsiosis after tick bite: A subtle clinic picture on many occasions, we must be vigilant].

    PubMed

    Monterde-Álvarez, Maria Laura; Calbet-Ferré, Clara; Rius-Gordillo, Neus; Pujol-Bajador, Isabel; Ballester-Bastardie, Frederic; Escribano-Subías, Joaquín

    2017-02-01

    Rickettsia diseases are a group of tick-borne transmitted diseases, classified into 2 large groups: spotted fevers and typhus fevers. In addition, a new condition has been described recently, known as tick-borne lymphadenopathy. A retrospective series is presented of paediatric cases of rickettsia diseases diagnosed in 2013 and 2014. A total of 8 patients were included, of which 2 of them were diagnosed as Mediterranean spotted fever, and 6 as tick-borne lymphadenopathy. Rickettsia slovaca, Rickettsia sibirica mongolitimonae, and Rickettsia massiliae were identified in 3 of them. Aetiology, clinical features and treatment carried out in each of them are described. The interest of these cases is that, although most have a benign course, the high diagnostic suspicion and early treatment seem to be beneficial for its outcome.

  6. Neuroretinitis: a clinical syndrome of cat-scratch disease.

    PubMed

    Rost Monahan S

    2000-12-01

    Cat-scratch disease is usually a benign self-limited illness, characterized by regional lymphadenopathy lasting between 3 and 6 weeks. The causative organism is Bartonella henselae, a small gram-negative rod. Between 1 and 2% of patients who contract the illness experience blurred vision, metamorphopsia and scotomas as a result of neuroretinitis, an associated clinical syndrome. The classical clinical findings in cat-scratch neuroretinitis include disc edema and a stellate pattern of exudates in the macula. However, a myriad of other signs has been documented, suggesting a much wider spectrum of intra-ocular disease. The following case report presents a young patient with neuroretinitis, and a history of lymphadenopathy secondary to cat-scratch disease.

  7. A Clinico-Pathological Study of Cervical Lymph Nodes.

    PubMed

    Batni, Gaurav; Gaur, Sushil; Sinha, O N; Agrawal, Siddhant Priya; Srivasatva, Abhinav

    2016-12-01

    Cervical lymphadenopathy is one of the commonest presenting complaint of patient in ENT OPD Fine Needle Aspiration Cytology (FNAC) is one of the most reliable, less expensive, and basic diagnostic procedure for the definitive and conclusive diagnosis for the immune system which reciprocates in the form of enlarged lymph nodes. A study was conducted in ENT Department of Santosh Medical College, Ghazibad from August 2015 to May 2016 on 64 patients with enlarged cervical lymph nodes. FNAC was done to make the diagnosis. Out of 64 patients (51.5 %) was reactive non-specific, 28 % tubercular, 3.1 % lymphoma and 17 % were malignant. FNAC is one of the most dependable diagnostic tools in case of cervical lymphadenopathy for early diagnosis and detection for the better management.

  8. Toxoplasmosis presented as a submental mass: a common disease, uncommon presentation.

    PubMed

    Li, Bo; Zou, Jian; Wang, Wei-Ya; Liu, Shi-Xi

    2015-01-01

    Submental mass secondary to toxoplasmosis is not common in clinical work. A diagnosis of toxoplasmosis is rarely considered by physicians. Here we describe a 50-year-old woman presented with a progressive, painful, submental and left neck swelling for 1 month. After having obtained an insufficient evidence from the fine-needle biopsy, the patient finally received an excisional biopsy which highly indicated the possibility of lymphadenopathy consistent with toxoplasmosis. Diagnosis of toxoplasmosis was finally established by a combination of the pathological criteria, together with the positive serological finding. According to review the clinical presentations, pathological characteristics, diagnostic standard and treatment of this disease, the article aims to remind otolaryngologists who are evaluating a neck mass should be aware of the infectious cause of lymphadenopathy and the possibility of toxoplasmosis.

  9. Kikuchi-Fujimoto disease: pediatric case report.

    PubMed

    Ojeda Lewis, Eduardo; Vásquez Paz, Héctor

    2015-09-28

    The Kikuchi-Fujimoto disease is a rare disease that occurs mostly in young adults, although some cases have been reported in children. It is usually characterized by fever and cervical lymphadenopathy. The etiology of the disease remains unknown. Its course is usually benign and self-limited. It has special histopathological features that allow the differential diagnosis with other entities, which from a clinical point of view can be very complicated. We report a 9 years 11 months old girl with lymphadenopathy and fever with five months evolution, which is the longest evolution among the cases reviewed by the authors in world literature. Given that the presentation of this disease in children is very rare, we estimate that the knowledge of this disease is relevant and pediatricians must consider it in the differential diagnosis of fever of unknown origin in children.

  10. Unicentric Castleman’s disease associated with end stage renal disease caused by amyloidosis

    PubMed Central

    Eroglu, Eray; Kocyigit, Ismail; Unal, Aydin; Sipahioglu, Murat Hayri; Akgun, Hulya; Kaynar, Leylagul; Tokgoz, Bulent; Oymak, Oktay

    2017-01-01

    Castleman’s disease (CD), also known as angiofolicular lymph node hyperplasia, is a rare heterogenous group of lymphoproliferative disorders. Histologically, it can be classified as hyaline vascular type, plasma cell type, or mixed type. Clinically two different subtypes of the CD are present: Unicentric and multicentric. Unicentric CD is generally asymptomatic and associated with hyaline vascular type, and its diagnoses depend on the localized lymphadenopathy on examination or imaging studies. However, multicentric CD presents with generalized lymphadenopathy and systemic symptoms including malaise, fever, night sweats, weight loss, and it is associated with the plasma cell type and mix type. Herein, we report a patient with unicentric CD of the plasma cell type without systemic symptoms, who developed end stage renal failure caused by amyloidosis 6 years after onset of CD. PMID:28352636

  11. DRESS-syndrome on sulfasalazine and naproxen treatment for juvenile idiopathic arthritis and reactivation of human herpevirus 6 in an 11-year-old Caucasian boy.

    PubMed

    Piñana, E; Lei, S H; Merino, R; Melgosa, M; De La Vega, R; Gonzales-Obeso, E; Ramírez, E; Borobia, A; Carcas, A

    2010-06-01

    DRESS-syndrome (Drug Rash with Eosinophilia and Systemic Symptoms) is a severe drug-induced hypersensitivity syndrome characterized by diffuse maculopapular rash, lymphadenopathy, multivisceral involvement, eosinophilia and atypical lymphocytes with a mortality rate of 10-40% (Seminars in Cutaneous Medicine and Surgery, 1, 250). It is described in adults treated with aromatic antiepileptics and less frequently with sulphonamides, and non-steroidal anti-inflammatory drugs (Clinics in Dermatology, 23, 171; Pediatrics, 108, 485). We report on an 11-year-old Caucasian boy hospitalized with a skin eruption, lymphadenopathy, acute hepatitis, renal tubular involvement, haematological abnormalities and human-herpevirus-6 reactivation, treated with sulfasalazine and naproxen for juvenile idiopathic arthritis (JIA). This is the first report in children with rheumatic disease and highlights the possibility of sulfasalazine and naproxen-induced-DRESS-syndrome in children with JIA.

  12. Cat scratch disease during etanercept therapy in a rheumatoid arthritis patient.

    PubMed

    Orden, Alberto O; Nardi, Norma N; Vilaseca, Alicia B; Colombini, Ana C; Barrios, Nora G; Vijnovich Barón, Anahí

    2017-02-27

    Cat scratch disease (CSD) is an infectious disorder caused by Bartonella henselae and characterized by fever and granulomatous lymphadenopathy. Immunosuppression is a risk factor for the development of atypical forms of the disease. We report the case of a 52-year-old woman who presented with fever and bilateral inguinal lymph node enlargement. She did not have apparent contact with animals. The patient was receiving etanercept therapy for rheumatoid arthritis. Lymph node biopsy demonstrated granulomatous lymphadenitis. She was successfully managed by discontinuing etanercept and by treatment with minocycline. She developed clinical remission and typical seroconversion. Infection with Bartonella should be considered in the differential diagnosis in rheumatoid arthritis patients with lymphadenopathy of unknown origin.

  13. Disseminated Histoplasmosis: A Fatal Opportunistic Infection in Disguise

    PubMed Central

    Tyagi, Ruchita; Kaur, Arshdeep; Selhi, Pavneet Kaur; Puri, Harpreet Kaur; Sood, Neena

    2016-01-01

    Histoplasma capsulatum is no longer confined to certain geographic areas and should always be considered in the differential diagnosis of lymphadenopathy and organomegaly in HIV-positive patients. We present an unusual case of a 20-year-old immunocompromised male of African origin presenting with fever, jaundice, hepatosplenomegaly, and retroperitoneal and cervical lymphadenopathy. Fine needle aspiration (FNA) smears from the cervical lymph node revealed numerous yeast forms of histoplasma in macrophages. The patient succumbed to the fulminant infection. Postmortem liver biopsy also revealed infiltration by histoplasma, confirming the diagnosis of disseminated histoplasmosis. This case highlights the variable nature of the clinical presentation of disseminated histoplasmosis which can mimic tuberculosis, leishmaniasis, or lymphoma. FNA cytology is a rapid, cost-effective, and reliable diagnostic tool for early detection and prompt management of histoplasmosis. PMID:27365926

  14. Kikuchi's Disease: A Rare Cause of Fever of Unknown Origin.

    PubMed

    Jalal-ud-din, Mir; Noor, Muhammad Munir; Ali, Shadab; Ali, Rashid

    2015-04-01

    Kikuchi Fujimoto Disease (KFD) or histiocytic necrotizing lymphadenitis can present with unexplained fever and lymphadenopathy. It is often mistaken for more serious conditions like malignant lymphoma or tuberculosis. First case was described by Kikuchi in Japan, very few cases have been reported in Pakistan. A middle aged female presented with fever and body aches for one month. She was investigated extensively for pyrexia of unknown origin, all of which came out to be normal except a raised ESR. Anti-tuberculous drugs were started on clinical suspicion, with no improvement after a month. Later, a detailed physical examination revealed cervical lymphadenopathy. One of the lymph nodes was excised and biopsied. The histopathology suggested Kikuchi's disease. Oral Prednisolone was started showing improvement. Her fever subsided and lymph nodes disappeared at the follow-up visit. No relapse was encountered in the subsequent visits.

  15. Coccidioidomycosis in dogs and cats: a review.

    PubMed

    Graupmann-Kuzma, Angela; Valentine, Beth A; Shubitz, Lisa F; Dial, Sharon M; Watrous, Barbara; Tornquist, Susan J

    2008-01-01

    The dimorphic fungi Coccidioides immitis and Coccidioides posadasii are the causative agents of coccidioidomycosis. Dogs and cats residing in and visiting endemic areas are at risk of exposure to infectious arthrospores. The primary infection is pulmonary and frequently results in chronic cough. Disseminated disease is common and causes cutaneous, osseous, cardiac, ocular, nervous system, or other organ disease. Radiographic changes include a variable degree of interstitial pulmonary infiltration, hilar lymphadenopathy, and osseous lesions. Serological titers support the diagnosis, but definitive diagnosis relies on identification of Coccidioides in cytological or tissue samples. Coccidioidomycosis should be considered in any dog or cat that has been potentially exposed during the previous 3 years and is presented with chronic illness, respiratory signs, lameness, lymphadenopathy, nonhealing cutaneous lesions, or neurological, ocular, or cardiac abnormalities.

  16. Abdominal Lymphonodular Cryptococcosis in an Immunocompetent Child

    PubMed Central

    Zaidi, Mehjabeen; Qureshi, Sonia; Shakoor, Sadia; Fatima, Saira; Mir, Fatima

    2015-01-01

    We describe our experience with an apparently immunocompetent child presenting with pyrexia of unknown origin without focal signs. Investigations revealed lymphadenopathy at lung hila, mesentery, and porta hepatis. The child had received at least two months of empiric antituberculous therapy (ATT) before she came to us. A CT-guided biopsy revealed granulomatous inflammation. PAS stain showed yeasts which stained blue with Alcian blue, suggesting C. neoformans. PMID:26649217

  17. Diagnostic challenges in cervical tuberculous lymphadenitis: A review

    PubMed Central

    Deveci, Hande Senem; Kule, Mustafa; Kule, Zeynep Altin; Habesoglu, Tulay Erden

    2016-01-01

    Tuberculosis is a very serious disease and incidence is once again on the rise. Lymph node tuberculosis is one of the most common extrapulmonary manifestations of tuberculosis. In differential diagnosis of chronic, painless cervical lymphadenopathy, cervical tuberculous lymphadenitis should be kept in mind. A high index of suspicion is needed for diagnosis of tuberculous lymphadenitis, which is known to mimic a number of pathological conditions. This article reviews epidemiology, clinical manifestations, and diagnostic techniques for cervical tuberculous lymphadenitis. PMID:28058405

  18. Discovery and Development of Therapeutic Drugs Against Lethal Human RNA-Viruses: A Multidisciplinary Assault

    DTIC Science & Technology

    1989-08-21

    by dementia, diarrhea, fever, generalized lymphadenopathy, neuropathy , oral candidiasis and weight loss.5 2 Prospects for a vaccine5 3 ř 4 are not...HPA-23 (ammonium 21-tungsto-9-antimoniate, (N114 ) 1 8 (NaW 2 1 Sb 9 0 8 6 ) 1 7 , controversial treatment used in Paris on actor Rock Hudson]. imreg...sewage. A major portion of pathogenic viruses are associated with sewage solids and therefore not destroyed by chlorine treatment methods. At least 120

  19. Progression of Pathogenic Events in Cynomolgus Macaques Infected with Variola Virus

    DTIC Science & Technology

    2011-10-01

    first became apparent on day 3 and were limited to peripheral and visceral lymphadenopathy and prominent splenic lymphoid follicles in one animal only...Epitheliocentric lesions were commonly found in haired skin and oronasal mucosa. Cutaneous lesions became apparent histologically at day 3, and...poxviral antigen staining within the marginal zone of primary follicles , as well as occasional single cells within the sinusoids, on day 1 (Figure 2). On

  20. Genetic Variation of HIV: Viral Load and Genotypic Diversity in Relation to Viral Pathogenesis and Treatment

    DTIC Science & Technology

    1992-01-20

    symptomatic man from Abidjan, C6te d’Ivoire was also studied. He was 32 years old, had lymphadenopathy, cutaneous anergy and recurrent skin abscesses, and...with HIV-1 from H9/ HTLV -IUb-infected cells. 53 vox tat tat nef LT ga C env [O]LTR vpro LJLJ 192prev reTv JL7b P01(11/ 08bo) 43bo neILTR pal~int)env

  1. Human Immunodeficiency Virus Antibody Testing and the Right of Privacy.

    DTIC Science & Technology

    1987-09-30

    test, the Western blot is done. Western blot is more specific than ELISA for antibodies but it is more expensive and complicated to run. Unfortunately...the error rates or the reliability of the ELISA test varies from laboratory to laboratory. The S interpretation of the Western blot also can vary...Immunodeficiency Virus, HIV (formerly known as Human T-Lymphotropic Virus Type III, HTLV III and Lymphadenopathy Associated Virus, LAV or a combination of those

  2. Disseminated cutaneous sporotrichosis associated with ocular lesion in an immunocompetent patient*

    PubMed Central

    Medeiros, Karina Bittencourt; Landeiro, Luana Gomes; Diniz, Lucia Martins; Falqueto, Aloísio

    2016-01-01

    A 59-year-old female patient, previously healthy, immunocompetent, presented left bulbar conjunctiva lesions and nodular-ulcerated lesions on the arms and cervical region, besides left cervical and retroauricular lymphadenopathy. She had previous contact with domestic cats that excoriated her face. The diagnosis was conclusive of disseminated sporotrichosis through clinical and epidemiological history and cultures of skin and ocular secretions. It evolved with good response to oral antifungal therapy. PMID:27579758

  3. Eosinophilic fibrosing gastritis and toxoplasmosis in a cat.

    PubMed

    McConnell, James F; Sparkes, Andrew H; Blunden, Anthony S; Neath, Prue J; Sansom, Jane

    2007-02-01

    A 3-year-old, neutered male Tiffany cat was presented to the Animal Health Trust for investigation of pyrexia and a gastric lesion. Radiography and ultrasound showed severe thickening of the gastric wall and regional lymphadenopathy. There was altered gastric wall layering, predominately due to muscularis thickening. Histopathology confirmed eosinophilic fibrosing gastritis. The cat also had evidence of generalised Toxoplasma gondii infection, which may have been responsible for the gastric changes.

  4. Imaging Spectrum of Extrathoracic Tuberculosis.

    PubMed

    Raut, Abhijit A; Naphade, Prashant S; Ramakantan, Ravi

    2016-05-01

    The incidence of extrathoracic tuberculosis (ETB) continues to increase slowly, especially in immunocompromised and multidrug-resistant tuberculosis (TB) patients. ETB manifests with nonspecific clinical symptoms, and being less frequent, is less familiar to most physicians. Imaging modalities of choice are computed tomography (lymphadenopathy and abdominal TB) and MR imaging (central nervous system and musculoskeletal system TB). ETB commonly involves multiple organ systems with characteristic imaging findings that permit accurate diagnosis and timely management.

  5. CT demonstration of peripelvic and periureteral non-Hodgkin lymphoma

    SciTech Connect

    McMillin, K.I.; Gross, B.H.

    1985-05-01

    Abdominal CT is often performed for the staging of lymphoma. Retroperitoneal lymphadenopathy is the most common abnormality identified, but various extranodal sites of lymphomatous involvement have been reported, especially in non-Hodgkin lymphoma. Renal involvement is not rare, but peripelvic or periureteral involvement in the absence of renal parenchymal involvement or contiguous abdominal adenopathy is extremely unusual. Two recent patients with non-Hodgkin lymphoma who did show these findings are presented.

  6. Autoimmune lymphoproliferative syndrome (ALPS): a case with congenital onset.

    PubMed

    Kahwash, Samir B; Fung, Bonita; Savelli, Stephanie; Bleesing, Jack J; Qualman, Stephen J

    2007-01-01

    We describe a case of autoimmune lymphoproliferative syndrome (ALPS), which is very unusual with regard to a clinical onset soon after birth, and a clinical picture dominated by splenomegaly, jaundice, and consumptive peripheral blood cytopenias, with minimal lymphadenopathy. Our documented close follow up demonstrated initial involvement of the spleen, followed by involvement of the bone marrow and the peripheral blood. The patient underwent bone marrow transplant and is alive and well 20 months after diagnosis.

  7. Autoimmune Lymphoproliferative Syndrome with Red Cell Aplasia.

    PubMed

    Meena, K R; Bisht, Supriya; Tamaria, K C

    2015-12-01

    Autoimmune Lymphoproliferative Syndrome (ALPS) is a rare inherited disorder of abnormal lymphocyte apoptosis, leading to chronic lymphoproliferation. It presents as lymphadenopathy, hepatosplenomegaly and autoimmune phenomena. Pure red cell aplasia is characterized by normochromic normocytic anemia, reticulocytopenia, and absence of erythroblasts from a normal bone marrow. Only few lymphoproliferative disorders have been associated with erythroid aplasia. The authors are reporting a case of ALPS associated with red cell aplasia in a 7-y-old girl.

  8. Non-Hodgkin's lymphoma involving a femur bone and bilateral adrenal glands alone with adrenal insufficiency.

    PubMed

    Iwahara, Yoshihito; Shinohara, Tsutomu; Naruse, Keishi; Komatsu, Yukihisa

    2017-01-31

    Primary bone lymphoma and primary adrenal lymphoma are rare clinicopathological entities of non-Hodgkin's lymphoma (NHL). We present the first case of diffuse large B-cell lymphoma with the involvement of a single bone and both adrenal glands alone with adrenal insufficiency. As primary extranodal NHL may have other unusual extranodal lesions, which may present unexplained clinical findings, patients with primary extranodal NHL require careful systemic examination, even when lymphadenopathy is absent.

  9. Isolation of Japanese Encephalitis Virus Strains from Sentinel Pigs in Northern Thailand, 1982

    DTIC Science & Technology

    1985-01-01

    3 lymphadenopathy was noted for several days. A TANO.i LAORAKPONGSE’ second bone marrow puncture performed on 6th September showed Leishmania . Depts...showed no Leishmania . However, as the Station, 395 Hatfield Road, St. Albans, AL4 OXU; patient’s hepatic biochemistry was not yet normal, a 4Kampangphet...Thailand. VI. Summary and conclusions. American confirmed L. donovani infection before May 1983. Journal of Epidemiologv, 100, 69-76. These data

  10. Fusion Imaging: A Novel Staging Modality in Testis Cancer

    DTIC Science & Technology

    2010-01-01

    conducted. Patients underwent con- ventional imaging evaluation to include CT abdo - men/pelvis, CXR, as well as a full clinical evaluation to include...positron emission tomography (PET) has been utilized in con- junction with computed tomography ( CT ) and chest radiographs (CXR) to survey patients for...metastatic or recurrent disease. While CT is the standard of care for locating the presence of lymphadenopathy or retro- peritoneal masses, its

  11. Detection of Bartonella spp. DNA in clinical specimens using an internally controlled real-time PCR assay.

    PubMed

    Bergmans, Anneke M C; Rossen, John W A

    2013-01-01

    Bartonella henselae is the causative agent of cat-scratch disease (CSD), usually presenting itself as a -self-limiting lymphadenopathy. In this chapter an internally controlled Taqman probe-based real-time PCR targeting the groEL gene of Bartonella spp. is described. This assay allows for the rapid, sensitive, and simple detection of Bartonella spp. in samples from CSD or endocarditis suspects, and it is suitable for implementation in the diagnostic microbiology laboratory.

  12. Primary cutaneous anaplastic large cell lymphoma masquerading as large pyogenic granuloma

    PubMed Central

    Bains, Anupama; Vedant, Deepak; Shanker, Vinay; Tegta, G. R.

    2016-01-01

    Primary cutaneous anaplastic large cell lymphoma (pcALCL) forms 9% of the cutaneous T-cell lymphomas. It usually presents as solitary reddish brown ulcerating nodule or indurated plaque. Sometimes, it mimics other dermatological diseases such as eczema, pyoderma gangrenosum, pyogenic granuloma, morphea, and squamous cell carcinoma. Our case presented with large pyogenic granuloma like lesion with regional lymphadenopathy. Since pcALCL is rare, one can misdiagnose such cases and therefore high index of suspicion is necessary. PMID:27990392

  13. Hypertrophic osteodystrophy preceding canine juvenile cellulitis in an Australian shepherd puppy

    PubMed Central

    Wentzell, Meaghan L.

    2011-01-01

    A 10-week-old intact female Australian shepherd dog was presented sternally recumbent, mildly pyrexic, and painful on long bone palpation of both forelimbs. Based on radiographs she was diagnosed with hypertrophic osteodystrophy. Analgesia was provided with intravenous, oral, and topical medications. Approximately 2 wk later she was presented for facial swelling, regional dermatitis, and lymphadenopathy. Canine juvenile cellulitis was diagnosed and successfully treated. PMID:21731101

  14. Unusual Presentation of Diffuse Large B-Cell Lymphoma With Splenic Infarcts

    PubMed Central

    Kumar, Vivek; Soni, Parita; Dave, Vishangi; Harris, Jonathan

    2017-01-01

    A 67-year-old man presented with a 3-day history of abdominal pain, fever, and significant weight loss over 2 months. Physical examination revealed left upper quadrant tenderness, hepatomegaly, splenomegaly, and bilateral pitting edema but peripheral lymphadenopathy was absent. Laboratory tests showed anemia, thrombocytopenia, elevated prothrombin time (PT), partial thromboplastin time (PTT), and increased lactate dehydrogenase (LDH). PTT was corrected completely in mixing study. Further workup for the cause of coagulopathy revealed decreased levels of all clotting factors except factor VIII and increase fibrinogen levels, which ruled out disseminated intravascular coagulation (DIC). Flow cytometry of peripheral blood was normal. Contrast-enhanced computed tomography (CECT) revealed splenomegaly with multiple splenic infarcts without any mediastinal or intraabdominal lymphadenopathy. Further investigations for infective endocarditis (blood cultures and transthoracic echocardiography) and autoimmune disorders (ANA, dsDNA, RA factors) were negative. The patient received treatment for sepsis empirically without any significant clinical improvement. The diagnosis remained unclear despite extensive workup and liver biopsy was conducted due to high suspicion of granulomatous diseases. However, the liver biopsy revealed high-grade diffuse large B-cell lymphoma (DLBCL). Unfortunately, patient died shortly after the diagnosis. Here we report a case of high-grade DLBCL with hepatosplenomegaly and splenic infarcts in the absence of any lymphadenopathy or focal lesions. This case highlights the fact that unusually lymphoma can present in the absence of lymphadenopathy or mass lesion mimicking autoimmune and granulomatous disorders. The diagnosis in these cases can only be made on histology, and hence the threshold for biopsy should be low in patients with unclear presentations and multiorgan involvement. PMID:28203580

  15. Lymphocytic enteritis in a filly.

    PubMed

    Clark, E S; Morris, D D; Allen, D; Tyler, D E

    1988-11-15

    A yearling Hanoverian filly had intermittent colic for 6 weeks, chylous peritoneal effusion, and a firm mass palpable per rectum. Exploratory laparotomy revealed mesenteric lymphadenopathy, adhesion of the mesenteric root to the duodenum and jejunum, distention of the mesenteric veins and lymphatic vessels, and increased jejunal venous pressure. Lesions in the duodenum, jejunum, and colon included infiltration of lymphocytes and plasma cells in the lamina propria.

  16. Treatment of crusted scabies with albendazole: A case report.

    PubMed

    Douri, Thaer; Shawaf, A Z

    2009-10-15

    Crusted scabies is a severe variant of scabies caused by the ectoparasite Sarcoptes scabiei. It is characterized by high mite burden, extensive hyperkeratotic scaling, crusted lesions, variable pruritus, generalized lymphadenopathy, erythroderma, and eosinophilia, in some cases. There is an increased incidence of crusted scabies, particularly among patients with HIV infection. We describe a 22-year-old Syrian immunocompetent female who had hyperkeratotic psoriasiform plaques and hyperkeratosis without itching. She was treated with oral albendazole and topical crotamiton with salicylic acid 5 percent.

  17. Inflammatory breast cancer: what are the treatment options?

    PubMed

    Iniesta, Maria D; Mooney, Colin J; Merajver, Sofia D

    2009-12-01

    An otherwise healthy, 68-year-old woman presents to her primary-care physician complaining of right breast enlargement, warmth, and progressive pink to dark red skin changes over the past month. She denies fever, pain, or breast discharge. Physical examination reveals erythema of the whole right breast, warmth, swelling, induration, and nipple retraction. Palpable axillary lymphadenopathy is appreciated on the right only. The left breast is uninvolved. The physician is concerned that she may have inflammatory breast cancer.

  18. AIDS in an infant causing severe failure to thrive.

    PubMed

    Elias-Jones, A C; Larcher, V F; Price, E H

    1987-07-01

    A nine-month-old female Jamaican infant presented with a history of severe failure to thrive, recurrent pneumonia and developmental delay. She was found to have hepatosplenomegaly, generalised lymphadenopathy and hypotonia. Investigations revealed polyclonal hypergammaglobulinaemia, cytomegalovirus in her urine, and patchy lung infiltrates on her chest radiographs. Three separate tests were positive for human immunodeficiency virus in both the infant and her mother, suggesting vertical transmission, and confirming AIDS as the cause of the severe failure to thrive.

  19. Dermatological clues to the diagnosis of atypical complete DiGeorge syndrome.

    PubMed

    Seminario-Vidal, Lucia; Kole, Lauren; Knapp, Charles; Fort, Prem; Kankirawatana, Suthida; Atkinson, T Prescott; McKay, Kristopher M; Theos, Amy

    2016-11-15

    Atypical complete DiGeorge syndrome (DGS) is an extremely rare congenital disease characterized by an eczematous dermatitis, lymphadenopathy, and an oligoclonal T-cell proliferation. Because its initial presentation may be confused with other types of eczematous dermatitis, diagnosis and treatment are usually delayed. We describe herein a case of an infant with atypical complete DGS to draw attention to the clinical and histopathological findings that lead us to the diagnosis.

  20. PubMed Central

    Fournier, J.

    1986-01-01

    An update on cat scratch disease Cat scratch disease is an uncommon and infectious disease of man characterized by regional lymphadenopathy following a scratch or a bite from a cat or other inoculation wounds. The role of the cat in the transmission of the disease is uncertain. This paper describes the disease, reviews different hypotheses on the etiology taking into account the recently reported discovery of a cat scratch disease bacillus and summarizes the diagnostic criteria. PMID:17422660

  1. Regenerative Energieträger im Aufwind: Entwicklung der erneuerbaren Energien

    NASA Astrophysics Data System (ADS)

    Kohl, Harald

    2006-05-01

    2005 kam 4,6 % des deutschen Primär-Energieverbrauchs aus erneuerbaren Energiequellen, bei der Stromproduktion lag ihr Anteil bei 10,2 %. Wesentliche Ursache ist der Boom bei der Windkraft, die vor allem durch Offshore-Windparks auf See weiter ausbaubar ist. Die Wasserkraft lieferte in Deutschland traditionell einen großen Beitrag zur Stromerzeugung, doch ihr Ausbaupotenzial ist gering. Die Photovoltaik, die solar- und die geothermische Stromerzeugung spielen derzeit noch eine kleine Rolle. Den deutschen Bedarf an Wärmeenergie deckten 2004 die erneuerbaren Energien zu 5,4 %, vor allem aus Biomasse. Die solarthermische Wärmeerzeugung hat sich gegenüber 2000 mehr als verdoppelt. Im Straßenverkehr spielen biogene Kraftstoffe mit 5,4 % noch eine untergeordnete Rolle. Bis 2050 könnte in Deutschland der Anteil regenerativer Energien am Primär-Energieverbrauch die Fünfzigprozentmarke überschreiten.

  2. The Moral Career of ‘Outmates’: Towards a History of Manufactured Mental Disorders in Post-Socialist China

    PubMed Central

    Wu, Harry Yi-Jui

    2016-01-01

    This study focuses on ‘manufactured mentally ill’ (bei jingshenbing, 被精神病) individuals in post-socialist China. In Chinese society, bei jingshenbing is a neologistic catchphrase that refers to someone who has been misidentified as exhibiting symptoms of mental illness and has been admitted to a mental hospital. Specifically, it refers to those individuals who were subjected to unnecessary psychiatric treatment during the first decade of the twenty-first century. Based on archival analysis and ethnographic fieldwork, this study addresses the ways in which the voices of bei jingshenbing victims and those who support them reveal China’s experiences with psychiatric modernity. It also discusses the active role of these individuals in knowledge production, medical policymaking, and the implications for reforming the psychiatric and mental health systems in post-socialist China. PMID:26651190

  3. Gewebe

    NASA Astrophysics Data System (ADS)

    Shah-Derler, Brigitte; Wintermantel, Erich; Ha, Suk-Woo

    Als Gewebe wird ein durch spezifische Leistungen gekennzeichneter Verband gleichartig differenzierter Zellen bezeichnet. Gewebe entstehen aus jungen, noch nicht differenzierten Zellen, die sich ihrer künftigen Funktion entsprechend umwandeln. Gewebe aus differenzierten Zellen wird als Dauergewebe bezeichnet. Verschiedene Gewebe haben allerdings eine mehr oder weniger starke Potenz, sich neu aufzubauen. Beim Menschen unterscheidet man diesbezüglich zwischen labilem Gewebe, bei dem die Bildung und der Aufbau der Zellen rasch erfolgt, stabilem Gewebe, bei dem der Zellumsatz sehr langsam geschieht und permanentem Gewebe, bei dem absterbende Zellen nicht mehr ersetzt werden können (Tabelle 8.1). Es gibt vier Grundtypen von Geweben: Epithelgewebe, Binde- und Stützgewebe, Muskelgewebe und Nervengewebe. Im Körper treten in der Regel verschiedene Gewebe funktionell zusammen (z. B. Muskeln und Sehnen des Bindegewebes).

  4. [Helpful and stressful factors in coping with COPD in patients and their partners - a qualitative study].

    PubMed

    Binder, Marielle; Mörgeli, Hanspeter; Meier, Caroline; Witzemann, Lucia; Drabe, Natalie; Jenewein, Josef

    2014-01-15

    Zielsetzung: Eine Analyse der hilfreichen und belastenden Faktoren im Umgang mit COPD (chronisch-obstruktive Lungenkrankheit) bei Patienten und deren Partner. Methode: Neun COPD-Patienten und deren Partner wurden in einem semistrukturierten Interview befragt. Mittels qualitativer Inhaltsanalyse wurden die transkribierten Antworten ausgewertet. Resultate: Die professionelle Unterstützung erleben Patienten und Partner als hilfreich. Die Unterstützung durch den Partner scheint für die Patienten besonders hilfreich. Als belastender Faktor wurden von Patienten und Partnern häufig psychische Probleme genannt. Bei den Patienten standen zudem körperliche Einschränkungen im Vordergrund. Partner erwähnten ausserdem Konflikte mit dem Patienten. Schlussfolgerung: Partner von COPD-Patienten scheinen bei der Bewältigung eine wichtige Rolle zu spielen, sind gleichzeitig aber auch selbst häufig psychisch belastet. Sie sollten deshalb vermehrt in die Behandlung miteinbezogen werden.

  5. Kikuchi-Fujimoto Disease: A Rare Presentation with Localized Iliac Lymphadenitis

    PubMed Central

    Anikhindi, Shrihari Anil; Arora, Anil; Dhawan, Shashi; Bansal, Naresh; Sharma, Praveen; Singla, Vikas; Kumar, Ashish

    2017-01-01

    Kikuchi-Fujimoto disease (KFD) is a benign, self-limiting disease characterized by histiocytic necrotising lymphadenitis. Though several viral agents or an autoimmune etiology has been proposed as causative, the exact cause remains unknown. It has a female predilection and most commonly seen among young Asian people. Patients usually present with a febrile illness and the presence of lymphadenopathy may provide a clue to diagnosis. The most common site of lymphadenopathy is cervical lymph nodes while intra-abdominal involvement is uncommon. Cases of KFD presenting with intra-abdominal lymphadenopathy have been reported to occur with equal frequency in both sexes. Abdominal tuberculosis, non-Hodgkin’s lymphoma, and systemic lupus erythematosus are close differential diagnoses for this type of presentation. Treatment is mostly supportive as the disease usually resolves spontaneously; steroids are only required in severe cases. We report a 32-year-old male patient of intra-abdominal lymphadenitis that presented as fever of unknown origin (FUO) and diagnosed by excisional biopsy as a case of KFD. PMID:28293057

  6. Development of disseminated histiocytic sarcoma in a patient with autoimmune lymphoproliferative syndrome and associated Rosai-Dorfman disease.

    PubMed

    Venkataraman, Girish; McClain, Kenneth L; Pittaluga, Stefania; Rao, V Koneti; Jaffe, Elaine S

    2010-04-01

    Patients with autoimmune lymphoproliferative syndrome (ALPS) have defective lymphocyte apoptosis with increased risk for lymphoid malignancies. Herein, we report a patient with ALPS who developed histiocytic sarcoma in a background of sinus histiocytosis and massive lymphadenopathy or Rosai- Dorfman disease. This patient had documented ALPS type Ia with a germline missense mutation in exon 9 of the TNFRSF6 gene (973 A>T, D244V) encoding Fas (CD95/Apo-1). He presented at 10 months with hepatosplenomegaly and autoimmune hemolytic anemia and was diagnosed with ALPS. At the age of 6 (1/2) years, he developed classic Hodgkin lymphoma which was treated using standard chemotherapy. Two years later, a biopsy of a positron emission tomography-positive axillary node showed features of ALPS and focal involvement by sinus histiocytosis and massive lymphadenopathy. Thereafter, the patient continued to have continued lymphadenopathy and progressive splenomegaly, leading to exploratory surgery at the age of 13 years for suspicion of lymphoma. Para-abdominal nodes revealed sheets of malignant- looking histiocytes with increased mitotic activity and areas of necrosis, indicative of histiocytic sarcoma. Spleen and lymph nodes also showed involvement by Rosai-Dorfman disease. Both components had an identical phenotype of S-100+/CD68+/ CD163+. The occurrence of malignancies involving 2 separate hematopoietic lineages in ALPS has not been reported earlier. Given the central role of defective Fas signaling in ALPS, histiocytes may be yet another lineage at risk for neoplastic transformation secondary to a block in apoptosis.

  7. Autoimmune lymphoproliferative syndrome mimicking chronic active Epstein-Barr virus infection.

    PubMed

    Nomura, Keiko; Kanegane, Hirokazu; Otsubo, Keisuke; Wakiguchi, Hiroshi; Noda, Yukihiro; Kasahara, Yoshihito; Miyawaki, Toshio

    2011-06-01

    Chronic active Epstein-Barr virus infection (CAEBV) is defined as a systemic EBV-associated lymphoproliferative disease characterized by fever, lymphadenopathy, and splenomegaly in apparently immunocompetent persons. Recent studies have revealed that EBV infects T or natural killer cells in most patients with CAEBV; the etiology of CAEBV, however, remains unknown. Autoimmune lymphoproliferative disorder (ALPS) is an inherited disorder associated with defects in apoptosis, and clinically characterized by lymphadenopathy, splenomegaly, hypergammaglobulinemia, and autoimmune disease. ALPS is most often associated with mutations in the FAS gene, which is an apoptosis-signaling receptor important for homeostasis of the immune system. Based on the clinical similarity between ALPS and CAEBV with respect to lymphoproliferation, we have examined the possibility of the co-occurrence of ALPS in patients with a diagnosis of CAEBV. In this study, we have identified FAS gene mutations in three Japanese patients with lymphadenopathy, hepatosplenomegaly, and unusual EBV infection, who were diagnosed with CAEBV. These observations, which indicate that the clinical development of ALPS may be associated with EBV infection, alert us to a potential diagnostic pitfall of CAEBV.

  8. Cat scratch disease: analysis of 130 seropositive cases.

    PubMed

    Murakami, Kyoko; Tsukahara, Masato; Tsuneoka, Hidehiro; Iino, Hidechika; Ishida, Chizuru; Tsujino, Kumiko; Umeda, Akiko; Furuya, Tomoko; Kawauchi, Shigeto; Sasaki, Kohsuke

    2002-12-01

    To clarify the clinical manifestations of cat scratch disease (CSD), we evaluated a total of 130 seropositive patients with CSD. The patients' ages ranged from 1 to 68 years; 103 (79.2%) were under 18 years of age. CSD occurred predominantly in the fall and winter months. Regional lymphadenopathy was noted in 110 (84.6%) of the cases, and the most common sites were the neck (33%), axillary (27%), and inguinal (18%) regions. One hundred of the patients (77%) had general symptoms, such as fever, headache, and malaise. The clinical manifestations of CSD showed a wide spectrum from typical or classical CSD, with regional lymphadenopathy, to atypical or systemic CSD. Of the 130 cases, 103 (79.2%) were typical CSD and 27 (20.8%) were atypical CSD. Atypical cases of CSD were commonly reported as fever of unknown origin (37.0%), neuroretinitis (22.2%), encephalopathy (14.8%), hepatosplenic granuloma (11.1%), and Parinaud's oculoglandular syndrome (7.4%). Fever of unknown origin or prolonged fever lasting more than 14 days was evident in 27 (20.8%) of the 130 cases in this study. Eleven of the 27 cases lacked lymphadenopathy. Our findings suggest that CSD is not a rare disease in Japan. The indirect fluorescent antibody (IFA) test to detect Bartonella species may provide a prompt diagnosis of CSD and facilitate appropriate therapy.

  9. Computed Tomographic Evaluation of Presumptively Normal Canine Sternal Lymph Nodes.

    PubMed

    Iwasaki, Ryota; Mori, Takashi; Ito, Yusuke; Kawabe, Mifumi; Murakmi, Mami; Maruo, Kohji

    The sternal lymph nodes receive drainage from a wide variety of structures in the thoraco-abdominal region. Evaluation of these lymph nodes is essential, especially in cancer patients. Computed tomography (CT) can detect sternal lymph nodes more accurately than radiography or ultrasonography, and the criteria of the sternal lymphadenopathy are unknown. The purpose of this retrospective study was to describe the CT characteristics of the sternal lymph nodes in dogs considered unlikely to have lymphadenopathy. The ratio of the short axis dimension of the sternal lymph nodes to the thickness of the second sternebra was also investigated. At least one sternal lymph node was identified in each of the 152 dogs included in the study. The mean long axis and short axis dimensions were 0.700 cm and 0.368 cm, respectively. The mean ratio of the sternal lymph nodes to the second sternebrae was 0.457, and the 95% prediction interval ranged from 0.317 to 0.596 (almost a fixed value independent of body weight). These findings will be useful when evaluating sternal lymphadenopathy using CT.

  10. Rickettsioses in Europe.

    PubMed

    Portillo, Aránzazu; Santibáñez, Sonia; García-Álvarez, Lara; Palomar, Ana M; Oteo, José A

    2015-01-01

    Bacteria of the genera Rickettsia and Orientia (family rickettsiaceae, order rickettsiales) cause rickettsioses worldwide, and are transmitted by lice, fleas, ticks and mites. In Europe, only Rickettsia spp. cause rickettsioses. With improvement of hygiene, the risk of louse-borne rickettsiosis (epidemic typhus) is low in Europe. Nevertheless, recrudescent form of Rickettsia prowazekii infection persists. There could be an epidemic typhus outbreak if a body lice epidemic occurs under unfavorable sanitary conditions. In Europe, endemic typhus or Rickettsia typhi infection, transmitted by rats and fleas, causes febrile illness. At the beginning of this century, flea-borne spotted fever cases caused by Rickettsia felis were diagnosed. Flea-borne rickettsiosis should be suspected after flea bites if fever, with or without rash, is developed. Tick-borne rickettsioses are the main source of rickettsia infections in Europe. Apart from Rickettsia conorii, the Mediterranean Spotted Fever (MSF) agent, other Rickettsia spp. cause MSF-like: Rickettsia helvetica, Rickettsia monacensis, Rickettsia massiliae or Rickettsia aeschlimannii. In the 1990s, two 'new' rickettsioses were diagnosed: Lymphangitis Associated Rickettsiosis (LAR) caused by Rickettsia sibirica mongolitimonae, and Tick-Borne Lymphadenopathy/Dermacentor-Borne-Necrosis-Erythema-Lymphadenopathy/Scalp Eschar Neck Lymphadenopathy (TIBOLA/DEBONEL/SENLAT), caused by Rickettsia slovaca, Candidatus Rickettsia rioja and Rickettsia raoultii. Lastly, European reports about mite-borne rickettsiosis are scarce.

  11. Preliminary study of diffusion-weighted imaging and magnetic resonance spectroscopy imaging in Kimura disease.

    PubMed

    Wang, Jie; Tang, Zuohua; Feng, Xiaoyuan; Zeng, Wenjiao; Tang, Weijun; Wu, Lingjie; Jin, Lixin

    2014-11-01

    In this study, we evaluated the value of diffusion-weighted imaging (DWI) and magnetic resonance (MR) spectroscopy imaging (MRSI) combined with computed tomography (CT) and conventional MR imaging (MRI) in the diagnosis of Kimura disease (KD). The clinical data and CT and MRI findings of 5 patients with KD proven by histopathologic examination were retrospectively reviewed. Diffusion-weighted imaging and MRSI were performed at 1.5 T in 3 patients with KD. Apparent diffusion coefficient (ADC) values and the choline/creatine ratio of the lesions were compared with those of the contralateral normal parotid glands. All imaging results were compared with histopathologic findings. The typical features of KD were subcutaneous lesions, continuously infiltrative parotid lesions with or without intraparotid lymphadenopathies, and reactive cervical lymphadenopathies on CT and conventional MRI. On DWI, the ADC values of all subcutaneous and infiltrative parotid lesions were higher compared to those of normal parotid glands, and the ADC values of reactive lymphadenopathies were lower compared to both. The choline/creatine levels of subcutaneous and infiltrative parotid lesions were slightly higher than those of normal parotid glands. In conclusion, DWI and MRSI offer valuable information that may be characteristic of KD, which can highly suggest the diagnosis of KD when combined with morphological imaging.

  12. A classification of HTLV-III infection based on 75 cases seen in a suburban community.

    PubMed

    Kaplan, M H; Pahwa, S G; Popovic, M; Sarngadharan, M G; Gallo, R C

    1985-09-01

    Since 1981, 75 patients have been seen at our hospital with human T-cell lymphotropic virus type III (HTLV-III) infection. We have classified their clinical presentation into Groups 0 to 6. Groups 0 to 3 all have antibody to the Mr 41,000 protein of HTLV-III. Group 0 has no evident disease (9 patients), Group 1 has lymphadenopathy with or without exaggerated infection (16 patients), Group 2 has persistent lymphadenopathy with chronic hepatitis B surface antigenemia or profound hypergammaglobulinemia (7 patients), Group 3 has oral candidiasis with or without lymphadenopathy (7 patients). In Group 4 are acquired immunodeficiency syndrome (AIDS) adults or children (32 patients). Group 5 is a special classification for immunocompromised patients. Group 6 patients have lymphomas and Mr 41,000 protein antibody. Four children were classified separately. Three patients in Group 3 developed Group 4 disorders (AIDS). Four patients in Group 4 developed Group 6 disorders. HTLV-III infection spread in families (8 of 36), all from infected mothers to children. In 17 sexual partners, 6 were found to be infected. Five of 6 infected partners were homosexuals. We saw an inordinate number of transfusional AIDS (4 of 29) and 1 of 46 other disorders. Two infants also presented with severe intracranial defects, one with microcephaly and one with cranial calcifications and lucency. HTLV-III is spreading with alarming speed.

  13. Oral candidiasis in high-risk patients as the initial manifestation of the acquired immunodeficiency syndrome.

    PubMed

    Klein, R S; Harris, C A; Small, C B; Moll, B; Lesser, M; Friedland, G H

    1984-08-09

    We studied the frequency with which unexplained oral candidiasis led to unequivocal acquired immunodeficiency syndrome (AIDS) in patients at risk. Twenty-two previously healthy adults with unexplained oral candidiasis, of whom the 19 tested had a reversed T4/T8 ratio and 20 had generalized lymphadenopathy, were compared with 20 similar patients with a reversed T4/T8 ratio and generalized lymphadenopathy who did not have oral candidiasis. All were intravenous-drug abusers, homosexual or bisexual men, or both. Thirteen of the 22 patients with oral candidiasis (59 per cent) acquired a major opportunistic infection or Kaposi's sarcoma at a median of three months (range, 1 to 23) as compared with none of 20 patients with generalized lymphadenopathy and immunodeficiency but without candidiasis who were followed for a median of 12 months (range, 5 to 21) (P less than 0.001). AIDS developed in 12 of 15 patients with candidiasis and T4/T8 ratios less than or equal to 0.51, as compared with none of four with ratios equal to or greater than 0.60 (P less than 0.01). We conclude that in patients at high risk for AIDS, the presence of unexplained oral candidiasis predicts the development of serious opportunistic infections more than 50 per cent of the time. Whether the remainder will have AIDS is not yet known.

  14. Epstein-Barr (EB) virus infection in homosexual men in London.

    PubMed

    Crawford, D H; Weller, I; Iliescu, V; Wara, D W

    1984-08-01

    Twenty five homosexual men from London, 14 of whom had persistent lymphadenopathy and 11 of whom did not, were tested for immunity to Epstein-Barr (EB) virus. All yielded positive results to serological tests for the viral capsid antibody, and 11 had antibodies to the early antigen. Thirteen out of 17 were excreting virus into the saliva; culture of peripheral blood mononuclear cells from two of these patients showed no detectable regression induced by T cells that was specific to EB virus. No differences were found between the patients with and without lymphadenopathy. Peripheral blood B cells from six patients with hypergammaglobulinaemia were double stained for cytoplasmic immunoglobulin and EB viral nuclear antigen, and in all cases the activated B cells producing immunoglobulin did not contain EB nuclear antigen. Similarly, lymph node biopsy specimens from five patients showed no cells with EB nuclear antigen. These results indicate that although homosexual men have a high incidence of reactivated infection with EB virus, this viral infection is not the cause of the polyclonal activation of B cells seen in peripheral blood and is not implicated in the aetiology of the lymphadenopathy found in these men.

  15. Mycobacterium avium subspecies hominissuis disseminated infection in a Basset Hound dog.

    PubMed

    Campora, Luca; Corazza, Michele; Zullino, Cristina; Ebani, Valentina V; Abramo, Francesca

    2011-09-01

    In the current report, a case in Italy of disseminated Mycobacterium avium subsp. hominissuis infection in a dog from an American lineage of Basset Hounds is described. A 2-year-old intact female Basset Hound presented with persistent lymphadenopathy, lameness, and a history characterized by coccidiosis, bacterial gastroenteritis, and alopecia. Lymphadenitis, with macrophages containing a few intracytoplasmic, negative staining, Ziehl-Neelsen-positive bacilli, was detected by a popliteal fine-needle aspirate leading to the diagnosis of mycobacteriosis. Ultrasound and X-ray examinations revealed visceral and mediastinal lymphadenopathy. Because of the extent of the disease, the dog was humanely euthanized. Significant gross abnormalities, such as enlargement of the cranial mediastinal lymph nodes with encapsulated areas of caseous necrosis and generalized lymphadenopathy, were observed at necropsy. Granulomatous lesions were histopathologically detected in the liver and spleen. Ziehl-Neelsen-positive bacilli were observed in all examined lymph node, liver, spleen, lung, and bone marrow smears. Lymph nodes and liver were collected in order to pursue speciation by bacterial culture and molecular biology; multiplex polymerase chain reaction results classified the pathogen as M. avium subsp. hominissuis. Although an immune system deficiency was not investigated, anamnesis suggests that the dog was immunocompromised. Furthermore, the dog came from an American stock of Basset Hound, and for some of this breed, a predisposition to this infection has been hypothesized.

  16. Hyperhomocysteinaemia, low folate concentrations and MTHFR C677T mutation in abdominal aortic aneurysm.

    PubMed

    Cao, Hui; Hu, Xinhua; Zhang, Qiang; Li, Jun; Liu, Bing; Wang, Junpeng; Shao, Yang; Zhang, Zhishen; Liu, Chengwei; Hu, Haidi; Zhang, Jian; Xin, Shijie

    2014-05-01

    Hintergrund: Homocystein (Hcy) wurde mit dem Bauchaortenaneurysma (AAA) in Verbindung gebracht. Allerdings wurde der Zusammenhang von Hcy, Vitamin B12 und Folsäure bei Patienten mit AAA bislang nicht in unserer Population untersucht. Patienten und Methoden: 463 Patienten mit einem AAA wurden in die Studie eingeschlossen. 463 Probanden waren nach Alter und Geschlecht mit den Patienten abgestimmt. Wir untersuchten bei allen den Plasmaspiegel von Hcy, Vitamin B12, Folsäure und die Verteilung der C677T Methylentetrahydrofolat Reduktase (MTHFR) Gen-Mutation. Ergebnisse: Die mittlere Plasma- Hcy Konzentrationen waren bei Patienten mit AAA im Vergleich zur Kontrollgruppe signifikant höher (18,37 ± 6,97 vs 12,89 ± 4,08 umol/l, P < 0,001). Die Häufigkeit des homozygoten (TT) Genotyps der MTHFR C677T Mutation war bei Patienten mit AAA signifikant höher als in der Kontrollgruppe (19,4 % vs 11,9 %, P = 0,002). Nüchtern Hcy korrelierte negativ mit Folsäure (AAA: r = - 0,311, P < 0,01; Kontrolle: r = - 0,348, P < 0,01). Die Aneurysmen waren signifikant größer (p < 0,001) bei Patienten mit Hyperhomocysteinämie als bei Patienten mit normalen Hcy Plasmaspiegel. Die Größe des AAA korrelierte linear mit dem Plasma- Hcy Spiegel (r = 0,286, p < 0,001). Schlussfolgerungen: Serum Folsäuremangel und Hyperhomocysteinämie waren mit einem erhöhten Risiko von AAA assoziiert. Der homozygote (TT) Genotyp des MTHFR Genmutation kann ein entscheidender erblicher Risikofaktor für AAA sein.

  17. Abgasnachbehandlung

    NASA Astrophysics Data System (ADS)

    Wirth, Ralf; Raatz, Thorsten

    Bisher wurde die Emissionsminderung beim Dieselmotor vorwiegend durch inner motorische Maßnahmen bewirkt. Bei vielen Diesel-Fahrzeugen werden die vom Motor freigesetzten Emissionen (Rohemissionen) jedoch die zukünftig in Europa, den USA und Japan geltenden Emissionsgrenzwerte überschreiten. Die erforderlichen hohen Minderungsraten lassen sich voraussichtlich nur durch eine effiziente Kombination von innermotorischen und nachmotorischen Maßnahmen erreichen. Analog zur bewährten Vorgehensweise bei Benzinfahrzeugen werden deshalb auch für Dieselfahrzeuge verstärkt Systeme zur Abgas - nachbehandlung (nachmotorische Emis sions minderung) entwickelt.

  18. Qualitätszentrierte Softwareentwicklung in wissenschaftlichen Arbeitsgruppen Auf dem Weg vom Prototypen zum Produkt

    NASA Astrophysics Data System (ADS)

    Maleike, D.; Neuhaus, J.; Heimann, T.; Nolden, M.; Poxleitner, J.; Schöbinger, M.; Schwarz, T.; Seitel, M.; Wegner, I.; Wolber, P.; Meinzer, H.-P.; Wolf, I.

    Neue Bildverarbeitungsmethoden werden häufig hauptsächlich für Publikationszwecke entwickelt. DieWeiterentwicklung bis zur Verwendbarkeit für klinische Anwender erfordert zusätzlichen Aufwand und wird daher oft nicht weiter verfolgt. In dieser Arbeit wurden mehrere Bildanalyseverfahren unserer Abteilung konsequent zu einem stabilen und benutzbaren Softwareprodukt weiter entwickelt, so dass es für den Einsatz bei klinischen Partnern und als Demonstrationssoftware auf Messen verwendbar ist. Wir beschreiben das Vorgehen bei der Weiterentwicklung, welche Erfahrungen gemacht wurden und welcher zusätzliche Aufwand damit verbunden ist.

  19. Werkzeugverschleißdetektion beim Fräsen mittels Infrarotmesstechnik

    NASA Astrophysics Data System (ADS)

    Pittner, Walter

    Heute ist es praxisüblich, bei der spanenden Bearbeitung mittels definierter Schneide die Werkzeuge aus Gründen der Qualitätssicherung vorzeitig, im Allgemeinen nach Ermessen des Maschinenbedieners, zu wechseln. Dadurch entstehen zwangsläufig höhere Werkzeugkosten als notwendig, die dann an den Verbraucher weitergegeben werden. Wird jedoch ein rechtzeitiger Werkzeugwechsel verpasst, so entstehen insbesondere bei Hochleistungsbearbeitungsprozessen hohe Ausschussraten. Daher sollte die Entscheidung zum Werkzeugwechsel nicht mehr dem Maschinenbediener allein überlassen werden [1, 2].

  20. Modellgestützte Hybrid Systementwicklung - Modellierung und Optimierung

    NASA Astrophysics Data System (ADS)

    Huber, Thomas

    Im Bereich der Hybridfahrzeugentwicklung wird nach wie vor intensiv an Konzepten zur Verbrauchseinsparung und Reduzierung von Emissionen gearbeitet. Gleichzeitig sollen "Fahrspaß" und Komfort solcher Fahrzeuge verbessert werden. Für verschiedene Anwendungen sind unterschiedlichste Hybridkonzepte denkbar und sinnvoll. Trotz dieser Variantenvielfalt und den daraus resultierenden technischen Anforderungen sind die Kosten eines Hybridfahrzeugs zu minimieren, wobei ein wesentlicher Aspekt bei der Kostenreduzierung die Stückzahl ist. Bei der Entwicklung von Komponenten steht daher, neben den technischen Anforderungen, deren vielseitige Einsetzbarkeit im Vordergrund.

  1. G-protein coupled receptor auto-antibodies in thromboangiitis obliterans (Buerger's disease) and their removal by immunoadsorption.

    PubMed

    Klein-Weigel, Peter F; Bimmler, Marion; Hempel, Petra; Schöpp, Sebastian; Dreusicke, Siegrid; Valerius, Jana; Bohlen, Anne; Boehnlein, Joana M; Bestler, Daniel; Funk, Stephanie; Elitok, Saban

    2014-09-01

    Hintergrund: Histopathologische und serologische Befunde sprechen für eine Immunpathogenese der Thromboangiitis obliterans (TAO, Buerger’sche Erkrankung). Autoantikörper scheinen eine wichtige Rolle im Krankheitsgeschehen zu spielen. Es wurden wiederholt positive therapeutische Effekte durch eine Immunadsorption (IA) gezeigt. Wir analysierten agonistische Autoantikörper (agAAK), die gegen G-Protein gekoppelte Rezeptoren (GPCR) gerichtet sind und analysierten, ob diese durch eine IA effektiv beseitigt werden können. Patienten und Methoden: Zwischen Dezember 2012 und Mai 2014 wurden 11 Patienten mittels IA über 5 konsekutive Tage behandelt. Die agAAK wurden unter Verwendung spezifischer ELISA-Techniken bestimmt. Ergebnisse: AgAAK wurden bei 9 von 11 Patienten (81.8 %) gefunden. Multiple agAAK waren bei 7 Patienten (63.6 %) nachweisbar. Darüber hinaus wurde ein agAAK-Cluster entdeckt, das sich gegen Loop1 des adrenergen α1-Rezeptors und Loop1 des Endothelin A (ETA)-Rezeptors richtet, und sich bei 72.7 % respektive 54.5 % der TAO-Patienten nachweisen ließ. AgAAK gegen Epitop 1 oder 2 des Angiotensin-1-Rezeptors wurden bei 3 Patienten, agAAK gegen Loop1/2 des Proteinase-aktivierten Rezeptor (PAR) wurden bei 2 Patienten nachgewiesen. AgAAK gegen den ETA-Rezeptor traten niemals ohne gleichzeitigen Nachweis von agAAK gegen den α1-adrenergen Rezeptor auf und waren immer gegen Loop1 gerichtet. Unmittelbar nach Beendigung der IA ließen sich bei 81.8 % aller Patienten und bei 77.8 % aller Fälle mit positiven agAAK vor der IA keine agAAK mehr nachgewiesen. Schlussfolgerungen: Wir konnten bei Patienten mit aktiver TAO agAAK gegen GPCR und darüber hinaus ein Antikörper-Cluster nachweisen, das sich bevorzugt gegen Loop1 des α-1-adrenergen Rezeptors und Loop1 des ETA-Rezeptors richtet. Die agAAK wurden mehrheitlich erfolgreich durch die IA eliminiert. Wir sind der Auffassung, dass gegen GPCR-gerichtete agAAK eine wichtige Rolle in der Pathogenese der TAO spielen und

  2. Indikatorenbasierte Bewertung von Entwurfsentscheidungen auf Systemebene

    NASA Astrophysics Data System (ADS)

    Freier, M.; Wenzler, A.; Mayer, T.; Gerlach, J.; Rosenstiel, W.

    2013-07-01

    Bei dem Entwurf von anwendungsspezifischen integrierten Schaltungen muss ein Entwickler zusätzliche Funktionen integrieren und die zunehmende Komplexität bewältigen. Für die Reduzierung der Kosten bleibt weiterhin die Verkürzung der benötigten Entwicklungszeit ein Ziel. Ein entscheidender Faktor dabei ist die zuverlässige Absicherung von Entwurfsentscheidungen in einer frühen Entwurfsphase. In der vorliegenden Arbeit wird eine Methode vorgestellt, die eine Bewertung von Entwurfsentscheidungen bei Systemmodellen mittels automatisch ermittelter Indikatoren ermöglichen soll. Die Systemmodelle können mit der Entwurfsumgebung MATLAB/Simulink oder in SystemC beschrieben sein.

  3. Security in Logistics

    NASA Astrophysics Data System (ADS)

    Cempírek, Václav; Nachtigall, Petr; Široký, Jaromír

    2016-12-01

    This paper deals with security of logistic chains according to incorrect declaration of transported goods, fraudulent transport and forwarding companies and possible threats caused by political influences. The main goal of this paper is to highlight possible logistic costs increase due to these fraudulent threats. An analysis of technological processes will beis provided, and an increase of these transport times considering the possible threatswhich will beis evaluated economic costs-wise. In the conclusion, possible threat of companies'` efficiency in logistics due to the costs`, means of transport and increase in human resources` increase will beare pointed out.

  4. Airbag-Systeme

    NASA Astrophysics Data System (ADS)

    Kramer, Florian

    Heutige Pkw sind zum Schutz der Insassen bei Frontalkollisionen zu etwa 90 % fahrerseitig und zu ca. 70 % auf der Beifahrerseite mit Airbags ausgestattet, während die Seiten-Airbags zum Schutz des Kopfes und des Thorax von Insassen bei Seitenkollisionen nur mit ungefähr 40 bis 50% vertreten sind [1]. Weitere Schutzmaßnahmen wie Fuß- und Fond-Airbags befinden sich im Entwicklungsstadium, ihr Einsatz in der Serie ist umstritten und wird sich, wenn überhaupt, nur in Einzelfällen durchsetzen. In Bild C3-1 sind Airbags dargestellt, die heute serienmäßig in Pkw anzutreffen sind.

  5. Use of NTRIP for optimizing the decoding algorithm for real-time data streams.

    PubMed

    He, Zhanke; Tang, Wenda; Yang, Xuhai; Wang, Liming; Liu, Jihua

    2014-10-10

    As a network transmission protocol, Networked Transport of RTCM via Internet Protocol (NTRIP) is widely used in GPS and Global Orbiting Navigational Satellite System (GLONASS) Augmentation systems, such as Continuous Operational Reference System (CORS), Wide Area Augmentation System (WAAS) and Satellite Based Augmentation Systems (SBAS). With the deployment of BeiDou Navigation Satellite system(BDS) to serve the Asia-Pacific region, there are increasing needs for ground monitoring of the BeiDou Navigation Satellite system and the development of the high-precision real-time BeiDou products. This paper aims to optimize the decoding algorithm of NTRIP Client data streams and the user authentication strategies of the NTRIP Caster based on NTRIP. The proposed method greatly enhances the handling efficiency and significantly reduces the data transmission delay compared with the Federal Agency for Cartography and Geodesy (BKG) NTRIP. Meanwhile, a transcoding method is proposed to facilitate the data transformation from the BINary EXchange (BINEX) format to the RTCM format. The transformation scheme thus solves the problem of handing real-time data streams from Trimble receivers in the BeiDou Navigation Satellite System indigenously developed by China.

  6. Ermüdungs- und Wachsamkeitsmanagement

    NASA Astrophysics Data System (ADS)

    Ebermann, Hans-Joachim; Murtha, Maria-Pascaline

    1994 wurde erstmals Ermüdung (Fatigue) durch die amerikanische Unfalluntersuchungsbehörde NTSB (National Transportation Safety Board) offiziell als Hauptursache für einen Unfall in der Luftfahrt erklärt. Seitdem wird Müdigkeit bei der Untersuchung von Unfällen systematisch abgefragt.

  7. Physik gestern und heute Suprafluidität - Von den Schwierigkeiten einer Messung

    NASA Astrophysics Data System (ADS)

    Sichau, Christian

    2003-03-01

    Der Vater der Tieftemperaturphysik, Heike Kammerlingh Onnes, benötigte zu Beginn des 20. Jahrhunderts für die Verflüssigung von wenigen Litern Heliums noch mehrere Jahre, eine riesige Apparatur und viel Geld. Heute gelingt dies routinemäßig. Die Untersuchung der Materie bei tiefen Temperaturen, insbesondere zur Suprafluidität, bietet viele Überraschungen.

  8. The Career Transition Cycle: Antecedents and Consequences of Career Events

    DTIC Science & Technology

    1991-03-01

    changes resulting from stress (e.g., serum uric acid and cholesterol levels). The longitudinal design of this study was also noteworthy. Measures of...in any way. It will beI - Piease do nc mame stra., maris Of airy kind us- eby the Navy Personnel Research and Development Center for INflORECT MARKS

  9. Use of NTRIP for Optimizing the Decoding Algorithm for Real-Time Data Streams

    PubMed Central

    He, Zhanke; Tang, Wenda; Yang, Xuhai; Wang, Liming; Liu, Jihua

    2014-01-01

    As a network transmission protocol, Networked Transport of RTCM via Internet Protocol (NTRIP) is widely used in GPS and Global Orbiting Navigational Satellite System (GLONASS) Augmentation systems, such as Continuous Operational Reference System (CORS), Wide Area Augmentation System (WAAS) and Satellite Based Augmentation Systems (SBAS). With the deployment of BeiDou Navigation Satellite system (BDS) to serve the Asia-Pacific region, there are increasing needs for ground monitoring of the BeiDou Navigation Satellite system and the development of the high-precision real-time BeiDou products. This paper aims to optimize the decoding algorithm of NTRIP Client data streams and the user authentication strategies of the NTRIP Caster based on NTRIP. The proposed method greatly enhances the handling efficiency and significantly reduces the data transmission delay compared with the Federal Agency for Cartography and Geodesy (BKG) NTRIP. Meanwhile, a transcoding method is proposed to facilitate the data transformation from the BINary EXchange (BINEX) format to the RTCM format. The transformation scheme thus solves the problem of handing real-time data streams from Trimble receivers in the BeiDou Navigation Satellite System indigenously developed by China. PMID:25310474

  10. Evaluating Theobroma grandiflorum for comparative genomic studies with Theobroma cacao

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The seeds of Theobroma cacao (cacao) are the source of cocoa, the raw material for the multi-billion dollar chocolate industry. Cacao’s two most important traits are its unique seed storage triglyceride (cocoa butter) and the flavor of its fermented beans (chocolate). The genome of T. cacao is bei...

  11. Infection control: Knowledge and compliance among Saudi undergraduate dental students.

    PubMed

    Al-Maweri, Sadeq Ali; Tarakji, Bassel; Shugaa-Addin, Bassam; Al-Shamiri, Hashem M; Alaizari, Nader Ahmed; AlMasri, Ousamah

    2015-01-01

    Zielsetzung: In der Studie sollten die Kenntnisse, die Einstellung und die praktische Umsetzung infektionspräventiver Maßnahmen bei Studenten der Zahnmedizin analysiert werden.Methode: In einer Querschnittsstudie wurde ein selbst zu beantwortender Fragebogen zur Erfassung des Impfstatus, der Kenntnisse und der Einstellung zur Infektionsprävention an 600 Studenten im 4., 5. und 6. Ausbildungsjahr des Al-Farabi College für Dentistry und Nursing, Riyadh, Saudi Arabia, verschickt. Die Daten wurden mittels SPSS analysiert. Das Signifikanzniveau wurde mit p<0,05 festgelegt.Ergebnisse: Die Responserate betrug 85% (512 von 600). Während die Mehrzahl der Studenten (90%) gegen Hepatitis B geimpft war, war nur bei 37,4% anti-HBs bestimmt worden. 98,8% bzw. 90,8% trugen stets Schutzhandschuhe bzw. Mund-Nasen-Schutz bei der zahnärztlichen Behandlung, während das Tragen einer Schutzbrille nur in 29,2% angegeben wurde. Ein signifikant höherer Anteil der Studenten zeigte im 6. Ausbildungsjahr eine positive Einstellung zur Behandlung von Patienten mit Infektionskrankheiten im Vergleich zum 4. und 5. Ausbildungsjahr. Etwa ein Drittel der Studenten gab an, dass sich ein oder mehrere arbeitsbedingte Verletzungen bei der Patientenbehandlung ereignet hatten.Schlussfolgerung: Obwohl die Studenten ein solides Wissen und eine gute Einstellung zur Infektionsprävention hatten, war die Compliance zur praktischen Umsetzung gering. Die Ergebnisse unterstreichen die Notwendigkeit der kontinuierlichen Erziehung Saudischer Zahnmedizinstudenten zur Infektionsprävention.

  12. On the Resonance Concept in Systems of Linear and Nonlinear Ordinary Differential Equations

    DTIC Science & Technology

    1965-11-01

    Determinanten und Matrizen mit Anwen- dungen in Physik und Technik). Berlin: Akademie-Verlag 1949. The author wishes to express his thanks to Prof.Dr.R.Iglisch...Case in the System of Ordinary Linear Differential Equations, Part III ( Studium des Resonanzfalles bei Systemen linearer gew6hnlicher

  13. Meeting ESL Needs at Home and at Work.

    ERIC Educational Resources Information Center

    Archer, Carol M.

    This paper presents several aspects of the English-as-a-Second-Language (ESL) program for refugees as it was developed at the Bilingual Educational Institute (BEI), an organization that provides refugee and ESL services in the Houston, Texas area. Background information is provided on the development of the current RSS and ESL classes and the…

  14. Genome Sequences of 11 Human Vaginal Actinobacteria Strains.

    PubMed

    Lewis, Amanda L; Deitzler, Grace E; Ruiz, Maria J; Weimer, Cory; Park, SoEun; Robinson, Lloyd S; Hallsworth-Pepin, Kymberlie; Wollam, Aye; Mitreva, Makedonka; Lewis, Warren G

    2016-09-29

    The composition of the vaginal microbiota is an important health determinant. Several members of the phylum Actinobacteria have been implicated in bacterial vaginosis, a condition associated with many negative health outcomes. Here, we present 11 strains of vaginal Actinobacteria (now available through BEI Resources) along with draft genome sequences.

  15. Mol-Gastronomie Von Schäumen und Träumen

    NASA Astrophysics Data System (ADS)

    Vilgis, Thomas A.

    2005-01-01

    Traumhafte Souffles, köstliches Schokoladenmus, süße Meringuen, lockere Biskuits, wem läuft bei diesen Kulinarien nicht das Wasser im Munde zusammen. In Abwandlung des Sprichworts erweisen sich solche Schäume tatsächlich als Träume, jedenfalls zu Tisch.

  16. Constraints on mountain building in the northeastern Tibet: Detrital zircon records from synorogenic deposits in the Yumen Basin.

    PubMed

    Wang, Weitao; Zhang, Peizhen; Yu, Jingxing; Wang, Yizhou; Zheng, Dewen; Zheng, Wenjun; Zhang, Huiping; Pang, Jianzhang

    2016-06-09

    The Cenozoic basins and ranges form the high topography of the northeastern Tibet that resulted from the India-Eurasia collision. Sedimentary rocks in the basins provide direct insight into the exhumation history of the ranges and the tectonic processes that led to the northeastward growth of the Tibetan Plateau. In this study, we analyzed and compared detrital zircon U-Pb ages from sands of modern rivers draining the Bei Shan, and North Qilian Shan and sandstones from the Yumen Basin. The zircon age distributions indicate that the strata dated to 24.2-16.7 Ma in the basin were derived from the Bei Shan, and the basin provenance changed rapidly to the North Qilian Shan terrane at ~16 Ma. These results suggest that an early stage of deformation along the Bei Shan at ~24 Ma was replaced by the growth of the North Qilian Shan at ~16 Ma. We conclude that the far-field effect associated with the Indo-Asian collision may result from Oligocene deformation in the Bei Shan, but the emergence of the North Qilian Shan at ~16 Ma could reflect the most recent outward growth of the Tibetan Plateau that may have been caused by the removal of some lithospheric mantle beneath central Tibet.

  17. Anti-Inflammatory Activity of N-Butanol Extract from Ipomoea stolonifera In Vivo and In Vitro

    PubMed Central

    Zhong, Shuping; Ji, Bin; Wang, Jinzhi; Bai, Xueting; Shi, Ganggang

    2014-01-01

    Ipomoea stolonifera (I. stolonifera) has been used for the treatment of inflammatory diseases including rheumatism and rheumatoid arthritis in Chinese traditional medicine. However, the anti-inflammatory activity of I. stolonifera has not been elucidated. For this reason, the anti-inflammatory activity of n-butanol extract of I. stolonifera (BE-IS) was evaluated in vivo by using acute models (croton oil-induced mouse ear edema, carrageenan-induced rat paw edema, and carrageenan-induced rat pleurisy) and chronic models (cotton pellet-induced rat granuloma, and complete Freund’s adjuvant (CFA)-induced rat arthritis). Results indicated that oral administration of BE-IS significantly attenuated croton oil-induced ear edema, decreased carrageenan-induced paw edema, reduced carrageenan-induced exudates and cellular migration, inhibited cotton pellet-induced granuloma formation and improved CFA-induced arthritis. Preliminary mechanism studies demonstrated that BE-IS decreased the levels of myeloperoxidase (MPO) and malondialdehyde (MDA), increased the activity of anti-oxidant enzyme superoxide dismutase (SOD) in vivo, and reduced the production of nitric oxide (NO), prostaglandin E2 (PGE2), tumor necrosis factor-α (TNF-α), interleukin (IL)-1β and IL-6 in lipopolysaccharide-activated RAW264.7 macrophages in vitro. Results obtained in vivo and in vitro demonstrate that BE-IS has considerable anti-inflammatory potential, which provided experimental evidences for the traditional application of Ipomoea stolonifera in inflammatory diseases. PMID:24752203

  18. Genome Sequences of Nine Gram-Negative Vaginal Bacterial Isolates

    PubMed Central

    Deitzler, Grace E.; Ruiz, Maria J.; Lu, Wendy; Weimer, Cory; Park, SoEun; Robinson, Lloyd S.; Hallsworth-Pepin, Kymberlie; Wollam, Aye; Mitreva, Makedonka

    2016-01-01

    The vagina is home to a wide variety of bacteria that have great potential to impact human health. Here, we announce reference strains (now available through BEI Resources) and draft genome sequences for 9 Gram-negative vaginal isolates from the taxa Citrobacter, Klebsiella, Fusobacterium, Proteus, and Prevotella. PMID:27688330

  19. Grundlagen des Tissue Engineering

    NASA Astrophysics Data System (ADS)

    Mayer, Jörg; Blum, Janaki; Wintermantel, Erich

    Die Organtransplantation stellt eine verbreitete Therapie dar, um bei krankheitsoder unfallbedingter Schädigung eines Organs die Gesamtheit seiner Funktionen wieder herzustellen, indem es durch ein Spenderorgan ersetzt wird. Organtransplantationen werden für die Leber, die Niere, die Lunge, das Herz oder bei schweren grossflächigen Verbrennungen der Haut vorgenommen. Der grosse apparative, personelle und logistische Aufwand und die Risiken der Transplantationschirurgie (Abstossungsreaktionen) sowie die mangelnde Verfügbarkeit von immunologisch kompatiblen Spenderorganen führen jedoch dazu, dass der Bedarf an Organtransplantaten nur zu einem sehr geringen Teil gedeckt werden kann. Sind Spenderorgane nicht verfügbar, können in einzelnen Fällen lebenswichtige Teilfunktionen, wie beispielsweise die Filtrationsfunktion der Niere durch die Blutreinigung mittels Dialyse ersetzt oder, bei mangelnder Funktion der Bauchspeicheldrüse (Diabetes), durch die Verabreichung von Insulin ein normaler Zustand des Gesamtorganismus auch über Jahre hinweg erhalten werden. Bei der notwendigen lebenslangen Anwendung apparativer oder medikamentöser Therapie können für den Patienten jedoch häufig schwerwiegende, möglicherweise lebensverkürzende Nebenwirkungen entstehen. Daher werden in der Forschung Alternativen gesucht, um die Funktionen des ausgefallenen Organs durch die Implantation von Zellen oder in vitro gezüchteten Geweben möglichst umfassend wieder herzustellen. Dies erfordert biologisch aktive Implantate, welche die für den Stoffwechsel des Organs wichtigen Zellen enthalten und einen organtypischen Stoffwechsel entfalten.

  20. Geräuschgestaltung

    NASA Astrophysics Data System (ADS)

    Pfäfflin, Bernhard; Gerhard, Hans-Martin; Ehinger, Peter; Herrmann, Rudolf; Bathelt, Hartmut; Scheinhardt, Michael; Krüger, Jan

    Neben technischen und wirtschaftlichen Gesichtspunkten spielen beim Kauf eines Automobils auch emotionale Aspekte eine erhebliche Rolle. Bei hochwertigen Produkten insbesondere mit ausgeprägt sportlichem Charakter kommt daher neben der Optik und Haptik auch dem "Sound“ eine wesentliche Bedeutung zu (Genuit et al. 1998), Zintel u. Unbehaun 2005).

  1. Development and Validation of Evaluation Indicators for Teaching Competency in STEAM Education in Korea

    ERIC Educational Resources Information Center

    Kim, Bang-Hee; Kim, Jinsoo

    2016-01-01

    The purpose of this study is to develop and validate the evaluation indicators of teaching competency in STEAM education. The teaching competencies in STEAM education were drawn up utilizing both behavioral event interview (BEI) and a literature review. The initial evaluation indicators were then reviewed by 15 experts and two pilot tests were…

  2. Data Migration Strategy and Information Assurance for the Business Enterprise Information Services

    DTIC Science & Technology

    2009-07-30

    BTG Business Transformation Guidance CA Certifying Authority DAA Designated Accrediting Authority DCAS Defense Cash Accountability System DCD/ DCW ...B). The BEIS current family of systems included the Defense Corporate Database/Defense Corporate Warehouse (DCD/ DCW ), the Defense Departmental...required for reporting. DCW contains data repositories that assist in data consolidation, standardization, and simplification and that improve the

  3. Grundlagen des Dieselmotors

    NASA Astrophysics Data System (ADS)

    Raatz, Thorsten

    Der Dieselmotor ist ein Selbstzündungsmotor mit innerer Gemischbildung. Die für die Verbrennung benötigte Luft wird im Brennraum hoch verdichtet. Dabei entstehen hohe Temperaturen, bei denen sich der eingespritzte Dieselkraftstoff selbst ent zündet. Die im Dieselkraftstoff enthaltene chemische Energie wird vom Dieselmotor über Wärme in mechanische Arbeit um gesetzt.

  4. Industry-Oriented Competency Requirements for Mechatronics Technology in Taiwan

    ERIC Educational Resources Information Center

    Shyr, Wen-Jye

    2012-01-01

    This study employed a three-phase empirical method to identify competency indicators for mechatronics technology according to industry-oriented criteria. In Phase I, a list of required competencies was compiled using Behavioral Event Interviews (BEI) with three engineers specializing in the field of mechatronics technology. In Phase II, the Delphi…

  5. ENVIRONMENTAL HEALTH

    EPA Science Inventory

    Are you healthy? Is your environment healthy for you? What does it mean to be healthy? Does it mean you're not achy, or that you are not visibly sick? The World Health Organization defines health broadly as a state of physical, mental, and social well-being. This means that bei...

  6. Commercial Fastener Coatings Doerken

    DTIC Science & Technology

    2010-06-01

    Phosphating* *partly recommended Dip Spinning Dipping Spraying Spin coating Conveyor oven box oven Inductive drying Pretreatment Coating Preheating...Curing Cooling Application Techniques - Dip Spin Coating Gurtbnd Cross BarTranspo" Band beiCifteiE Vo12one Vent llated Pre .Zone Cros~ Bar T ransrt

  7. Constraints on mountain building in the northeastern Tibet: Detrital zircon records from synorogenic deposits in the Yumen Basin

    PubMed Central

    Wang, Weitao; Zhang, Peizhen; Yu, Jingxing; Wang, Yizhou; Zheng, Dewen; Zheng, Wenjun; Zhang, Huiping; Pang, Jianzhang

    2016-01-01

    The Cenozoic basins and ranges form the high topography of the northeastern Tibet that resulted from the India-Eurasia collision. Sedimentary rocks in the basins provide direct insight into the exhumation history of the ranges and the tectonic processes that led to the northeastward growth of the Tibetan Plateau. In this study, we analyzed and compared detrital zircon U-Pb ages from sands of modern rivers draining the Bei Shan, and North Qilian Shan and sandstones from the Yumen Basin. The zircon age distributions indicate that the strata dated to 24.2-16.7 Ma in the basin were derived from the Bei Shan, and the basin provenance changed rapidly to the North Qilian Shan terrane at ~16 Ma. These results suggest that an early stage of deformation along the Bei Shan at ~24 Ma was replaced by the growth of the North Qilian Shan at ~16 Ma. We conclude that the far-field effect associated with the Indo-Asian collision may result from Oligocene deformation in the Bei Shan, but the emergence of the North Qilian Shan at ~16 Ma could reflect the most recent outward growth of the Tibetan Plateau that may have been caused by the removal of some lithospheric mantle beneath central Tibet. PMID:27277834

  8. Genome Sequences of 11 Human Vaginal Actinobacteria Strains

    PubMed Central

    Deitzler, Grace E.; Ruiz, Maria J.; Weimer, Cory; Park, SoEun; Robinson, Lloyd S.; Hallsworth-Pepin, Kymberlie; Wollam, Aye; Mitreva, Makedonka

    2016-01-01

    The composition of the vaginal microbiota is an important health determinant. Several members of the phylum Actinobacteria have been implicated in bacterial vaginosis, a condition associated with many negative health outcomes. Here, we present 11 strains of vaginal Actinobacteria (now available through BEI Resources) along with draft genome sequences. PMID:27688328

  9. Means of Production

    ERIC Educational Resources Information Center

    Raths, David

    2012-01-01

    No one who's worked in higher education will ever confuse the experience with working in the corporate sector. Colleges and universities are simply not geared for the business of manufacturing or marketing products. The focus--as it should be--is on teaching and research. Given the wealth of talent among IT staff and faculty, however, higher ed…

  10. Presence of exoY, exoS, exoU and exoT genes, antibiotic resistance and biofilm production among Pseudomonas aeruginosa isolates in Northwest Iran.

    PubMed

    Azimi, Somayeh; Kafil, Hossein Samadi; Baghi, Hossein Bannazadeh; Shokrian, Saeed; Najaf, Khadijeh; Asgharzadeh, Mohammad; Yousefi, Mehdi; Shahrivar, Firooz; Aghazadeh, Mohammad

    2016-01-01

    Hintergrund:Pseudomonas aeruginosa, ein Gram-negatives Stäbchenbakterium, besitzt eine wichtige Rolle als Krankheitserreger. Daher untersuchten wir Pseudomonas aeruginosa-Isolate im Nordwestiran auf das Vorkommen von exo-Genen und Biofilmbildnern. Material und Methode: 160 P. aeruginosa-Isolate wurden biochemisch identifiziert und die Antibiotikaresistenz charakterisiert. Die Fähigkeit zur Biofilmbildung wurde im Mikrotiterplatten-Assay, das Vorkommen von exo-Genen mit Allel-spezifischer PCR (Polymerase-Kettenreaktion) analysiert. Zur statistischen Analyse wurde der Chi-Quadrat-Test eingesetzt.Ergebnisse: Als effektivste Antibiotika erwiesen sich Colistin und Polymyxin B. 87% der Isolate waren Biofilmbildner, davon 69% mit massiver Biofilmbildung. In 55% der Isolate wurden exoY, in 52% exoU, in 26,3% exoS und in 5% exoT nachgewiesen. Schlussfolgerung: Die Analyse ergab eine unterschiedliche Verteilung der exo-Gene bei klinischen Isolaten von P. aeruginosa im Nordwestiran. ExoS und exoU kamen häufiger bei nicht biofilmbildenen Isolaten, exoY häufiger bei Biofilmbildnern vor. Die Ergebnisse können ein Hinweis auf die Bedeutung von exoY bei Biofilm bildenden Pseudomonas aeruginosa-Isolaten sein.

  11. Networking as a Seismograph for Social Development. A Contribution to the Function Expansion of Networks Using the Example of Health Promotion of the Socially Disadvantaged (Netzwerkbildung als Seismograph gesellschaftlicher Entwicklungen: Ein Beitrag zur Funktionserweiterung von Netzwerken am Beispiel der Gesundheitsfoerderung von sozial Benachteiligten)

    DTIC Science & Technology

    2008-03-01

    vollzieht sich in den letzten Jahren Ober eine Vielzahl von Netzwerken, uber die sich unterschiedlichste Akteure miteinander verknQ~pft haben. In...indirekt, politische 2 Akteure zu adressieren und bisherige Handlungsdefizite der Gesundheitsf6rderung bei sozial Benachteiligten auch uber neue...klassischen Sinne der Korporatismusanalyse impliziert, sondern gar eine Form der Einwandvorwegnahme darsteilt. Auf der Grundlage der durch die bislang uber

  12. "In Mathe war ich immer schlecht"

    NASA Astrophysics Data System (ADS)

    Beutelspacher, Albrecht

    Genauso wie bei vielen anderen Er scheinungsformen des Lebens (Philosophie, Musik, Liebe) kann Mathematik nicht eindeutig definiert werden. Jede Definition wäre entweder nichtssagend oder zu einengend. Man kann aber versuchen, Mathematik von verschiedenen Seiten zu beleuchten. Dabei offenbaren sich überraschende und tiefe Einblicke in das Wesen der Mathematik.

  13. Accounting for windbreak's climate change contributions

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Regional climate change (CC) scenarios call for increased frequency and intensity of drought and storm events. For the North American Great Plains Region this means producers will be even more at the whim of shifting weather patterns and other stressors that may be exacerbated by CC. Options are bei...

  14. Professional Relevance in a Multilingual World

    ERIC Educational Resources Information Center

    Silver, Rita

    2009-01-01

    In renewing her TESOL membership for 2008, the author noted that the membership letter stated that TESOL is a "global professional organization for English language educators." This was of particular interest as she prepared for TESOL's Bilingual Education Interest Section (BEIS) 2008 session titled "Imagining Multilingual…

  15. Plasmids containing small subunit ribosomal RNA gene fragments from Babesia bovis and Babesia bigemina

    Technology Transfer Automated Retrieval System (TEKTRAN)

    BEI Resources was developed by NIAID as a centralized biological resource center for research reagents to the scientific community (http://www.beiresources.org/). They have a considerable amount of reagents and isolates for parasitologists working with Entamoeba histolytica, Giardia, Toxoplasma, and...

  16. Protection Without Detection: A Threat Mitigation Technique

    DTIC Science & Technology

    2012-04-23

    international conference on Advances in Machine Learning and Cybernetics (ICMLC󈧉), Daniel S. Yeung, Zhi - Qiang Liu, Xi-Zhao Wang , and Hong Yan (Eds...Junchang Wang , Haipeng Cheng, Bei Hua, and Xinan Tang. 2009. Practice of parallelizing network applications on multi-core architectures. In Proceedings

  17. Health and quality of life in patients with primary and secondary lymphedema of the lower extremity.

    PubMed

    Huggenberger, Kai; Wagner, Stephan; Lehmann, Susanne; Aeschlimann, André; Amann-Vesti, Beatrice; Angst, Felix

    2015-03-01

    Hintergrund: Es gibt wenig Daten über Gesundheit und Lebensqualität bei Patienten mit primärem oder sekundärem Lymphödem der unteren Extremitäten. Ziel dieser Studie war es, Gesundheit und Lebensqualität bei Patienten mit primärem und sekundärem Lymphödemen zu quantifizieren und mit Normdaten aus der Bevölkerung, stratifiziert nach Alter, Geschlecht und Vorhandensein von Komorbiditäten, zu vergleichen. Patienten und Methoden: Querschnittstudie mit konsekutiv zugewiesen Patienten an die angiolgische Abteilung einer schweizerischen Rehabilitationsklinik. Selbstbeurteilung mit dem Short Form 36 (SF-36) sowie zwei beschwerde-spezifischen Fragebogen. Ergebnisse: Patienten mit primärem Lymphödem der unteren Extremitäten (n = 52), 75 % weiblich, Durchschnittsalter 47.1 Jahre) gaben mit der Norm vergleichbare Werte an. Zum Beispiel SF-36 körperliche Funktion 80.4 (Mittelwert; Norm 84.1, p = 0.512) und SF-36 Vitalität 62.7 (Norm 59.7, p = 0.117) (100 = bester Wert). Patienten mit sekundärem Lymphödem (n = 60, 68 % weiblich, Durchschnittsalter 60.6 Jahre) erreichten in denselben Skalen 68.1 (73.9, p = 0.049) und 55.2 (56.2, p = 0.800) Punkte. Die mittleren Scores der Symptom- und Funktionsskalen der spezifischen Fragebogen erzielten Werte zwischen 70.0 und 83.1 bei den primären Lymphödemen (100 = bester Wert) und 63.3 bis 80.6 bei sekundären Lymphödemen. Die SF-36 Dimensionen Funktion und Vitalität waren höher bei Patienten mit primärem Lymphödem als bei sekundärem Lymphödem der unteren Extremitäten (Mittelwerte SF-36, Vitalität 62.7 versus 55.2, p = 0.035). Schlussfolgerungen: Bei Patienten mit primärem Lymphödem war die allgemeine Gesundheit und Lebensqualität hoch und mit der Normalbevölkerung vergleichbar. Dasselbe galt in den meisten psychosozialen Dimensionen auch für Patienten mit sekundärem Lymphödem. Diese gaben hingegen im funktionellen Bereich Defizite an. Eine Krebserkrankung, häufigste Ursache für ein sekundäres Lymph

  18. Tissue plasminogen activator as a novel diagnostic aid in acute pulmonary embolism.

    PubMed

    Flores, Julio; García-Avello, Angel; Alonso, Esther; Ruíz, Antonio; Navarrete, Olga; Alvarez, Concepción; Lozano, Cristina; Arribas, Ignacio

    2014-11-01

    Hintergrund: Wir haben die diagnostische Wertigkeit des Gewebeplasminogen Aktivators (tPA) bei akuter Lungenembolie (PE) mit einer ELISA Methode untersucht und sie mit einem ELISA D-dimer (VIDAS D-dimer) verglichen. Patienten und Methoden: 127 aufeinander folgende ambulante Patienten mit klinischem Verdacht auf PE wurden getestet. Die Diagnose einer PE basierte auf dem klinischen Wahrscheinlichkeitsvortest und einem strengen Bildgebungsprotokoll. Plasmaproben wurden bei der Registrierung entnommen. Die diagnostische Genauigkeit für tPA und D-dimer wurde durch die Fläche unter der Kurve (ROC) bestimmt. Die Empfindlichkeit, Genauigkeit und Voraussagewahrscheinlichkeit wurden berechnet. Ergebnisse: PE wurde bei 41 Patienten (32 %) bestätigt. Die Flächen unter den ROC-Kurven waren 0.86 für D-dimer und 0.71 für tPA. Positive und negative prädiktive Werte für D-dimer bei einem Cut off Wert von 500 ng/mL und tPA bei einem Cut off Wert von 8.5 ng/mL waren 95 % (95 % CI, 88–100 %)/95 und 95 % (95 % CI, 88–100 %)/94 % (95 % CI, 86–100 %). Die diagnostische Brauchbarkeit, um eine PE auszuschließen, war 28.3 % (95 % CI, 21–37 %) für D-dimer und 24.4 % (95 % CI, 17–33 %) für tPA. Schlussfolgerungen: Der tPA mit einem Cut off Wert von 8.5 ng/mL hat eine hohe Empfindlichkeit und einen negativen Vorhersagewert für den Ausschluss einer PE, der einem VIDAS D-dimer mit einem Cut off Wert von 500 ng/mL ähnlich ist, obwohl der diagnostische Nutzen für den D-dimer etwas höher war.

  19. Onychomycosis is associated with subclinical atherosclerosis in patients with diabetes.

    PubMed

    Onalan, Orhan; Adar, Adem; Keles, Hakan; Ertugrul, Goksen; Ozkan, Nurhayat; Aktas, Habibullah; Karakaya, Ekrem

    2015-01-01

    Hintergrund: Wir haben die Beziehung der Onychomykose an den Fuβnägeln mit der subklinischen Arteriosklerose bei Patienten mit Diabetes untersucht. Patienten und Methoden: Aufeinanderfolgende Diabetiker, die wir ambulant gesehen haben, wurden registriert. Die Intima-Media Dicke der Arteria carotis (CIMT) wurde bewertet. Die Fuβnagelonychomykose wurde mikroskopisch diagnostiziert. Ergebnisse: Wir haben 127 Patienten untersucht. Bei 48 (37,8 %) fanden wir eine Fuβnagelonychomykose. Von den 127 Patienten hatten 60 (47,2 %) eine subklinische Arteriosklerose (CIMT > 1 mm). Das männliche Geschlecht (43,3 % vs. 22,4 %, p = 0,012) und die Onychomykose (53,3 % vs. 23,9 %, p = 0,001) waren bei Paitenten mit subklinischer Arteriosklerose signifikant häufiger. Unter den biochemischen Parametern war das LDL Cholesterin (122+38 mg/dl vs. 108+36 mg/dl, p = 0,039) und das glykolisierte Hämoglobin (median 8.4 %, IQR: 2.1 % vs. median 7.5 %, IQR: 1.6 %, p = 0,002) bei Patienten mit subklinischer Arteriosklerose signifikant höher. Die Gruppen waren im Hinblick auf alle anderen demografischen, klinischen, und laborchemischen Parametern ähnlich. Nach Adjustierung für alle potentiellen Einflussgrössen war die Existenz der Onychomykose in der multivariaten Regressionsanalyse eigenständig mit der subklinischen Arteriosklerose (OR 2.77, 95 % CI 1.16 bis 6.30) vergesellschaftet. Schlussfolgerungen: Onychomychose kann ein Marker der Arteriosklerose bei Diabetikern sein.

  20. Small cell carcinoma of the rectum: A report of imaging results from four cases

    PubMed Central

    ZHOU, JIAN; SHEN, JINGXIAN; MA, HUALI; ZHANG, YUN; SUN, MEILI; ZHENG, LIE; LV, YANCHUN

    2016-01-01

    Small cell carcinoma of the rectum is extremely rare. The present study aimed to improve the recognition of computed tomography (CT) and magnetic resonance imaging (MRI) features observed in patients with small cell carcinoma of the rectum. A total of 4 cases of patients with histologically confirmed small cell carcinoma of the rectum were retrospectively reviewed. The imaging features assessed consisted of the thickening of the rectal wall, local tumor invasion, CT density, MRI signal intensity, lesion texture, contrast enhancement characteristics, lymphadenopathy and distant metastasis. All 4 patients displayed ring-like rectal wall thickening and hypodensity in comparison to the gluteus muscles on non-enhanced CT images. MRI demonstrated isointensity on T1-weighted images and hyperintensity on T2-weighted images. Thickening of the left wall of the rectum with patchy low attenuation and the presence of an exophytic mass was observed in 1 patient. Local tumor invasion was observed in the perirectal fat spaces of 4 patients, in the prostate gland and seminal vesicle of 1 patient, and in the left seminal vesicle of 1 patient. Heterogeneous attenuation was exhibited on non-enhanced CT images in 3 lesions, and 1 lesion exhibited heterogeneous intensity on non-enhanced MRI images. All the lesions observed demonstrated strong enhancement following contrast imaging. Lymphadenopathy was observed in 4 patients, liver metastasis in 3 patients, pulmonary metastasis in 2 patients and multiple bone metastases in 1 patient. Overall, small cell carcinoma of the rectum appeared to be more likely to metastasize to the liver, pulmonary, lymph nodes and bone. Distinguishing features of small cell carcinoma of the rectum were noted as a thickening rectal wall, the presence of soft-tissue tumors, local tumor invasion, lymphadenopathy and distant metastases. Pre-operative CT and MRI are required as an aid in selecting the correct treatment plan and for the prognosis assessment of

  1. Cervical Lymph Nodes as a Selective Niche for Brucella during Oral Infections

    PubMed Central

    von Bargen, Kristine; Gagnaire, Aurélie; Arce-Gorvel, Vilma; de Bovis, Béatrice; Baudimont, Fannie; Chasson, Lionel; Bosilkovski, Mile; Papadopoulos, Alexia; Martirosyan, Anna; Henri, Sandrine; Mège, Jean-Louis; Malissen, Bernard; Gorvel, Jean-Pierre

    2015-01-01

    Cervical lymph nodes (CLN) are the first lymph nodes encountered by material taking the oral route. To study their role in orally acquired infections, we analyzed 307 patients of up to 14 years treated in the university clinic of Skopje, Macedonia, for brucellosis, a zoonotic bacterial disease frequently acquired by ingestion of contaminated dairy products. From these children, 36% had lymphadenopathy. Among orally infected children, lymphadenopathy with CLN being the only lymph nodes affected was significantly more frequent as compared to those infected by contact with animals (83% vs. 63%), suggesting a possible involvement of CLN during orally acquired human brucellosis. Using a murine model where bacteria are delivered into the oral cavity, we show that Brucella quickly and selectively colonize the CLN where they proliferate and persist over long periods of time for up to 50 days post-infection. A similar efficient though less specific drainage to CLN was found for Brucella, Salmonella typhimurium and fluorescent microspheres delivered by gavage, a pathway likely representing a mixed infection mode of intragastric and oral infection, suggesting a central pathway of drained material. Microspheres as well as bacteria drained to CLN predominately reside in cells expressing CD68 and no or low levels of CD11c. Even though no systemic response could be detected, Brucella induced a locally restricted inflammatory reaction with increased expression levels of interferon γ, interleukin (IL)-6, IL-12, granzyme B and a delayed induction of Nos2. Inflammation led to pronounced lymphadenopathy, infiltration of macrophages/monocytes expressing high levels of major histocompatibility complex II and to formation of epitheloid granulomas. Together, these results highlight the role of CLN in oral infections as both, an initial and efficient trap for bacterial invaders and as possible reservoir for chronic pathogens. They likewise cast a new light on the significance of oral

  2. Cervical Lymph Nodes as a Selective Niche for Brucella during Oral Infections.

    PubMed

    von Bargen, Kristine; Gagnaire, Aurélie; Arce-Gorvel, Vilma; de Bovis, Béatrice; Baudimont, Fannie; Chasson, Lionel; Bosilkovski, Mile; Papadopoulos, Alexia; Martirosyan, Anna; Henri, Sandrine; Mège, Jean-Louis; Malissen, Bernard; Gorvel, Jean-Pierre

    2014-01-01

    Cervical lymph nodes (CLN) are the first lymph nodes encountered by material taking the oral route. To study their role in orally acquired infections, we analyzed 307 patients of up to 14 years treated in the university clinic of Skopje, Macedonia, for brucellosis, a zoonotic bacterial disease frequently acquired by ingestion of contaminated dairy products. From these children, 36% had lymphadenopathy. Among orally infected children, lymphadenopathy with CLN being the only lymph nodes affected was significantly more frequent as compared to those infected by contact with animals (83% vs. 63%), suggesting a possible involvement of CLN during orally acquired human brucellosis. Using a murine model where bacteria are delivered into the oral cavity, we show that Brucella quickly and selectively colonize the CLN where they proliferate and persist over long periods of time for up to 50 days post-infection. A similar efficient though less specific drainage to CLN was found for Brucella, Salmonella typhimurium and fluorescent microspheres delivered by gavage, a pathway likely representing a mixed infection mode of intragastric and oral infection, suggesting a central pathway of drained material. Microspheres as well as bacteria drained to CLN predominately reside in cells expressing CD68 and no or low levels of CD11c. Even though no systemic response could be detected, Brucella induced a locally restricted inflammatory reaction with increased expression levels of interferon γ, interleukin (IL)-6, IL-12, granzyme B and a delayed induction of Nos2. Inflammation led to pronounced lymphadenopathy, infiltration of macrophages/monocytes expressing high levels of major histocompatibility complex II and to formation of epitheloid granulomas. Together, these results highlight the role of CLN in oral infections as both, an initial and efficient trap for bacterial invaders and as possible reservoir for chronic pathogens. They likewise cast a new light on the significance of oral

  3. Epstein-Barr virus-negative, CD5-positive diffuse large B-cell lymphoma developing after treatment with oral tacrolimus for mixed connective tissue disease : a case report and review of the literature.

    PubMed

    Sekiguchi, Yasunobu; Shimada, Asami; Imai, Hidenori; Wakabayashi, Mutsumi; Sugimoto, Keiji; Nakamura, Noriko; Sawada, Tomonori; Komatsu, Norio; Noguchi, Masaaki

    2012-01-01

    A 69-year-old woman, who had been diagnosed as having Sjögren's syndrome at 37 years old and mixed connective tissue disease at 42 years old, was under treatment with oral prednisolone. In 2009, she was diagnosed as having active systemic lupus erythematosus, and started on treatment with tacrolimus at 3 mg/day. In 2010, para-aortic lymphadenopathy and superficial multiple lymphadenopathy were detected. Tacrolimus was discontinued. Axillary lymph node biopsy revealed Epstein-Barr (EB) virus-negative CD5-positive diffuse large B-cell lymphoma (DLBCL). The patient was classified into clinical stage IIIA and as being at high risk according to the international prognostic index. After the discontinuation of tacrolimus, the lymph nodes reduced temporarily in size. In January 2011, the lymphadenopathy increased again, and the patient received a total of 8 courses of therapy with rituximab, pirarubicin, vincristine, cyclophosphamide and prednisolone, followed by intrathecal injection to prevent central nervous system infiltration, which was followed by complete remission. In February 2012, fluorodeoxyglucose positron emission tomography showed relapse in multiple lymph nodes and central nervous system infiltration. The patient was considered to have iatrogenic lymphoproliferative disorder classified as "other iatrogenic immunodeficiency-associated lymphoproliferative disorders" by the WHO, and this is the first reported case of CD5-positive DLBCL and central nervous system infiltration following administration of the drug. The patient was considered to have a poor prognosis as EB virus was negative, discontinuation of tacrolimus was ineffective and there was evidence of central nervous system infiltration.

  4. Assessment of Domestic Goats as Models for Experimental and Natural Infection with the North American Isolate of Rickettsia slovaca

    PubMed Central

    Keating, M. Kelly; Spivey, Pamela; Lathrop, George W.; Powell, Nathaniel; Levin, Michael L.

    2016-01-01

    Rickettsia slovaca is a tick-borne human pathogen that is associated with scalp eschars and neck lymphadenopathy known as tick-borne lymphadenopathy (TIBOLA) or Dermacentor-borne necrosis erythema and lymphadenopathy (DEBONEL). Originally, R. slovaca was described in Eastern Europe, but since recognition of its pathogenicity, human cases have been reported throughout Europe. European vertebrate reservoirs of R. slovaca remain unknown, but feral swine and domestic goats have been found infected or seropositive for this pathogen. Recently, a rickettsial pathogen identical to R. slovaca was identified in, and isolated from, the American dog tick, Dermacentor variabilis. In previous experimental studies, this organism was found infectious to guinea pigs and transovarially transmissible in ticks. In this study, domestic goats (Capra hircus) were experimentally inoculated with the North American isolate of this R. slovaca-like agent to assess their reservoir competence–the ability to acquire the pathogens and maintain transmission between infected and uninfected ticks. Goats were susceptible to infection as demonstrated by detection of the pathogen in skin biopsies and multiple internal tissues, but the only clinical sign of illness was transient fever noted in three out of four goats, and reactive lymphoid hyperplasia. On average, less than 5% of uninfected ticks acquired the pathogen while feeding upon infected goats. Although domestic goats are susceptible to the newly described North American isolate of R. slovaca, they are likely to play a minor role in the natural transmission cycle of this pathogen. Our results suggest that goats do not propagate the North American isolate of R. slovaca in peridomestic environments and clinical diagnosis of infection could be difficult due to the brevity and mildness of clinical signs. Further research is needed to elucidate the natural transmission cycle of R. slovaca both in Europe and North America, as well as to identify a

  5. Waldenström's macroglobulinemia: clinical course and prognostic factors in 60 patients. Experience from a single hematology unit.

    PubMed

    Kyrtsonis, M C; Vassilakopoulos, T P; Angelopoulou, M K; Siakantaris, P; Kontopidou, F N; Dimopoulou, M N; Boussiotis, V; Gribabis, A; Konstantopoulos, K; Vaiopoulos, G A; Fessas, P; Kittas, C; Pangalis, G A

    2001-12-01

    Waldenström's macroglobulinemia (WM) is a lymphoplasmacytic lymphoma characterized by the presence in patients' serum of an IgM monoclonal component. We report on our experience with 60 WM patients, focusing on their clinical findings, response to treatment, and the possible identification of prognostic factors. Of these patients, 70% presented with fatigue, and lymphadenopathy was observed in 22%, splenomegaly in 18%, hepatomegaly in 13%, and extranodal site of involvement in 6%. Bleeding tendency was seen in 17%, infections in 17%, hyperviscosity syndrome in 12%, and cardiac failure in 25% of the patients. The median of IgM levels was 30 g/l with hypoalbuminemia in 20% of cases, hypogammaglobulinemia in 27%, polyclonal hypergammaglobulinemia in 15%, kappa light-chain restriction in 78%, and Bence-Jones proteinuria in 54%. Anemia was frequent (85%), followed by leukocytosis (18%), lymphocytosis (12%), leukopenia (10%), and thrombocytopenia (10%). Cryoglobulinemia and autoimmune hemolytic anemia were encountered in 5%. In all cases but two, bone marrow was involved. Of 50 patients initially treated with intermittent oral chlorambucil, 46 (92%) responded. Median overall survival was 108 months. Factors associated with adverse prognosis were age > or =65 years (p=0.06), presence of lymphadenopathy (p=0.06), bone marrow infiltration > or =50% (p=0.007), international prognostic index (IPI) > or =3 (p=0.0001), and Morel's scoring system (p=0.04). Concluding, we found in this series of WM patients that chlorambucil is an effective treatment and that the parameters of age, lymphadenopathy, percentage of bone marrow infiltration, IPI, and Morel's scoring system carry prognostic significance.

  6. Multivariate Analysis of Para-Aortic Lymph Node Recurrence After Definitive Radiotherapy for Stage IB-IVA Squamous Cell Carcinoma of Uterine Cervix

    SciTech Connect

    Huang, E.-Y.; Wang, C.-J.; Chen, H.-C.; Fang, F.-M.; Huang, Y.-J.; Wang, C.-Y.; Hsu, H.-C.

    2008-11-01

    Purpose: To evaluate the pretreatment risk factors of para-aortic lymph node (PALN) recurrence after primary radiotherapy for cervical cancer. Methods and Materials: Between May 1992 and January 2006, the data from 758 patients with squamous cell carcinoma of the uterine cervix were retrospectively analyzed. No patient had undergone PALN radiotherapy as their initial treatment. PALN recurrence was diagnosed by computed tomography. PALN relapse-free status was determined clinically or radiographically. We analyzed the actuarial rates of PALN recurrence using Kaplan-Meier curves. Multivariate analyses were performed with Cox regression models. Results: Of the 758 patients, 38 (5%) and 42 (6%) had isolated and nonisolated PALN recurrences after a median follow-up of 50 months (range, 2-159 months), respectively. The 3-year and 5-year overall survival rate after PALN recurrence was 35% and 28%, respectively. A squamous cell carcinoma antigen (SCC-Ag) level >40 ng/mL (p <0.001), advanced parametrial involvement (score 4-6; p = 0.002), and the presence of pelvic lymphadenopathy (p = 0.007) were independent factors associated with PALN relapse on multivariate analysis. The 5-year PALN recurrence rate in patients with a SCC-Ag level >40 ng/mL, SCC-Ag level of 20-40 ng/mL, parametrial score of 4-6, pelvic lymphadenopathy, and no risk factors was 57%, 22%, 34%, 37%, and 9%, respectively. Conclusions: Patients with squamous cell carcinoma of the uterine cervix and a high SCC-Ag level, pelvic lymphadenopathy, or advanced PM involvement were predisposed to PALN recurrence after definitive radiotherapy. More intensive follow-up schedules are suggested for early detection and salvage in high-risk patients.

  7. The reliability of the pass/fail decision for assessments comprised of multiple components.

    PubMed

    Möltner, Andreas; Tımbıl, Sevgi; Jünger, Jana

    2015-01-01

    Zielsetzung: Die gravierendsten Konsequenzen für einen Studierenden bei einer Prüfung besitzt die Entscheidung über „bestanden“ oder „durchgefallen“. Wie die Messzuverlässigkeit der Punktwerte muss bei qualitativ hochwertigen Prüfungen deshalb auch die Zuverlässigkeit der Entscheidung „bestanden“ oder „durchgefallen“ bestimmt werden.Oft setzen sich Prüfungen eines Fachs (Leistungsnachweise) aus mehreren Teilprüfungen zusammen, die z. B. unabhängig voneinander bestanden werden müssen. In diesem Fall einer „konjunktiven“ Verknüpfung der Einzelentscheidungen „bestanden/durchgefallen“ wie auch bei anderen komplexen Bestehensregelungen sind zur Abschätzung der Genauigkeit und Konsistenz der Entscheidung „bestanden/durchgefallen“ adäquate Auswertungsverfahren erforderlich. Bislang liegen zu dieser Problemstellung nur wenige Arbeiten vor, ein allgemein verwendbares Verfahren wurde 2010 von Douglas und Mislevy publiziert.In der Studie soll am exemplarischen Beispiel einer zusammengesetzten Prüfung, bei der mehrere Teilprüfungen unabhängig voneinander bestanden werden müssen, eine Analyse der Zuverlässigkeit der Entscheidung „bestanden/durchgefallen“ durchgeführt und Konsequenzen für eine verbesserte Methodik zur Identifikation von Studierenden, die die gestellten Mindestanforderungen nicht erfüllen, diskutiert werden.Methodik: Untersucht wird die Entscheidungsgenauigkeit und -konsistenz von „bestanden/durchgefallen“ des Leistungsnachweises Innere Medizin/Allgemeinmedizin/Klinische Chemie der medizinischen Fakultät Heidelberg. Für diesen müssen drei Teilprüfungen (zwei Klausuren und ein OSCE) unabhängig voneinander bestanden werden, wobei jede Teilprüfung für sich zweimal wiederholt werden kann. Die Analyse erfolgt mit dem Verfahren von Douglas und Mislevy.Ergebnisse: Auch bei hohen Reliabilitäten von Teilprüfungen lässt sich bei komplexen logischen Verknüpfungen der Einzelentscheidungen

  8. Disseminated tuberculosis in an HIV-infected child: rifampicin resistance detected by GeneXpert in a lymph node aspirate but not in cerebrospinal fluid.

    PubMed

    Gamell, Anna; Ntamatungiro, Alex John; Battegay, Manuel; Letang, Emilio

    2015-08-03

    A 9-year-old HIV-infected child previously treated with inadequate doses of antitubercular drugs based on weight was admitted 5 months after initial tuberculosis (TB) diagnosis with acute hemiplegia and inguinal lymphadenopathies in a rural hospital in Tanzania. He was diagnosed with TB meningitis and lymphadenitis using Xpert Mycobacterium tuberculosis/rifampicin (MTB/RIF) assay. Rifampicin resistance was detected in the lymph node aspirate but not in the cerebrospinal fluid. His TB therapy was optimised based on available medications and antiretroviral treatment was initiated 6 weeks later. Despite these efforts, the clinical evolution was poor and the child died 12 weeks after admission.

  9. Deletion of IL-18 Expression Ameliorates Spontaneous Kidney Failure in MRLlpr Mice

    PubMed Central

    Glage, Silke; Neumann, Detlef

    2015-01-01

    The role of IL-18 in the pathogenesis of systemic lupus erythematosus is still not definitively solved. In this study, we generated MRLlpr mice, which develop a disease resembling systemic lupus erythematosus, genetically devoid of IL-18 expression. These mice in comparison to IL-18-competent MRLlpr mice show reduced signs of renal pathogenesis, while other parameters such as mean survival time, lymphadenopathy, constitutive interferon-γ production, and frequency of CD3+B220+ abnormal T cells were without differences. We conclude that in the systemic lupus erythematosus syndrom IL-18 is involved specifically in the renal pathogenesis. PMID:26465326

  10. Primary non-hodgkin B cell lymphoma in a man.

    PubMed

    Alhabshi, Sh M I; Ismail, Z; Arasaratnam, Sh A

    2011-03-01

    Malignant breast lymphoma is a rare condition and primary breast lymphoma is extremely rare in the male population. We present a case of a 26-year-old man (transgender) who presented with a large palpable mass in the right breast. This mass was rapidly growing in size associated with right axillary lymphadenopathy. Ultrasound and MRI findings were consistent with BIRADS IV lesion which was suspicious of malignancy. Core biopsy was performed and histopathology confirmed the diagnosis of primary non Hodgkin B cell lymphoma of the breast.

  11. Chronic Lymphocytic Leukemia as an Unusual Cause of Rapid Airway Compromise

    PubMed Central

    Ezzell, Erin E.; Renshaw, John S.

    2017-01-01

    Chronic Lymphocytic Leukemia (CLL) is the most prevalent form of non-Hodgkin's lymphoma (NHL) in Western countries predominantly affecting adults over the age of 65. CLL is commonly indolent in nature but can present locally and aggressively at extranodal sites. Although CLL may commonly present with cervical lymphadenopathy, manifestation in nonlymphoid regions of the head and neck is not well described. CLL causing upper airway obstruction is even more uncommon. We describe a case of a patient with known history of CLL and stable lymphocytosis that developed an enlarging lymphoid base of tongue (BOT) mass resulting in rapid airway compromise.

  12. Inflammatory bowel disease of the lung: The role of infliximab?

    PubMed

    Hayek, Adam J; Pfanner, Timothy P; White, Heath D

    2015-01-01

    Pulmonary extra-intestinal manifestations (EIM) of inflammatory bowel disease are well described with a variable incidence. We present a case of Crohn's disease with pulmonary EIM including chronic bronchitis with non-resolving bilateral cavitary pulmonary nodules and mediastinal lymphadenopathy successfully treated with infliximab. Additionally, we present a case summary from a literature review on pulmonary EIM successfully treated with infliximab. Current treatment recommendations include an inhaled and/or systemic corticosteroid regimen which is largely based on case reports and expert opinion. We offer infliximab as an adjunctive therapy or alternative to corticosteroids for treatment of inflammatory bowel disease related pulmonary EIM.

  13. Herpes simplex virus lymphadenitis: the elusive doppelganger in immunocompromised patients.

    PubMed

    Cases, Margaret; Leduc, Charles; Farmer, Patricia L; Richardson, Susan E; Zoutman, Dick E

    2014-01-01

    Herpes simplex virus has protean manifestations and is an important cause of morbidity in the immunocompromised host. We report a case of recurrent lymphadenopathy and rash in a patient with chronic lymphocytic leukemia. The elusive clinical diagnosis eventually required core biopsy of a lymph node with immunohistochemistry and confirmation by polymerase chain reaction. This case illustrates the challenging clinical and laboratory diagnosis of herpes simplex virus lymphadenitis and the need to maintain a high index of suspicion for infection when treating an immunocompromised patient with unusual and/or persistent symptoms.

  14. Gastric cancer in the setting of persistently elevated human chorionic gonadotropin: a case report.

    PubMed

    Walker, Latoya R; Erler, Brian

    2011-01-01

    A 35-year-old woman presented to the emergency room for the evaluation of failed surgical and medical management of a suspected ectopic pregnancy. When imaging studies were performed, she had lymphadenopathy and diffuse sclerosis of the osseous framework. Multiple biopsies were performed and revealed poorly differentiated metastatic carcinoma with signet ring features. Esophagogastroduodenoscopy confirmed the findings of a Stage IV gastric adenocarcinoma. Signs and symptoms of gastric carcinoma are vague. However, to our knowledge, an elevation in human chorionic gonadotropin (hCG) is not an associated finding. Persistence of hCG has many causes from abnormal pregnancy to menopause and other forms of cancer.

  15. Update and new approaches in the treatment of Castleman disease

    PubMed Central

    Chan, Kah-Lok; Lade, Stephen; Prince, H Miles; Harrison, Simon J

    2016-01-01

    First described 60 years ago, Castleman disease comprises a rare and heterogeneous cluster of disorders, characterized by lymphadenopathy with unique histological features and associated with cytokine-driven constitutional symptoms and biochemical disturbances. Although unicentric Castleman disease is curable with complete surgical excision, its multicentric counterpart is a considerable therapeutic challenge. The recent development of biological agents, particularly monoclonal antibodies to interleukin-6 and its receptor, allow for more targeted disease-specific intervention that promises improved response rates and more durable disease control; however, further work is required to fill knowledge gaps in terms of underlying pathophysiology and to facilitate alternative treatment options for refractory cases. PMID:27536166

  16. Kawasaki Shock Syndrome in a 12-Year-Old Girl Mimicking Septic Shock

    PubMed Central

    Suntharesan, Janani; Wijesekara, Dimuthu Saraji

    2016-01-01

    Kawasaki disease is diagnosed when fever lasts for more than 5 days with the presence of four out of five of the following clinical features: bilateral conjunctival congestion, changes in the lips and oral cavity, polymorphous exanthem, changes in peripheral extremities, and acute nonpurulent cervical lymphadenopathy (Nakamura et al., 2012). The average age of onset is 2 years and 90% of patients are below 5 years of age. Boys are more affected than girls (Cox and Sallis, 2009). This case report describes an adolescent female who was initially managed as having septic shock and subsequently found to have Kawasaki shock syndrome. PMID:28101385

  17. Secondary hemophagocytic lymphohistiocytosis in children with brucellosis: report of three cases.

    PubMed

    Yaman, Yöntem; Gözmen, Salih; Özkaya, Ahmet Kağan; Oymak, Yeşim; Apa, Hurşit; Vergin, Canan; Devrim, İlker

    2015-10-29

    Brucellosis is a systemic zoonotic infectious disease that may cause fever, fatigue, sweating, arthritis, hepatosplenomegaly, cytopenia, and lymphadenopathy. It continues to be an important health problem worldwide. Hemophagocytic lymphohistiocytosis (HLH) is characterized by fever, hepatosplenomegaly, cytopenias, high serum levels of ferritin and triglycerides, low serum fibrinogen levels, and hemophagocytosis in bone marrow, lymph nodes, spleen, or liver. Hemophagocytic lymphohistiocytosis associated with brucellosis is a very rare condition in the pediatric age group. Here, three pediatric cases of secondary HLH associated with brucellosis are reported. Hemophagocytic lymphohistiocytosis should be considered in patients with brucellosis having cytopenias. Hemophagocytosis in brucellosis seems to be cured with appropriate antibiotics and intravenous immunoglobulin.

  18. False positive results for antibody to HIV in two men with systemic lupus erythematosus.

    PubMed Central

    Esteva, M H; Blasini, A M; Ogly, D; Rodríguez, M A

    1992-01-01

    False positive results were obtained for HIV tests in two men with active systemic lupus erythematosus (SLE) who were suspected of being infected with HIV because of fever, weight loss, lymphadenopathy, and inflammatory myopathy. Enzyme linked immunosorbent assays (ELISAs) for HIV were twice positive when tested three times over a period of six months. Western blot analysis showed reactivity against the gp41 band in patient 1. False positive results for HIV tests can occur in patients with SLE, potentially leading to an erroneous diagnosis of HIV infection. PMID:1417140

  19. Atypical scleromyxedema presenting with cutaneous and cardiovascular manifestations

    PubMed Central

    Teh, Sue-Ann; Kandiah, David A

    2016-01-01

    Scleromyxedema is part of a group of cutaneous mucinoses, characterized by a generalized papular eruption, dermal mucin deposition, and an increase in dermal collagen. This condition can be localized as discrete papular lichen myxedematous skin or as a systemic condition usually associated with paraproteinaemia. To date, there is no unifying treatment and is limited by rarity, small number of case reports, and the lack of randomized controlled trials. We describe the case of a 56-year-old gentleman with features of scleromyxedema who had cutaneous and cardiac involvement, and significant mediastinal lymphadenopathy without monoclonal gammopathy. PMID:27698568

  20. Misdiagnosing Whipple's disease in the young.

    PubMed

    Papakonstantinou, Danai; Riste, Michael J; Langman, Gerald; Moran, Ed

    2017-03-21

    Whipple's disease is considered an infection of middle-aged white men of European ancestry. Cases are rare and disproportionately associated with occupational exposure to soil or animals. We report the case of a man aged 22 years with no risk factors, erroneously diagnosed with, and treated for, toxoplasmosis on the basis of consistent lymph node histology. The correct diagnosis was delayed by the dramatic symptomatic improvement resulting from this therapy. Whipple's disease should be considered in cases of granulomatous lymphadenopathy of unknown cause, even if the age of the patient does not fit the classic presentation of the disease.

  1. Inflammatory bowel disease of the lung: The role of infliximab?☆

    PubMed Central

    Hayek, Adam J.; Pfanner, Timothy P.; White, Heath D.

    2015-01-01

    Pulmonary extra-intestinal manifestations (EIM) of inflammatory bowel disease are well described with a variable incidence. We present a case of Crohn's disease with pulmonary EIM including chronic bronchitis with non-resolving bilateral cavitary pulmonary nodules and mediastinal lymphadenopathy successfully treated with infliximab. Additionally, we present a case summary from a literature review on pulmonary EIM successfully treated with infliximab. Current treatment recommendations include an inhaled and/or systemic corticosteroid regimen which is largely based on case reports and expert opinion. We offer infliximab as an adjunctive therapy or alternative to corticosteroids for treatment of inflammatory bowel disease related pulmonary EIM. PMID:26236612

  2. Autoimmune lymphoproliferative syndrome: response to mycophenolate mofetil and pyrimethamine/sulfadoxine in a 5-year-old child.

    PubMed

    Arora, Sunaina; Singh, Neeraj; Chaudhary, Gurmeet Kaur; John, M Joseph

    2011-06-01

    Autoimmune Lymphoproliferative Syndrome (ALPS) is a rare inherited disorder of disrupted lymphocyte homeostasis characterized by chronic splenomegaly and lymphadenopathy of early onset, hypergammaglobulinemia (Ig G and Ig A), autoimmune phenomena, and expanded populations of TCR-α/β+, CD3+, CD4-, CD8-T cells (Fisher et al. Cell 81:935-946; 1995), called double negative T-cells [(DN) T cells]. We discuss a case of ALPS which showed good response to immunosuppressant drug Mycophenolate-Mofetil in combination with Pyrimethamine/Sulfadoxine.

  3. Use of Sirolimus (Rapamycin) for Treatment of Cytopenias and Lymphoproliferation Linked to Autoimmune Lymphoproliferative Syndrome (ALPS). Two Case Reports.

    PubMed

    Cayrol, Julie; Garrido Colino, Carmen

    2017-02-23

    Autoimmune lymphoproliferative syndrome (ALPS) is a disorder of lymphocyte apoptosis. Children present with chronic nonmalignant lymphadenopathy, hepatosplenomegaly, and autoimmune cytopenias. Recent advances show efficacy of treatment with immunosuppressive drugs. Sirolimus, an mammalian target of rapamycin inhibitor, improves autoimmune cytopenias and lymphoproliferation, with a safe profile. We present 2 patients, a 5-year-old girl and 15-year-old boy, diagnosed with ALPS with initial partial response to steroid treatment. Autoimmune cytopenias and lymphoproliferation then became refractory to treatment, with recurrence of symptoms. In both cases, treatment with sirolimus was started, with a rapid response, complete remission of cytopenias, and resolution of lymphoproliferation, with no significant adverse effects.

  4. Atypical presentation of autoimmune lymphoproliferative syndrome due to CASP10 mutation.

    PubMed

    Tripodi, Serena Ilaria; Mazza, Cinzia; Moratto, Daniele; Ramenghi, Ugo; Caorsi, Roberta; Gattorno, Marco; Badolato, Raffaele

    2016-09-01

    Herein we describe the case of a 8-years-old boy with diagnosis of atypical autoimmune lymphoproliferative syndrome (ALPS), carrying heterozygous mutation of CASP10 gene (I406L). He presented with multiple non-invasive infections of the skin, that were associated to chronic non-malignant non-infectious lymphadenopathy, failure to thrive, weakness, arthralgia, relapsing oral aftosis, and expansion of TCRαβ(+) CD4(-)/CD8(-) T cells. This observation suggests that cutaneous infections can be observed in ALPS patients carrying CASP10 mutations.

  5. [Multiple myeloma (IgG-kappa) infiltrating central nervous system, lymph nodes, liver, and kidneys, and with elevation of IgE].

    PubMed

    Toyota, Shigeo; Nakamura, Norihiko; Dan, Kazuo

    2004-05-01

    A 63-year-old man was admitted because of general malaise, fever, headache, generalized lymphadenopathy and hepatomegaly in July 2002. He was diagnosed as having multiple myeloma (MM) (IgG-kappa type) with atypical plasma cells in the bone marrow, lymph nodes and cerebrospinal fluid. Systemic and intrathecal chemotherapy were effective. Because of an increase of polyclonal IgE, electrophoretic patterns revealed an M-peak which was not as sharp as that in IgG myeloma. IgE production is not impaired by the pathologic process in MM patients.

  6. Orbital sarcoidosis presenting as diffuse swelling of the lower eyelid.

    PubMed

    Lee, Jeong Kyu; Moon, Nam Ju

    2013-02-01

    The author reports a case of orbital Sarcoidosis in a 70-year-old female that initially presented as diffuse swelling of the lower eyelid. The patient complained of painless swelling of the left lower lid without palpable mass, and a computerized tomography (CT) scan of the orbit was unremarkable. A serum angiotensin converting enzyme level was elevated, and hilar lymphadenopathy was noted on the chest CT. The patient underwent surgical debulking for histologic confirmation, which led to a final diagnosis of sarcoidosis involving the orbital fat. Unexplained chronic eyelid swelling without a mass should be considered a possible ophthalmic manifestation of orbital sarcoidosis.

  7. Cat-Scratch Disease: A Pitfall for Lymphoma Evaluation by FDG-PET/CT.

    PubMed

    Dubreuil, Julien; Dony, Arthur; Salles, Gilles; Traverse-Glehen, Alexandra; Giammarile, Francesco; Skanjeti, Andrea

    2017-02-01

    FDG-PET/CT is a standard of care in staging and response assessment of Hodgkin lymphoma. Hence, it is important to recognize pitfalls owing to the potential therapeutic impact. We report a case of a 29-year-old woman affected by stage III bulky Hodgkin lymphoma. The interim FDG-PET/CT showed a complete metabolic response. After three new cycles of chemotherapy, the patient showed fever and lymphadenopathy at clinic examination, PET/CT revealed several FDG uptakes at lymph nodes in inguinal and iliac region. Pathologic analyses, after biopsy and serologic examinations, led to the diagnosis of cat-scratch disease.

  8. [Cat-scratch disease with bone compromise: atypical manifestation].

    PubMed

    Rodríguez C, Magdalena; Giachetto L, Gustavo; Cuneo E, Alejandro; Gutiérrez B, María del C; Shimchack R, Mario; Pírez G, M Catalina

    2009-08-01

    Fever, headache, myalgias and lymphadenopathy are characteristic manifestations of cat-scratch disease but other less common findings are described in 2 to 10% of cases. We report two children that presented with hepatosplenic abscesses and bone involvement. One child, had multiple areas of increased uptake in the bone scintigram with a positive serology (IgG > 1/256, IgM slightly positive). The second child had destruction of the L2 vertebral body that compromised the channel and right foramen as visualized by MRI. In both cases, bacilli were observed in the bone biopsy by Warthing-Starry stain.

  9. Dermatitis and lymphadenitis resembling juvenile cellulitis in a four-year-old dog.

    PubMed

    Neuber, A E; van den Broek, A H M; Brownstein, D; Thoday, K L; Hill, P B

    2004-05-01

    A four-year-old, entire male toy poodle was presented with a two-and-a-half-week history of ocular discharge progressing to periorbital alopecia, depigmentation, alopecia and ulceration around the muzzle. There was also a haemorrhagic discharge from the ears, pyrexia, lethargy and generalised lymphadenopathy. The clinical, cytological, bacteriological and histopathological findings were consistent with a diagnosis of dermatitis resembling juvenile cellulitis in an adult dog. Glucocorticoid therapy led to rapid resolution of the clinical signs and the dog has remained in remission for two years after cessation of treatment.

  10. Unusual manifestations of acute Q fever: autoimmune hemolytic anemia and tubulointerstitial nephritis.

    PubMed

    Korkmaz, Serdal; Elaldi, Nazif; Kayatas, Mansur; Sencan, Mehmet; Yildiz, Esin

    2012-05-18

    Q fever is a worldwide zoonotic infection that caused by Coxiella burnetii, a strict intracellular bacterium. It may be manifested by some of the autoimmune events and is classified into acute and chronic forms. The most frequent clinical manifestation of acute form is a self-limited febrile illness which is associated with severe headache, muscle ache, arthralgia and cough. Meningoencephalitis, thyroiditis, pericarditis, myocarditis, mesenteric lymphadenopathy, hemolytic anemia, and nephritis are rare manifestations. Here we present a case of acute Q fever together with Coombs' positive autoimmune hemolytic anemia (AIHA) and tubulointerstitial nephritis treated with chlarithromycin, steroids and hemodialysis. Clinicians should be aware of such rare manifestations of the disease.

  11. Two cases of bites by the black-bellied swamp snake (Hemiaspis signata).

    PubMed

    Isbister, Geoffrey K; Dawson, Andrew H; Whyte, Ian M

    2002-03-01

    We report two cases of envenomation by the black bellied swamp snake, Hemiaspis signata, with expert identification of the snakes. In the first case a 12 year old boy, who after the removal of the pressure immobilisation bandage, developed decreased fibrinogen levels and positive cross-linked fibrinogen degradation products (XDPs), but normal prothrombin time and activated partial prothrombin time. These changes resolved over 8h with no treatment. In the second case a 7 year old boy had local pain, swelling and axillary lymphadenopathy following the bite. These cases indicate the potential for coagulopathy and local symptoms following bites by large specimens of H. signata in young children.

  12. Magnetic resonance imaging of the nasopharynx

    SciTech Connect

    Dillon, W.P.; Mills, C.M.; Kjos, B.; DeGroot, J.; Brant-Zawadzki, M.

    1984-09-01

    Thirty subjects with normal nasopharyngeal anatomy and 12 patients with a variety of abnormalities were examined with computed tomography (CT) and magnetic resonance imaging (MR), using a prototype 0.35-T superconducting system. MR was superior to CT for display of both superficial and deep nasopharyngeal soft tissues in all 30 normal subjects and 10 of the 12 abnormal patients. MR was also superior to CT in distinguishing tumor from soft tissues and more sensitive to carotid sheath adenopathy. Bones, calcification, and subtle abnormalities at the base of the skull were shown better by CT. The specificity of MR and its ability to differentiate nodal metastases from reactive lymphadenopathy require further evaluation.

  13. Cross-sectional imaging of the thyroid gland.

    PubMed

    Loevner, Laurie A; Kaplan, Summer L; Cunnane, Mary Elizabeth; Moonis, Gul

    2008-08-01

    Directed imaging is useful in assessing the thyroid gland. Nuclear scintigraphy reveals functional information about the thyroid gland, while cross-sectional imaging, including ultrasound, CT, and MR imaging provide important adjunctive anatomic information about the thyroid as well as about related structures in the neck, including the presence or absence of cervical and mediastinal lymphadenopathy, or extension of thyroid disease into adjacent soft tissues or the mediastinum. This article reviews the anatomy and physiology of the thyroid gland and addresses issues related to diseases affecting the thyroid gland, with an emphasis on neoplasms and the role of cross-sectional MR and CT imaging in the assessment of thyroid neoplasia.

  14. Evidence-based mini-review: the role of alkylating agents in the initial treatment of chronic lymphocytic leukemia patients with the 11q deletion.

    PubMed

    Ding, Wei; Ferrajoli, Alessandra

    2010-01-01

    A 55-year-old man presented with fever, night sweats, and weight loss of about 20 lbs. in the prior 6 months. Physical examination revealed multiple cervical, axillary, and inguinal lymphadenopathy. The spleen was enlarged. A complete blood count revealed leukocytosis with absolute lymphocytosis: 30,000/μL. Peripheral blood-flow cytometric analysis showed a clonal lymphocyte population with immunophenotypes positive for CD5, CD20(dim), and monotypic kappa light chain. Fluorescence in situ hybridization (FISH) analysis revealed del(11q22.3), but negative for t(11:14). What should be used to treat his chronic lymphocytic leukemia (CLL) disease?

  15. [In Process Citation].

    PubMed

    Scherrer, Beat; Della Chiesa, Andrea; Polska, Elzbieta; Kutten Berger, Johannes J

    2015-01-01

    Inflammation of bone is caused either by bacterial infection or occasionally by physical stimulus. Primary chronic osteomyelitis of mandibular bone is a chronic inflammation of an unknown cause. Pain, swelling, limited mouth opening, regional lymphadenopathy and hypaesthesia are clinical symptoms at initial presentation. Results of biopsy, computed tomography and scintigraphy reveal the diagnosis of a primary chronic osteomyelitis. Its management is long-term antibiotic therapy, hyperbaric oxygen and surgical therapy, even bisphophonate treatement may be a good option. The case report presents a primary progressive chronic osteomyelitis of the manibular bone of a ten year old boy. Clinical and radiological signs are discussed as well as diagnosis, management and follow-up.

  16. Acquired immune deficiency syndrome: recommendations of a working party of the Hospital Infection Society.

    PubMed

    1985-12-01

    Unified procedures to control those infections that are transmitted by inoculation of blood are recommended. These should be applied to patients with overt acquired immune deficiency syndrome, persistent generalized lymphadenopathy or hepatitis B, those with serological evidence of infection by HTLV III or hepatitis B virus, and those in medical and social categories with a higher than average prevalence of such infections. Rational infection control measures, based on the known modes of spread, permit efficient management of infected patients, with satisfactory protection of staff and other patients.

  17. Vitiligo after Diphencyprone for Alopecia Areata

    PubMed Central

    Pires, Mario Cezar; Martins, João Mauricio; Montealegre, F.; Gatti, Flávia Romero

    2010-01-01

    The topical immunotherapy is used to treat alopecia areata and recalcitrant warts since the 1970s. Diphencyprone is a contact sensitizer used to treat dermatological conditions resulting from as altered immunological state, such as extensive alopecia areata, being partially effective and safe. Side effects include local eczema with blistering, regional lymphadenopathy and contact urticaria. Rare adverse effects include an erythema multiforme-like reaction, hyperpigmenttion, hypopigmentation, and vitiligo. We report a 30-year-old, Brazilian male who developed vitiligo lesions following DPCP therapy for alopecia areata. PMID:20585597

  18. Follicular dendritic cell sarcoma of the abdomen: the imaging findings.

    PubMed

    Kang, Tae Wook; Lee, Soon Jin; Song, Hye Jong

    2010-01-01

    Follicular dendritic cell sarcoma is a rare neoplasm that originates from follicular dendritic cells in lymphoid follicles. This disease usually involves the lymph nodes, and especially the head and neck area. Rarely, extranodal sites may be affected, including tonsil, the oral cavity, liver, spleen and the gastrointestinal tract. We report here on the imaging findings of follicular dendritic cell sarcoma of the abdomen that involved the retroperitoneal lymph nodes and colon. It shows as a well-defined, enhancing homogenous mass with internal necrosis and regional lymphadenopathy.

  19. Dry cough in a middle-aged man

    PubMed Central

    Singh, Sheetu; Singh, Nishtha; Jindal, Arpita

    2016-01-01

    Cough is often a distressing feature and may be caused due to varied reasons. A 39-year-old man presented with complaints of cough and had significant pigeon exposure. His chest X-ray revealed mediastinal enlargement and computed tomography chest revealed air trapping and mediastinal lymphadenopathy. Both endobronchial and transbronchial biopsies revealed granulomas. Thus, the patient was diagnosed as a case of sarcoidosis and started on steroids. Hypersensitivity pneumonitis may often mimic sarcoidosis; however, the presence of endobronchial granulomas will diagnose the latter condition. PMID:27890996

  20. Acute kidney injury caused by zonisamide-induced hypersensitivity syndrome.

    PubMed

    Fujita, Yoshiro; Hasegawa, Midori; Nabeshima, Kuihiro; Tomita, Makoto; Murakami, Kazutaka; Nakai, Shigeru; Yamakita, Takashi; Matsunaga, Kayoko

    2010-01-01

    Drug rash with eosinophilia and systemic symptoms (DRESS), also known as drug-induced hypersensitivity syndrome (DIHS), is a severe adverse drug reaction affecting multiple organs caused by drug treatment. The current report describes a man who was prescribed zonisamide for epilepsy and subsequently developed widespread skin rash, acute kidney injury, high-grade fever, eosinophilia, liver dysfunction, lymphadenopathy and an increase in antihuman herpesvirus-6 immunoglobulin G titer. Hypersensitivity to zonisamide was confirmed by the skin patch test. Based on these findings, the patient was diagnosed with DRESS/DIHS caused by zonisamide. This is the first report of acute kidney injury due to zonisamide-induced DRESS/DIHS.

  1. Unusual presentation of hidradenitis suppurativa with massive enlargement of penis.

    PubMed

    Baughman, Steven M; Cespedes, R Duane

    2004-08-01

    Hidradenitis suppurativa is a chronic, recurrent inflammatory disease affecting the cutaneous apocrine glands and resulting in their obstruction. This enigmatic disease causes recurrent episodes of infection, edema, scarring, and fibrosis of surrounding tissues. We present the case of a 55-year-old man with two decades of inguinal hidradenitis suppurativa that resulted in extensive penile subcutaneous lymphedema and enlargement secondary to scarring and obstructive lymphadenopathy. Reconstructive phalloplasty to restore normal penile function was required. Minimal recurrent induration, normal cutaneous sensation, and normal voiding and erectile function were noted at 3 years of follow-up.

  2. [Perinaud's oculoglandular syndrome as a manifestation of cat-scratch disease].

    PubMed

    Kruse, L P; Engbaek, K

    1995-07-17

    The first Danish case of Parinaud's oculoglandular syndrome, a manifestation of cat-scratch disease, is reported in a 35-year-old man presenting with an enlarged preauricular lymph node and an ipsilateral conjunctival granuloma. Surgical removal of the granulomatous lesion was followed by rapid healing. The diagnosis was verified by demonstrating a high antibody tire against Rochalimaea (Bartonella) henselae. On subsequent questioning the man gave a history of acquiring a kitten six weeks before his illness. The importance of eye examination in patients presenting with preauricular lymphadenopathy is emphasized.

  3. Medical Surveillance Monthly Report (MSMR). Volume 2, Number 5, May 1996

    DTIC Science & Technology

    1996-05-01

    revealed lymphadenopathy and nuchal rigidity but no evidence of upper respiratory symptoms, cough , or localized pain. Her white blood cell (WBC) count...Associated manifes- tations included cough , coryza, red eyes, irritability, and malaise. On examination, he had a tempera- ture of 100.8°F with mild...mal. Case # 3 On 2 February 1996, a 3-year-old, black male was seen in the TAMC emergency room with fever to 103°F, headache, cough , and sore throat

  4. Benign lymphoepithelial cysts of parotid and submandibular glands in a HIV-positive patient

    PubMed Central

    Shivhare, Peeyush; Shankarnarayan, Lata; Jambunath, Usha; Basavaraju, Sowbhagya Malligere

    2015-01-01

    Patients with human immunodeficiency virus (HIV) infection have been reported to have parotid swellings of various types such as diffuse infiltrative lymphocytosis syndrome, parotitis, intraparotid lymphadenopathy, benign lymphoepithelial cyst (BLEC), as well as salivary gland neoplasms such as adenoid cystic carcinoma, Kaposi sarcoma and lymphoma. LECs in the parotid gland are uncommon benign entities with increased incidence associated with HIV infection. We are presenting a case of 28-year-old HIV-positive patient with BLECs in the parotid and submandibular glands. PMID:26097320

  5. [Cat's cratch disease and Parinaud's oculoglandular syndrome].

    PubMed

    Escarmelle, A; Delbrassine, N; De Potter, P

    2004-02-01

    By presenting this case report describing Parinaud's oculoglandular syndrome, we review the medical literature on its most frequent etiology: catscratch disease, a self-limited, systemic illness caused by a Gram-negative bacillus, Bartonella henselae, principally affecting children under 15 years of age. Typical symptoms include regional lymphadenopathy, fever, malaise, and fatigue, possibly with more severe complications such as splenomegaly, granulomatous hepatitis, and encephalopathy. Ocular manifestations may include follicular conjunctivitis, Parinaud's oculoglandular syndrome, neuroretinitis, optic neuritis, and chorioretinitis. Diagnosis is based on serologic tests, and when necessary, antimicrobial treatment can be considered.

  6. Paranasal Rosai-Dorfman Disease with Osseous Destruction

    PubMed Central

    Koempel, Jeffrey A.

    2017-01-01

    Rosai-Dorfman disease is a rare histiocytic proliferative disorder of unknown etiology typically characterized by cervical lymphadenopathy. Extranodal involvement often manifests in the head and neck region. We present a 10-year-old male who presented to our hospital with left epiphora from an aggressive paranasal mass invading the left orbit with osseous destruction. The mass was surgically biopsied and debulked with histopathological examination revealing Rosai-Dorfman disease. Although rarely found in the sinuses, Rosai-Dorfman disease should be considered when evaluating sinonasal masses. PMID:28321353

  7. Leiomyosarcoma: computed tomographic findings

    SciTech Connect

    McLeod, A.J.; Zornoza, J.; Shirkhoda, A.

    1984-07-01

    The computed tomographic (CT) findings in 118 patients with the diagnosis of leiomyosarcoma were reviewed. The tumor masses visualized in these patients were often quite large; extensive necrotic or cystic change was a frequent finding. Calcification was not observed in these tumors. The liver was the most common site of metastasis in these patients, with marked necrosis of the liver lesions a common finding. Other manifestations of tumor spread included pulmonary metastases, mesenteric or omental metastases, retroperitoneal lymphadenopathy, soft-tissue metastases, bone metastases, splenic metastases, and ascites. Although the CT appearance of leiomyosarcoma is not specific, these findings, when present, suggest consideration of this diagnosis.

  8. Prostate adenocarcinoma presenting with supraclavicular node enlargement: report of a case.

    PubMed

    Platania, Marco; Bajetta, Emilio; Guadalupi, Valentina; Buzzoni, Roberto; Colecchia, Maurizio

    2008-01-01

    This report describes a case of prostate adenocarcinoma presenting with supraclavicular adenopathy and deep venous thrombosis in the ipsilateral arm. Biopsy revealed the enlarged node to be an undifferentiated adenocarcinoma of unknown origin, while CT scan evidenced widespread adenopathies. Because of the increase in serum PSA, the immunohistochemical staining of the biopsy specimen was reviewed and strong positivity for PSA suggested a prostatic origin. We emphasize the importance of PSA immunohistochemistry and serum PSA level monitoring in men presenting with carcinoma of undetermined origin and generalized lymphadenopathies.

  9. Systemic metastasis following hyphema drainage in an unsuspected retinoblastoma.

    PubMed

    Murthy, Ramesh; Honavar, Santosh G; Vemuganti, Geeta K; Naik, Milind N; Reddy, Vijayanand P

    2007-01-01

    A 6-year-old girl had total hyphema and elevated left intraocular pressure following trivial trauma. B-scan with vector A-scan revealed vitreous opacities consistent with hemorrhage. The drained hyphema did not recur. A left vascular conjunctival mass and massive cervical lymphadenopathy occurred 7 months later. Biopsy revealed extraocular retinoblastoma and lymph node metastasis. Computed tomography showed an intraocular mass with intracranial extension. She died of metastatic disease despite intensive chemotherapy. Retinoblastoma should be suspected in a child with hyphema following trivial trauma.

  10. Miliary pulmonary cryptococcosis.

    PubMed

    Kelly, Shane; Marriott, Deborah

    2014-10-01

    A 32-year-old HIV positive male presents with fevers and a non-productive cough. Initial X-ray and subsequent computerised tomography of the chest shows a bilateral miliary pattern of pulmonary infiltration highly suggestive of disseminated tuberculosis. However subsequent results were consistent with disseminated cryptococcosis, including pulmonary involvement, with cryptococcus identified on transbronchial tissue biopsy, and on blood and cerebrospinal fluid cultures. Imaging features of pulmonary cryptococcosis are generally of well-defined pleural-based nodules and less commonly alveolar infiltrates, lymphadenopathy, pleural effusions or cavitating lesions. Miliary pulmonary infiltrates are an exceptionally rare presentation.

  11. Lacrimal gland involvement in Kikuchi-Fujimoto disease.

    PubMed

    Chavis, Pamela S.; Fallata, Amna; Al-Hussein, Hailah; Clunie, David; Huaman, Antonio

    1998-06-01

    PURPOSE. A 32-year-old Saudi female presented with typical Kikuchi-Fujimoto disease, i.e., fever, cervical lymphadenitis and leukopenia, but there was also painful upper eyelid swelling with pain on upgaze. METHODS. A connective tissue disease and lymphoma workup were unremarkable, as were antibody titers to Apifia felis and Bartonella henselae. RESULTS. Orbital computed tomography showed significant lacrimal gland enlargement. Cervical node biopsy revealed necrotizing lymphadenitis. CONCLUSION. Concomitant lacrimal gland inflammation and cervical lymphadenopathy may be a benign self-limited disease.

  12. Coming of Age: Breast Implant-Associated Anaplastic Large Cell Lymphoma After 18 Years of Investigation.

    PubMed

    Clemens, Mark W; Miranda, Roberto N

    2015-10-01

    Breast implant associated anaplastic large cell lymphoma (BIALCL) is a distinct clinical entity that can present in patients receiving either reconstructive or cosmetic breast implants. Presenting symptoms include onset of a delayed (>1 year after implantation) fluid collection, mass of the capsule, or lymphadenopathy. Treatment has progressed in recent years and most commonly includes implant removal and total resection of the tumor, including capsule, mass, and involved lymph nodes. Further research is warranted to determine potential malignant drivers, disease progression, and optimal treatment strategies in advanced disease.

  13. [Wegener's granulomatosis presenting with ischaemic stroke].

    PubMed

    Wieteska, Maria; Wawrzyńska, Liliana; Wiatr, Elzbieta; Chabowski, Mariusz; Bestry, Iwona; Kurzyna, Marcin; Torbicki, Adam

    2008-01-01

    Wegener's granulomatosis (WG) is a systemic disease of unknown origin characterized by necrotizing granulomatous vasculitis that involves primarily the upper and the lower respiratory tracts and the kidneys. A 44-year-old woman presenting with unusual neurological manifestation is reported. The patient with multiple pulmonary round shadows and hilar lymphadenopathy on the chest X-ray pictures, suffered from sudden hemiparesis episode. Computed tomography revealed ischemic stroke focus. A diagnosis of WG was confirmed by histological examination of specimen obtained during open lung biopsy. During the combination chemotherapy with prednisolone and cyclophosphamide, neurological symptoms decreased and clinical condition significantly improved.

  14. Acute gastritis associated with Epstein-Barr virus infection in a child

    PubMed Central

    Kim, Ji Mok; Song, Chun Woo; Song, Kyu Sang

    2016-01-01

    Infectious mononucleosis is Epstein-Barr virus (EBV) inducing a self-limiting clinical syndrome characterized by fever, sore throat, hepatosplenomegaly, and generalized lymphadenopathy. Gastrointestinal symptoms of EBV infection are nonspecific and occur rarely. EBV inducing acute gastrointestinal pathology is poorly recognized without suspicion. Careful consideration is needed to diagnose gastric involvement of EBV infection including gastric lymphoma, gastric cancer, and gastritis. A few recent cases of gastritis associated with EBV infection have been reported in adolescents and adults. However, there is no report of EBV-associated gastritis in early childhood. We experienced a rare case of 4-year-old girl with EBV gastritis confirmed by in situ hybridization. PMID:28018450

  15. Concurrent Kimura disease and lupus nephritis

    PubMed Central

    Wang, Haitao; Fang, Fang; Sun, Ying; Wang, Songlan; Mao, Yonghui

    2016-01-01

    Abstract Background: Kimura disease is a rare chronic inflammatory disorder with peripheral eosinophilia and elevated serum IgE and is also frequently complicated by nephropathy. Methods: We report a rare case of Kimura disease concomitant with lupus nephritis in a 72-year old male patient with recurrent unexplained lymphadenopathy, renal lesions, and immunologic abnormalities. Results: The patient was successfully managed with gamma immunoglobulin, intravenous pulse methylprednisolone therapy, hydroxychloroquine, and prednisone. Conclusion: This is the first report of a case of Kimura disease concomitant with lupus nephritis and highlights the importance of considering lupus nephritis as a possible concurrent disease in patients with Kimura disease that have immunologic abnormalities. PMID:27741124

  16. Histoplasmosis mimicking non-Hodgkin lymphoma in a 40-year-old man with AIDS.

    PubMed

    Bhari, Neetu; Pahadiya, Piyush; Arava, Sudheer; Gupta, Somesh

    2017-03-01

    In patients with acquired immunodeficiency syndrome (AIDS), advanced immunosuppression is associated with atypical presentation of dermatological conditions. Our patient presented with a single crusted plaque over the lower lip and large tender cervical lymphadenopathy. The enzyme-linked immunosorbent assay for human immunodeficiency virus was found to be positive, and his CD4+ lymphocyte cell count was 4 cells/mm(3). The presence of multiple histoplasma spores in the biopsies from the crusted plaque over lip and cervical lymph node helped in the confirmation of the diagnosis of histoplasmosis, and the patient showed significant improvement within two months of treatment with conventional injection amphotericin B initially followed by oral itraconazole.

  17. Silicone Granuloma in the Buttocks Incidentally Detected by 18F-FDG PET/CT 30 Years After Free Liquid Silicone Injections.

    PubMed

    Ohnona, Jessica; Durand, Pauline; Amegnizin, Jean-Louis; Kerrou, Khaldoun

    2016-06-01

    A 59-year-old transexual (male to female) patient presented with a squamous cell carcinoma of the larynx. She underwent an F-FDG PET/CT for initial staging. The examination showed high F-FDG uptake of the primary lesion and a homolateral lymphadenopathy. Incidental heterogeneous uptake of round hyperdense lesions in the gluteal muscles and subcutaneous fat was visualized. The medical history revealed secondly that the patient had had free liquid silicone injections 30 years before the examination. Although the injection of free silicone is not practised since the 1980s, this incidental finding should prompt to check the patient's medical history over several decades.

  18. Juvenile myelomonocytic leukemia presenting as bilateral breast masses.

    PubMed

    Edison, Michele N; O'Dell, M Cody; Letter, Haley P; Scherer, Kurt; Williams, Jennifer L

    2017-01-01

    An 8-year-old girl presented with bilateral breast masses and was subsequently diagnosed with juvenile myelomonocytic leukemia. Juvenile myelomonocytic leukemia is a rare myelodysplastic syndrome that typically presents in boys younger than 3 years of age with splenomegaly, lymphadenopathy and skin findings. Bilateral breast masses in a child are rare and, as such, present a diagnostic dilemma due to the relative paucity of cases in the literature. We present a case of granulocytic sarcoma of the breasts in a patient with juvenile myelomonocytic leukemia. The authors hope that increased reporting and research regarding pediatric breast masses will help create awareness for such cases.

  19. Recurrent Kikuchi's Disease Treated by Hydroxychloroquine

    PubMed Central

    So, In Tae; Kim, Hyun Ah; Jung, Hyera

    2016-01-01

    Kikuchi-Fujimoto disease (KFD) is a benign, self-limiting disease, with a specific histopathology. It can be diagnosed clinically, and specific symptoms include fever and cervical lymphadenopathy. The histological finding of KFD in cervical lymph nodes includes necrotizing lymphadenitis. KFD needs conservative treatments. If KFD persists for a long period, steroids or nonsteroidal antiinflammatory drugs can be used to control symptoms. Previous studies have reported the treatment of KFD with hydroxychloroquine (HC) in patients unresponsive to steroids. Herein, we report a case of a 25-year-old female patient diagnosed with KFD unresponsive to steroids, and was successfully treated with HC. PMID:27433383

  20. 18F-FDG PET/CT Imaging of Extranodal Rosai-Dorfman Disease with Hepatopancreatic Involvement - A Pictorial and Literature Review

    PubMed Central

    Awan, Omer; Mohiuddin, Sohaib; Farooqui, Saleem; Khan, Salman A; McCartney, William

    2015-01-01

    We share our experience with serial PET/CT imaging on a patient with extranodal Rosai-Dorfman disease (RDD) with hepatopancreatic involvement. RDD is a benign proliferative disorder of histiocytes mainly involving the lymph nodes. It typically presents with fever and painless cervical lymphadenopathy in young adults and less than half of RDS cases demonstrate extranodal involvement. RDD involvement of the liver and pancreas is extremely rare, and this case highlights the role of PET/CT in its management. PMID:26798568

  1. Non-Tuberculous Mycobacterium Induced Pseudoaneurysm of the Common Carotid Artery

    PubMed Central

    Lee, Hae Young; Cho, Seong Ho; Kim, Hyun Su; Moon, Jeong Min; Lee, Sangho; Kim, Jong In

    2016-01-01

    An 81-year-old male patient presented with complaint of a pulsating neck mass. The patient had a previous history of cervical lymphadenopathy by non-tuberculous mycobacterium infection. Rapid growth of the mass on admission and contrast enhanced computed tomography of the neck resulted in a diagnosis of non-tuberculous mycobacterium induced pseudoaneurysm. The patient underwent emergency open repair of the pseudoaneurysm. Pseudoaneurysm of the common carotid artery is regularly reported, but here we report a rare case of non-tuberculous mycobacterium induced pseudoaneurysm of the common carotid artery. PMID:27965926

  2. CT scanning of the breast using a conventional CT scanner.

    PubMed

    Doust, B D; Milbrath, J R; Doust, V L

    1981-09-01

    Using a conventional body CT scanner, computed tomography of the breast was performed on 32 patients known to have or suspected of having breast masses. Xeromammograms were available for comparison in all cases. All mass lesions were histologically proved. Seven patients were examined prone, 25 supine. The prone position yielded pictures that resembled craniocaudal mammograms. Breast asymmetry, skin thickening, stranding from a mass to the chest wall, calcification, and axillary lymphadenopathy could be demonstrated by means of CT. The portion of the breast adjacent to the chest wall was more readily examined by means of CT than by conventional mammography. Internal mammary nodes could not be demonstrated.

  3. Plasmacytic or lymphoplasmacytic infiltrate in lymph nodes: Diagnostic approach and differential considerations.

    PubMed

    Xie, Yi; Vallangeon, Bethany; Liu, Xin; Lagoo, Anand S

    2016-01-01

    Plasmacytosis is a common finding in lymph node biopsies and can be seen in diverse circumstances ranging from reactive lymphadenopathy to malignant lymphoma. Familiarity with various histopathologic features of the different entities and awareness of their typical clinical and ancillary study findings are essential for an accurate diagnosis. In this review, we present common and representative nonneoplastic entities and lymphomas that have plasmacytic differentiation or associated plasmacytosis. We focus on the histological classification with an emphasis on the diagnostic approach and areas of diagnostic challenge.

  4. Magnetic resonance imaging findings of undifferentiated carcinoma with osteoclast-like giant cells of pancreas.

    PubMed

    Yang, Kyung Yoon; Choi, Joon-Il; Choi, Moon Hyung; Park, Michael Yong; Rha, Sung Eun; Byun, Jae Young; Jung, Eun Sun; Lall, Chandana

    2016-01-01

    Undifferentiated carcinoma with osteoclast-like giant cells is a rare pancreatic and periampullary neoplasm with less than 50 cases reported in the literature. Pathologically, this tumor mimics a giant cell tumor in bones. We report a case of undifferentiated carcinoma with osteoclast-like giant cells in a 55-year-old man presenting as a pancreatic mass with associated regional and distant lymphadenopathy. On T1- and T2-weighted images, the mass shows dark signal intensity which was atypical for a pancreatic adenocarcinoma.

  5. Pleomorphic carcinoma of the pancreas: computed-tomographic, sonographic, and pathologic findings

    SciTech Connect

    Wolfman, N.T.; Karstaedt, N.; Kawamoto, E.H.

    1985-02-01

    The authors present a series of eight cases of pleomorphic carcinoma of the pancreas, an uncommon lesion that contains bizarre giant cells and resembles sarcoma histologically. To our knowledge, this entity has not been described in the radiological literature. Clinical symptoms are similar to those of the usual pancreatic ductal cell carcinoma, but at presentation the primary tumor mass is usually large, and widespread metastatic disease is present. The most striking finding is massive lymphadenopathy, which may mimic lymphoma. A combination of clinical history, imaging findings, and results of percutaneous biopsy should lead to the proper diagnosis and may help to differentiate this entity from others that may affect lymph nodes.

  6. A 9 years boy with MEN-2B variant of medullary thyroid carcinoma.

    PubMed

    Sattar, M A; Hadi, H I; Ekramuddoula, F M; Hasanuzzaman, S M

    2013-04-01

    To highlight a rare disease like multiple endocrine neoplasia (MEN)-2B variant of medullary thyroid carcinoma and to optimize the management option in such cases, we present a nine year old boy with thyroid swelling, cervical lymphadenopathy and thick lips. His calcitonin level was raised. Investigation's results of the boy were as following fine needle aspiration cytology (FNAC) was medullary carcinoma of thyroid, preoperative calcitonin was >2000pg/ml, post operative histopathological report was medullary carcinoma. Total thyroidectomy with aggressive initial neck surgery may reduce the recurrence and increase better prognosis and survival rate. Calcitonin is used as diagnostic and follow-up marker.

  7. Medial pterygoid trismus (myospasm) following inferior alveolar nerve block: case report and literature review.

    PubMed

    Wright, Edward F

    2011-01-01

    A patient developed a medial pterygoid trismus (myospasm) the day after receiving three inferior alveolar nerve blocks and a routine restoration. She had a significantly restricted mouth opening and significant medial pterygoid muscle pain when she opened beyond the restriction; however, she had no swelling, lymphadenopathy, or fever. A medial pterygoid myospasm can occur secondary to an inferior alveolar nerve block. This disorder generally is treated by the application of heat, muscle stretches, analgesic and/or muscle relaxant ingestion, and a physical therapy referral. The severity of the disorder typically dictates the extent of therapy that is needed.

  8. Primary sinonasal tuberculosis confined to the unilateral maxillary sinus.

    PubMed

    Kim, Kyung Yeon; Bae, Jung Ho; Park, Jee Soo; Lee, Seung-Sin

    2014-01-01

    Extrapulmonary tuberculosis is not rare and occurs mainly in the head and neck region. Cervical tuberculous lymphadenopathy is the most common form of extrapulmonary tuberculosis. Sinonasal tuberculosis is known to occur very rarely due to the protective functions of sinonasal mucosa. Although some signs of sinonasal tuberculosis may be present, such as associated facial abscesses, the symptoms and signs are usually nonspecific. Clinical suspicion is important for timely diagnosis and proper management of sinonasal tuberculosis due to its rarity and nonspecific clinical presentation. We report a case of tuberculosis confined to the unilateral maxillary sinus that was first misdiagnosed as recurrent rhinosinusitis after endoscopic sinus surgery.

  9. [Anticonvulsant Hypersensitivity Syndrome: A Case Report].

    PubMed

    Valderrama Escudero, Felipe; Montoya González, Laura Elisa

    2014-01-01

    DRESS syndrome (skin reaction with eosinophilia and systemic symptoms) is an idiosyncratic drug reaction characterized by rash, fever, lymphadenopathy, and internal organ dysfunction. This case report is on a patient with bipolar affective disorder who presented with a systemic inflammatory response associated with the use of valproic acid, and an important activation of symptoms when used with other drugs with a different pharmacological action mechanism. The diagnosis of DRESS syndrome is primarily by exclusion, and its detection may be difficult, which could potentially become fatal for the patient.

  10. Mucoepidermoid carcinoma of the penis: Case report and literature review

    PubMed Central

    Costa, Márcio Rodrigues; Sugita, Denis Masashi; Vilela, Maria Helena Tavares; da Silva Mendonça, Rodrigo Pastor; de Morais, Danilo Tavares Maranhão; Júnior, Paulo Cézar Ribeiro Gomes; Costa, Théo Rodrigues; Barreira, Bernardo Monteiro Antunes

    2015-01-01

    We describe the fifth case of mucoepidermoid carcinoma. The patient had penile ulcer with bilateral inguinal and pelvic lymphadenopathy and underwent total penectomy. After antibiotic therapy, the patient began outpatient chemotherapy, but the treatment was discontinued due to his intolerance. The patient died due to infectious complications of the inguinal lymphatic fistula 7 months after the histological diagnosis. Notably, the periurethral area was involved in the anatomopathological evaluation of the excised penis. The penile mucoepidermoid carcinoma was aggressive and the perimeatal region was involved. This case helps demystify the origins and prognosis of this rare case. More reports documenting patient characteristics and their evolution with penile mucoepidermoid carcinoma are needed. PMID:25624963

  11. Immune disease expressed in liver and platelets in an adolescent: a case report.

    PubMed

    Antunes, Henedina; Rocha, Ruben; Silva, Nicole; Pontes, Teresa; Antunes, Ana; Martins, Sofia

    2010-06-11

    We report a case of a 15-year-old boy with autoimmune hepatitis lacking common serologic markers and normal gammaglobulinemia associated with immune thrombocytopenia and family history of psoriasis. He presented to our department with a 4-year history of a cervical posterior lymphadenopathy and recent petechiae. Previous laboratory results 6 months before already showed hepatocellular injury. After exclusion of other causes, the diagnosis of autoimmune hepatitis was made based on clinical grounds, associated immune disorder and histological features of liver biopsy.The authors alert for this atypical presentation of autoimmune hepatitis and associated immune thrombocytopenia.

  12. West-African trypanosomiasis in a returned traveller from Ghana: an unusual cause of progressive neurological decline.

    PubMed

    Elliott, Ivo; Patel, Trupti; Shah, Jagrit; Venkatesan, Pradhib

    2014-08-14

    West-African trypanosomiasis caused by Trypanosoma brucei gambiense is a rare imported infection presenting with somnolence, lymphadenopathy and wide-ranging neurological symptoms. A 67-year-old Caucasian man presented with a 10-month history of cognitive deterioration, ataxic gait, somnolence and urinary incontinence. His symptoms had progressed more rapidly over the course of a month prior to admission. Serological testing confirmed a diagnosis of West-African trypanosomiasis. The patient was successfully treated with eflornithine and made a good recovery. West-African trypanosomiasis should be considered in the differential diagnosis of unexplained cognitive decline in those with a relevant travel history. If left untreated, the condition is universally fatal.

  13. Gallium-67 imaging in retroperitoneal fibrosis: Significance of a negative result

    SciTech Connect

    Jacobson, A.F. )

    1991-03-01

    A patient with retroperitoneal fibrosis and right peritracheal and hilar lymphadenopathy was studied using gallium-67-citrate. No abnormal uptake was seen in the regions of retroperitoneal fibrosis, while there was avid uptake in chest lesions later shown to represent small cell lung carcinoma. Retroperitoneal fibrosis which does not show gallium uptake is most likely mature, with few inflammatory elements. In patients with multiple retroperitoneal and/or mediastinal masses, gallium imaging may be useful in identifying the most active sites of disease for possible biopsy and for subsequent monitoring of response to therapy.

  14. Adult-onset Still disease with peculiar persistent plaques and papules.

    PubMed

    Yoshifuku, A; Kawai, K; Kanekura, T

    2014-06-01

    Adult-onset Still disease (AOSD) is a systemic inflammatory disorder characterized clinically by high spiking fever, polyarthralgia/arthritis, a salmon-pink evanescent rash, predominantly neutrophilic leucocytosis, lymphadenopathy, liver dysfunction, and splenomegaly. Recently, a nonclassic, nonevanescent skin rash has been reported. We report a 27-year-old woman with AOSD showing persistent pruritic papular lesions. Histologically, dyskeratotic keratinocytes were seen in the upper epidermis. We describe this case in detail and review the previous literature. Nonclassic pruritic eruptions with characteristic dyskeratotic keratinocytes might provide an important clue for the diagnosis of AOSD.

  15. Disseminated cat-scratch disease presenting as nausea, diarrhea, and weight loss without fever in a heart transplant recipient.

    PubMed

    Antar, Annukka A R; Goyal, Amit; Murphy, Karly; Schimmel, Matthew; Gilotra, Nisha A; Martin, Isabella; Crane, Genevieve Marie; Sciortino, Christopher; Avery, Robin K; Houston, Brian A

    2017-02-15

    We report the case of an afebrile 59-year-old heart transplant recipient presenting with nausea, vomiting, diarrhea, weight loss, and diffuse lymphadenopathy. Lymph node biopsies revealed non-caseating granulomatous inflammation. Cat-scratch disease was confirmed by serologic studies, Warthin-Starry staining, and polymerase chain reaction testing of lymph node tissue. The patient's symptoms resolved with 3 months of doxycycline. We review clinical presentations of Bartonella henselae infection in and review diagnostic approaches for B. henselae in this patient population. This article is protected by copyright. All rights reserved.

  16. Heralding Extramedullary Blast Crisis: Horner's Syndrome with Brachial Plexopathy in a Patient with Chronic Myelogenous Leukemia

    PubMed Central

    Patil, Sadanand I.

    2016-01-01

    Chronic myelogenous leukemia (CML) blast crisis is an ominous clinical event that is challenging to treat. This can develop at extramedullary sites rarely and is defined as the infiltration of blasts outside the bone marrow irrespective of proliferation of blasts within the bone marrow. We aim to report an unusual clinical presentation characterized by Horner's syndrome, ipsilateral arm weakness, and cervical lymphadenopathy as the first signs of extramedullary blast crisis in a CML patient. To the best of our knowledge, the extramedullary locations involving the brachial plexus along with cervicothoracic paraspinal chloroma have not been previously reported in the literature. PMID:28096817

  17. Localized Castleman's Disease in the Breast in a Young Woman

    PubMed Central

    Guio, José Ismael; López-Correa, Patricia

    2016-01-01

    Castleman's disease (CD) is a rare lymphoproliferative disorder of unknown etiology. It typically occurs in adulthood but it may also develop in childhood. Clinically, this disease may be classified as localized (unicentric) or systemic (multicentric). Six cases of breast CD have been described in the literature, and all have been reported in adults. Herein we describe the case of a 15-year-old female who presented with a slow-growing tumor in the right breast. The tumor was excised and histopathological examination demonstrated hyaline vascular variant CD. After two years of follow-up, the patient was asymptomatic without evidence of cervical or axillary lymphadenopathy. PMID:27073709

  18. Endotracheal Involvement as an Unusual Extranodal Site of Recurrence from Mantle Cell Lymphoma.

    PubMed

    Verde, Franco; McGeehan, Ann

    2008-01-01

    Mantle cell lymphomas are uncommon subtypes of non-Hodgkin's lymphoma with poor overall survival ranging from 3-5 years. Patients are often middle aged men who would present with generalized lymphadenopathy and typical constitutional symptoms. Extranodal disease is typically found in the gastrointestinal tract, liver, spleen, and central nervous system. Lung involvement is typically restricted to parenchymal lesions. Endotracheal involvement is quite uncommon with less than 5% of cases. We present an unusual case of treated mantle cell lymphoma recurring 7 years later with only endotracheal involvement demonstrated by fluorodeoxyglucose-positron emission tomography.

  19. Griscelli syndrome type 2: A rare and fatal syndrome in a South Indian boy.

    PubMed

    Rajyalakshmi, R; Chakrapani, R N B

    2016-01-01

    Griscelli syndrome (GS) is a rare autosomal recessive disorder caused by mutation in the MYO5A (GS1), RAB27A (GS2), and MLPH (GS3) genes, characterized by a common feature, partial albinism. The common variant of three, GS type 2, in addition, shows primary immunodeficiency which leads to recurrent infections and hemophagocytic lymphohistiocytosis. We, herewith, describe a case of GS type 2, in a 4-year-old male child who presented with chronic and recurrent fever, lymphadenopathy, hepatosplenomegaly, and secondary neurological deterioration; highlighting the cytological and histopathological features of lymph nodes. Hair shaft examination of the child confirmed the diagnosis.

  20. Computed tomography and magnetic resonance imaging of cat-scratch disease: a report of two cases.

    PubMed

    Wang, Chih-Wei; Chang, Wei-Chou; Chao, Tai-Kuang; Liu, Chia-Chen; Huang, Guo-Shu

    2009-01-01

    Cat-scratch disease (CSD) is a bacterial infection that typically causes swelling of the lymph nodes. The patients usually have a history of being scratched, bitten, or licked by cats and often by kittens. Understanding the characteristic radiological and clinical features may lead to a noninvasive diagnosis and prevent unnecessary invasive procedures. We report two cases of CSD with computed tomography and magnetic resonance imaging showing nodules or masses of lymphadenopathy with subcutaneous edema and fat infiltration in the lymphatic drainage area. The imaging features and clinical manifestations are described, and the differential diagnosis of CSD is discussed.

  1. The role of 18F-FDG PET/CT in pediatric lymph-node acute lymphoblastic leukemia involvement.

    PubMed

    Cistaro, Angelina; Saglio, Francesco; Asaftei, Sebastian; Fania, Piercarlo; Berger, Massimo; Fagioli, Franca

    2011-01-01

    In pediatric oncology, positron emission tomography/computed tomography (PET/CT) is emerging as an essential diagnostic tool in characterizing suspicious neoplastic lesions and staging malignant diseases. Most studies regarding the possible role of FDG-PET/CT in the management of acute lymphoblastic leukemia (ALL) patients are limited to adults. Here we report a pediatric patient with recurrent ALL, in which FDG-PET/CT was used both to define more precisely the cause of lymphadenopathy and to assess the effect of the second-line therapy.

  2. Precise Point Positioning Using Triple GNSS Constellations in Various Modes.

    PubMed

    Afifi, Akram; El-Rabbany, Ahmed

    2016-05-28

    This paper introduces a new dual-frequency precise point positioning (PPP) model, which combines the observations from three different global navigation satellite system (GNSS) constellations, namely GPS, Galileo, and BeiDou. Combining measurements from different GNSS systems introduces additional biases, including inter-system bias and hardware delays, which require rigorous modelling. Our model is based on the un-differenced and between-satellite single-difference (BSSD) linear combinations. BSSD linear combination cancels out some receiver-related biases, including receiver clock error and non-zero initial phase bias of the receiver oscillator. Forming the BSSD linear combination requires a reference satellite, which can be selected from any of the GPS, Galileo, and BeiDou systems. In this paper three BSSD scenarios are tested; each considers a reference satellite from a different GNSS constellation. Natural Resources Canada's GPSPace PPP software is modified to enable a combined GPS, Galileo, and BeiDou PPP solution and to handle the newly introduced biases. A total of four data sets collected at four different IGS stations are processed to verify the developed PPP model. Precise satellite orbit and clock products from the International GNSS Service Multi-GNSS Experiment (IGS-MGEX) network are used to correct the GPS, Galileo, and BeiDou measurements in the post-processing PPP mode. A real-time PPP solution is also obtained, which is referred to as RT-PPP in the sequel, through the use of the IGS real-time service (RTS) for satellite orbit and clock corrections. However, only GPS and Galileo observations are used for the RT-PPP solution, as the RTS-IGS satellite products are not presently available for BeiDou system. All post-processed and real-time PPP solutions are compared with the traditional un-differenced GPS-only counterparts. It is shown that combining the GPS, Galileo, and BeiDou observations in the post-processing mode improves the PPP convergence

  3. Guillain-Barré syndrome: clinical profile and management.

    PubMed

    Sudulagunta, Sreenivasa Rao; Sodalagunta, Mahesh Babu; Sepehrar, Mona; Khorram, Hadi; Bangalore Raja, Shiva Kumar; Kothandapani, Shyamala; Noroozpour, Zahra; Aheta Sham, Mohammed; Prasad, Nagendra; Sunny, Sony Parethu; Mohammed, Munawar Dhanish; Gangadharappa, Rekha; Nidsale Sudarshan, Ranjitha

    2015-01-01

    Einführung: Das Guillain-Barré-Syndrom (GBS) ist eine fulminant verlaufende Polyradiculoneuropathie, die akut, meist schwer verlaufend, auf der Basis eines Autoimmunprozesses auftritt. Die Ätiologie der Erkrankung wird nicht ganz verstanden, die Prognose ist bei früher Diagnose und Therapie gewöhnlich gut. Eine retrospektive Studie wurde durchgeführt, um das klinische Profil, die Epidemiologie, die Laborwerte, die Elektrodiagnose, die Behandlungsarten und die Prognose von Patienten mit GBS auszuwerten.Methode: Die klinischen Daten von 1.166 Patienten, die zwischen Januar 2003 und Januar 2014 mit GBS überwiesen oder in den Ambulanzen vorgestellt wurden, wurden ausgewertet. Ergebnisse: Geschlechtsspezifische Unterschiede wurden nicht beobachtet. Etwa 35% der Patienten waren älter als 50 Jahre. Die Analyse zeigte schlecht eingestellten Diabetes mellitus (HBA1c = 8,1 ± 2,11%). Die saisonale Abhängigkeit der GBS ist deutlich, im Winter wurden 484 (41,5%) gefunden und 449 (38,5%) Patienten mit GBS wurden künstlich beatmet. 48 (4,11%) der Patienten verstarben an GBS. Die neurologischen Untersuchungen ergaben bei 407 (34,9%) der Patienten Beteiligung der cranialen Nerven, faciale Lähmungen bei 401 (34,39%) und Ataxien bei 88 (7,54%) der Patienten. Die meisten Patienten, die mit Plasmapherese behandelt wurden, hatten einen niedrigeren sozioökonomischen Status. Die mittlere Proteinkonzentration im Liquor war 113,8 ± 11,8 mg/dl. Störungen der Nervenleitung, indirekt bestimmt über den H-Reflex, wurden bei 891 (90,64%) der Patienten beobachtet. Keine Unterschiede hinsichtlich Komplikationen und Endergebnis wurden festgestellt zwischen den Behandlungen mit intravenöser Gabe von Immunglobulinen und Plasmaaustausch.Schlussfolgerung: GBS tritt vorwiegend in den Wintermonaten auf, der „Peak-Flow-Test“ kann ein Indikator für eine erforderliche künstliche Beatmung und für die Prognose sein. Eine Verminderung oder Blockierung der Nervenleitung ist die

  4. Training based on ligand efficiency improves prediction of bioactivities of ligands and drug target proteins in a machine learning approach.

    PubMed

    Sugaya, Nobuyoshi

    2013-10-28

    Machine learning methods based on ligand-protein interaction data in bioactivity databases are one of the current strategies for efficiently finding novel lead compounds as the first step in the drug discovery process. Although previous machine learning studies have succeeded in predicting novel ligand-protein interactions with high performance, all of the previous studies to date have been heavily dependent on the simple use of raw bioactivity data of ligand potencies measured by IC50, EC50, K(i), and K(d) deposited in databases. ChEMBL provides us with a unique opportunity to investigate whether a machine-learning-based classifier created by reflecting ligand efficiency other than the IC50, EC50, K(i), and Kd values can also offer high predictive performance. Here we report that classifiers created from training data based on ligand efficiency show higher performance than those from data based on IC50 or K(i) values. Utilizing GPCRSARfari and KinaseSARfari databases in ChEMBL, we created IC50- or K(i)-based training data and binding efficiency index (BEI) based training data then constructed classifiers using support vector machines (SVMs). The SVM classifiers from the BEI-based training data showed slightly higher area under curve (AUC), accuracy, sensitivity, and specificity in the cross-validation tests. Application of the classifiers to the validation data demonstrated that the AUCs and specificities of the BEI-based classifiers dramatically increased in comparison with the IC50- or K(i)-based classifiers. The improvement of the predictive power by the BEI-based classifiers can be attributed to (i) the more separated distributions of positives and negatives, (ii) the higher diversity of negatives in the BEI-based training data in a feature space of SVMs, and (iii) a more balanced number of positives and negatives in the BEI-based training data. These results strongly suggest that training data based on ligand efficiency as well as data based on classical IC50

  5. Polymorphisms XbaI (rs693) and EcoRI (rs1042031) of the ApoB gene are associated with carotid plaques but not with carotid intima-media thickness in patients with diabetes mellitus type 2.

    PubMed

    Nikolajevic Starcevic, Jovana; Santl Letonja, Marija; Praznikar, Zala J; Makuc, Jana; Vujkovac, Andreja C; Petrovic, Daniel

    2014-05-01

    Hintergrund: Apolipoprotein B ist eine wichtige strukturelle Komponente der atherogenetischen Lipoproteine (LDL, VLDL und IDL). Genetische Variationen des ApoB-Gens können verschiedene Effekte auf Plasmakonzentrationen des ApoB und auf den Lipidspiegel haben, was dann die Atherogenese beeinflusst. Primäres Ziel der Studie war die Analyse der Assoziation der Polymorphismen XbaI (rs693) und EcoRI (rs1042031) mit Plasmakonzentrationen von ApoB, dem Lipidspiegel und verschiedenen atherosklerotischen Phänotypen bei Patienten mit Diabetes mellitus Typ 2. Patienten und Methoden: 595 Patienten mit Diabetes mellitus Typ 2 (399 mit Statin-Therapie und 196 Patienten ohne Statin-Therapie) und 200 Personen ohne Diabetes mellitus Typ 2 (Kontrollgruppe). Die Intima-Media-Dicke (IMD) der A. carotis und die Charakteristika der atherosklerotischen Plaques wurden mit Ultraschall analysiert. Biochemische Untersuchungen wurden mit standardmäßigen biochemischen Methoden durchgeführt. Die XbaI (rs693) und EcoRI (rs1042031) Genotypen wurden mittels Real-Time PCR analysiert. Ergebnisse: Die Genotyp-Verteilung und die allelische Häufigkeit von XbaI und EcoRI Polymorphismen unterschieden sich nicht zwischen Patienten mit und ohne Diabetes mellitus. Es wurden keine signifikanten Unterschiede der Plasmakonzentrationen von ApoA1, ApoB, Cholesterinspiegel, hs-CRP, Fibrinogen und der IMD bei Patienten mit Diabetes mellitus Typ 2 mit verschiedenen Genotypen festgestellt, auch unter Berücksichtigung der Statintherapie. Das Risiko der Atherosklerose der Karotiden wird bei Patienten mit X + X + Genotyp im Vergleich zu Patienten ohne diesen Genotyp (OR = 1.74, p = 0.03)höher und bei Diabetiker mit E-Allelen (OR = 0.48, p = 0.02) niedriger. Es gab keine Assoziation zwischen XbaI / EcoRI Polymorphismen und IMD oder instabilen atherosklerotischen Plaques bei Patienten mit Diabetes mellitus Typ 2. Schlussfolgerungen: Das Risiko der Atherosklerose der Karotiden wird höher bei Patienten mit

  6. Precise Point Positioning Using Triple GNSS Constellations in Various Modes

    PubMed Central

    Afifi, Akram; El-Rabbany, Ahmed

    2016-01-01

    This paper introduces a new dual-frequency precise point positioning (PPP) model, which combines the observations from three different global navigation satellite system (GNSS) constellations, namely GPS, Galileo, and BeiDou. Combining measurements from different GNSS systems introduces additional biases, including inter-system bias and hardware delays, which require rigorous modelling. Our model is based on the un-differenced and between-satellite single-difference (BSSD) linear combinations. BSSD linear combination cancels out some receiver-related biases, including receiver clock error and non-zero initial phase bias of the receiver oscillator. Forming the BSSD linear combination requires a reference satellite, which can be selected from any of the GPS, Galileo, and BeiDou systems. In this paper three BSSD scenarios are tested; each considers a reference satellite from a different GNSS constellation. Natural Resources Canada’s GPSPace PPP software is modified to enable a combined GPS, Galileo, and BeiDou PPP solution and to handle the newly introduced biases. A total of four data sets collected at four different IGS stations are processed to verify the developed PPP model. Precise satellite orbit and clock products from the International GNSS Service Multi-GNSS Experiment (IGS-MGEX) network are used to correct the GPS, Galileo, and BeiDou measurements in the post-processing PPP mode. A real-time PPP solution is also obtained, which is referred to as RT-PPP in the sequel, through the use of the IGS real-time service (RTS) for satellite orbit and clock corrections. However, only GPS and Galileo observations are used for the RT-PPP solution, as the RTS-IGS satellite products are not presently available for BeiDou system. All post-processed and real-time PPP solutions are compared with the traditional un-differenced GPS-only counterparts. It is shown that combining the GPS, Galileo, and BeiDou observations in the post-processing mode improves the PPP convergence

  7. Effects of Three Types of Inactivation Agents on the Antibody Response and Immune Protection of Inactivated IHNV Vaccine in Rainbow Trout.

    PubMed

    Tang, Lijie; Kang, Haiyan; Duan, Kexin; Guo, Mengting; Lian, Gaihong; Wu, Yang; Li, Yijing; Gao, Shuai; Jiang, Yanping; Yin, Jiyuan; Liu, Min

    2016-09-01

    Infectious hematopoietic necrosis virus (IHNV) infects salmonid fish, resulting in high mortality and serious economic losses to salmonid aquaculture. Therefore, an effective IHNV vaccine is urgently needed. To select an inactivation agent for the preparation of an effective IHNV vaccine, rainbow trout were immunized with mineral oil emulsions of IHNV vaccines inactivated by formaldehyde, binary ethylenimine (BEI), or β-propiolactone (BPL). The fish were challenged 8 weeks after vaccination, and their IgM antibody response and relative percent survival (RPS) were evaluated. The results show that formaldehyde, BEI, and BPL abolished IHNV HLJ-09 infectivity within 24, 48, and 24 h at final concentrations of 0.2%, 0.02%, and 0.01%, respectively. The mean levels of specific IgM, both in serum and mucus (collected from the skin surface and gills), for the three immunized groups (from high to low) ranked as follows: the BPL group, BEI group, and formaldehyde group. From weeks 5 to 9, the mean log2 serum titers of IgM in the BPL group were significantly higher compared with those of the other groups (p < 0.05) during the 9 weeks of observation after vaccination (immunized at weeks 0 and6). Mucus OD490 values of the BPL group were significantly higher compared with those of the other groups (p < 0.05) when reaching their peak at weeks 5 and 8, but the difference between the formaldehyde and BEI groups was not significant (p > 0.05). The BPL-inactivated whole-virus vaccine had the greatest protective effect on the rainbow trout after challenge by an intraperitoneal injection of live IHNV, with an RPS rate of 91.67%, which was significantly higher compared with the BEI (83.33%) and formaldehyde (79.17%) groups. These results indicate that the BPL-inactivated IHNV oil-adjuvant vaccine was more effective than the formaldehyde- or BEI-inactivated vaccines. The results of this study provide an important foundation for further studies on inactivated IHNV vaccines.

  8. Campus Single Sign-On und hochschulübergreifendes Identity Management

    NASA Astrophysics Data System (ADS)

    Hommel, Wolfgang

    Das im Rahmen von IntegraTUM für die TUM geschaffene Identity & Access Management System setzt das Paradigma unified login um, d. h. ein Benutzer kann alle für ihn relevanten Dienste innerhalb der Hochschule mit derselben Loginname-/Passwortkombination nutzen. Dieser Artikel zeigt, wie auf Basis der Software Shibboleth und der deutschlandweiten Hochschulföderation DFN-AAI als weitere Mehrwerte das campusweite web single sign-on und die nahtlose Nutzung zahlreicher externer Web-Anwendungen erreicht werden. Als Beispiel für die Abläufe bei der Erschließung neuer Dienste für die hochschulübergreifende Nutzung wird die Anbindung von Learning Management Systemen auf Basis des DFN-AAI E-Learning-Profils diskutiert. Den umfassenden Vorteilen werden schließlich die aktuellen technischen Grenzen bei der Umsetzung des hochschulübergreifenden Identity Management gegenübergestellt.

  9. [Caplan's syndrome: rarely presenting as syndrome].

    PubMed

    Nowak, Albina; Göhner, Katja; Cohen, Clemens D

    2014-02-26

    Ein 59-jähriger Spezialtiefbauarbeiter, ehemaliger Uranbergbauarbeiter, präsentierte sich mit Hämoptoe und asymmetrischen Arthritiden. Labortests ergaben Mikrohämaturie und anti-neutrophile zytoplasmatische Antikörper. Computertomographisch bestanden bilateral disseminierte Thorax-Rundherde. Thorakoskopische Lungenkeilresektion zeigte Granulome mit Anthrakose und Silikose-Material im nekrotischen Zentrum. Die Diagnose eines Caplan-Syndroms wurde gestellt. Die Beschwerden besserten sich unter der Steroid-Therapie. Weitere Abklärung der Mikrohämaturie erbrachte die Diagnose eines klarzelligen Nierenzellkarzinoms. Bei diesem Patienten mit «pulmorenalem Syndrom» war das Nierenzellkarzinom, das bei Minenarbeitern im Uranbergbau ebenfalls vermehrt auftritt, ursächlich für die Mikrohämaturie.

  10. Stein-Schere-Papier

    NASA Astrophysics Data System (ADS)

    Springborn, Boris

    Wie gewinnt man im Spiel? Die Analyse von Strategien bei Gesellschaftsspielen ist ein Thema der mathematischen Spieltheorie. Mit ihren Methoden kann man aber nicht nur Spiele wie Schach oder Skat untersuchen, sondern auch verschiedenste Konfliktsituationen, bei denen das Schicksal jedes einzelnen Akteurs nicht nur vom eigenen Verhalten abhängt, sondern auch vom Verhalten der anderen, die ebenso wie er versuchen, ein für sie selbst möglichst positives Ergebnis herauszuschlagen. Die Spieltheorie hat großen Einfluss in den Wirtschaftswissenschaften. Auch in der Psychologie, Soziologie, Biologie und der Militärwissenschaft findet sie Anwendung. In der folgenden Aufgabe geht es aber tatsächlich um ein Spiel, und zwar um ein sehr einfaches, das jeder kennt. Trotzdem ist die Lösung nicht ganz einfach, und wer sie findet, hat schon die eine oder andere grundlegende Idee der Spieltheorie verstanden.

  11. Ejnar Hertzsprung

    NASA Astrophysics Data System (ADS)

    Herrmann, Dieter B.

    Mit diesem Werk von D.B. Herrmann, dem bekannten Astronomiehistoriker und Direktor der Archenhold-Sternwarte und des Zeiss-Großplanetariums in Berlin, liegt zum ersten Mal eine umfassende Biographie des großen Astronomen Ejnar Hertzsprung vor. Ejnar Hertzsprung (1873-1967) verdanken wir die Entdeckung der Riesen- und Zwergsterne, Grundlage für das sog. Hertzsprung-Russel-Diagramm, das eine zentrale Rolle bei der Erforschung der Sternentwicklung spielt. Er bearbeitete erfolgreich Doppelsterne und Veränderliche Sterne und trug Entscheidendes zur modernen Astrophysik bei. Wenig bekannt ist sein Leben, das hier unter Benutzung von Arbeitsmaterial, Interviews mit Zeitgenossen, des Familienarchivs und von Sekundärliteratur von einem kundigen Fachmann beschrieben wird. In D.B. Herrmanns Buch wird nicht nur Persönlichkeit und Werk von Hertzsprung lebendig, sondern auch die astronomische Forschung seiner Zeit. Dieser wertvolle Beitrag zur Wissenschaftsgeschichte wendet sich auch an eine breite allgemeine Leserschaft.

  12. [Educational competence of parents with children participating in youth welfare measures].

    PubMed

    Rücker, Stefan; Büttner, Peter; Petermann, Ulrike; Petermann, Franz

    2013-07-01

    Fragestellung: In der vorliegenden Studie wird der Einfluss ausgewählter Risiken auf das Erziehungsverhalten von Eltern am Beginn einer Jugendhilfe-Maßnahme analysiert. Methodik: Familiäre Belastungen sowie Erziehungsdimensionen wurden anhand standardisierter Erhebungsverfahren bei N = 74 Eltern erfasst. Ergebnisse: In Abhängigkeit des Belastungsausmaßes konnten drei Gruppen gebildet werden. Die Befragungsergebnisse wurden im Querschnitt varianzanalytisch ausgewertet. Familien mit spezifischen Risiken, wie materielle Belastungen, psychisch erkrankte Elternteile oder einen Alleinerziehendenstatus weisen signifikant ungünstigere Werte bei Erziehungsmerkmalen auf. In negativen Erziehungsmerkmalen kann der Einfluss spezifischer Risiken statistisch nicht abgesichert werden. Schlussfolgerungen: Spezifisch belastete Eltern in Jugendhilfe-Maßnahmen benötigen eventuell ein spezielles Training zur Steigerung ihrer Erziehungskompetenz. Dies gilt vor allem dann, wenn Prä-Post-Vergleiche am Ende der Maßnahme ein geringeres Erziehungs-Outcome in der spezifisch belasteten Gruppe offenbaren.

  13. Methodik und Qualität statistischer Erhebungen

    NASA Astrophysics Data System (ADS)

    Krug, Walter; Schmidt, Jürgen; Wiegert, Rolf

    Kapitel 8 wirft einen Blick hinter die Kulissen statistischer Arbeit und ihrer Methoden, insbesondere auch hinter die der amtlichen Statistik: Wie kommen die Myriaden von Zahlen zustande, die heute aus statistischen Quellenwerken aller Art und aus Datenbanken abgerufen werden können? Dabei wird deutlich, welche Schwierigkeiten bei Erhebungen, insbesondere bei Stichprobenerhebungen, zu überwinden sind, wie man Antwortverweigerer kooperativer stimmt, wie sich auch aus kleinen Stichproben auf intelligente Weise verlässliche Ergebnisse erzielen lassen und wie Großstichproben auf europäischer Ebene harmonisiert werden. Am Beispiel des Zensus 2011 wird gezeigt, wie sich eine Kombination von Stichproben und Registerauswertungen als Ersatz für eine Volkszählung nutzen lässt. Mitglieder der Deutschen Statistischen Gesellschaft waren daran kooperativ beteiligt.

  14. Impact of a modified Broviac maintenance care bundle on bloodstream infections in paediatric cancer patients.

    PubMed

    Furtwängler, Rhoikos; Laux, Carolin; Graf, Norbert; Simon, Arne

    2015-01-01

    Hintergrund: Während der intensiven Chemotherapie sind bei Kindern mit Krebserkrankungen Blutstrominfektionen (BSI) eine potentiell lebensbedrohliche Komplikation. Die meisten Patienten haben einen dauerhaft implantierten oder getunnelten zentralen Venenkatheter (CVAD, z.B. Broviac). Ein verbessertes Protokoll der Erhaltungspflege kann möglicherweise die Rate von BSI senken. Methode: Interventionsstudie zum Nutzen eines modifizierten Präventionsbündels in zwei prospektiven Beobachtungszeiträumen (P1: bis 05-2011; P2: 09-2011 bis 05-2013); prospektive Surveillance aller mikrobiologisch gesicherten BSI. In P2 wurden fertig konfektionierte NaCl 0.9% Spritzen (10 ml) zum Spülen des Broviacs verwendet. Außerdem wurden alle Konnektions- und Zuspritzstellen (Dreiwegehähne) mit Octenidin/Propanol desinfiziert.Ergebnisse: Während P1 wurden 84 Patienten und während P2 81 eingeschlossen. Die beiden Patientenpopulationen zeigten keine signifikanten Unterschiede in Bezug auf das Alter, die Grunderkrankung oder ihren Status (Anteil mit Rezidiv). Praktisch alle CVAD waren Broviac-Katheter. Die mediane Nutzungsdauer lag in P1 bei 192 d (Interquartile-Range (IQR); 110–288 Tage) und in P2 bei 191 d (IQR; 103–270 Tage). In P1 wurden insgesamt 28 BSI bei 22 Patienten diagnostiziert (Inzidenz für mind. 1 BSI 26%), in P2 waren es nur 15 BSI bei 12 Patienten in P2 (Inzidenz 15%). Die entsprechenden Ergebnisse für die Inzidenzdichte lagen bei 0.44 (CI95 0.29–0.62) BSI pro 100 stationäre Patiententage für P1 vs. 0.34 (0.19–0.53) für P2. Die Inzidenzrate (IR) pro 1.000 stationäre Anwendungstage lag bei 7.76 (5.16–10.86) für P1 vs. 4.75 (2.66–7.43) für P2. Während in P1 9 BSI durch CoNS detektiert wurden, waren es in P2 nur 2 (IR 2.49; CI95 0.17–4.17 vs. 0.63; CI95 0.08–1.72). Fazit: Das modifizierte Präventionsbündel führte zu einer Reduktion von BSI bei pädiatrisch onkologischen Patenten mit Broviac Katheter. Wie in einigen Studien U

  15. Bewegungsapparat: Postcraniales Skelett und Muskulatur

    NASA Astrophysics Data System (ADS)

    Fischer, Martin S.

    Der Bewegungsapparat bestimmt die Form des Wirbeltierkörpers. So lässt sich z. B. aus der Gestalt eines Fisches auf seine bevorzugt e Schwimmweise schließen (S. 61). Bei den aquatisch en Schädeltieren dominiert die Fortbewegung mit axialem Antrieb; bei den meisten Tetrapoda findet sich eine Kombination aus axialem Antrieb und Bewegung durch Gliedmaßen. Selbst beim höchst spezialisierten Gang, der bipeden Bewegung des Menschen, sind Torsionsbewegungen des Rumpfes noch maßgeblich und bestimmen auch die Grundform des menschlichen Körpers (z. B. die Taille). Obwohl die verschiedenen Antriebsmechanismen eine funktionelle Einheit bilden, werden im Folgenden das Axialskelett sowie der Schulter- und Beckengürtel mit den zugehörigen Extremitäten getrennt besprochen.

  16. The biological exposure indices: a key component in protecting workers from toxic chemicals.

    PubMed Central

    Morgan, M S

    1997-01-01

    Biological monitoring of exposure to chemicals in the workplace is an important component of exposure assessment and prevention of adverse health effects. It should be employed in conjunction with ambient air monitoring to provide information on the absorbed dose of a chemical agent and the effect of all routes of exposure. Judgments regarding the acceptable level of a chemical or its metabolite in biological samples are facilitated by comparison to a reference value. The American Conference of Governmental Industrial Hygienists has established a series of recommended reference values called the Biological Exposure Indices (BEI). The history and characteristics of the BEI are reviewed, and their suitability for use by occupational health specialists is examined. A number of challenges and stimuli to the continued development and improvement of these reference values are described, and the impact of recent advances in macromolecular biology is assessed. PMID:9114280

  17. An exotic cause of exudative enteropathy

    PubMed Central

    Tsourdi, Elena; Heidrich, Felix M.; Winzer, Maria; Röllig, Christoph; Kirsch, Christian; Meinel, Jörn; Baretton, Gustavo B.; Bornstein, Stefan R.; Hofbauer, Lorenz C.

    2014-01-01

    Patient: Male, 50 Final Diagnosis: Exudative enteropathy Symptoms: Abdominal pain • diarrhea • fever • hyponatremia • lymphadenopathy • weight loss Medication: — Clinical Procedure: — Specialty: — Objective: Unusual clinical course Background: Protein-losing enteropathy is a rare cause of hypoproteinemia. Erosive and non-erosive gastrointestinal diseases as well as vascular disorders that result in increased central venous pressure or mesenteric lymphatic obstruction may result in protein loss via the gastrointestinal tract. Case Report: We present the case of a 50-year-old man with protein-losing enteropathy, who had profuse diarrhea, abdominal pain, lymphadenopathy, fever, and a weight loss of 10 kg in the preceding 2 months. Extensive work-up revealed infection with Giardia lamblia. We review clinical signs and symptoms, laboratory findings, and imaging studies, and discuss potential pitfalls in establishing the diagnosis. Conclusions: To the best of our knowledge, this represents one of the few published cases of intestinal giardiasis as a cause of protein-losing enteropathy in an immunocompetent adult. The diagnosis of lambliasis should be based on a combination of stool cultures and serum serology, and in cases of high clinical suspicion, an endoscopy and biopsy of the upper GI tract is recommended. PMID:24883172

  18. IMMUNE RECONSTITUTION INFLAMMATORY SYNDROME (IRIS)-ASSOCIATED BURKITT LYMPHOMA FOLLOWING COMBINATION ANTI-RETROVIRAL THERAPY IN HIV-INFECTED PATIENTS

    PubMed Central

    Vishnu, Prakash; Dorer, Russell P.; Aboulafia, David M.

    2015-01-01

    HIV/AIDS-associated immune reconstitution inflammatory syndrome (IRIS) is defined as a paradoxical worsening or unmasking of infections and autoimmune diseases, following initiation of combination anti-retroviral therapy (cART). More recently, the case definition of IRIS has been broadened to include certain malignancies including Kaposi’s sarcoma, and less frequently Hodgkin’s and non-Hodgkin’s lymphoma (NHL). Here in we describe 3 patients infected with HIV who began cART and within a median of 15 weeks each achieved non-detectable HIV viral loads, and yet within 6 months presented for medical attention with fevers, night sweats, weight loss and bulky lymphadenopathy. Laboratory studies included elevated lactate dehydrogenase and β-2 microglobulin levels and well preserved CD4+ lymphocyte counts in excess of 350 cells/µL. In each patient lymph node biopsies were diagnostic of Burkitt lymphoma (BL). Patients were managed with multi-agent chemotherapy in conjunction with cART. We also survey the medical literature of other cases of IRIS-associated BL. Although the pathogenesis of IRIS-associated BL is not well elucidated, chronic antigenic stimulation coupled with immune deterioration, followed by subsequent restoration of the immune response and aberrant cytokine expression may be a pathway to lymphomagenesis. IRIS-associated BL should be suspected in patients with normal or near normal CD4+ lymphocyte counts who develop progressive lymphadenopathy post-initiation of cART. PMID:25458079

  19. Semiquantitative Computed Tomographic Characteristics for Lung Adenocarcinoma and Their Association with Lung Cancer Survival

    PubMed Central

    Wang, Hua; Schabath, Matthew B.; Liu, Ying; Berglund, Anders E.; Bloom, Gregory C.; Kim, Jongphil; Stringfield, Olya; Eikman, Edward A.; Klippenstein, Donald L.; Heine, John J.; Eschrich, Steven A.; Ye, Zhaoxiang; Gillies, Robert J.

    2015-01-01

    Background Computed tomographic (CT) characteristics derived from noninvasive images that represent the entire tumor may have diagnostic and prognostic value. The purpose of this study was to assess the association of a standardized set of semiquantitative CT characteristics of lung adenocarcinoma with overall survival. Patients and Methods An initial set of CT descriptors was developed to semiquantitatively assess lung adenocarcinoma in patients (n=117) who underwent resection. Survival analyses were used to determine the association between each characteristic and overall survival. Principle component analysis (PCA) was used to determine characteristics that may differentiate histological subtypes. Results Characteristics significantly associated with overall survival included pleural attachment (p < 0.001), air bronchogram (p = 0.03), and lymphadenopathy (p = 0.02). Multivariate analyses revealed pleural attachment was significantly associated with an increased risk of death overall (hazard ratio [HR] = 3.21; 95% confidence interval [CI] 1.53 – 6.70) and among patients with lepidic predominant adenocarcinomas (HR = 5.85; 95% CI 1.75 – 19.59), while lymphadenopathy was significantly associated with an increased risk of death among patients with adenocarcinomas without a predominant lepidic component (HR = 3.07; 95% CI 1.09 – 8.70). A PCA model showed that texture (ground-glass opacity component) was most important for separating the two subtypes. Conclusion A subset of the semiquantitative characteristics described herein has prognostic importance and ability to distinguish between different histological subtypes of lung adenocarcinoma. PMID:26077095

  20. An Outbreak of Oropharyngeal Tularemia with Cervical Adenopathy Predominantly in the Left Side

    PubMed Central

    Sahin, Idris; Kaya, Demet; Oksuz, Sukru; Ozdemir, Davut; Karabay, Oguz

    2009-01-01

    Purpose We describe the epidemiological and clinical characteristics and the efficacy of a delayed initiation to therapy in an oropharyngeal tularemia outbreak in Duzce, Turkey. Materials and Methods Between March and June 2000, 22 patients with tularemia were diagnosed by microagglutination tests. Results Oropharyngeal and ulceroglandular forms of the disease were discovered. Most of the cases were oropharyngeal (19 cases). The most common symptoms were sore throat (95.4%) and fever (90.9%). Lymphadenopathy (95.4%) and pharyngeal hyperemia (81.8%) were usually observed signs. The lymphadenopathies were localized especially in the left cervical region (66.7%), a finding that has not been previously reported in the literature. The time between the onset of the symptoms and diagnosis was 40.7 ± 22.8 (10 - 90) days. The patients were treated with streptomycin plus doxycycline and ciprofloxacin. The patients' recoveries took up to 120 days. Conclusion This report describes the first outbreak of tularemia in northwest Turkey. Tularemia may occur in any region where appropriate epidemiological conditions are found and should be kept in mind for differential diagnosis in oropharyngeal symptoms. Late initiation of therapy may delay complete recovery. In this outbreak, cervical lymph nodes predominantly localized on the 1eft side were found, which had not been previously reported. PMID:19259348

  1. Chemokine receptor expression by leukemic T cells of cutaneous T-cell lymphoma: clinical and histopathological correlations.

    PubMed

    Capriotti, Elisabetta; Vonderheid, Eric C; Thoburn, Christopher J; Bright, Emilie C; Hess, Allan D

    2007-12-01

    Chemokine receptors expressed by normal and neoplastic lymphocytes provide an important mechanism for cells to traffic into the skin and skin-associated lymph nodes. The goal of this study was to correlate chemokine receptor and CD62L expression by circulating neoplastic T cells with the clinical and pathological findings of the leukemic phase of cutaneous T-cell lymphoma, primarily Sézary syndrome (SS). Chemokine receptor mRNA transcripts were found in the majority of leukemic cells for CCR1, CCR4, CCR7, CCR10, CXCR3, and CD62L and in 20-50% of the samples for CXCR5. In patients with SS, relatively high expression levels of CCR7 and CCR10 by circulating neoplastic T cells correlated with epidermotropism, CXCR5 expression correlated with density of the dermal infiltrate, and CD62L correlated with extent of lymphadenopathy. Of note, CXCR5 expression and a dense dermal infiltrate correlated with a poor prognosis. The chemokine receptor profile supports the concept that neoplastic T cells are central memory T cells, and that CCR10 and CD62L play a fundamental role respectively in epidermotropism and lymphadenopathy that is observed in SS.

  2. A case of peripheral T-cell lymphoma, not otherwise specified in a HCV and HTLV-II-positive patient, diagnosed by abdominal fluid cytology

    PubMed Central

    Parekh, Trisha M.; Qian, You-Wen; Elghetany, M. Tarek; Schnadig, Vicki; Nawgiri, Ranjina

    2016-01-01

    Background Peripheral T-cell lymphoma, not otherwise specified (PTCL, NOS) is a rare neoplasm that typically presents as generalized lymphadenopathy. PTCL, NOS presenting as malignant ascites is rare. Methods A 61-year-old African-American man with past medical history of HCV, cryoglobulinemia, and cryptococcal pneumonia was admitted for dyspnea on exertion over a period of 1 month and new onset of abdominal distension. Results Ascites, splenomegaly, hepatomegaly and extensive lymphadenopathy were found by imaging. Paracentesis obtained 1.3 liter of abdominal fluid, the cytologic evaluation showed a monomorphic population of intermediate-sized lymphoid cells with irregular to convoluted nuclear contours. Fluid sent for flow cytometry showed an abnormal T-lymphocyte population expressing CD4, weak surface CD3 and absence of CD7. PCR studies of ascitic fluid detected a clonal T-lymphocyte population with T-cell receptor gamma gene rearrangement. Serologic testing for human T lymphotropic virus (HTLV) was positive for HTLV-II. Subsequent bone marrow biopsy revealed lymphomatous involvement. CD30 and ALK-1 immunostaining were negative. This case was classified as PTCL, NOS. Conclusions PTCL, NOS can have unusual clinical presentation such as ascites and pleural effusion, and may also occur as a complication of immunodeficiency state. Further studies are needed to determine if HCV or HTLV-II viral infection is associated with PTCL. PMID:27034820

  3. Disseminated Mycobacterium tuberculosis Infection in a Dog

    PubMed Central

    Martinho, Anna Paula Vitirito; Franco, Marília Masello Junqueira; Ribeiro, Márcio Garcia; Perrotti, Isabella Belletti Mutt; Mangia, Simone Henriques; Megid, Jane; Vulcano, Luiz Carlos; Lara, Gustavo Henrique Batista; Santos, Adolfo Carlos Barreto; Leite, Clarice Queico Fujimura; de Carvalho Sanches, Osimar; Paes, Antonio Carlos

    2013-01-01

    An uncommon disseminated Mycobacterium tuberculosis infection is described in a 12-year-old female dog presenting with fever, dyspnea, cough, weight loss, lymphadenopathy, melena, epistaxis, and emesis. The dog had a history of close contact with its owner, who died of pulmonary tuberculosis. Radiographic examination revealed diffuse radio-opaque images in both lung lobes, diffuse visible masses in abdominal organs, and hilar and mesenteric lymphadenopathy. Bronchial washing samples and feces were negative for acid-fast organisms. Polymerase chain reaction (PCR)-based species identification of bronchial washing samples, feces, and urine revealed M. tuberculosis using PCR-restriction enzyme pattern analysis-PRA. Because of public health concerns, which were worsened by the physical condition of the dog, euthanasia of the animal was recommended. Rough and tough colonies suggestive of M. tuberculosis were observed after microbiological culture of lung, liver, spleen, heart, and lymph node fragments in Löwenstein-Jensen and Stonebrink media. The PRA analysis enabled diagnosis of M. tuberculosis strains isolated from organs. PMID:23339199

  4. [Incidence and etiology of psychotic disorders in HIV infected patients].

    PubMed

    Niederecker, M; Naber, D; Riedel, R; Perro, C; Goebel, F D

    1995-05-01

    There are numerous case reports on psychoses in AIDS patients and, although more seldom, also in HIV-positive patients in early stages of infection; however, systematic investigations on the frequency, e.g., relevant for the indication of an HIV test in psychiatric patients, are missing. For this study, 1046 HIV-positive patients were examined regarding psychoses. A total of 301 patients (28.8%) were HIV-positive but asymptomatic, and 380 patients (36.2%) had the lymphadenopathy syndrome. One hundred thirty-two patients (12.6%) suffered from an AIDS-related complex and 233 patients (22.3%) from AIDS. Of these 1046 patients, only 9 (0.9%) suffered from psychoses. One patient with a paranoid-hallucinatory syndrome was asymptomatic; one in the lymphadenopathy syndrome was manic. The other 7 patients were all in late stages of the infection. A causal relationship between HIV infection and psychosis and probable in only 3 patients. These data do not indicate a markedly elevated prevalence of psychosis in HIV-positive or AIDS patients.

  5. [A case of primary intracerebral malignant lymphoma in systemic lupus erythematosus].

    PubMed

    Tomabechi, M; Daita, G; Ohgami, S; Yonemasu, Y; Maekawa, I

    1992-04-01

    The patient, a 44-year-old female, was admitted to our department because of right hemiparesis and left oculomotor nerve palsy on February 7, 1986. Neither lymphadenopathy nor hepatosplenomegaly was present. She had been treated with prednisolone for systemic lupus erythematosus (SLE) for one and a half year before admission. The CT scan revealed a homogeneously enhanced mass lesion from the midbrain through the thalamus on the right side. The whole body gallium scintigram showed no abnormal uptake except in the brain. Stereotaxic biopsy was performed. Histopathological diagnosis was malignant lymphoma, diffuse, large cell type (International Working Formulation). The enhanced mass lesion disappeared after radiation therapy. Subsequently, she received chemotherapy. She remained well until May 1988 when she died because of the systemic lymphadenopathy. The association of malignant lymphoma and SLE has appeared occasionally in the literature. Primary intracerebral malignant lymphoma associated with SLE is much rarer but it should be considered in the differential diagnosis of symptoms of the central nervous system in a patient with SLE. Therefore, biopsy of a cerebral mass lesion is mandatory if appropriate therapy such as radiation and chemotherapy is to be administered.

  6. Drug Reaction With Eosinophilia and Systemic Symptoms Induced by Valproic Acid: A Case Report

    PubMed Central

    Darban, Mahboubeh; Bagheri, Bahador

    2016-01-01

    Introduction Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome is a rare but life-threatening reaction to drugs such as carbamazepine and allopurinol. The condition is characterized by skin rashes, fever, hematological disturbances, lymphadenopathy, and organ failure, most probably hepatic dysfunction. To date, only a few cases of valproate-induced DRESS syndrome have been reported. Case Presentation We report on the case of a 60-year-old man who had been treated with valproic acid some time before being referred to Kowsar Hospital, Semnan, Iran in December 2015. He was given valproic acid 1000 mg PO, and after 20 days, he had developed widespread rashes, fever, esophagitis, cervical lymphadenopathy, and tender hepatomegaly. Laboratory results at Kowsar showed a drop in hemoglobin, in addition to lymphocytosis, thrombocytopenia, and elevated serum transaminases. DRESS was diagnosed, and corticosteroid therapy was initiated. Administration of the culprit drug to the patient was also stopped. Intravenous immunoglobulin (IVIG) improved the general condition of the patient. Conclusions Only a small number of case reports have described valproic acid-induced DRESS syndrome; therefore, the condition is difficult to prevent. Rechallenge with valproic acid should be avoided in patients with a history of reaction to the drug. PMID:28144463

  7. [Autoimmune lymphoproliferative syndrome].

    PubMed

    Rodrigues, Vera; Conde, Marta; Figueiredo, António; Vasconcelos, Júlia; Dias, Alexandra

    2011-01-01

    The Autoimmune Lymphoproliferative Syndrome (ALPS) is an impairment of lymphocyte apoptosis expressed by generalized non-malignant lymphoproliferation, lymphadenopathy and/or splenomegaly. This article describes a seven and 14 year old males. The first one was admitted at 3 years of age with fever, bicytopenia and generalized lymphadenopathy. Hystopathological analysis of lymph nodes showed reactive follicular hyperplasia and marked paracortical expansion. He was readmitted three years later presenting herpes zoster and similar clinical features. High levels of IL-10 and increasing tendency of Fas-L in plasma and serum. The second child was admitted at 13 years of age presenting thigh and gluteus cellulitis, anemia and neutropenia. T lymphocytes aß+CD4-CD8- 3,1%. Hystopathological analysis of lymph nodes showed marked paracortical hyperplasia. Both children are treated with mycophenolate mofetil with good response. ALPS is an underestimated entity that must be considered in non malign lymphoproliferation, autoimmunity and expansion of an unusual population of a/ßCD3+CD4-CD8-(double-negative T cells>1%).

  8. Loss-of-function of the protein kinase C δ (PKCδ) causes a B-cell lymphoproliferative syndrome in humans.

    PubMed

    Kuehn, Hye Sun; Niemela, Julie E; Rangel-Santos, Andreia; Zhang, Mingchang; Pittaluga, Stefania; Stoddard, Jennifer L; Hussey, Ashleigh A; Evbuomwan, Moses O; Priel, Debra A Long; Kuhns, Douglas B; Park, C Lucy; Fleisher, Thomas A; Uzel, Gulbu; Oliveira, João B

    2013-04-18

    Defective lymphocyte apoptosis results in chronic lymphadenopathy and/or splenomegaly associated with autoimmune phenomena. The prototype for human apoptosis disorders is the autoimmune lymphoproliferative syndrome (ALPS), which is caused by mutations in the FAS apoptotic pathway. Recently, patients with an ALPS-like disease called RAS-associated autoimmune leukoproliferative disorder, in which somatic mutations in NRAS or KRAS are found, also were described. Despite this progress, many patients with ALPS-like disease remain undefined genetically. We identified a homozygous, loss-of-function mutation in PRKCD (PKCδ) in a patient who presented with chronic lymphadenopathy, splenomegaly, autoantibodies, elevated immunoglobulins and natural killer dysfunction associated with chronic, low-grade Epstein-Barr virus infection. This mutation markedly decreased protein expression and resulted in ex vivo B-cell hyperproliferation, a phenotype similar to that of the PKCδ knockout mouse. Lymph nodes showed intense follicular hyperplasia, also mirroring the mouse model. Immunophenotyping of circulating lymphocytes demonstrated expansion of CD5+CD20+ B cells. Knockdown of PKCδ in normal mononuclear cells recapitulated the B-cell hyperproliferative phenotype in vitro. Reconstitution of PKCδ in patient-derived EBV-transformed B-cell lines partially restored phorbol-12-myristate-13-acetate-induced cell death. In summary, homozygous PRKCD mutation results in B-cell hyperproliferation and defective apoptosis with consequent lymphocyte accumulation and autoantibody production in humans, and disrupts natural killer cell function.

  9. Autoimmune lymphoproliferative syndrome (ALPS) caused by Fas (CD95) mutation mimicking sarcoidosis.

    PubMed

    Müllauer, Leonhard; Emhofer, Josef; Wohlfart, Sabine; Pichlhöfer, Bettina; Stary, Susanne; Ebetsberger, Georg; Mannhalter, Christine; Chott, Andreas

    2008-02-01

    Autoimmune lymphoproliferative syndrome (ALPS) is an inherited disorder associated with defects in apoptosis, characterized by childhood onset of lymphadenopathy, splenomegaly, hyperimmunoglobulinemia, and autoimmune disease. ALPS is most frequently associated with a mutation in the cell death receptor Fas (CD95). Very rarely a mutation in caspase 10 is present. An increase of CD4/CD8 double negative T cells in the peripheral blood and lymph nodes is a feature characteristic of ALPS. Additionally, histiocytic proliferations resembling sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease) were reported recently in patients with ALPS. In the rare cases with a caspase 10 mutation an accumulation of dendritic cells in lymphoid organs was noted. We describe a different, sarcoidosislike, histiocytic infiltration of lymph nodes that persisted for years in a girl, that was initially supposed to suffer from sarcoidosis, but was eventually diagnosed as ALPS, associated with a missense mutation in the intracellular death domain of Fas. This sarcoidosislike histologic picture extends the spectrum of histiocytic lymph node alterations observed in ALPS and alerts of a potential diagnostic pitfall.

  10. Revised diagnostic criteria and classification for the autoimmune lymphoproliferative syndrome (ALPS): report from the 2009 NIH International Workshop.

    PubMed

    Oliveira, Joao B; Bleesing, Jack J; Dianzani, Umberto; Fleisher, Thomas A; Jaffe, Elaine S; Lenardo, Michael J; Rieux-Laucat, Frederic; Siegel, Richard M; Su, Helen C; Teachey, David T; Rao, V Koneti

    2010-10-07

    Lymphadenopathy in children for which no infectious or malignant cause can be ascertained constitutes a challenging diagnostic dilemma. Autoimmune lymphoproliferative syndrome (ALPS) is a human genetic disorder of lymphocyte apoptosis resulting in an accumulation of lymphocytes and childhood onset chronic lymphadenopathy, splenomegaly, multilineage cytopenias, and an increased risk of B-cell lymphoma. In 1999, investigators at the National Institutes of Health (NIH) suggested criteria to establish the diagnosis of ALPS. Since then, with approximately 500 patients with ALPS studied worldwide, significant advances in our understanding of the disease have prompted the need for revisions to the existing diagnostic criteria and classification scheme. The rationale and recommendations outlined here stem from an international workshop held at NIH on September 21 and 22, 2009, attended by investigators from the United States, Europe, and Australia engaged in clinical and basic science research on ALPS and related disorders. It is hoped that harmonizing the diagnosis and classification of ALPS will foster collaborative research and better understanding of the pathogenesis of autoimmune cytopenias and B-cell lymphomas.

  11. Autoimmune Lymphoproliferative Syndrome and Epstein-Barr Virus-Associated Lymphoma: An Adjunctive Diagnostic Role for Monitoring EBV Viremia?

    PubMed

    Pace, Romina; Vinh, Donald C

    2013-01-01

    Background. Autoimmune lymphoproliferative syndrome (ALPS) is a genetic disorder of lymphocyte homeostasis due to defects in FAS-mediated apoptosis. ALPS is characterized by childhood onset of chronic lymphadenopathy and splenomegaly, autoimmunity, an expanded population of double-negative T cells (DNTCs), and an increased risk of lymphoma. This propensity for lymphoma in ALPS is not well understood. It is possible that lymphomagenesis in some of these patients may result from Epstein-Barr virus (EBV) infection exploiting the defective T-cell surveillance resulting from impaired FAS-mediated apoptosis. Case Presentation. We report the first case, to our knowledge, of lymphoma in a patient with ALPS that was clinically heralded by progressively increasing EBV viremia. We discuss its practical implications and the possible immune pathways involved in the increased risk for EBV-associated lymphoproliferative disorders in ALPS patients. Conclusion. In patients with ALPS, distinguishing chronic lymphadenopathy from emerging lymphoma is difficult, with few practical recommendations available. This case illustrates that, at least for some patients, monitoring for progressively increasing EBV viremia may be useful.

  12. Autoimmune lymphoproliferative syndrome with neonatal onset.

    PubMed

    Naveed, Muhammad; Khamis Butt, Umar Bin; Mannan, Jovaria

    2014-05-01

    We describe 2 cases of autoimmune lymphoproliferative syndrome (ALPS), which is a rare disorder of auto-immunity, chronic persistent or recurrent lymphadenopathy, splenomegaly, hepatomegaly and hyper gamma globulinemia (1gG, 1gA). Both cases presented in neonatal period which is a rare age of presentation in this disease. A 20 days old female neonate presented with respiratory symptoms which rapidly progressed needing ventilatory support. There was hepatomegaly and no auscultatory findings in the chest. Serial CBCs (complete blood counts) showed persistent leucocytosis with predominant lymphocytosis. Her chest X-ray showed left sided consolidation which responded poorly to antibiotics. Her prompt clinical response to steroids raised the suspicion of autoimmunity and the diagnosis was established after a negative bone marrow examination for leukemia and a positive result for ALPS on flow cytometry. The second case presented with anemia, thrombocytopenia starting in neonatal period followed by persistent lymphadenopathy, hepatosplenomegaly and recurrent infections which responded poorly to antibiotics. Diagnosis was delayed due to low index of suspicion, and finally achieved with multiple radiological studies, histopathology and flow cytometry.

  13. Rapamycin improves lymphoproliferative disease in murine autoimmune lymphoproliferative syndrome (ALPS).

    PubMed

    Teachey, David T; Obzut, Dana A; Axsom, Kelly; Choi, John K; Goldsmith, Kelly C; Hall, Junior; Hulitt, Jessica; Manno, Catherine S; Maris, John M; Rhodin, Nicholas; Sullivan, Kathleen E; Brown, Valerie I; Grupp, Stephan A

    2006-09-15

    Autoimmune lymphoproliferative syndrome (ALPS) is a disorder of abnormal lymphocyte survival caused by defective Fas-mediated apoptosis, leading to lymphadenopathy, hepatosplenomegaly, and an increased number of double-negative T cells (DNTs). Treatment options for patients with ALPS are limited. Rapamycin has been shown to induce apoptosis in normal and malignant lymphocytes. Since ALPS is caused by defective lymphocyte apoptosis, we hypothesized that rapamycin would be effective in treating ALPS. We tested this hypothesis using rapamycin in murine models of ALPS. We followed treatment response with serial assessment of DNTs by flow cytometry in blood and lymphoid tissue, by serial monitoring of lymph node and spleen size with ultrasonography, and by enzyme-linked immunosorbent assay (ELISA) for anti-double-stranded DNA (dsDNA) antibodies. Three-dimensional ultrasound measurements in the mice correlated to actual tissue measurements at death (r = .9648). We found a dramatic and statistically significant decrease in DNTs, lymphadenopathy, splenomegaly, and autoantibodies after only 4 weeks when comparing rapamycin-treated mice with controls. Rapamycin induced apoptosis through the intrinsic mitochondrial pathway. We compared rapamycin to mycophenolate mofetil, a second-line agent used to treat ALPS, and found rapamycin's control of lymphoproliferation was superior. We conclude that rapamycin is an effective treatment for murine ALPS and should be explored as treatment for affected humans.

  14. Role of magnetic resonance imaging and scintigraphy in the diagnosis and follow-up of osteomyelitis in cat-scratch disease.

    PubMed

    Rozmanic, Vojko; Banac, Srdjan; Miletic, Damir; Manestar, Koraljka; Kamber, Silvija; Paparic, Sime

    2007-01-01

    Cat-scratch disease (CSD) is a self-limiting infectious disease characterised with lymphadenopathy in a patient with a history of cat contact. Cases of bone involvement in patients with CSD are rare. We reported a case of 11-year-old boy with prolonged intermittent fever, inguinal lymphadenopathy and osteomyelitis. He had a history of exposure to kittens. The physical examination revealed a febrile boy without an apparent site of infection except an enlarged inguinal lymph node. Its histopathology demonstrated granulomatous lesion with no presence of acid-fast bacilli. Serum titers for Bartonella henselae were positive. Multiple bone lesions were detected by skeletal scintigraphy. Magnetic resonance imaging (MRI) confirmed and characterised osteolytic masses. The oral combination of azithromycin and rifampicin were given for 6 weeks with a good clinical response. At follow-up, the boy was without symptoms or signs of the disease. Successive MRI controls showed gradual regression of the bone lesions together with significant decrease of acute-phase reactants. In conclusion, CSD should be considered in the differential diagnosis of osteomyelitis. MRI is more reliable for the characterisation, evaluation of soft-tissue extension and follow-up of the bone lesions than scintigraphy. However, the later method permits an overview of the multiple osseous lesions. Therefore, standard MRI equipment may not exclude bone scintigraphy. Both methods are required until whole-body MRI units become routine.

  15. Cat scratch disease in 9-year-old patient - a case report.

    PubMed

    Świątkowski, Wojciech; Rahnama, Mansur; Strzelczyk, Katarzyna; Baszak, Jakub; Sierocińska-Sawa, Jadwiga

    2016-03-01

    Cat scratch disease (CSD) - bartonellosis, is zoonosis caused by the intracellular gram negativebacterium Bartonellahenselae or Bartonellaquintana. The pathogens of this disease enter the human body usually as a consequence of a bite or scratch by young cats which are the natural source of such bacteria. The illness proceeds asymptomatically or with topical symptoms of infection such as a lump, spot or blister. Within 14 days a high fever and topical lymphadenopathy are observed. Lymph nodes are sore and start suppurating. In half of patients, these symptoms may resemble malignancy, and in single cases there are symptoms associated with the musculoskeletal system, such as: osteitis, arthitis and myositis. In paper presented case of 9 year-old girl patients, treated in Oral Surgery Unit due to odema and lymphadenopathy in right submandibular space. Primary surgical treatment of deciduous teeth was conducted without recovery. In few months follow-up, biopsy of lymph node of submandibular group was taken and provisional diagnosis of cat scratch disease was set. Patient was referred to the Infectious Diseases Unit where serological test confirmed cat scratch disease, and pharmacological treatment was conducted with success and recovery of young patient.

  16. Cat-scratch Disease.

    PubMed

    Klotz, Stephen A; Ianas, Voichita; Elliott, Sean P

    2011-01-15

    Cat-scratch disease is a common infection that usually presents as tender lymphadenopathy. It should be included in the differential diagnosis of fever of unknown origin and any lymphadenopathy syndrome. Asymptomatic, bacteremic cats with Bartonella henselae in their saliva serve as vectors by biting and clawing the skin. Cat fleas are responsible for horizontal transmission of the disease from cat to cat, and on occasion, arthropod vectors (fleas or ticks) may transmit the disease to humans. Cat-scratch disease is commonly diagnosed in children, but adults can present with it as well. The causative microorganism, B. henselae, is difficult to culture. Diagnosis is most often arrived at by obtaining a history of exposure to cats and a serologic test with high titers (greater than 1:256) of immunoglobulin G antibody to B. henselae. Most cases of cat-scratch disease are self-limited and do not require antibiotic treatment. If an antibiotic is chosen, azithromycin has been shown in one small study to speed recovery. Infrequently, cat-scratch disease may present in a more disseminated form with hepatosplenomegaly or meningoencephalitis, or with bacillary angiomatosis in patients with AIDS.

  17. Hepatosplenic Abscesses and Osteomyelitis of the Spine in an Immunocompetent Adult with Cat Scratch Disease.

    PubMed

    Knafl, D; Lötsch, F; Burgmann, H; Goliasch, G; Poeppl, W; Ramharter, M; Thalhammer, F; Schuster, C

    2015-01-01

    We present an 18-year-old, immunocompetent Austrian military conscript with cervical lymphadenopathy, fever, back-pain, and persistent inflammation markers despite two weeks of antimicrobial therapy with ampicillin/sulbactam. All specific laboratory investigations for identification of a specific etiology, including blood cultures and autoantibodies, were inconspicuous. Abdominal computed tomography showed multiple hypodense hepatosplenic lesions and osteomyelitis of the thoracic and lumbar spine with base plate fracture. Based on the patient's history, clinical presentation, and radiological findings, serology for cat scratch disease (CSD) was performed and high B. henselae specific IgM and IgG antibodies were detected. Due to its variety of clinical presentations, diagnosis of CSD is challenging, especially in the absence of a history of specific exposure. This case report shall remind the physician that cat scratch disease is a common disease, mainly presenting with fever and lymphadenopathy in young patients. Nevertheless CSD has many different and rare forms of presentations, including hepatosplenic lesions and bone involvement as shown in this case.

  18. Unusual Clinical Presentation of Thoracic Tuberculosis: The Need for a Better Knowledge of Illness

    PubMed Central

    Manca, Sandra; Fois, Alessandro Giuseppe; Santoru, Luigi; Trisolini, Rocco; Polo, Maria Francesca; Ostera, Salvatore; Patelli, Marco; Pirina, Pietro

    2015-01-01

    Patient: Male, 73 Final Diagnosis: Bronchoesophageal fistula in endobronchial tuberculosis and mediastinal lymphadenopathy Symptoms: Nonproductive cough • weight loss Medication: Isoniazid • rifampin • pyrazinamide • ethambutol Clinical Procedure: Laser treatment Specialty: Pulmonology Objective: Unusual clinical course Background: Pulmonary tuberculosis (TB), a highly contagious infectious disease, is a significant public health problem all over the world and remains an important cause of preventable death in the adult population. Endobronchial TB is an unusual form of thoracic TB that may be complicated by tracheobronchial stenosis, and bronchoesophageal fistula formation is a very rare complication. Tubercular lymphadenitis can also lead to fistula formation through a process of caseum necrosis and opening of a fistula between the bronchus and oesophagus. Case Report: We report an uncommon case of thoracic TB in an immunocompetent 73-year-old Caucasian man who presented several problems: bronchoesophageal fistula, endobronchial TB, and mediastinal lymphadenopathy in the absence of contemporary parenchymal consolidation. Furthermore, he presented a normal chest radiograph and mostly unclear and non-specific symptoms at onset. Conclusions: We emphasize the need for a better knowledge of this illness and awareness that it may have an unusual presentation. In these cases, diagnosis and proper treatment can be delayed, with severe complications for the patient. Pulmonary TB remains a real diagnostic challenge: a normal chest radiograph and nonspecific symptoms do not allow us to exclude this persistent infectious disease. PMID:25907152

  19. Mantle Cell Hyperplasia of Peripheral Lymph Nodes as Initial Manifestation of Sickle Cell Disease.

    PubMed

    Monabbati, Ahmad; Noori, Sadat; Safaei, Akbar; Ramzi, Mani; Eghbali, Seyedsajjad; Adib, Ali

    2016-01-01

    Sickle cell disease (SCD) is a well known hemoglobinopathy with usual manifestations including anemia, hyperbilirubinemia, and vasoocclusive complications. Despite presence of mild splenomegaly in early phase of the disease, lymphadenopathy is not an often finding of SCD. We introduce an undiagnosed case of SCD who presented in third decade of his life with multiple cervical lymphadenopathies and mild splenomegaly persistent for about five years. Histopathologic examination of the resected lymph nodes showed expansion of the mantle cell layers of secondary follicles as well as several monomorphic mantle cell nodules. To rule out possibility of a malignant process involving lymph nodes, an immunohistochemical panel was ordered which was in favor of benign mantle cell hyperplasia. Immunoglobulin gene rearrangement study showed no clonal bands and confirmed benign nature of the process. Respecting mild abnormalities on Complete Blood Count, peripheral blood smear was reviewed revealing some typical sickle red blood cells as well as rare nucleated red blood cells. Solubility test for hemoglobin (HB) S was positive. Hemoglobin electrophoresis confirmed diagnosis of homozygous HbS disease.

  20. Abnormal B-cell function in HTLV-I-tax transgenic mice.

    PubMed

    Peebles, R S; Maliszewski, C R; Sato, T A; Hanley-Hyde, J; Maroulakou, I G; Hunziker, R; Schneck, J P; Green, J E

    1995-03-16

    Transgenic mice that carry the HTLV-I Tax gene develop an exocrinopathy with some similarities to Sjoegren's syndrome. Our experiments reveal that these mice have lymphadenopathy and splenomegaly composed primarily of B lymphocytes, as well as abnormal levels of secreted immunoglobulins. To gain insight into whether the lymphadenopathy manifested by these transgenic mice was the result of induction of cytokines by Tax, we utilized cell lines from these mice to study in vitro B-cell responses. Conditioned media (CM) derived from the cell lines caused B-cells to proliferate when a second signal, surface Ig cross-linking, was provided. The CM also caused a marked enhancement of IgM secretion by spleen cells or by purified B-cells treated with supplemental cytokines. The B-cell proliferative response and enhanced IgM secretion have not been attributed to a known cytokine. These results suggest that the CM from the cell lines contain a factor(s) involved in novel pathways of B-cell growth and differentiation that may participate in the pathologic development of autoimmune disease.