WorldWideScience

Sample records for cell enlargement

  1. Assembly and enlargement of the primary cell wall in plants

    Science.gov (United States)

    Cosgrove, D. J.

    1997-01-01

    Growing plant cells are shaped by an extensible wall that is a complex amalgam of cellulose microfibrils bonded noncovalently to a matrix of hemicelluloses, pectins, and structural proteins. Cellulose is synthesized by complexes in the plasma membrane and is extruded as a self-assembling microfibril, whereas the matrix polymers are secreted by the Golgi apparatus and become integrated into the wall network by poorly understood mechanisms. The growing wall is under high tensile stress from cell turgor and is able to enlarge by a combination of stress relaxation and polymer creep. A pH-dependent mechanism of wall loosening, known as acid growth, is characteristic of growing walls and is mediated by a group of unusual wall proteins called expansins. Expansins appear to disrupt the noncovalent bonding of matrix hemicelluloses to the microfibril, thereby allowing the wall to yield to the mechanical forces generated by cell turgor. Other wall enzymes, such as (1-->4) beta-glucanases and pectinases, may make the wall more responsive to expansin-mediated wall creep whereas pectin methylesterases and peroxidases may alter the wall so as to make it resistant to expansin-mediated creep.

  2. Optimization of membrane stack configuration in enlarged microbial desalination cells for efficient water desalination

    Science.gov (United States)

    Chen, Xi; Sun, Haotian; Liang, Peng; Zhang, Xiaoyuan; Huang, Xia

    2016-08-01

    Microbial desalination cells are considered a low-energy-consumption, clean technology to simultaneously purify wastewater and desalinate saline water by utilizing the in situ energy source contained in wastewater. To enhance desalination performance and achieve an optimal membrane stack configuration, an enlarged stacked microbial desalination cell (SMDC) has been developed and tested with 6-14 desalination cells. The cross-membrane area of the enlarged SMDC is 100 cm2. The anode and cathode volumes are both 200 mL. To reduce internal resistance, the width of desalination cells is kept as <0.5 mm. The optimal configuration with 10 desalination cells achieves the highest total desalination rate (TDR) of 423 mg/h and the highest charge transfer efficiency (CTE) of 836% when treating the 20 g/L NaCl solution. During this process, the junction potential across membranes increases from 0 to 374 mV, and occupies up to 74% of the total potential loss inside the SMDC. This shows that the SMDC used in this work achieves the highest TDR and CTE among the reported studies, and the junction potential should be effectively controlled to achieve the desired desalination performance in future practical applications.

  3. Optimization of membrane stack configuration in enlarged microbial desalination cells for efficient water desalination

    Science.gov (United States)

    Chen, Xi; Sun, Haotian; Liang, Peng; Zhang, Xiaoyuan; Huang, Xia

    2016-08-01

    Microbial desalination cells are considered a low-energy-consumption, clean technology to simultaneously purify wastewater and desalinate saline water by utilizing the in situ energy source contained in wastewater. To enhance desalination performance and achieve an optimal membrane stack configuration, an enlarged stacked microbial desalination cell (SMDC) has been developed and tested with 6-14 desalination cells. The cross-membrane area of the enlarged SMDC is 100 cm2. The anode and cathode volumes are both 200 mL. To reduce internal resistance, the width of desalination cells is kept as <0.5 mm. The optimal configuration with 10 desalination cells achieves the highest total desalination rate (TDR) of 423 mg/h and the highest charge transfer efficiency (CTE) of 836% when treating the 20 g/L NaCl solution. During this process, the junction potential across membranes increases from 0 to 374 mV, and occupies up to 74% of the total potential loss inside the SMDC. This shows that the SMDC used in this work achieves the highest TDR and CTE among the reported studies, and the junction potential should be effectively controlled to achieve the desired desalination performance in future practical applications.

  4. Enlarged prostate

    Science.gov (United States)

    BPH; Benign prostatic hyperplasia (hypertrophy); Prostate - enlarged ... Lepor H. Evaluation and nonsurgical management of benign prostatic hyperplasia. In: Wein AJ, ed. Campbell-Walsh Urology . 10th ...

  5. Loss of caveolin-1 causes blood-retinal barrier breakdown, venous enlargement, and mural cell alteration.

    Science.gov (United States)

    Gu, Xiaowu; Fliesler, Steven J; Zhao, You-Yang; Stallcup, William B; Cohen, Alex W; Elliott, Michael H

    2014-02-01

    Blood-retinal barrier (BRB) breakdown and related vascular changes are implicated in several ocular diseases. The molecules and mechanisms regulating BRB integrity and pathophysiology are not fully elucidated. Caveolin-1 (Cav-1) ablation results in loss of caveolae and microvascular pathologies, but the role of Cav-1 in the retina is largely unknown. We examined BRB integrity and vasculature in Cav-1 knockout mice and found a significant increase in BRB permeability, compared with wild-type controls, with branch veins being frequent sites of breakdown. Vascular hyperpermeability occurred without apparent alteration in junctional proteins. Such hyperpermeability was not rescued by inhibiting eNOS activity. Veins of Cav-1 knockout retinas exhibited additional pathological features, including i) eNOS-independent enlargement, ii) altered expression of mural cell markers (eg, down-regulation of NG2 and up-regulation of αSMA), and iii) dramatic alterations in mural cell phenotype near the optic nerve head. We observed a significant NO-dependent increase in retinal artery diameter in Cav-1 knockout mice, suggesting that Cav-1 plays a role in autoregulation of resistance vessels in the retina. These findings implicate Cav-1 in maintaining BRB integrity in retinal vasculature and suggest a previously undefined role in the retinal venous system and associated mural cells. Our results are relevant to clinically significant retinal disorders with vascular pathologies, including diabetic retinopathy, uveoretinitis, and primary open-angle glaucoma.

  6. MtgA Deletion-Triggered Cell Enlargement of Escherichia coli for Enhanced Intracellular Polyester Accumulation.

    Directory of Open Access Journals (Sweden)

    Ryosuke Kadoya

    Full Text Available Bacterial polyester polyhydroxyalkanoates (PHAs have been produced in engineered Escherichia coli, which turned into an efficient and versatile platform by applying metabolic and enzyme engineering approaches. The present study aimed at drawing out the latent potential of this organism using genome-wide mutagenesis. To meet this goal, a transposon-based mutagenesis was carried out on E. coli, which was transformed to produce poly(lactate-co-3-hydroxybutyrate from glucose. A high-throughput screening of polymer-accumulating cells on Nile red-containing plates isolated one mutant that produced 1.8-fold higher quantity of polymer without severe disadvantages in the cell growth and monomer composition of the polymer. The transposon was inserted into the locus within the gene encoding MtgA that takes part, as a non-lethal component, in the formation of the peptidoglycan backbone. Accordingly, the mtgA-deleted strain E. coli JW3175, which was a derivate of superior PHA-producing strain BW25113, was examined for polymer production, and exhibited an enhanced accumulation of the polymer (7.0 g/l compared to the control (5.2 g/l. Interestingly, an enlargement in cell width associated with polymer accumulation was observed in this strain, resulting in a 1.6-fold greater polymer accumulation per cell compared to the control. This result suggests that the increase in volumetric capacity for accumulating intracellular material contributed to the enhanced polymer production. The mtgA deletion should be combined with conventional engineering approaches, and thus, is a promising strategy for improved production of intracellularly accumulated biopolymers.

  7. Patenting human embryonic stem cells in peril: the decision of the Enlarged Board of Appeal in G 2/06

    NARCIS (Netherlands)

    S.J.R. Bostyn

    2009-01-01

    The Enlarged Board of Appeal has recently decided one of the most sensitive cases it has ever had on its hands, but probably not the last. The referral in the G 2/06 case related to the patentability of human embryonic stem cells (hESC). The main question was whether inventions pertaining to the hES

  8. Rapid enlargement of an intracranial germ cell tumor after gonadotropin hormone therapy.

    Science.gov (United States)

    Sasagawa, Yasuo; Tachibana, Osamu; Nakagawa, Athushi; Nakada, Satoko; Nojima, Takayuki; Koya, Daisuke; Iizuka, Hideaki

    2016-09-01

    We report a case of an intracranial germ cell tumor (iGCT) that showed rapid enlargement after human chorionic gonadotropin (hCG) hormone therapy for pituitary hypogonadism. A 16-year-old boy presented with headache and was diagnosed with a suprasellar tumor. He was initially observed without surgery. Intranasal desmopressin therapy was started for central diabetes insipidus, but there was no change in the tumor size on MRI. The diagnosis of the tumor remained unknown for 4years. Levels of serum gonadotropin hormones (follicle-stimulating and luteinizing hormone) and testosterone progressively decreased, and the patient developed pituitary hypogonadism and complained about his undeveloped beard, lack of underarm hair, and erectile dysfunction. Intramuscular gonadotropin injection (hCG 5000U×2/week) was started at age 20. Eight months after the first gonadotropin injection, the MRI showed tumor growth with vivid enhancement. Craniotomy was performed and the tumor was partially resected. The histological diagnosis was immature teratoma. After surgery, the patient was treated with 5 cycles of chemotherapy with carboplatin and etoposide. He also received radiation therapy of 50Gy (20Gy tumor bed and 30Gy whole ventricles) to the residual tumor, after which the tumor decreased in size. We postulate that iGCT may be at risk of progression during hCG hormone therapy. Thus, careful monitoring is required for a patient with iGCT who receives this therapy. PMID:27050912

  9. The enlarged lysosomes in beigej cells result from decreased lysosome fission and not increased lysosome fusion

    OpenAIRE

    Durchfort, Nina; Verhoef, Shane; Vaughn, Michael B.; Shrestha, Rishna; Adam, Dieter; Kaplan, Jerry; Ward, Diane McVey

    2011-01-01

    Chediak-Higashi Syndrome is an autosomal recessive disorder that affects vesicle morphology. The Chs1/Lyst protein is a member of the BEACH family of proteins. The absence of Chs1/Lyst gives rise to enlarged lysosomes. Lysosome size is regulated by a balance between vesicle fusion and fission and can be reversibly altered by acidifying the cytoplasm using Acetate Ringer’s or by incubating with the drug vacuolin-1. We took advantage of these procedures to determine rates of lysosome fusion and...

  10. Cell enlargement and sugar accumulation in the gynaecium of the glasshouse carnation (Dianthus caryophyllus L.) induced by ethylene.

    Science.gov (United States)

    Nichols, R

    1976-01-01

    Histological examination of the ovary walls from ethylene-treated cut flowering stems of the carnation showed that the cells had enlarged and this appeared to account for the increased growth of the ovary which follows ethylene treatment of this flower. Sugar analyses of the flower parts indicated that growth of the ovary was accompanied by an increase in the ratio of sucrose to reducing sugars in the petals and ovary, and a net increase in sugars in the ovary. A sugar, tentatively identified as xylose, increased in the petals after ethylene treatment. Nitrogen, phosphorus and potassium contents of the ovary also increased after the ethylene treatment. The results, consistent with the hypothesis that sucrose is translocated in response to ethylene, are discussed in relation to previous work relating to the involvement of ethylene in flower senescence.

  11. Uniform stable conformal convolutional perfectly matched layer for enlarged cell technique conformal finite-difference time-domain method

    Institute of Scientific and Technical Information of China (English)

    王玥; 王建国; 陈再高

    2015-01-01

    Based on conformal construction of physical model in a three-dimensional Cartesian grid, integral-based confor-mal convolutional perfectly matched layer (CPML) is given for solving the truncation problem of the open port when the enlarged cell technique conformal finite-difference time-domain (ECT-CFDTD) method is used to simulate the wave propagation inside a perfect electric conductor (PEC) waveguide, and the algorithm has the same numerical stability as the ECT-CFDTD method. For the long-time propagation problems of evanescent wave in a waveguide, several numerical simulations are performed to analyze the reflection error by sweeping the constitutive parameters of the integral-based con-formal CPML. Numerical results show that the integral-based conformal CPML can be used for efficiently truncating the open port of the waveguide.

  12. Human serum activates CIDEB-mediated lipid droplet enlargement in hepatoma cells

    International Nuclear Information System (INIS)

    Highlights: •Human serum induced differentiation of hepatoma cells increases cellular lipid droplet (LD) size. •The observed increase in LD size correlates with increased PGC-1α and CIDEB expression. •Induction of CIDEB expression correlates with rescue of VLDL secretion and loss of ADRP. •siRNA knockdown of CIDEB impairs the human serum mediated increase in LD size. •This system represents a cost-efficient model to study CIDEB’s role in lipid biology. -- Abstract: Human hepatocytes constitutively express the lipid droplet (LD) associated protein cell death-inducing DFFA-like effector B (CIDEB). CIDEB mediates LD fusion, as well as very-low-density lipoprotein (VLDL) maturation. However, there are limited cell culture models readily available to study CIDEB’s role in these biological processes, as hepatoma cell lines express negligible levels of CIDEB. Recent work has highlighted the ability of human serum to differentiate hepatoma cells. Herein, we demonstrate that culturing Huh7.5 cells in media supplemented with human serum activates CIDEB expression. This activation occurs through the induced expression of PGC-1α, a positive transcriptional regulator of CIDEB. Coherent anti-Stokes Raman scattering (CARS) microscopy revealed a correlation between CIDEB levels and LD size in human serum treated Huh7.5 cells. Human serum treatment also resulted in a rapid decrease in the levels of adipose differentiation-related protein (ADRP). Furthermore, individual overexpression of CIDEB was sufficient to down-regulate ADRP protein levels. siRNA knockdown of CIDEB revealed that the human serum mediated increase in LD size was CIDEB-dependent. Overall, our work highlights CIDEB’s role in LD fusion, and presents a new model system to study the PGC-1α/CIDEB pathway’s role in LD dynamics and the VLDL pathway

  13. Golgi enlargement in Arf-depleted yeast cells is due to altered dynamics of cisternal maturation

    Science.gov (United States)

    Bhave, Madhura; Papanikou, Effrosyni; Iyer, Prasanna; Pandya, Koushal; Jain, Bhawik Kumar; Ganguly, Abira; Sharma, Chandrakala; Pawar, Ketakee; Austin, Jotham; Day, Kasey J.; Rossanese, Olivia W.; Glick, Benjamin S.; Bhattacharyya, Dibyendu

    2014-01-01

    ABSTRACT Regulation of the size and abundance of membrane compartments is a fundamental cellular activity. In Saccharomyces cerevisiae, disruption of the ADP-ribosylation factor 1 (ARF1) gene yields larger and fewer Golgi cisternae by partially depleting the Arf GTPase. We observed a similar phenotype with a thermosensitive mutation in Nmt1, which myristoylates and activates Arf. Therefore, partial depletion of Arf is a convenient tool for dissecting mechanisms that regulate Golgi structure. We found that in arf1Δ cells, late Golgi structure is particularly abnormal, with the number of late Golgi cisternae being severely reduced. This effect can be explained by selective changes in cisternal maturation kinetics. The arf1Δ mutation causes early Golgi cisternae to mature more slowly and less frequently, but does not alter the maturation of late Golgi cisternae. These changes quantitatively explain why late Golgi cisternae are fewer in number and correspondingly larger. With a stacked Golgi, similar changes in maturation kinetics could be used by the cell to modulate the number of cisternae per stack. Thus, the rates of processes that transform a maturing compartment can determine compartmental size and copy number. PMID:24190882

  14. Breast enlargement in males

    Science.gov (United States)

    Gynecomastia; Breast enlargement in a male ... The condition may occur in one or both breasts. It begins as a small lump beneath the nipple, which may be tender. One breast may be larger than the other. Enlarged breasts ...

  15. Overexpression of SlUPA-like induces cell enlargement, aberrant development and low stress tolerance through phytohormonal pathway in tomato.

    Science.gov (United States)

    Cui, Baolu; Hu, Zongli; Hu, Jingtao; Zhang, Yanjie; Yin, Wencheng; Zhu, Zhiguo; Feng, Ye; Chen, Guoping

    2016-01-01

    upa20 induces cell enlargement and hypertrophy development. In our research, overexpression of SlUPA-like, orthologous to upa20, severely affected the growth of vegetative and reproductive tissues. Wilted leaves curled upwardly and sterile flowers were found in transgenic lines. Through anatomical analysis, palisade and spongy tissues showed fluffy and hypertrophic development in transgenic plants. Gene expression analysis showed that GA responsive, biosynthetic and signal transduction genes (e.g. GAST1, SlGA20OXs, SlGA3OXs, SlGID1s, and SlPREs) were significantly upregulated, indicating that GA response is stimulated by overproduction of SlUPA-like. Furthermore, SlUPA-like was strongly induced by exogenous JA and wounding. Decreased expression of PI-I and induced expression of SlJAZs (including SlJAZ2, SlJAZ10 and SlJAZ11) were observed in transgenic plants, suggesting that JA response is repressed. In addition, SlUPA-like overexpressed plant exhibited more opened stoma and higher water loss than the control when treated with dehydration stress, which was related to decreased ABA biosynthesis, signal transduction and response. Particularly, abnormal developments of transgenic plants promote the plant susceptibility to Xanthomonas campestris pv. campestris. Therefore, it is deduced from these results that SlUPA-like plays vital role in regulation of plant development and stress tolerance through GA, JA and ABA pathways. PMID:27025226

  16. Adipose tissue dysregulation and reduced insulin sensitivity in non-obese individuals with enlarged abdominal adipose cells

    Directory of Open Access Journals (Sweden)

    Hammarstedt Ann

    2012-09-01

    Full Text Available Abstract Background Obesity contributes to Type 2 diabetes by promoting systemic insulin resistance. Obesity causes features of metabolic dysfunction in the adipose tissue that may contribute to later impairments of insulin action in skeletal muscle and liver; these include reduced insulin-stimulated glucose transport, reduced expression of GLUT4, altered expression of adipokines, and adipocyte hypertrophy. Animal studies have shown that expansion of adipose tissue alone is not sufficient to cause systemic insulin resistance in the absence of adipose tissue metabolic dysfunction. To determine if this holds true for humans, we studied the relationship between insulin resistance and markers of adipose tissue dysfunction in non-obese individuals. Method 32 non-obese first-degree relatives of Type 2 diabetic patients were recruited. Glucose tolerance was determined by an oral glucose tolerance test and insulin sensitivity was measured with the hyperinsulinaemic-euglycaemic clamp. Blood samples were collected and subcutaneous abdominal adipose tissue biopsies obtained for gene/protein expression and adipocyte cell size measurements. Results Our findings show that also in non-obese individuals low insulin sensitivity is associated with signs of adipose tissue metabolic dysfunction characterized by low expression of GLUT4, altered adipokine profile and enlarged adipocyte cell size. In this group, insulin sensitivity is positively correlated to GLUT4 mRNA (R = 0.49, p = 0.011 and protein (R = 0.51, p = 0.004 expression, as well as with circulating adiponectin levels (R = 0.46, 0 = 0.009. In addition, insulin sensitivity is inversely correlated to circulating RBP4 (R = −0.61, 0 = 0.003 and adipocyte cell size (R = −0.40, p = 0.022. Furthermore, these features are inter-correlated and also associated with other clinical features of the metabolic syndrome in the absence of obesity. No association could be found

  17. EU enlargement and immigration

    OpenAIRE

    Kraus, Margit; Schwager, Robert

    2000-01-01

    This paper assesses the consequences of EU enlargement for East West migration. In the theoretical part, we identify several factors in addition to the reduction of moving costs by which EU membership influences migration. Specifically, EU accession affects income gaps. Moreover, if EU membership is refused, fear of future restrictions on immigration will lead to increased current migration. Additionally, casual evidence from the 1980s EU South enlargement is examined. Since then no increases...

  18. Enlargements of positive sets

    CERN Document Server

    Bot, Radu Ioan

    2008-01-01

    In this paper we introduce the notion of enlargement of a positive set in SSD spaces. To a maximally positive set $A$ we associate a family of enlargements $\\E(A)$ and characterize the smallest and biggest element in this family with respect to the inclusion relation. We also emphasize the existence of a bijection between the subfamily of closed enlargements of $\\E(A)$ and the family of so-called representative functions of $A$. We show that the extremal elements of the latter family are two functions recently introduced and studied by Stephen Simons. In this way we extend to SSD spaces some former results given for monotone and maximally monotone sets in Banach spaces.

  19. Intratumoral interleukin-21 increases antitumor immunity, tumor-infiltrating CD8+ T-cell density and activity, and enlarges draining lymph nodes

    DEFF Research Database (Denmark)

    Søndergaard, Henrik; Galsgaard, Elisabeth D; Bartholomaeussen, Monica;

    2010-01-01

    , and investigated the mechanisms by which IL-21 enhances CD8 T-cell-mediated antitumor immunity. We found that in comparison to subcutaneous administration, IT administration of IL-21 more potently inhibited tumor growth and increased survival. This correlated with increased densities of tumor-infiltrating CD8...... of IT administration of IL-21 was due to a local rather than systemic effect. IT administration of IL-21 led to enlarged tumor-draining lymph nodes (LNs), with increased naive lymphocyte numbers and proliferation of activated lymphocytes, suggesting that local administration of IL-21 generally benefits the tumor...... microenvironment and activates tumor-draining LNs. Overall, our data suggest that IL-21 augments CD8 T-cell-mediated antitumor immunity through increased proliferation and effector function and acts both on tumor-infiltrating CD8 T cells as well as on the draining LNs. IT administration led to superior CD8 T...

  20. Surviving mossy cells enlarge and receive more excitatory synaptic input in a mouse model of temporal lobe epilepsy.

    Science.gov (United States)

    Zhang, Wei; Thamattoor, Ajoy K; LeRoy, Christopher; Buckmaster, Paul S

    2015-05-01

    Numerous hypotheses of temporal lobe epileptogenesis have been proposed, and several involve hippocampal mossy cells. Building on previous hypotheses we sought to test the possibility that after epileptogenic injuries surviving mossy cells develop into super-connected seizure-generating hub cells. If so, they might require more cellular machinery and consequently have larger somata, elongate their dendrites to receive more synaptic input, and display higher frequencies of miniature excitatory synaptic currents (mEPSCs). To test these possibilities pilocarpine-treated mice were evaluated using GluR2-immunocytochemistry, whole-cell recording, and biocytin-labeling. Epileptic pilocarpine-treated mice displayed substantial loss of GluR2-positive hilar neurons. Somata of surviving neurons were 1.4-times larger than in controls. Biocytin-labeled mossy cells also were larger in epileptic mice, but dendritic length per cell was not significantly different. The average frequency of mEPSCs of mossy cells recorded in the presence of tetrodotoxin and bicuculline was 3.2-times higher in epileptic pilocarpine-treated mice as compared to controls. Other parameters of mEPSCs were similar in both groups. Average input resistance of mossy cells in epileptic mice was reduced to 63% of controls, which is consistent with larger somata and would tend to make surviving mossy cells less excitable. Other intrinsic physiological characteristics examined were similar in both groups. Increased excitatory synaptic input is consistent with the hypothesis that surviving mossy cells develop into aberrantly super-connected seizure-generating hub cells, and soma hypertrophy is indirectly consistent with the possibility of axon sprouting. However, no obvious evidence of hyperexcitable intrinsic physiology was found. Furthermore, similar hypertrophy and hyper-connectivity has been reported for other neuron types in the dentate gyrus, suggesting mossy cells are not unique in this regard. Thus

  1. Enlargements of filtrations and applications

    CERN Document Server

    Corcuera, J M

    2012-01-01

    In this paper we review some old and new results about the enlargement of filtrations problem, as well as their applications to credit risk and insider trading problems. The enlargement of filtrations problem consists in the study of conditions under which a semimartingale remains a semimartingale when the filtration is enlarged, and, in such a case, how to find the Doob-Meyer decomposition. Filtrations may be enlarged in different ways. In this paper we consider initial and progressive filtration enlargements made by random variables and processes. Keywords: Credit Risk, Insider Trading, Enlargement of Filtrations

  2. A Decrease in Ambient Temperature Induces Post-Mitotic Enlargement of Palisade Cells in North American Lake Cress.

    Directory of Open Access Journals (Sweden)

    Rumi Amano

    Full Text Available In order to maintain organs and structures at their appropriate sizes, multicellular organisms orchestrate cell proliferation and post-mitotic cell expansion during morphogenesis. Recent studies using Arabidopsis leaves have shown that compensation, which is defined as post-mitotic cell expansion induced by a decrease in the number of cells during lateral organ development, is one example of such orchestration. Some of the basic molecular mechanisms underlying compensation have been revealed by genetic and chimeric analyses. However, to date, compensation had been observed only in mutants, transgenics, and γ-ray-treated plants, and it was unclear whether it occurs in plants under natural conditions. Here, we illustrate that a shift in ambient temperature could induce compensation in Rorippa aquatica (Brassicaceae, a semi-aquatic plant found in North America. The results suggest that compensation is a universal phenomenon among angiosperms and that the mechanism underlying compensation is shared, in part, between Arabidopsis and R. aquatica.

  3. Carcinoma of the lungs causing enlarged kidneys.

    Science.gov (United States)

    Srisung, Weeraporn; Mankongpaisarnrung, Charoen; Warraich, Irfan; Sotello, David; Yarbrough, Shannon; Laski, Melvin

    2015-04-01

    Bilateral enlarged kidneys can be caused by a number of conditions. Renal metastasis is included in the differential diagnosis. We report a case of a 67-year-old woman with a 6-month history of productive cough and unintentional weight loss. Cavitary pulmonary lesions and bilateral enlarged kidneys were noted on imaging studies. Hematuria, azotemia, and proteinuria were present. Renal biopsy showed squamous carcinoma cells invading normal-appearing glomeruli and atrophic tubules. The invasive squamous cells stained negative for CK7 and CK 20. Lung biopsy confirmed squamous cell carcinoma. Our case shows that in patients with renal enlargement, even with the absence of a focal mass, renal metastasis should be considered, especially in those with suspected or diagnosed malignancy elsewhere. PMID:25829660

  4. Chronic Fluoxetine Induces the Enlargement of Perforant Path-Granule Cell Synapses in the Mouse Dentate Gyrus.

    Science.gov (United States)

    Kitahara, Yosuke; Ohta, Keisuke; Hasuo, Hiroshi; Shuto, Takahide; Kuroiwa, Mahomi; Sotogaku, Naoki; Togo, Akinobu; Nakamura, Kei-ichiro; Nishi, Akinori

    2016-01-01

    A selective serotonin reuptake inhibitor is the most commonly prescribed antidepressant for the treatment of major depression. However, the mechanisms underlying the actions of selective serotonin reuptake inhibitors are not fully understood. In the dentate gyrus, chronic fluoxetine treatment induces increased excitability of mature granule cells (GCs) as well as neurogenesis. The major input to the dentate gyrus is the perforant path axons (boutons) from the entorhinal cortex (layer II). Through voltage-sensitive dye imaging, we found that the excitatory neurotransmission of the perforant path synapse onto the GCs in the middle molecular layer of the mouse dentate gyrus (perforant path-GC synapse) is enhanced after chronic fluoxetine treatment (15 mg/kg/day, 14 days). Therefore, we further examined whether chronic fluoxetine treatment affects the morphology of the perforant path-GC synapse, using FIB/SEM (focused ion beam/scanning electron microscopy). A three-dimensional reconstruction of dendritic spines revealed the appearance of extremely large-sized spines after chronic fluoxetine treatment. The large-sized spines had a postsynaptic density with a large volume. However, chronic fluoxetine treatment did not affect spine density. The presynaptic boutons that were in contact with the large-sized spines were large in volume, and the volumes of the mitochondria and synaptic vesicles inside the boutons were correlated with the size of the boutons. Thus, the large-sized perforant path-GC synapse induced by chronic fluoxetine treatment contains synaptic components that correlate with the synapse size and that may be involved in enhanced glutamatergic neurotransmission. PMID:26788851

  5. Chronic Fluoxetine Induces the Enlargement of Perforant Path-Granule Cell Synapses in the Mouse Dentate Gyrus.

    Science.gov (United States)

    Kitahara, Yosuke; Ohta, Keisuke; Hasuo, Hiroshi; Shuto, Takahide; Kuroiwa, Mahomi; Sotogaku, Naoki; Togo, Akinobu; Nakamura, Kei-ichiro; Nishi, Akinori

    2016-01-01

    A selective serotonin reuptake inhibitor is the most commonly prescribed antidepressant for the treatment of major depression. However, the mechanisms underlying the actions of selective serotonin reuptake inhibitors are not fully understood. In the dentate gyrus, chronic fluoxetine treatment induces increased excitability of mature granule cells (GCs) as well as neurogenesis. The major input to the dentate gyrus is the perforant path axons (boutons) from the entorhinal cortex (layer II). Through voltage-sensitive dye imaging, we found that the excitatory neurotransmission of the perforant path synapse onto the GCs in the middle molecular layer of the mouse dentate gyrus (perforant path-GC synapse) is enhanced after chronic fluoxetine treatment (15 mg/kg/day, 14 days). Therefore, we further examined whether chronic fluoxetine treatment affects the morphology of the perforant path-GC synapse, using FIB/SEM (focused ion beam/scanning electron microscopy). A three-dimensional reconstruction of dendritic spines revealed the appearance of extremely large-sized spines after chronic fluoxetine treatment. The large-sized spines had a postsynaptic density with a large volume. However, chronic fluoxetine treatment did not affect spine density. The presynaptic boutons that were in contact with the large-sized spines were large in volume, and the volumes of the mitochondria and synaptic vesicles inside the boutons were correlated with the size of the boutons. Thus, the large-sized perforant path-GC synapse induced by chronic fluoxetine treatment contains synaptic components that correlate with the synapse size and that may be involved in enhanced glutamatergic neurotransmission.

  6. Suppressor screen and phenotype analyses revealed an emerging role of the Monofunctional peroxisomal enoyl-CoA hydratase 2 in compensated cell enlargement

    Directory of Open Access Journals (Sweden)

    Mana eKatano

    2016-02-01

    Full Text Available Efficient use of seed nutrient reserves is crucial for germination and establishment of plant seedlings. Mobilizing seed oil reserves in Arabidopsis involves β-oxidation, the glyoxylate cycle, and gluconeogenesis, which provide essential energy and the carbon skeletons needed to sustain seedling growth until photoautotrophy is acquired. We demonstrated that H+-PPase activity is required for gluconeogenesis. Lack of H+-PPase in fugu5 mutants increases cytosolic pyrophosphate (PPi levels, which partially reduces sucrose synthesis de novo and inhibits cell division. In contrast, post-mitotic cell expansion in cotyledons was unusually enhanced, a phenotype called compensation. Therefore, it appears that PPi inhibits several cellular functions, including cell cycling, to trigger compensated cell enlargement (CCE. Here, we mutagenized fugu5-1 seeds with 12C6+ heavy-ion irradiation and screened mutations that restrain CCE to gain insight into the genetic pathway(s involved in CCE. We isolated A#3-1, in which cell size was severely reduced, but cell number remained similar to that of original fugu5-1. Moreover, cell number decreased in A#3-1 single mutant (A#3-1sm, similar to that of fugu5-1, but cell size was almost equal to that of the wild type. Surprisingly, A#3-1 mutation did not affect CCE in other compensation exhibiting mutant backgrounds, such as an3-4 and fugu2-1/fas1-6. Subsequent map-based cloning combined with genome sequencing and HRM curve analysis identified enoyl-CoA hydratase 2 (ECH2 as the causal gene of A#3-1. The above phenotypes were consistently observed in the ech2-1 allele and supplying sucrose restored the morphological and cellular phenotypes in fugu5-1, ech2-1, A#3-1sm, fugu5-1 ech2-1 and A#3-1;fugu5-1. Taken together, these results suggest that defects in either H+-PPase or ECH2 compromise cell proliferation due to defects in mobilizing stored lipids. In contrast, ECH2 alone likely promotes CCE during the post-mitotic cell

  7. Suppressor Screen and Phenotype Analyses Revealed an Emerging Role of the Monofunctional Peroxisomal Enoyl-CoA Hydratase 2 in Compensated Cell Enlargement.

    Science.gov (United States)

    Katano, Mana; Takahashi, Kazuki; Hirano, Tomonari; Kazama, Yusuke; Abe, Tomoko; Tsukaya, Hirokazu; Ferjani, Ali

    2016-01-01

    Efficient use of seed nutrient reserves is crucial for germination and establishment of plant seedlings. Mobilizing seed oil reserves in Arabidopsis involves β-oxidation, the glyoxylate cycle, and gluconeogenesis, which provide essential energy and the carbon skeletons needed to sustain seedling growth until photoautotrophy is acquired. We demonstrated that H(+)-PPase activity is required for gluconeogenesis. Lack of H(+)-PPase in fugu5 mutants increases cytosolic pyrophosphate (PPi) levels, which partially reduces sucrose synthesis de novo and inhibits cell division. In contrast, post-mitotic cell expansion in cotyledons was unusually enhanced, a phenotype called compensation. Therefore, it appears that PPi inhibits several cellular functions, including cell cycling, to trigger compensated cell enlargement (CCE). Here, we mutagenized fugu5-1 seeds with (12)C(6+) heavy-ion irradiation and screened mutations that restrain CCE to gain insight into the genetic pathway(s) involved in CCE. We isolated A#3-1, in which cell size was severely reduced, but cell number remained similar to that of original fugu5-1. Moreover, cell number decreased in A#3-1 single mutant (A#3-1sm), similar to that of fugu5-1, but cell size was almost equal to that of the wild type. Surprisingly, A#3-1 mutation did not affect CCE in other compensation exhibiting mutant backgrounds, such as an3-4 and fugu2-1/fas1-6. Subsequent map-based cloning combined with genome sequencing and HRM curve analysis identified enoyl-CoA hydratase 2 (ECH2) as the causal gene of A#3-1. The above phenotypes were consistently observed in the ech2-1 allele and supplying sucrose restored the morphological and cellular phenotypes in fugu5-1, ech2-1, A#3-1sm, fugu5-1 ech2-1, and A#3-1; fugu5-1. Taken together, these results suggest that defects in either H(+)-PPase or ECH2 compromise cell proliferation due to defects in mobilizing seed storage lipids. In contrast, ECH2 alone likely promotes CCE during the post

  8. Methods of Enlarging English Vocabulary

    Institute of Scientific and Technical Information of China (English)

    丁小航

    2012-01-01

      In order to enlarge English vocabulary , we need to have some methods. I’d like to share my experience with begin⁃ners how I enlarge English vocabulary when when I am learning English. It is a long process and needs hard work and patience.

  9. AtPGL3 is an Arabidopsis BURP domain protein that is localized to the cell wall and promotes cell enlargement.

    Science.gov (United States)

    Park, Jiyoung; Cui, Yong; Kang, Byung-Ho

    2015-01-01

    The BURP domain is a plant-specific domain that has been identified in secretory proteins, and some of these are involved in cell wall modification. The tomato polygalacturonase I complex involved in pectin degradation in ripening fruits has a non-catalytic subunit that has a BURP domain. This protein is called polygalacturonase 1 beta (PG1β) and the Arabidopsis genome encodes three proteins that exhibit strong amino acid similarities with PG1β? We generated Arabidopsis lines in which expression levels of AtPGLs are altered in order to investigate the biological roles of the Arabidopsis PG1β-like proteins (AtPGLs). Among the three AtPGLs (AtPGL1-3), AtPGL3 exhibited the highest transcriptional activity throughout all developmental stages. AtPGL triple mutant plants have smaller rosette leaves than those of wild type plants because the leaf cells are smaller in the mutant plants. Interestingly, when we overexpressed AtPGL3 using a 35S promoter, leaf cells in transgenic plants grew larger than those of the wild type. A C-terminal GFP fusion protein of AtPGL3 complemented phenotypes of the triple mutant plants and it localized to the cell wall. A truncated AtPGL3-GFP fusion protein lacking the BURP domain failed to rescue the mutant phenotypes even though the GFP protein was targeted to the cell wall, indicating that the BURP domain is required for the protein's effect on cell expansion. Quantitative RT-PCR and immunoblot analyses indicated that the α-expansin 6 gene is up-regulated in the overexpressor plants. Taken together, these results indicate that AtPGL3 is an apoplastic BURP domain protein playing a role in cell expansion. PMID:26106400

  10. AtPGL3 is an Arabidopsis BURP domain protein that is localized to the cell wall and promotes cell enlargement

    OpenAIRE

    Park, Jiyoung; Cui, Yong; Kang, Byung-Ho

    2015-01-01

    The BURP domain is a plant-specific domain that has been identified in secretory proteins, and some of these are involved in cell wall modification. The tomato polygalacturonase I complex involved in pectin degradation in ripening fruits has a non-catalytic subunit that has a BURP domain. This protein is called polygalacturonase 1 beta (PG1β) and the Arabidopsis genome encodes three proteins that exhibit strong amino acid similarities with PG1β? We generated Arabidopsis lines in which express...

  11. Gingival enlargement in partial hemifacial hyperplasia.

    Science.gov (United States)

    Jagtap, Rasika Ravindra; Deshpande, Gaurav Shekhar

    2014-01-01

    Hemifacial hypertrophy is a rare developmental disorder, characterized by unilateral enlargement of facial tissues. The hemifacial hyperplasia is classified as true hemifacial hypertrophy and partial hemifacial hypertrophy. It is unilateral enlargement of viscerocranial condition in which not all structures are enlarged. We present a rare case of gingival enlargement in partial hemifacial hyperplasia highlighting the clinical and radiological findings with the corrective treatment offered for gingival enlargement.

  12. Simultaneously improved capacity and initial coulombic efficiency of Li-rich cathode Li[Li0.2Mn0.54Co0.13Ni0.13]O2 by enlarging crystal cell from a nanoplate precursor

    Science.gov (United States)

    Dai, Dongmei; Li, Bao; Tang, Hongwei; Chang, Kun; Jiang, Kai; Chang, Zhaorong; Yuan, Xiaozi

    2016-03-01

    Li-rich manganese layered oxide is one of the most promising cathode materials that meet the requirements for high-energy-density Li-ion batteries. However, a large irreversible capacity loss at the first cycle makes it difficult to be an applicable cathode material. Although wide investigations have been carried out to overcome such defect, researchers are still beset by the problems of how to concurrently improve the multiple performances of the cathode. In this work, Li[Li0.2Mn0.54Co0.13Ni0.13]O2 is synthesized, which delivers both improved high-energy capacity of 308 mAh g-1 and enhanced initial coulombic efficiency of 85%. The corresponding values of a contrast sample are only 245 mAh g-1 and 77%, respectively. Based on the data of bond distances, crystal cell parameters, and the calculated electron cloud density revealed by Rietveld analysis, an enlarged crystal cell mechanism is proposed. The improved performances are originated from the enlarged crystal cell, which facilitates the Li+ delithiation/lithiation from the octahedral and tetrahedral sites, accordingly increasing the discharge capacity and initial coulombic efficiency. The proposed method offers a strategy to simultaneously increase the initial coulombic efficiency and the specific capacity for Li ion batteries.

  13. Enlarged prostate - what to ask your doctor

    Science.gov (United States)

    ... body? What does the prostate gland do? What causes the prostate gland to enlarge? Do many other men have prostate problems? How do I know my problem is not prostate cancer? What are the symptoms of an enlarged prostate? ...

  14. Enlarged Vestibular Aqueducts and Childhood Hearing Loss

    Science.gov (United States)

    ... Health Info » Hearing, Ear Infections, and Deafness Enlarged Vestibular Aqueducts and Childhood Hearing Loss On this page: ... more information about enlarged vestibular aqueducts? What are vestibular aqueducts? The inner ear Credit: NIH Medical Arts ...

  15. MRI manifestations of enlarged superior ophthalmic vein

    Institute of Scientific and Technical Information of China (English)

    WEI Rui-li; MA Xiao-ye; CAI Ji-ping; ZHU Huang

    2002-01-01

    Objective:To assess MRI in the evaluation of enlarged superior ophthalmic vein (SOV). Methods: MRI manifestations and etiology of forty-six patients with enlarged SOV were analyzed. Results: SOV enlargement was noted to occur in carotid-cavernous fistula, ophthalmic Graves'disease, Tolosa-Hunt syndrome, inflammation at the apex of the orbit, orbital pseudotumor and thrombosis of cavernous sinus. The dilated vein appeared as signal void tubular shadows on both T1 and T2 weighted images. The diameter of the enlarged vein was 3.5-6.0 mm. Extraocular muscle enlargement, orbital pathologies, enlarged carotid cavernous sinus etc were also revealed by MRI. Conclusion: The dilated SOV may be well demonstrated by MRI. The etiological diagnosis of enlarged SOV can be made in combination with the associated findings.

  16. The Fungal Defensin Family Enlarged

    Directory of Open Access Journals (Sweden)

    Jiajia Wu

    2014-08-01

    Full Text Available Fungi are an emerging source of peptide antibiotics. With the availability of a large number of model fungal genome sequences, we can expect that more and more fungal defensin-like peptides (fDLPs will be discovered by sequence similarity search. Here, we report a total of 69 new fDLPs encoded by 63 genes, in which a group of fDLPs derived from dermatophytes are defined as a new family (fDEF8 according to sequence and phylogenetic analyses. In the oleaginous fungus Mortierella alpine, fDLPs have undergone extensive gene expansion. Our work further enlarges the fungal defensin family and will help characterize new peptide antibiotics with therapeutic potential.

  17. Intratumoral Interleukin-21 Increases Antitumor Immunity, Tumor-infiltrating CD8(+) T-cell Density and Activity, and Enlarges Draining Lymph Nodes

    DEFF Research Database (Denmark)

    Sondergaard, H.; Galsgaard, E.D.; Bartholomaeussen, M.;

    2010-01-01

    generally benefits the tumor microenvironment and activates tumor-draining LNs. Overall, our data suggest that IL-21 augments CD8(+) T-cell-mediated antitumor immunity through increased proliferation and effector function and acts both on tumor-infiltrating CD8(+) T cells as well as on the draining LNs......, and investigated the mechanisms by which IL-21 enhances CD8(+) T-cell-mediated antitumor immunity. We found that in comparison to subcutaneous administration, IT administration of IL-21 more potently inhibited tumor growth and increased survival. This correlated with increased densities of tumor-infiltrating CD8...

  18. Prenatal Exposure to Autism-Specific Maternal Autoantibodies Alters Proliferation of Cortical Neural Precursor Cells, Enlarges Brain, and Increases Neuronal Size in Adult Animals.

    Science.gov (United States)

    Martínez-Cerdeño, Verónica; Camacho, Jasmin; Fox, Elizabeth; Miller, Elaine; Ariza, Jeanelle; Kienzle, Devon; Plank, Kaela; Noctor, Stephen C; Van de Water, Judy

    2016-01-01

    Autism spectrum disorders (ASDs) affect up to 1 in 68 children. Autism-specific autoantibodies directed against fetal brain proteins have been found exclusively in a subpopulation of mothers whose children were diagnosed with ASD or maternal autoantibody-related autism. We tested the impact of autoantibodies on brain development in mice by transferring human antigen-specific IgG directly into the cerebral ventricles of embryonic mice during cortical neurogenesis. We show that autoantibodies recognize radial glial cells during development. We also show that prenatal exposure to autism-specific maternal autoantibodies increased stem cell proliferation in the subventricular zone (SVZ) of the embryonic neocortex, increased adult brain size and weight, and increased the size of adult cortical neurons. We propose that prenatal exposure to autism-specific maternal autoantibodies directly affects radial glial cell development and presents a viable pathologic mechanism for the maternal autoantibody-related prenatal ASD risk factor.

  19. Prenatal Exposure to Autism-Specific Maternal Autoantibodies Alters Proliferation of Cortical Neural Precursor Cells, Enlarges Brain, and Increases Neuronal Size in Adult Animals.

    Science.gov (United States)

    Martínez-Cerdeño, Verónica; Camacho, Jasmin; Fox, Elizabeth; Miller, Elaine; Ariza, Jeanelle; Kienzle, Devon; Plank, Kaela; Noctor, Stephen C; Van de Water, Judy

    2016-01-01

    Autism spectrum disorders (ASDs) affect up to 1 in 68 children. Autism-specific autoantibodies directed against fetal brain proteins have been found exclusively in a subpopulation of mothers whose children were diagnosed with ASD or maternal autoantibody-related autism. We tested the impact of autoantibodies on brain development in mice by transferring human antigen-specific IgG directly into the cerebral ventricles of embryonic mice during cortical neurogenesis. We show that autoantibodies recognize radial glial cells during development. We also show that prenatal exposure to autism-specific maternal autoantibodies increased stem cell proliferation in the subventricular zone (SVZ) of the embryonic neocortex, increased adult brain size and weight, and increased the size of adult cortical neurons. We propose that prenatal exposure to autism-specific maternal autoantibodies directly affects radial glial cell development and presents a viable pathologic mechanism for the maternal autoantibody-related prenatal ASD risk factor. PMID:25535268

  20. Acute exacerbation of airspace enlargement with fibrosis

    OpenAIRE

    Tomoyuki Kakugawa; Kazuhiro Tabata; Daiki Ogawara; Tomoshi Tsuchiya; Shintaro Hara; Noriho Sakamoto; Yuji Ishimatsu; Kazuto Ashizawa; Takeshi Nagayasu; Junya Fukuoka; Shigeru Kohno

    2014-01-01

    In 2008, Kawabata et al. described a lesion which they termed “airspace enlargement with fibrosis” that could be included on the spectrum of smoking-related interstitial lung diseases. This group also reported that patients with airspace enlargement with fibrosis but without coexisting interstitial pneumonia of another type had no acute exacerbations and favorable prognoses on clinical follow-up. Here we describe the first case, to our knowledge, of acute exacerbation of airspace enlargement ...

  1. Unusual Gingival Enlargement: A Rare Case Report

    Directory of Open Access Journals (Sweden)

    Ashutosh Dixit

    2014-01-01

    Full Text Available This is an atypical case report of a 20-year-old male patient who suffered from unusual unilateral, gingival enlargement together with rapidly progressive alveolar bone loss. The enlarged gingiva completely covered his left posterior teeth in both arches. The patient was diagnosed with gingival fibromatosis and aggressive periodontitis based on the clinical, histological, and radiographic findings. The gingival enlargement was treated by conventional gingivectomy under local anaesthesia. The postoperative result was uneventful.

  2. The European Union's Eastward Enlargement

    Directory of Open Access Journals (Sweden)

    Hanns-D. Jacobsen

    1997-08-01

    Full Text Available In July 1997 the Commission of the European Union presented its Agenda 2000. This document not only suggested to start accession talks with some East and Central European countries (CEEC in early 1998 but it also provided proposals for a restructuring of EU expenditures. On this background this contribution discusses the state of readiness of the Central and East European countries to become EU members over the next few years and the Union's capacity to absorb up to ten CEEC over the next decade or so. This study concludes that the European Union has become an anchor of stability to the CEEC that guarantees both democracy and economic security--much more than could be expected only a couple of years ago. The Union's readiness to accept the membership of CEEC has, in a decisive way, contributed to their societal, political and economic stabilization. There is almost a contest among the CEEC on which one is going to meet the accession criteria first and best. The enlargement process, however, is connected to problems the resolution of which realistically postpone its successful conclusion at least into the year 2005. The main reasons are (1 the welfare gap between the EU area and the CEEC, (2 the need for more institutional and economic changes in the CEEC to make them ready for acces-sion, and, most importantly, (3 the necessity for the European Union to prepare herself for accession by a comprehensive financial reform and fundamental institutional changes.

  3. The "New Politics" of EU's Eastern Enlargement

    DEFF Research Database (Denmark)

    Zank, Wolfgang

    The paper gives an overview of EU's eastern enlargement and draws some theoretical conclusions. In particular, it stresses the point that the EU member states in the process of enlargement have entered a phase of "new politics", characterised by multilateralism, conditionality, help and binding a...

  4. Enhancement of Median Nerve Regeneration by Mesenchymal Stem Cells Engraftment in an Absorbable Conduit: Improvement of Peripheral Nerve Morphology with Enlargement of Somatosensory Cortical Representation.

    Directory of Open Access Journals (Sweden)

    Julia Teixeira Oliveira

    2014-10-01

    Full Text Available We studied the morphology and the cortical representation of the median nerve (MN, 10 weeks after a transection immediately followed by treatment with tubulization using a polycaprolactone (PCL conduit with or without bone marrow-derived mesenchymal stem cell (MSC transplant. In order to characterize the cutaneous representation of MN inputs in primary somatosensory cortex (S1, electrophysiological cortical mapping of the somatosensory representation of the forepaw and adjacent body parts was performed after acute lesion of all brachial plexus nerves, except for the MN. This was performed in ten adult male Wistar rats randomly assigned in 3 groups: MN Intact (n=4, PCL-Only (n=3 and PCL+MSC (n=3. Ten weeks before mapping procedures in animals from PCL-Only and PCL+MSC groups, animal were subjected to MN transection with removal of a 4-mm-long segment, immediately followed by suturing a PCL conduit to the nerve stumps with (PCL+MSC group or without (PCL-Only group injection of MSC into the conduit. After mapping the representation of the MN in S1, animals had a segment of the regenerated nerve processed for light and transmission electron microscopy. For histomorphometric analysis of the nerve segment, sample size was increased to 5 animals per experimental group. The PCL+MSC group presented a higher number of myelinated fibers and a larger cortical representation of MN inputs in S1 (3,383±390 fibers; 2.3 mm2, respectively than the PCL-Only group (2,226±575 fibers; 1.6 mm2. In conclusion, MSC-based therapy associated with PCL conduits can improve MN regeneration. This treatment seems to rescue the nerve representation in S1, thus minimizing the stabilization of new representations of adjacent body parts in regions previously responsive to the MN.

  5. Enlarged facial pores: an update on treatments.

    Science.gov (United States)

    Dong, Joanna; Lanoue, Julien; Goldenberg, Gary

    2016-07-01

    Enlarged facial pores remain a common dermatologic and cosmetic concern from acne and rosacea, among other conditions, that is difficult to treat due to the multifactorial nature of their pathogenesis and negative impact on patients' quality of life. Enlarged facial pores are primarily treated through addressing associative factors, such as increased sebum production and cutaneous aging. We review the current treatment modalities for enlarged or dense facial pores, including topical retinoids, chemical peels, oral antiandrogens, and lasers and devices, with a focus on newer therapies. PMID:27529707

  6. Severe gingival enlargement associated with aggressive periodontitis

    Directory of Open Access Journals (Sweden)

    Shyam Padmanabhan

    2013-01-01

    Full Text Available Enlargement of the gingiva can be due to various causes. Most prevalent are the inflammatory type and drug-induced type of gingival hyperplasia. However, sever enlargement associated with an aggressive type of periodontitis is an infrequent finding. Reported here is a case of a female patient aged 18 years who presented with severe enlargement of the maxillary and mandibular gingiva. Examination revealed enlargement extending up to the incisal edge of all the teeth and also an associated generalized loss of attachment with radiographic evidence of reduced bone height resembling an aggressive type of periodontitis. There were no associated systemic signs and symptoms or any family history except that there was generalized vitiligo of the skin and oral mucous membrane. The case was treated by gross electrosection of the gingiva.

  7. Idiopathic gingival enlargement and its management

    Directory of Open Access Journals (Sweden)

    Shetty Arvind

    2010-01-01

    Full Text Available Idiopathic gingival enlargement is a proliferative fibrous lesion of the gingival tissue that causes esthetic and functional problems. Both genetically and pharmacologically induced forms of gingival enlargement exist. This case report addresses the diagnosis and treatment of a case of idiopathic gingival enlargement in a 13-year-old female. The patient presented with generalized diffuse gingival enlargement involving the maxillary and mandibular arches extending on buccal and lingual/palatal surfaces and covering incisal / occlusal third of the tooth resulting in difficulty in speech and mastication since last three years. Patient also gave a history of surgical treatment being carried out four years back in upper anterior region suggesting of recurrence. Biopsy report confirmed the diagnosis of gingival hyperplasia. Gingivectomy was carried out in all four quadrants by using four different methods.

  8. Severe gingival enlargement associated with aggressive periodontitis.

    Science.gov (United States)

    Padmanabhan, Shyam; Dwarakanath, C D

    2013-01-01

    Enlargement of the gingiva can be due to various causes. Most prevalent are the inflammatory type and drug-induced type of gingival hyperplasia. However, sever enlargement associated with an aggressive type of periodontitis is an infrequent finding. Reported here is a case of a female patient aged 18 years who presented with severe enlargement of the maxillary and mandibular gingiva. Examination revealed enlargement extending up to the incisal edge of all the teeth and also an associated generalized loss of attachment with radiographic evidence of reduced bone height resembling an aggressive type of periodontitis. There were no associated systemic signs and symptoms or any family history except that there was generalized vitiligo of the skin and oral mucous membrane. The case was treated by gross electrosection of the gingiva.

  9. Electrocardiographically Determination of Cardiac Enlargements in Dogs

    OpenAIRE

    Gönül, Remzi; OR, Mehmet Erman; DODURKA, Tamer

    2002-01-01

    In this study, the electrocardiographic parameters necessary to determine cardiac enlargements and to establish and distinguish such complaints from each other in the early stage in dogs with circulatory problems were assessed. The material of the study consisted of 33 dogs 1.5-15 years of age with cardiac enlargements determined from 140 dogs suspected of having cardiac disease based on clinical, radiographic and electrocardiographic analyses. In these dogs, 12 cases of left atrial hypert...

  10. Acute exacerbation of airspace enlargement with fibrosis

    Directory of Open Access Journals (Sweden)

    Tomoyuki Kakugawa

    2014-01-01

    Full Text Available In 2008, Kawabata et al. described a lesion which they termed “airspace enlargement with fibrosis” that could be included on the spectrum of smoking-related interstitial lung diseases. This group also reported that patients with airspace enlargement with fibrosis but without coexisting interstitial pneumonia of another type had no acute exacerbations and favorable prognoses on clinical follow-up. Here we describe the first case, to our knowledge, of acute exacerbation of airspace enlargement with fibrosis without coexisting interstitial pneumonia of another type. An 82-year-old man was referred to our department for worsening dyspnea and new alveolar opacities on chest radiograph following left pulmonary segmentectomy (S6 for cancer. A diagnosis of acute exacerbation of airspace enlargement with fibrosis without coexisting interstitial pneumonia of other types was made, based on pathological evidence of airspace enlargement with fibrosis and organizing diffuse alveolar damage. Treatment with high-dose methylprednisolone followed by tapered oral prednisolone resulted in gradual improvement of the clinical condition and chest radiographic findings. Clinicians should be aware that patients with airspace enlargement with fibrosis may experience acute exacerbation.

  11. Generalised Leukaemic Gingival Enlargement: a Case Report

    Directory of Open Access Journals (Sweden)

    Mechery Reenesh

    2012-09-01

    Full Text Available Background: Acute myeloblastic leukaemia is a malignant bone marrow neoplasm of myeloid precursors of white blood cells. Due to its high morbidity rate, early diagnosis and appropriate medical therapy is essential. Methods: The article highlights normal blood alterations like anaemia, thrombocytopenia, leukocytosis and advanced diagnostic aids like flow cytometry, special staining as a diagnostic modality as well as for prognostic information in acute leukaemia, particularly as a tool for assigning lineage and facilitating further pathologic classification which may be helpful in influencing treatment strategies.Results: On clinical examination the case presented with features of inflammatory gingival enlargement with presence of local deposits and calculus. Routine blood examination anaemia, thrombocytopenia, leukocytosis with haemoglobin 5.6 gm% and total leukocyte count of 1,12,000 / cu mm suggestive of leukaemia. Myeloperoxidase and leukocyte nonspecific esterase (NSE special stain were used which showed presence of myeloblasts in the peripheral smear suggestive of acute myelocytic leukaemia. Flow cytometry were done which further helped in interpretation of these cells which showed to be strongly positive for CD45, CD13, CD14, and anti HLADR and moderately positive for CD4, CD34 and Anti MPO confirming to be case of AML-M4 with 57.73% gating.Conclusions: Fact that gingival alterations are sometimes the first manifestations of the disease implies that dental professionals must be sufficiently familiarized with the clinical manifestations of systemic diseases. The timely referral by the general dentist for a suspicious lesion provided an early diagnosis and early intervention reducing the patient morbidity.

  12. Enlarging Red Blood Cell Distribution Width During Hospitalization Identifies a Very High-Risk Subset of Acutely Decompensated Heart Failure Patients and Adds Valuable Prognostic Information on Top of Hemoconcentration

    Science.gov (United States)

    Ferreira, João Pedro; Girerd, Nicolas; Arrigo, Mattia; Medeiros, Pedro Bettencourt; Ricardo, Miguel Bento; Almeida, Tiago; Rola, Alexandre; Tolpannen, Heli; Laribi, Said; Gayat, Etienne; Mebazaa, Alexandre; Mueller, Christian; Zannad, Faiez; Rossignol, Patrick; Aragão, Irene

    2016-01-01

    Abstract Red blood cell distribution width (RDW) may serve as an integrative marker of pathological processes that portend worse prognosis in heart failure (HF). The prognostic value of RDW variation (ΔRDW) during hospitalization for acute heart failure (AHF) has yet to be studied. We retrospectively analyzed 2 independent cohorts: Centro Hospitalar do Porto (derivation cohort) and Lariboisière hospital (validation cohort). In the derivation cohort a total of 170 patients (age 76.2 ± 10.3 years) were included and in the validation cohort 332 patients were included (age 76.4 ± 12.2 years). In the derivation cohort the primary composite outcome of HF admission and/or cardiovascular death occurred in 78 (45.9%) patients during the 180-day follow-up period. Discharge RDW and ΔRDW were both increased when hemoglobin levels were lower; peripheral edema was also associated with increased discharge RDW (all P  15% at discharge was associated with a 2-fold increase in event rate, HR = 1.95 (1.05–3.62), P = 0.04, while a ΔRDW >0 also had a strong association with outcome, HR = 2.47 (1.35–4.51), P = 0.003. The addition of both discharge RDW > 15% and ΔRDW > 0 to hemoconcentration was associated with a significant improvement in the net reclassification index, NRI = 18.3 (4.3–43.7), P = 0.012. Overlapping results were found in the validation cohort. As validated in 2 independent AHF cohorts, an in-hospital RDW enlargement and an elevated RDW at discharge are associated with increased rates of mid-term events. RDW variables improve the risk stratification of these patients on top of well-established prognostic markers. PMID:27057905

  13. Phospholipids trigger Cryptococcus neoformans capsular enlargement during interactions with amoebae and macrophages.

    Directory of Open Access Journals (Sweden)

    Cara J Chrisman

    2011-05-01

    Full Text Available A remarkable aspect of the interaction of Cryptococcus neoformans with mammalian hosts is a consistent increase in capsule volume. Given that many aspects of the interaction of C. neoformans with macrophages are also observed with amoebae, we hypothesized that the capsule enlargement phenomenon also had a protozoan parallel. Incubation of C. neoformans with Acanthamoeba castellanii resulted in C. neoformans capsular enlargement. The phenomenon required contact between fungal and protozoan cells but did not require amoeba viability. Analysis of amoebae extracts showed that the likely stimuli for capsule enlargement were protozoan polar lipids. Extracts from macrophages and mammalian serum also triggered cryptococcal capsular enlargement. C. neoformans capsule enlargement required expression of fungal phospholipase B, but not phospholipase C. Purified phospholipids, in particular, phosphatidylcholine, and derived molecules triggered capsular enlargement with the subsequent formation of giant cells. These results implicate phospholipids as a trigger for both C. neoformans capsule enlargement in vivo and exopolysaccharide production. The observation that the incubation of C. neoformans with phospholipids led to the formation of giant cells provides the means to generate these enigmatic cells in vitro. Protozoan- or mammalian-derived polar lipids could represent a danger signal for C. neoformans that triggers capsular enlargement as a non-specific defense mechanism against potential predatory cells. Hence, phospholipids are the first host-derived molecules identified to trigger capsular enlargement. The parallels apparent in the capsular response of C. neoformans to both amoebae and macrophages provide additional support for the notion that certain aspects of cryptococcal virulence emerged as a consequence of environmental interactions with other microorganisms such as protists.

  14. Atypical And Severe Enlargement Of Right Atrium.

    Science.gov (United States)

    Siniscalchi, Carmine; Rossetti, Pietro; Rocci, Anna; Rubino, Pasquale; Basaglia, Manuela; Gaibazzi, Nicola; Quintavalla, Roberto

    2016-01-01

    A 76 year-old woman was admitted to the Emergency Department for recent-onset dyspnea and cough. The electrocardiogram was considered inconclusive. A thoracic X-ray showed global cardiac profile enlargement. Computed tomography, acutely performed in the clinical suspicion of atypical pneumonia/myocarditis or pericardial effusion, showed cardiac enlargement especially of the right chambers. In order to investigate Ebstein's anomaly, pericardial cysts, tumors or other conditions of the right heart a simple trans-thoracic echocardiogram was performed. Four chambers view showed a giant right atrium aneurysm with moderate tricuspid regurgitation without stenosis or typical Ebstein's echocardiographic pattern. PMID:27649002

  15. Aortic Annular Enlargement during Aortic Valve Replacement

    Directory of Open Access Journals (Sweden)

    Selman Dumani

    2016-09-01

    Full Text Available In the surgery of aortic valve replacement is always attempted, as much as possible, to implant the larger prosthesis with the mains goals to enhance the potential benefits, to minimise transvalvular gradient, decrease left ventricular size and avoid the phenomenon of patient-prosthesis mismatch. Implantation of an ideal prosthesis often it is not possible, due to a small aortic annulus. A variety of aortic annulus enlargement techniques is reported to avoid patient-prosthesis mismatch. We present the case that has submitted four three times open heart surgery. We used Manouguian technique to enlarge aortic anulus with excellent results during the fourth time of surgery.

  16. Body-enlarging effect of royal jelly in a non-holometabolous insect species, Gryllus bimaculatus

    Directory of Open Access Journals (Sweden)

    Atsushi Miyashita

    2016-06-01

    Full Text Available Honeybee royal jelly is reported to have body-enlarging effects in holometabolous insects such as the honeybee, fly and silkmoth, but its effect in non-holometabolous insect species has not yet been examined. The present study confirmed the body-enlarging effect in silkmoths fed an artificial diet instead of mulberry leaves used in the previous literature. Administration of honeybee royal jelly to silkmoth from early larval stage increased the size of female pupae and adult moths, but not larvae (at the late larval stage or male pupae. We further examined the body-enlarging effect of royal jelly in a non-holometabolous species, the two-spotted cricket Gryllus bimaculatus, which belongs to the evolutionarily primitive group Polyneoptera. Administration of royal jelly to G. bimaculatus from its early nymph stage enlarged both males and females at the mid-nymph and adult stages. In the cricket, the body parts were uniformly enlarged in both males and females; whereas the enlarged female silkmoths had swollen abdomens. Administration of royal jelly increased the number, but not the size, of eggs loaded in the abdomen of silkmoth females. In addition, fat body cells were enlarged by royal jelly in the silkmoth, but not in the cricket. These findings suggest that the body-enlarging effect of royal jelly is common in non-holometabolous species, G. bimaculatus, but it acts in a different manner than in holometabolous species.

  17. Enlargement of thalamic nuclei in Tourette syndrome

    DEFF Research Database (Denmark)

    Miller, Ann M; Bansal, Ravi; Hao, Xuejun;

    2010-01-01

    were 5% larger in the group composed of children and adults with TS. Statistical maps of surface contour demonstrated enlargement over the lateral thalamus. Post hoc testing indicated that differences in IQ, comorbid illnesses, and medication use did not account for these findings. CONCLUSIONS...

  18. A rapidly enlarging cutaneous hemangioma in pregnancy

    Directory of Open Access Journals (Sweden)

    Marwan Ma’ayeh

    2014-10-01

    Full Text Available This is a case of a rapidly enlarging cutaneous pedunculated tumor on a patient’s thumb during her pregnancy. This was excised and identified as a hemangioma. A literature search identified a possible hormonal factor in causing an accelerated growth of this tumor.

  19. Nato enlarging into the Baltic States

    Index Scriptorium Estoniae

    2003-01-01

    Prahas 21.-22. novembrini 2002 toimunud NATO tippkohtumisest ja seal vastu võetud otsusest Balti riikide alliansiga ühinemise kohta. Vt. samas: Russia's attitude to the NATO enlargement; Bush in Vilnius; Baltic states' prime ministers' met; Supporting USA?

  20. Penile Enlargement : From Medication to Surgery

    NARCIS (Netherlands)

    Nugteren, Helena M.; Balkema, G. T.; Pascal, A. L.; Schultz, W. C. M. Weijmar; Nijman, J. M.; Van Driel, M. F.

    2010-01-01

    Penis lengthening pills, stretch apparatus, vacuum pumps, silicone injections, and lengthening and thickening operations are available for men who worry about their penis size. Surgery is thus far the only proven scientific method for penile enlargement. In this article, we consider patient selectio

  1. A rapidly enlarging cutaneous hemangioma in pregnancy.

    LENUS (Irish Health Repository)

    Ma'ayeh, Marwan

    2014-06-18

    This is a case of a rapidly enlarging cutaneous pedunculated tumor on a patient\\'s thumb during her pregnancy. This was excised and identified as a hemangioma. A literature search identified a possible hormonal factor in causing an accelerated growth of this tumor.

  2. Hearts and Flowers: Learning To Enlarge Images.

    Science.gov (United States)

    Kalil, Judy

    2003-01-01

    Describes a lesson that teaches kindergarten students how to enlarge a smaller drawing onto a bigger piece of paper. Explains that the students create their heart-shape designs using tempera paint and pastels in the larger picture. Includes a list of materials. (CMK)

  3. Liver enlargement demonstrated by scintigraphy in rheumatoid arthritis

    Energy Technology Data Exchange (ETDEWEB)

    Tiger, L.H.; Gordon, M.H.; Ehrlich, G.E.; Shapiro, B.

    1976-03-01

    Scintigraphic scanning employing technetium-99m sulfur colloid was used to assess the size of the liver and spleen in 32 consecutive patients with rheumatoid arthritis. The data were correlated with clinical and laboratory assessment. Seven patients had enlarged livers, three enlarged spleens. An expected correlation of liver enlargement with Sjogren's syndrome did not materialize. Splenic enlargement and liver enlargement were discordant. Liver enlargement correlation best with elevations of rheumatoid factor as measured by latex fixation. As liver enlargement is not an appreciated feature of rheumatoid arthritis, these findings suggest that hepatomegaly need not necessarily imply adverse treatment results or the development of lymphoproliferative disorders.

  4. ES1 is a mitochondrial enlarging factor contributing to form mega-mitochondria in zebrafish cones.

    Science.gov (United States)

    Masuda, Takamasa; Wada, Yasutaka; Kawamura, Satoru

    2016-03-01

    Total mass of mitochondria increases during cell proliferation and differentiation through mitochondrial biogenesis, which includes mitochondrial proliferation and growth. During the mitochondrial growth, individual mitochondria have been considered to be enlarged independently of mitochondrial fusion. However, molecular basis for this enlarging process has been poorly understood. Cone photoreceptor cells in the retina possess large mitochondria, so-called mega-mitochondria that have been considered to arise via the enlarging process. Here we show that ES1 is a novel mitochondria-enlarging factor contributing to form mega-mitochondria in cones. ES1 is specifically expressed in cones and localized to mitochondria including mega-mitochondria. Knockdown of ES1 markedly reduced the mitochondrial size in cones. In contrast, ectopic expression of ES1 in rods significantly increased both the size of individual mitochondria and the total mass of the mitochondrial cluster without changing the number of them. RNA-seq analysis showed that ERRα and its downstream mitochondrial genes were significantly up-regulated in the ES1-expressing rods, suggesting facilitation of mitochondrial enlargement via ERRα-dependent processes. Furthermore, higher energy state was detected in the ES1-expressing rods, indicating that the enlarged mitochondria by ES1 are capable of producing high energy. ES1 is the mitochondrial protein that is first found to promote enlargement of individual mitochondria.

  5. Enlarged pancreas: not always a cancer.

    Science.gov (United States)

    Calculli, Lucia; Festi, Davide; Pezzilli, Raffaele

    2015-02-01

    Pancreatic fat accumulation has been described with various terms including pancreatic lipomatosis, pancreatic steatosis, fatty replacement, fatty infiltration, fatty pancreas, lipomatous pseudohypertrophy and nonalcoholic fatty pancreas disease. It has been reported to be associated with type 2 diabetes mellitus, acute pancreatitis, pancreatic cancer and the formation of pancreatic fistula. The real incidence of this condition is still unknown. We report a case of pancreatic steatosis in a non-obese female patient initially diagnosed with a mass in the head of the pancreas. Magnetic resonance imaging (MRI) was carried out to define the characteristics of the pancreatic mass. MRI confirmed the diagnosis of fat pancreas. Enlarged pancreas is not always a cancer, but pancreatic steatosis is characterized by pancreatic enlargement. MRI could give a definite diagnosis of pancreatic steatosis or cancer.

  6. Enlarged pancreas:not always a cancer

    Institute of Scientific and Technical Information of China (English)

    Lucia Calculli; Davide Festi; Raffaele Pezzilli

    2015-01-01

    Pancreatic fat accumulation has been described with various terms including pancreatic lipomatosis, pancre-atic steatosis, fatty replacement, fatty infiltration, fatty pan-creas, lipomatous pseudohypertrophy and nonalcoholic fatty pancreas disease. It has been reported to be associated with type 2 diabetes mellitus, acute pancreatitis, pancreatic cancer and the formation of pancreatic fistula. The real incidence of this condition is still unknown. We report a case of pancreatic steatosis in a non-obese female patient initially diagnosed with a mass in the head of the pancreas. Magnetic resonance imaging (MRI) was carried out to define the characteristics of the pancreatic mass. MRI confirmed the diagnosis of fat pan-creas. Enlarged pancreas is not always a cancer, but pancreatic steatosis is characterized by pancreatic enlargement. MRI could give a definite diagnosis of pancreatic steatosis or cancer.

  7. Why do objects appear enlarged under water?

    Directory of Open Access Journals (Sweden)

    Helen E. Ross

    2003-01-01

    Full Text Available Objects appear enlarged in water by less than the 4/3 angular magnification. They usually appear beyond their optical distance and slightly enlarged in linear size, but not in accordance with size-distance invariance (SDI. We investigated whether misperceptions of angular size could explain the discrepancies. Twenty observers viewed targets of various sizes and distances within transparent tanks 40 cm long containing air or water. They judged distance by hidden reaching, and linear or angular size by adjusting the size of a target in air at a further distance. Matched distance was close to physical distance in air and optical distance in water. All size matches were close to true linear size, and were larger in water than in air. Angular size matches were much too small to explain departures from SDI. Size perception under water is best explained by incomplete adaptation to optical distortion, and by the use of various size cues.

  8. NATO enlargement and its implications for Turkey

    OpenAIRE

    Çatal, Erdoğan

    2001-01-01

    Cataloged from PDF version of article. NATO, which has been throughout the Cold War a collective defense organization, was considered either useless or out of date with the end of the Cold War. However, as it did in the early years of the Cold War, habitually originating from its own dynamics, NATO transformed itself in order to meet the imperatives of the post-Cold War international environment. The geographical enlargement of NATO is the centerpiece of this whole transform...

  9. Fiscal Convergence in an Enlarged European Union

    Directory of Open Access Journals (Sweden)

    Georgeta VINTILĂ

    2014-02-01

    Full Text Available Taxation convergence in the European Union has always been a heatedly debated issue, and it has constantly resurfaced to the limelight as more and more fiscal directive proposals are being discussed. The current study is an analysis of the evolution of taxation convergence tendencies within the European Union in recent years, using sigma-convergence and cluster analysis. Our goal is to analyze the fiscal convergence trends in the context of European Union enlargement over the last two decades.

  10. On How to Enlarge Students’Vocabulary

    Institute of Scientific and Technical Information of China (English)

    ZHANG Chun-xiao

    2015-01-01

    It is of vital importance to enlarge students’vocabulary in English teaching. The methods are:letting students realize the importance of words;teaching English word formation knowledge in class,for example, affixation, conversion, composition, blend⁃ing,backformation,shortening;teaching synonyms and antonyms,teaching words similar in spelling;words association, letting stu⁃dents reading widely;memorizing word lists and so on.

  11. Price convergence in the enlarged internal market

    OpenAIRE

    Dreger, Christian; Kholodilin, Konstantin; Lommatzsch, Kirsten; Slacalek, Jirka; Wozniak, Przemyslaw

    2007-01-01

    In this paper we investigate the effects of EU enlargement on price convergence. The internal market is expected to boost integration and increase efficiency and welfare through a convergence of prices in product markets. Two principal drivers are crucial to explain price developments. On the one hand, higher competition exerts a downward pressure on prices because of lower mark ups. On the other hand, the catching up process of low income countries leads to a rise in the price levels and hig...

  12. Enlarging mediastinal/hilar lymphadenopathy with calcification.

    Science.gov (United States)

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

    2016-02-01

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

  13. Penile enlargement: from medication to surgery.

    Science.gov (United States)

    Nugteren, Helena M; Balkema, G T; Pascal, A L; Schultz, W C M Weijmar; Nijman, J M; van Driel, M F

    2010-01-01

    Penis lengthening pills, stretch apparatus, vacuum pumps, silicone injections, and lengthening and thickening operations are available for men who worry about their penis size. Surgery is thus far the only proven scientific method for penile enlargement. In this article, we consider patient selection, outcome evaluation, and techniques applied. In our view, sexological counseling and detailed explanation of risks and complications are mandatory before any operative intervention. PMID:20169492

  14. THE CRUCIAL THEMES OF EU ENLARGEMENT

    Directory of Open Access Journals (Sweden)

    Jacques Pelkmans

    2001-12-01

    Full Text Available This article provides a critical review of the “terms” of the ongoing EU enlargement, in the light of the European public interest. The European public interest ought to include the prospective (Central European members, within a perspective of an enlarged Union in 2010, or so. The following forms a personalised summary of a major report published (in Dutch in September 2001 by the WRR in The Hague (a think-tank, formally under the Dutch Prime Minister, but by statute fully independent. The author was one of the lead-writers of this report. The present article merely focuses on the policy recommendations of the report. It is hoped that these kinds of critical analyses will help to stimulate solid policy debate on the EU in Romania, on the road to EU membership. The article discusses why the notion of a “core-acquis” would improve the enlargement strategy; the application of the core acquis to the internal market, environment and justice and home affairs; judicial and administrative capacity; accession to “euro-land”; the rapid reform of the CAP; a reform of “cohesion” approaches; and a note on the EU budgetary implications.

  15. Particularities of the European Union enlargement process

    Directory of Open Access Journals (Sweden)

    Andreea Bucur

    2009-12-01

    Full Text Available The European integration model has proven to be so far a successful one, with a high consideration from the other countries of the world and their attempts to replicate its components and to learn from its experience of regional integration is perhaps the most sincere form of appreciation. Contemporary global economy knows various other models of economic integration, but none of the existing forms of regional integration was not up to the achievements of the EU which is distinguished primarily by the stage reached and function andits ability to create unity in the context of diversity. Irreversible process, and currently ongoing, and designed to produce positive results in perspective, the enlargement is one of the most significant factors of European construction success, always accompanying its history, marking the development, institutional structure, mode of cooperation and its policies. For these reasons, the present paper aims to approach the European integration model by the factors that influenced the enlargement and also by the course of events that are reflected in so-called “waves” of EU enlargement.

  16. Enlargement of thalamic nuclei in Tourette syndrome

    DEFF Research Database (Denmark)

    Miller, Ann M; Bansal, Ravi; Hao, Xuejun;

    2010-01-01

    in TS pathogenesis. OBJECTIVE: To study the morphological features of the thalamus in children and adults with TS. DESIGN: A cross-sectional, case-control study using anatomical magnetic resonance imaging. SETTING: University research center. PARTICIPANTS: The 283 participants included 149 with TS...... were 5% larger in the group composed of children and adults with TS. Statistical maps of surface contour demonstrated enlargement over the lateral thalamus. Post hoc testing indicated that differences in IQ, comorbid illnesses, and medication use did not account for these findings. CONCLUSIONS...

  17. Martingale representation property in progressively enlarged filtrations

    CERN Document Server

    Jeanblanc, M

    2012-01-01

    Consider $\\mathbb{G}$ the progressive enlargement of a filtration $\\mathbb{F}$ with a random time $\\tau$. Assuming that, in $\\mathbb{F}$, the martingale representation property holds, we examine conditions under which the martingale representation property holds also in $\\mathbb{G}$. It is noted that the classical results on this subject are no more sufficient to deal with all examples coming from credit risk modeling. In this paper, we introduce a new methodology which extends the various classical results and applies on recent examples.

  18. EU Enlargement between Economic and Political Criteria

    Directory of Open Access Journals (Sweden)

    Romeo-Victor Ionescu

    2013-05-01

    Full Text Available The paper answers at two important questions: Is the EU able to support new adhering processes? and Is the Euro area able to enlarge in 2014? The comparative analysis in the paper covers four economic competitors: EU, USA, China and Japan, and is based on GDP growth rate, unemployment and inflation rates. The second part of the paper deals with an economic forecast during 2015-2016, focused on EU27, Euro area, Croatia and Latvia, in order to discuss the effects of the adhering to EU and Euro area. The results of the two-level analysis are supported by pertinent diagrams and annexes. The analysis uses a neutral statistical database – Eurostat – and dedicated forecast software. The main conclusion of the paper is that the adhering processes from 2013 and 2014 are based on economic and political criteria.

  19. Conductance enlargement in picoscale electroburnt graphene nanojunctions

    Science.gov (United States)

    Sadeghi, Hatef; Mol, Jan A.; Lau, Chit Siong; Briggs, G. Andrew D.; Warner, Jamie; Lambert, Colin J.

    2015-01-01

    Provided the electrical properties of electroburnt graphene junctions can be understood and controlled, they have the potential to underpin the development of a wide range of future sub-10-nm electrical devices. We examine both theoretically and experimentally the electrical conductance of electroburnt graphene junctions at the last stages of nanogap formation. We account for the appearance of a counterintuitive increase in electrical conductance just before the gap forms. This is a manifestation of room-temperature quantum interference and arises from a combination of the semimetallic band structure of graphene and a cross-over from electrodes with multiple-path connectivity to single-path connectivity just before breaking. Therefore, our results suggest that conductance enlargement before junction rupture is a signal of the formation of electroburnt junctions, with a picoscale current path formed from a single sp2 bond. PMID:25730863

  20. EU Enlargement Law: History and Recent Developments: Treaty Custom Concubinage?

    Directory of Open Access Journals (Sweden)

    Dimitry Kochenov

    2005-04-01

    Full Text Available This note provides a detailed account of the development of the EU enlargement law. Based on the material provided by the latest enlargement round, it outlines the main set of enlargement principles, criteria and procedural tools employed by the Union in the process, also making a sketch of the actual chronology of enlargement events. Based on the analysis of the legal regulation of five rounds of enlargement and making parallels with the notion of customary law as understood in public international law, it argues that the Union enlargements have always enjoyed a dual regulation: by written (mostly Treaty based and also by customary enlargement law. The existence of customary law explains the consistency of enlargement regulation throughout all the rounds of this process, notwithstanding the stage of the Treaty reform in force at the time of every particular accession. The minimal amendments introduced into the enlargement article by the Treaty Establishing a Constitution for Europe (Art. I-58 suggest that the future enlargements are likely to be building on the body of customary law in force to date. The process of gradual incorporation of customary law into the written law of the EU is also likely to continue.

  1. Essential role of the unordered VP2 n-terminal domain of the parvovirus MVM capsid in nuclear assembly and endosomal enlargement of the virion fivefold channel for cell entry

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez-Martinez, Cristina; Grueso, Esther [Centro de Biologia Molecular Severo Ochoa (CSIC-UAM), Universidad Autonoma de Madrid, 28049 Cantoblanco, Madrid (Spain); Carroll, Miles [Health Protection Agency, Centre for Emergency Preparedness and Response, Porton Down, Salisbury SP4 OJG, Wilts (United Kingdom); Rommelaere, Jean [Deutsches Krebsforschungszentrum Division F010, Im Neuenheimer Feld 242, D-69120 Heidelberg (Germany); Almendral, Jose M., E-mail: jmalmendral@cbm.uam.es [Centro de Biologia Molecular Severo Ochoa (CSIC-UAM), Universidad Autonoma de Madrid, 28049 Cantoblanco, Madrid (Spain)

    2012-10-10

    The unordered N-termini of parvovirus capsid proteins (Nt) are translocated through a channel at the icosahedral five-fold axis to serve for virus traffick. Heterologous peptides were genetically inserted at the Nt of MVM to study their functional tolerance to manipulations. Insertion of a 5T4-single-chain antibody at VP2-Nt (2Nt) yielded chimeric capsid subunits failing to enter the nucleus. The VEGFR2-binding peptide (V1) inserted at both 2Nt and VP1-Nt efficiently assembled in virions, but V1 disrupted VP1 and VP2 entry functions. The VP2 defect correlated with restricted externalization of V1-2Nt out of the coat. The specific infectivity of MVM and wtVP-pseudotyped mosaic MVM-V1 virions, upon heating and/or partial 2Nt cleavage, demonstrated that some 2Nt domains become intracellularly translocated out of the virus shell and cleaved to initiate entry. The V1 insertion defines a VP2-driven endosomal enlargement of the channel as an essential structural rearrangement performed by the MVM virion to infect.

  2. German and British Trade Unions: Problems and opportunities after enlargement

    OpenAIRE

    ZAHN, Rebecca

    2011-01-01

    This paper examines and compares German and British trade union responses in a European context following the recent European enlargements in 2004 and 2007, enlargements that are unprecedented in the history of the European Union. In particular, the paper undertakes a contextualized comparison of trade union behaviour in responding to the changing regulatory and opportunity structures which present themselves following the enlargements. Account is taken of the role that trade unions adopt wit...

  3. Amygdalar enlargement associated with unique perception.

    Science.gov (United States)

    Asari, Tomoki; Konishi, Seiki; Jimura, Koji; Chikazoe, Junichi; Nakamura, Noriko; Miyashita, Yasushi

    2010-01-01

    Interference by amygdalar activity in perceptual processes has been reported in many previous studies. Consistent with these reports, previous clinical studies have shown amygdalar volume change in multiple types of psychotic disease presenting with unusual perception. However, the relationship between variation in amygdalar volume in the normal population and the tendency toward unusual or unique perception has never been investigated. To address this issue, we defined an index to represent the tendency toward unique perception using ambiguous stimuli: subjects were instructed to state what the figures looked like to them, and "unique responses" were defined depending on the appearance frequency of the same responses in an age- and gender-matched control group. The index was defined as the ratio of unique responses to total responses per subject. We obtained structural brain images and values of the index from sixty-eight normal subjects. Voxel-based morphometry analyses revealed a positive correlation between amygdalar volume and the index. Since previous reports have indicated that unique responses were observed at higher frequency in the artistic population than in the nonartistic normal population, this positive correlation suggests that amygdalar enlargement in the normal population might be related to creative mental activity.

  4. Doorkeepers and Gatecrashers: EU Enlargement and Negotiation Strategies

    DEFF Research Database (Denmark)

    Brücker, Herbert; Schröder, Philipp; Weise, Christian

    2004-01-01

    This paper discusses the eastward enlargement process of the EU in the framework of a simple war of attrition bargaining game. Both players -- the existing EU members and the applicants -- benefit from enlargement, yet for the applicants, reform to the acquis is costly, while the EU prefers subst...

  5. Chest radiographs fail to detect right ventricular enlargement and right atrial enlargement in patients with a pure restrictive ventilatory impairment.

    Science.gov (United States)

    Shivkumar, K; Ravi, K; Henry, J W; Eichenhorn, M S; Stein, P D

    1994-08-01

    The validity of measurements of the cardiac silhouette on chest radiographs for the evaluation of right ventricular enlargement and right atrial enlargement in patients with a pure restrictive ventilatory impairment was investigated in 19 patients. The forced vital capacity (FVC) percent predicted in these patients was 59 +/- 12 percent (mean +/- SD) (range, 29 to 79 percent). Right ventricular enlargement, by two-dimensional echocardiography, was defined as a right ventricular area > 20.4 cm2 and right atrial enlargement was defined as a right atrial area > 15.3 cm2. Chest radiographic measurements in the posteroanterior (PA) projection included distance from the midline to the farthest point of the right border of the cardiac silhouette, transverse cardiac diameter, and cardiothoracic ratio. Measurements in the lateral projection included the lateral horizontal transverse diameter, ventral portion of the lateral broad diameter, and obliteration of the retrosternal space. Neither the right ventricular area nor the right atrial area correlated with any of these radiographic measurements. There were no differences in these chest radiographic measurements among patients with normal right ventricular and right atrial dimensions, patients with right ventricular enlargement, and patients with right atrial enlargement. We conclude, therefore, that PA and lateral chest radiographs do not reliably detect right ventricular enlargement or right atrial enlargement in patients with a pure restrictive ventilatory impairment.

  6. Growth and the Enlargement of a Common Market

    Directory of Open Access Journals (Sweden)

    Cheng-Te Lee

    2013-12-01

    Full Text Available This paper explores the growth effects of the enlargement of a common market from two to three countries by making use of a three-country equilibrium growth model with heterogeneous labour. We prove that the enlargement will stimulate the backward countries’ economic growth. In addition, we also demonstrate that the higher the new member country’s average talent level is, the more likely it is that the enlargement can speed up the initial integrated-economy’s economic growth.

  7. Challenges for monetary policy in the enlarged European monetary Union

    Directory of Open Access Journals (Sweden)

    Radović Irena

    2009-01-01

    Full Text Available The eastward enlargement of the Euro area entails significant implications for the accession candidates in Central and Eastern Europe (CEE, the existing Euro system and the monetary policy of the European Central Bank (ECB. The present analysis assesses the challenges and critical aspects in monetary policy modeling with special emphasis to enlargement. The focus is on the difficulty of implementing a unique currency policy in view or growing heterogeneity within the enlarged monetary union, and secondly - the issue of the voting mechanism within the ECB. When analyzing those two issues, it is conclusive that the difficulties for the ECB and the current Euro zone members will increase. For the enlarged Euro zone, which is becoming more divergent, it will be very hard to find adequate recipes to meet the needs and requirements of all. The big question is: whether centralization of monetary policy is a sustainable and superior solution?.

  8. Prevalence of gingival enlargement in Karnataka school going children

    OpenAIRE

    Krishna, K Bala; Raju, P Krishnam; Chitturi, Radha Raani; Smitha, G; Vijai, S; Srinivas, B. V. V.

    2014-01-01

    Background: Periodontal diseases affect more people all over the world than dental caries. Increase in size of gingiva is known as gingival hyperplasia or gingival enlargement. Gingival swelling is almost universally the result of Fluid accumulation within the tissues. Enlargement and even aesthetically disfiguring over growth of the gingival tissue, is also a common finding of leukemia, scurvy and subjects undergoing the hormonal changes of puberty, pregnancy, menopause and drugs.

  9. The performance of a centrifugal fan with enlarged impeller

    International Nuclear Information System (INIS)

    Highlights: → The influence of impeller enlargement is evaluated numerically and experimentally. → Variation equations of the operation points for enlarged impellers are derived. → Impeller enlargement leads to louder fan noise due to reduced impeller-volute gap. - Abstract: The influence of enlarged impeller in unchanged volute on G4-73 type centrifugal fan performance is investigated in this paper. Comparisons are conducted between the fan with original impeller and two larger impellers with the increments in impeller outlet diameter of 5% and 10% respectively in the numerical and experimental investigations. The internal characteristics are obtained by the numerical simulation, which indicate there is more volute loss in the fan with larger impeller. Experiment results show that the flow rate, total pressure rise, shaft power and sound pressure level have increased, while the efficiency have decreased when the fan operates with larger impeller. Variation equations on the performance of the operation points for the fan with enlarged impellers are suggested. Comparisons between experiment results and the trimming laws show that the trimming laws for usual situation can predict the performance of the enlarged fan impeller with less error for higher flow rate, although the situation of application is not in agreement. The noise frequency analysis shows that higher noise level with the larger impeller fan is caused by the reduced impeller-volute gap.

  10. Rib enlargement in premature infants with bronchopulmonary dysplasia

    Energy Technology Data Exchange (ETDEWEB)

    Yoon, Hye Kyung; Han, Kim Bokyung; Chang, Yun Sil; Choo, In Wook [Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul (Korea, Republic of); Kim, Kyeong Ah [Anyang General Hospital, Anyang (Korea, Republic of)

    2000-04-01

    The purpose of this study is to describe the rib changes seen in patients with brochopulmonary dysplasia (BPD). Serial chest radiographs of nine premature infants with BPD who showed diffuse rib enlargement were reviewed for hyperinflation, which was compared with the observed degree of rib enlargement. Vibrator chest physiotherapy was performed in all cases, and five infants underwent conventional ventilation plus high frequency oscillatory ventilation therapy. Their calcium level was normal whereas alkaline phosphatase and phosphate levels were high. In all infants except one, liver enzyme levels were normal. For the treatment of patent ductus arteriosus, infection, and BPD, medications including indomethacin, antibiotics, and dexamethasone were administered. Vitamin D was given to all patients with total parenteral nutrition. Rib enlargement was found to be severe (n=3D4), moderate (n=3D3), or mild (n=3D2) with undulating margins or posterior tapering (n=3D2). Hyperinflation was noted in eight patients, in seven of whom it was moderate to severe. Among these seven, rib enlargement was severe (n=3D2), moderate (n=3D3), or mild (n=3D2). In one infant with mild hyperinflation, rib enlargement was severe. Bilateral irregular infiltrates and atelectases were noted in all patients. In BPD patients, rib enlargement may be seen. In order to differentiate this process from systemic bone disease or bony dysplasia, an awareness of the rib changes occurring in patients with BPD may be important. (author)

  11. Rib enlargement in premature infants with bronchopulmonary dysplasia

    International Nuclear Information System (INIS)

    The purpose of this study is to describe the rib changes seen in patients with brochopulmonary dysplasia (BPD). Serial chest radiographs of nine premature infants with BPD who showed diffuse rib enlargement were reviewed for hyperinflation, which was compared with the observed degree of rib enlargement. Vibrator chest physiotherapy was performed in all cases, and five infants underwent conventional ventilation plus high frequency oscillatory ventilation therapy. Their calcium level was normal whereas alkaline phosphatase and phosphate levels were high. In all infants except one, liver enzyme levels were normal. For the treatment of patent ductus arteriosus, infection, and BPD, medications including indomethacin, antibiotics, and dexamethasone were administered. Vitamin D was given to all patients with total parenteral nutrition. Rib enlargement was found to be severe (n=3D4), moderate (n=3D3), or mild (n=3D2) with undulating margins or posterior tapering (n=3D2). Hyperinflation was noted in eight patients, in seven of whom it was moderate to severe. Among these seven, rib enlargement was severe (n=3D2), moderate (n=3D3), or mild (n=3D2). In one infant with mild hyperinflation, rib enlargement was severe. Bilateral irregular infiltrates and atelectases were noted in all patients. In BPD patients, rib enlargement may be seen. In order to differentiate this process from systemic bone disease or bony dysplasia, an awareness of the rib changes occurring in patients with BPD may be important. (author)

  12. An unusual case of Burkitt's lymphoma presenting as a gingival enlargement

    OpenAIRE

    Neerja Sethi; Sangeeta Patankar; Rohit Jain; Ankit Mehta

    2015-01-01

    Burkitt's lymphoma is an undifferentiated non-Hodgkin's B-cell lymphoma. Three clinical subtypes are recognized: African (endemic), American and other areas (sporadic) and human immunodeficiency virus (HIV) associated. Sporadic Burkitt's lymphoma is a rare malignancy among Asian population. This report describes a case of sporadic Burkitt's lymphoma presenting as generalized gingival enlargement with an alarmingly rapid spread. This type of rapid progression bespeaks the need for prompt recog...

  13. Surgical management of generalized gingival enlargement - a case series

    International Nuclear Information System (INIS)

    Generalized gingival enlargement is characterized by massive and exuberant gingival overgrowth that poses social, aesthetic, phonetic and functional problems for the patient. Therefore, it requires meticulous management. Objective: To describe the surgical management of generalized gingival enlargement by electrosurgical excision of patients presenting to a tertiary care centre. Study Design: Case series. Materials and Methods: The study was conducted at the Department of Oral and Maxillofacial Surgery, de'Montmorency College of Dentistry, Lahore, from January 2010 to December 2012. A total of sixteen patients were operated by using electrosurgical approach under general anaesthesia for surgical excision of generalized gingival enlargement. Results: All of the sixteen patients, 11 males and 5 females, showed excellent healing postoperatively without any recurrent gingival overgrowth. Discussion: To the best of our knowledge, the current study presents the largest case series of generalized gingival enlargement. Most of these cases were with massive disease due to lack of information of the study population about their disease, delay in referral by the general dental practitioners, painless and innocent nature of the problem. Early referral of such patients to tertiary care centers can prevent the patients from social and psychological embarrassment. Conclusion: Electrosurgical excision is an excellent surgical technique for management of generalized gingival enlargement. Moreover, cross comparative studies are required to establish some diagnostic and therapeutic standards for such patients. (author)

  14. Peculiar enlargement of the nasopharynx in patients with anorexia nervosa

    International Nuclear Information System (INIS)

    We examined the nasopharynx and brain in 17 patients with anorexia nervosa by CT and compared the findings with those of 44 normal subjects and of 5 patients of the same age with marked emaciation caused by various psychiatric disorders. An enlarged nasopharyngeal space with a flattened posterior wall and enlarged lateral pharyngeal recesses were demonstrated in all patients with anorexia nervosa whose weight was lowest at the time of the CT examination, and these CT features regressed or became normal quickly after they had gained some weight. This characteristic enlargement of the nasopharynx and lateral pharyngeal recesses was observed neither in the markedly emaciated patients (2 with schizophrenia, 1 with major depression, 1 with stupor and the other with an extremely unbalanced diet) nor in 44 normal subjects without emaciation. These features were therefore thought to be characteristic and of diagnostic significance. (orig.). With 5 figs., 3 tabs

  15. Peculiar enlargement of the nasopharynx in patients with anorexia nervosa

    Energy Technology Data Exchange (ETDEWEB)

    Okamoto, K. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Ito, J. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Tokiguchi, S. [Department of Radiology, School of Dentistry, Niigata Univ. (Japan); Kuwabara, G. [Department of Radiology, School of Medicine, Niigata University, Niigata (Japan); Nishihara, M. [Department of Radiology, School of Medicine, Niigata University, Niigata (Japan)

    1995-11-01

    We examined the nasopharynx and brain in 17 patients with anorexia nervosa by CT and compared the findings with those of 44 normal subjects and of 5 patients of the same age with marked emaciation caused by various psychiatric disorders. An enlarged nasopharyngeal space with a flattened posterior wall and enlarged lateral pharyngeal recesses were demonstrated in all patients with anorexia nervosa whose weight was lowest at the time of the CT examination, and these CT features regressed or became normal quickly after they had gained some weight. This characteristic enlargement of the nasopharynx and lateral pharyngeal recesses was observed neither in the markedly emaciated patients (2 with schizophrenia, 1 with major depression, 1 with stupor and the other with an extremely unbalanced diet) nor in 44 normal subjects without emaciation. These features were therefore thought to be characteristic and of diagnostic significance. (orig.). With 5 figs., 3 tabs.

  16. Disodium cromoglycate attenuates hypoxia induced enlargement of end-expiratory lung volume in rats.

    Science.gov (United States)

    Maxová, H; Hezinová, A; Vízek, M

    2011-01-01

    Mechanism responsible for the enlargement of end-expiratory lung volume (EELV) induced by chronic hypoxia remains unclear. The fact that the increase in EELV persists after return to normoxia suggests involvement of morphological changes. Because hypoxia has been also shown to activate lung mast cells, we speculated that they could play in the mechanism increasing EELV similar role as in vessel remodeling in hypoxic pulmonary hypertension (HPH). We, therefore, tested an effect of mast cells degranulation blocker disodium cromoglycate (DSCG) on hypoxia induced EELV enlargement. Ventilatory parameters, EELV and right to left heart weight ratio (RV/LV+S) were measured in male Wistar rats. The experimental group (H+DSCG) was exposed to 3 weeks of normobaric hypoxia and treated with DSCG during the first four days of hypoxia, control group was exposed to hypoxia only (H), two others were kept in normoxia as non-treated (N) and treated (N+DSCG) groups. DSCG treatment significantly attenuated the EELV enlargement (H+DSCG = 6.1+/-0.8; H = 9.2+/-0.9; ml +/-SE) together with the increase in minute ventilation (H + DSCG = 190+/-8; H = 273 +/- 10; ml/min +/- SE) and RV/LV + S (H + DSCG = 0.39 +/- 0.03; H = 0.50 +/- 0.06). PMID:22106819

  17. The dilemmas of tax coordination in the enlarged European Union

    DEFF Research Database (Denmark)

    Brøchner, Jens; Jensen, Jesper; Svensson, Patrik;

    2007-01-01

    This study evaluates the economic effects of corporate tax coordination in the enlarged European Union (EU) using a computable general equilibrium model. Our main findings are as follows: (i) Corporate tax coordination can yield modest aggregate welfare gains. The 2004 enlargement of the EU has...... elaborate compensation mechanisms. (iii) The large and diverse country effects suggest that Enhanced Cooperation for a subset of the Member States may be the most likely route towards tax coordination. (iv) Identifying winners and losers from coordination for the purpose of a compensation mechanism may...

  18. Gingival enlargement unveiling sarcoidosis: Report of a rare case

    Directory of Open Access Journals (Sweden)

    Sabeeha Abbas Kadiwala

    2013-01-01

    Full Text Available Sarcoidosis is classified as an acquired systemic granulomatous disease. Because of the fact that sarcoidosis affects multiple tissues and organs, it is characterized by many potential signs and symptoms, as well as by the presence of non-caseating granulomas in the organs involved. Although oral sarcoidosis is relatively rare, it may however, present in the oral cavity. This report presents a rare case of sarcoidosis with the initial presenting symptom as severe generalized gingival enlargement. The gingival enlargement was treated by gingivectomy. After histopathological examination of gingival biopsy and certain special investigations, a diagnosis of sarcoidosis was made.

  19. Mitral-aortic annular enlargement: modification of Manouguian's technique

    Directory of Open Access Journals (Sweden)

    Costa Mario Gesteira

    2002-01-01

    Full Text Available We hereby present a technical modification for mitral-aortic annular enlargement. The mitral valve is replaced through the retro-septal approach, avoiding patches for left atrial roof closure. We report a mitral-aortic valve replacement in a patient whose original annuli would preclude adequate prostheses. The simultaneous annular enlargement may be necessary for avoiding patient-prosthesis mismatch and for reconstructing destroyed mitral and aortic annuli. The technique may minimize the risk of bleeding and of paravalvular leakage, using an approach well known to cardiac surgeons.

  20. Nuclear Safety Recommendations in the Context of EU enlargement

    International Nuclear Information System (INIS)

    The Atomic Questions Group and the Working Party on Nuclear Safety have prepared Report on Nuclear Safety in EU Candidate Countries in the Context of EU enlargement. Recommendations are of two kinds, i.e. general, applied to all candidate countries and county-specific. The list and short description of recommendations is presented

  1. Amygdala and hippocampus enlargement during adolescence in autism.

    NARCIS (Netherlands)

    Groen, W.B.; Teluij, M.; Buitelaar, J.K.; Tendolkar, I.

    2010-01-01

    OBJECTIVE: The amygdala and hippocampus are key components of the neural system mediating emotion perception and regulation and are thought to be involved in the pathophysiology of autism. Although some studies in children with autism suggest that there is an enlargement of amygdala and hippocampal

  2. The Trade and FDI Effects of EMU Enlargement

    NARCIS (Netherlands)

    R. Paap (Richard); J.M.A. Viaene (Jean-Marie); J. Brouwer (Jelle)

    2007-01-01

    textabstractThis paper considers the nature and the distribution of trade and FDI effects of a potential enlargement of the European Monetary Union (EMU) to the ten countries that obtained EU membership in 2004. Intuitively, the implementation of a single currency for these countries means replacing

  3. [Enlargement of the buccal aperture via. Technical consideration (author's transl)].

    Science.gov (United States)

    Pons, J; Pasturel, A; Pochan, Y; Barbier, M

    1979-01-01

    For a long time we know that it is possible to take out from the mouth a part or all the mandibule which presents a local malignant tumour. When the tumour is too extensed, the buccal aperture can be enlarged. The authors describe a new surgical technique which resolves this problem with notable and faithful advantages.

  4. Cryptococcus neoformans capsular enlargement and cellular gigantism during Galleria mellonella infection.

    Directory of Open Access Journals (Sweden)

    Rocío García-Rodas

    Full Text Available We have studied infection of Cryptococcus neoformans in the non-vertebrate host Galleria mellonella with particular interest in the morphological response of the yeast. Inoculation of C. neoformans in caterpillars induced a capsule-independent increase in haemocyte density 2 h after infection. C. neoformans manifested a significant increase in capsule size after inoculation into the caterpillar. The magnitude of capsule increase depended on the temperature, being more pronounced at 37°C than at 30°C, which correlated with an increased virulence of the fungus and reduced phagocytosis at 37°C. Capsule enlargement impaired phagocytosis by haemocytes. Incubation of the yeast in G. mellonella extracts also resulted in capsule enlargement, with the polar lipidic fraction having a prominent role in this effect. During infection, the capsule decreased in permeability. A low proportion of the cells (<5% recovered from caterpillars measured more than 30 µm and were considered giant cells. Giant cells recovered from mice were able to kill the caterpillars in a manner similar to regular cells obtained from in vivo or grown in vitro, establishing their capacity to cause disease. Our results indicate that the morphological transitions exhibited by C. neoformans in mammals also occur in a non-vertebrate host system. The similarities in morphological transitions observed in different animal hosts and in their triggers are consistent with the hypothesis that the cell body and capsular responses represent an adaptation of environmental survival strategies to pathogenesis.

  5. Phenytoin, folic acid and gingival enlargement: Breaking myths

    Directory of Open Access Journals (Sweden)

    Abhishek Singh Nayyar

    2014-01-01

    Full Text Available Background: Epilepsy is described as a chronic neurological disorder characterized by recurrent seizures of cerebral origin, presenting with episodes of sensory, motor or autonomic phenomenon with or, without loss of consciousness. A recent meta-analysis of published and unpublished studies puts an overall prevalence rate of epilepsy in India at 5.59 per 1,000 populations.There have been studies that report clinical benefits of the use of folic acid as an adjuvant to the anti-epileptic therapy in the prevention of anti-epileptic drug induced gingival enlargement. However, studies conducted in the past have also reported precipitation of epileptic attacks in patients on folic acid adjuvant therapy due to fall in sera levels of phenytoin due to drug interactions. The study was planned to investigate the association of phenytoin induced gingival enlargement and sera levels of folic acid in epileptic patients on phenytoin therapy so as to justify the use of folic acid as a routine adjuvant to the usual anti-epileptic therapy to prevent this inevitable adverse effect without destabilizing the ongoing regimen leading to the precipitation of seizures in an otherwise stable patient (breakthrough seizures. Materials and Methods: A total of 100 patients between the ages 18 and 50 years were clinically diagnosed with epilepsy prior to the start of phenytoin therapy were included based on selection criteria and written informed consents were obtained. Assessment of serum folic acid levels and gingival enlargement was performed prior to the start of and after 1 year of phenytoin therapy. Statistical Analysis Used: The statistical analysis was carried out using t-test and the baseline serum folate levels and the serum folate levels obtained after 1 year of phenytoin therapy were correlated with the respective grades of gingival enlargement using Pearson′s coefficient formula. Results: The results of the study confirmed a significant association between low

  6. Enlargement of the European Union and agricultural policy reform

    DEFF Research Database (Denmark)

    Jensen, Maria Skovager; Lind, Kim Martin Hjorth; Zobbe, Henrik

    2009-01-01

    A connection exists between enlargement of the European Union and reforms of the Common Agricultural Policy (CAP). Based upon rational choice theory, we examine whether the member states’ CAP positions are related to structures in their agricultural sectors. The overall hypothesis...... is that intensiveness of agricultural production corresponds to the willingness to reform the CAP. Political CAP positions, together with the development of member states’ structural fundamentals, are analysed using cluster analysis. The results show that EU enlargements have extensified agricultural production...... at the EU level, and that extensive agricultural production in a member state is often an indicator of reduced willingness to reform. However, the intensiveness of agricultural production is only part of the explanation. Moreover, negotiation tactics play an important role for the positions on the CAP....

  7. The EU Eastern enlargement: Policy choices of the Spanish government

    Directory of Open Access Journals (Sweden)

    Piedrafita Tremosa

    2005-01-01

    Full Text Available Eastern enlargement is a process in which the very identity of the European Union is under construction, with its constitutive principles and values being challenged. Policy choices of the member governments participating in this process can not exclusively being explained by rational choice assumptions, but a sociological approach to the issue also becomes necessary. Through the analysis of the Spanish government's policy on enlargement, this paper aims to show how policy preferences might not only respond to a cost-benefit calculus and how policy contents might develop endogenously during the process of policy formation in the EU. In this process there is room for member states to pursue their goals and search a collective decision that better accommodates their self-interest. However, deliberation also matters, and governments have to justify their actions in terms considered legitimate by all according to the constitutive principles and values of the EU polity.

  8. Old 'foundations' and new 'rules' - For an enlarged European Union

    Directory of Open Access Journals (Sweden)

    Philippe C. Schmitter

    1997-04-01

    Full Text Available This paper presents a novel arrangement for the distribution of votes and the rules of decision-making in an enlarged European Union (EU. We make two assumptions: (1 that the EU is condemned to enlarge its membership in the near future; and (2 if it does this without changing the existing rules for voting in the Council of Ministers and distributing seats in the European Parliament, such an expanded EU would suffer severe distortions and disequilibria. However, if it were to adopt a new, simplified system that would combine arrangements for proportional proportionality in representation and concurrent majorities in decision-making, this impending dilemma could be avoided. Moreover, if these reforms were introduced sooner rather than later, they would be easier to agree upon, their impact would be phased in gradually, and their legitimacy could be stabilized in the face of far greater challenges in the future.

  9. The Study on Pipe Sudden Enlargement Local Resistant Coefficient

    Institute of Scientific and Technical Information of China (English)

    ZhaoBao-feng; JinYing-zi; 等

    1999-01-01

    During the design of pipeline,the determination of local resistent coefficient is often come arcoss.The sudden enlargement local resistant coefficient ξ1=[1-A1/A2]2 is determined through theory.In the paper,the sudden enlargement local resistant coefficient under the conditions of three kinds of A1/A2 was studied in experiment.In the end,the result shows that ξ1 is related not only to two flow cross sections,but also to the velocity.Thyough experimental research,the relationship between ξ1,A1/A2 and V1 was determined.In a word,the hydraulic calculation of pipeline can be done by taking correspondent ξ1,according to the design velocity V1 and A1/A2.

  10. A STRAINED EUROPEAN MODEL. IS EASTERN ENLARGEMENT TO BLAME?

    Directory of Open Access Journals (Sweden)

    Daniel Daianu

    2007-04-01

    Full Text Available As anticipated, the recent enlargement has put considerable pressure on the European construction, as most of the EU15 member countries are economically and socially strained and policy-makers have a very hard time in devising proper answers to society’s ills. The paper examines various factors which have strained the European Social Model and which, arguably, make this period of Euro-pessimism quite peculiar. It looks at the race for competitiveness in today’s world and the economic rise of Asia; it looks at some inner dynamics in the European societies (demographics, the crisis of the welfare state, a sort of decadence and it tries to explore what lies ahead, including policy options. An underlying thesis herein is that eastern enlargement is not the culprit for the current pains of the EU member countries, though it may have accentuated some.

  11. Childhood asymmetrical labium majus enlargement sonographic and MR imaging appearances

    International Nuclear Information System (INIS)

    Childhood asymmetrical labium majus enlargement (CALME) has been described sparsely in recent surgery, pathology, pediatric and gynecology literature; however, no comprehensive description from a radiology perspective has been developed. The purpose of this case series is to describe the imaging findings of CALME and to review the current understanding of this recently described clinical entity with regard to clinical presentation, pathophysiology, differential diagnosis and treatment options. This is a retrospective analysis of 3 girls, ages 5-7 years, who presented for imaging evaluation with subsequent pathologically proven CALME. Each child's clinical history, length of symptoms, imaging appearance and pathological findings were reviewed. All three girls presented with unilateral enlargement of the labium majus (two right-side, one left-side) with no history of trauma or other inciting cause. Two girls had painless labial enlargement that was recognized for weeks, and one had similar symptoms for 1 year prior to presentation. One girl was evaluated initially with sonography, and all three children underwent MR imaging. Sonographic evaluation showed asymmetrical labial enlargement without a definable mass. In each girl, the MR imaging findings were characterized by relatively ill-defined T1-weighted hypointense signal, T2-weighted hypo- to isointense signal with interspersed hyperintense septae, and heterogeneous patchy and feathery strands of enhancement on post-contrast imaging. Biopsy from each child showed benign fibrous tissue with intervening mature fibroadipose tissue, vessels and nerves without findings of inflammation or neoplasia. The MR imaging appearance of CALME is consistent. Recognition and appreciation of this unique pediatric entity by the radiologist may be essential for appropriate diagnosis and can help to guide therapy. Current preferred treatment approach is conservative. (orig.)

  12. Ultrastructural changes in the retinopathy, globe enlarged (rge) chick cornea

    OpenAIRE

    Boote, Craig; Hayes, Sally; Robert D. Young; Kamma-Lorger, Christina S.; Hocking, Paul M.; Elsheikh, Ahmed; Inglehearn, Chris F.; Ali, Manir; Meek, Keith M.

    2009-01-01

    In the cornea, the precise organisation of fibrillar collagen and associated proteoglycans comprising the stromal extracellular matrix plays a major role in governing tissue form and function. Recently, abnormal collagen alignment was noted in the misshapen corneas of mature chickens affected by the retinopathy, globe enlarged (rge) mutation. Here we further characterize corneal ultrastructural changes as the rge eye develops post-hatch. Wide-angle X-ray scattering disclosed alteration to dom...

  13. Malignant Mesothelioma Presenting as a Gradually Enlarging Pneumothorax

    OpenAIRE

    Ashish Prasad; Diana Olsen; Sriram, P. S.

    2013-01-01

    Malignant mesothelioma is an extremely aggressive tumor arising from the pleura with median survival of approximately 9–12 months. It can rarely present as a spontaneous pneumothorax. Less than 35 cases of malignant mesothelioma presenting as spontaneous pneumothorax have been reported in the literature. Pathology may show florid mesothelial hyperplasia. We herein report a case of mesothelioma presenting as a pneumothorax that gradually enlarged over a one-year period and also review the rele...

  14. The sustainability of the Barcelona port enlargement works

    OpenAIRE

    Tarragó, D.; Gens Solé, Antonio; Alonso Pérez de Agreda, Eduardo; Romero Morales, Enrique Edgar; Griell, R.; Estrada, J.L.; Uzcanga, J.

    2011-01-01

    In the Barcelona Port enlargement, currently under construction, part of the new quays are being backfilled with re-used materials such as tunneling waste, rubble from demolitions and dredged soils with poor geotechnical properties. This has resulted in a cost-effective and sustainable construction process that is one of the main goals of the Barcelona Port Authority (APB). A series of control tests have been carried out on the mentioned materials. In addition, dredged soils have been impr...

  15. Childhood asymmetrical labium majus enlargement sonographic and MR imaging appearances

    Energy Technology Data Exchange (ETDEWEB)

    Gokli, Ami; Neuman, Jeremy; Lukse, Ruby; Koshy, June [Staten Island University Hospital, Department of Radiology, Staten Island, NY (United States); Kong, Fanyi [Staten Island University Hospital, Department of Pathology, Staten Island, NY (United States); Laor, Tal [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States)

    2016-05-15

    Childhood asymmetrical labium majus enlargement (CALME) has been described sparsely in recent surgery, pathology, pediatric and gynecology literature; however, no comprehensive description from a radiology perspective has been developed. The purpose of this case series is to describe the imaging findings of CALME and to review the current understanding of this recently described clinical entity with regard to clinical presentation, pathophysiology, differential diagnosis and treatment options. This is a retrospective analysis of 3 girls, ages 5-7 years, who presented for imaging evaluation with subsequent pathologically proven CALME. Each child's clinical history, length of symptoms, imaging appearance and pathological findings were reviewed. All three girls presented with unilateral enlargement of the labium majus (two right-side, one left-side) with no history of trauma or other inciting cause. Two girls had painless labial enlargement that was recognized for weeks, and one had similar symptoms for 1 year prior to presentation. One girl was evaluated initially with sonography, and all three children underwent MR imaging. Sonographic evaluation showed asymmetrical labial enlargement without a definable mass. In each girl, the MR imaging findings were characterized by relatively ill-defined T1-weighted hypointense signal, T2-weighted hypo- to isointense signal with interspersed hyperintense septae, and heterogeneous patchy and feathery strands of enhancement on post-contrast imaging. Biopsy from each child showed benign fibrous tissue with intervening mature fibroadipose tissue, vessels and nerves without findings of inflammation or neoplasia. The MR imaging appearance of CALME is consistent. Recognition and appreciation of this unique pediatric entity by the radiologist may be essential for appropriate diagnosis and can help to guide therapy. Current preferred treatment approach is conservative. (orig.)

  16. Western Balkan States and the European Union Enlargement

    Directory of Open Access Journals (Sweden)

    Gelina Maliqi (Ramolli

    2011-07-01

    Full Text Available For half a century, European Union-(EU has pursued ever-deeper integration while taking in new members. It’s marked as an important step in relationship deepening between EU and Western Balkans-(WBs where Albania is part of. In 2003, EU declared that the future of WBs is within EU. Initially it adopted a generous strategy that linked the timetable for accession to the pace of reform in WBs. The declaration contained a conditional promise; EU would consider WBs for membership only if they reached EU standards. The EU was motivated by usual economic considerations connected to enlargement and a desire to increase regional stability. The enlargement process regarding Albania will bring several reforms on different fields. Our country will benefit from a share of multibeneficiary funds for competitiveness, SMEs, energy efficiency and banking sector regulation. This presentation handles out these main issues: EU policy and the enlargement process regarding Albania inspecting the way and progress done up to now by our country, the main features of our national EUcoordination system, concluding in a SWOT Analysis of EU-coordination system in Albania. Eventually, I believe that Albania being part of WBs is at one time an opportunity and a challenge for the future of EU.

  17. Stochastic Schrödinger evolution over piecewise enlarged filtrations

    Science.gov (United States)

    Mengütürk, Levent Ali

    2016-03-01

    This paper constructs a nonlinear filtering framework that admits appearances of new information processes at random times by introducing piecewise enlargements of filtrations and proposes a new energy-based Schrodinger evolution expressed as a stochastic differential equation on a complex Hilbert space. Each information process is modeled as the sum of a random variable taking the eigenvalues of a Hamiltonian and an independent Brownian bridge noise. It is shown that under a piecewise enlarged filtration, the wave function is a jump-diffusion process until it collapses at some terminal time. In between discontinuities, the dynamics of the state vector are governed by different Wiener processes and diffusion coefficients. This motivates the introduction of an inclusive chain of Kolmogorov probability spaces or a *-isomorphic chain of commutative von Neumann probability spaces, on which the quantum system evolves differently based on the number of active information processes. The expectation of the Hamiltonian at a given state is the solution of a second-order nonlinear differential equation determined by one of the possible regimes that the quantum system belongs to. It is shown that the collapse rate is a submartingale with positive jumps and the Shannon entropy process is a supermartingale with expected negative jumps when passing to higher-order probability spaces. The framework is extended to the case when the Hamiltonian is modeled as a function of a set of commutative operators, where each operator is associated with a different piecewise enlarged filtration.

  18. GINGIVAL ENLARGEMENT ASSOCIATED WITH NOCTURNAL FRONTAL LOBE EPILEPSY. A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Sharma ANAMIKA

    2012-12-01

    Full Text Available „Epilepsy” refers to a group of neurological disorders characterized by chronic, recurrent, paroxysmal seizure activity. Nocturnal frontal lobe epilepsy is a neurological disorder characterized by brief, recurring seizures produ‑ ced in the frontal lobes of the brain, often while the patient is sleeping, and also by clusters of brief motor seizures. Seizure disorders may affect the dental status and oral health of patients. Epileptic drugs lead to gingival hyper‑ plasia, namely tissue enlargement, caused by an increased number of cells.

  19. Enlargement of the bony orbit by orbital recurrence of choroidal melanoma 21 years after enucleation

    OpenAIRE

    Simonsz, Huib; Löffler, Karin

    1992-01-01

    textabstractA case is presented of a 58-year-old retarded male with a 6 cm, painless, hard, pigmented tumor filling the left orbit completely, after enucleation 21 years previously for retinal detachment, glaucoma and no light perception. CT scan and MRI revealed, besides the tumor, an outspoken enlargement of the bony orbit with thinning of the orbital walls. A biopsy showed a spindle B cell melanoma. In one of the paraffin histology sections of the globe enucleated 21 years previously a ver...

  20. Non-Hodgkin's lymphoma presenting with uterine and renal enlargement in a young girl

    International Nuclear Information System (INIS)

    Non-Hodgkin's lymphoma (NHL) is the fourth most common childhood malignancy. Uterine involvement with NHL is well described in adults, rare in children and has not been described in the first 2 years of life. While renal involvement in NHL is well recognised, diffuse renal enlargement is an uncommon finding. We report a unique case of B-cell lymphoma of primitive phenotype in a 15-month-old girl with uterine and renal involvement at presentation. We describe the US and MRI features at presentation that helped in the prospective diagnosis of this condition. (orig.)

  1. Non-Hodgkin's lymphoma presenting with uterine and renal enlargement in a young girl

    Energy Technology Data Exchange (ETDEWEB)

    Moon, L.D.; Brenner, C.; McHugh, K.; DeBruyn, R. [Dept. of Radiology, Great Ormond Street Hospital for Children NHS Trust, London (United Kingdom); Ancliff, P. [Dept. of Host Defence, Great Ormond Street Hospital for Children NHS Trust, London (United Kingdom)

    2004-03-01

    Non-Hodgkin's lymphoma (NHL) is the fourth most common childhood malignancy. Uterine involvement with NHL is well described in adults, rare in children and has not been described in the first 2 years of life. While renal involvement in NHL is well recognised, diffuse renal enlargement is an uncommon finding. We report a unique case of B-cell lymphoma of primitive phenotype in a 15-month-old girl with uterine and renal involvement at presentation. We describe the US and MRI features at presentation that helped in the prospective diagnosis of this condition. (orig.)

  2. Sodium valproate induced gingival enlargement with pre-existing chronic periodontitis

    Directory of Open Access Journals (Sweden)

    Vaibhavi Joshipura

    2012-01-01

    Full Text Available Gingival enlargement is a common clinical feature of gingival and periodontal diseases. Currently, more than 20 prescription medications are associated with gingival enlargement. Although the mechanisms of action may be different, the clinical and microscopic appearance of drug-induced gingival enlargement is similar with any drug. Gingival enlargement produces esthetic changes, and clinical symptoms including pain, tenderness, bleeding, speech disturbances, abnormal tooth movement, dental occlusion problems, enhancement of caries development and periodontal disorders. Sodium valproate is considered to produce gingival enlargement, but very rarely. This case report features sodium valproate induced gingival enlargement in a patient with pre-existing chronic periodontitis, who came to the Dental Department, Chinmaya Mission Hospital, Bangalore. The case is special as the patient did not develop the enlargement in spite of taking phenytoin for 1 year and developed enlargement with sodium valproate within 6 months.

  3. Inheritance of enlarged leaf mutations in pea (Pisum sativum L.)

    International Nuclear Information System (INIS)

    In the present study, two pea (Pisum sativum L.) mutants experimentally obtained after gamma irradiation of dry seeds are described. Both mutants were characterized by enlarged leaf size. The mutant 2/462 was shown to have semi-dominant inheritance pattern; 2/927 was sterile and inherited monogenic recessive. The induced mutations have pleiotropic effect, affecting morphological and reproductive traits. New mutants had similar phenotypes to previously named mutants latifolium (lat) and cabbage leaf (calf), but no allelism tests were made between the new and the previously reported mutants. Both mutant lines may be useful plant material for research on leaf development

  4. Krabbe disease – An unusual presentation of optic nerve enlargement

    Directory of Open Access Journals (Sweden)

    Maria Kaloianova

    2015-10-01

    Full Text Available Krabbe disease is an autosomal recessive leukodystrophy that presents clinically with regression of milestones, excessive irritability and inconsolable crying. The pathologic basis of the disease is abnormal myelin metabolism resulting from a deficiency in the galactocerebrosidase enzyme with subsequent white matter destruction. Although optic atrophy is a classic presentation of Krabbe disease, we report on two patients who are biological brothers presenting with optic nerve enlargement in addition to other typical magnetic resonance imaging features of Krabbe disease, thereby confounding the initial diagnosis.

  5. Enlargement of the apical gap after laser root resection

    Science.gov (United States)

    Mello, Guilherme P. S.; Paradella, Thais C.; Munin, Egberto; Mello, Jose B.; Pacheco, Marcos T. T.

    2000-11-01

    An apical filling material should establish, as perfect as possible, the hermetic sealing of an apical cavity. However, a gap is formed between the filling material (gutta-percha) and the root canal wall. The egress of irritants into the root canal system to the periapical tissues is considered the principal cause of fails in apicoectomy and retro-filling, being assumed that irritants penetrate mainly through the gap located between the gutta-percha and the dentin. In this paper, we report the observation of an enlargement of the apical gap, after laser apicoectomy, comparing to conventional apicoectomy. The samples were divided into groups, and the conventional apicoectomy group, together with the Er:YAG laser group (400 mJ/10 Hz) produced both similar results, being the gap unaltered. On the other hand, the samples that were irradiated with the Er:YAG laser, followed by Nd:YAG laser irradiation (1.5 W/10 Hz) presented a larger gap, conclusions that were drawn from Scanning Electronic Microscope analysis. The enlargement of the gap was due to the fusion of the dentin on the border, close to the gutta-percha. This pronounced behavior might have been caused by the surface discontinuity, imposing a non-homogeneous condition, in relation to heat propagation, existing many clinical applications of these observations.

  6. Enlarged tongue due to primary systemic amyloidosis:clinicopathologic observation

    Institute of Scientific and Technical Information of China (English)

    潘卫红; 李娜萍; 梁国芬

    2004-01-01

    @@Primary amyloidosis (AL) is characterized by deposition of abnormal extra cellular protein in the form of fibrils in many organs, especially the heart, kidneys, gastrointestinal tract, and peripheral nervous system.1 Involvement of the tongue is not uncommon in primary AL. In 22 % to 26 % of patients suffering from AL, amyloid deposition in the tongue can result in an enlarged tongue.2 Lingual changes arising from localization or from all over, AL has been reported frequently as initial signs of the disease. Macroscopically, it is difficult to distinguish AL of the tongue from other lesions. In view of the variety of protein species involved and the wide spectrum of possible clinical presentations,3 the diagnosis of lingual AL is frequently overlooked, because immunohistochemical studies of such cases have not been undertaken. Here we describe two male patients with primary systemic AL who developed enlarged tongues. In addition to the manifestation of lingual AL, in which oral signs were the primary indicators of the disease, we describe the immunohistochemical findings of the tongue to discuss diagnostic criteria for lingual amyloid in primary AL.

  7. Diagnostic assessment of enlarged superficial lymph nodes by fine needle aspiration.

    Science.gov (United States)

    Pilotti, S; Di Palma, S; Alasio, L; Bartoli, C; Rilke, F

    1993-01-01

    Two hundred eighty-five consecutive outpatients with enlarged superficial lymph node either clinically suspicious (152) or with a previous diagnosis of a malignant tumor (133) underwent fine needle aspiration (FNA) followed by excisional biopsy. Cytologic and/or cytologic-immunophenotypic diagnoses made on direct smears were compared with subsequent histologic findings. The comparison demonstrated (1) a high rate of conclusive cytologic diagnoses in the assessment of metastatic malignancies, with an overall accuracy rate of 99.1% and a typing accuracy rate of 96.5%; (2) a high rate of conclusive diagnoses in the assessment of high grade non-Hodgkin's lymphomas and Hodgkin's disease, with the exception of the lymphocytic predominance variant of the latter; and (3) significant limitations in the assessment of low grade non-Hodgkin's lymphomas because of the high rate of false-negative diagnoses in cases with a substantial nonmalignant cell component. This was particularly evident in follicular centroblastic-centrocytic lymphomas. Immunocytochemistry appeared to be of limited value in the distinction between centroblastic-centrocytic follicular lymphomas and reactive follicular hyperplasia. The results confirmed the diagnostic value of fine needle aspiration as the first step in the workup of patients with nodal enlargement suspicious for malignancy. In the area of low grade non-Hodgkin's lymphomas, morphologic and immunocytochemical methods need to be supplemented by molecular techniques in order to achieve conclusive diagnoses.

  8. CHANGING FROM WITHIN? THE INTRA-ORGANIZATIONAL DYNAMICS OF EU ENLARGEMENT

    Directory of Open Access Journals (Sweden)

    Velibor JAKOVLESKI

    2015-12-01

    Full Text Available This paper opens up the black box of enlargement, focusing on how the intra-organizational relationships among the Council of the European Union, the European Commission, and the European Parliament affect the process of enlargement. Formally speaking, enlargement is an intergovernmental process, suggesting that member states are firmly in control of its outcomes. However, the EU’s supranational actors, specifically the European Parliament and European Commission also attempt to influence enlargement at various stages. I posit that the process of enlargement to the Western Balkans has evolved, influenced by changing constraints which are operating on the aforementioned actors. The added value of this work is in disaggregating the enlargement process based on its institutionalized relationships in both a vertical and horizontal dimension. It provides a supply-side argument for how enlargement policy has evolved from within the EU, rather than simply as a function of external factors.

  9. Uptake of thallium-201 in enlarged thyroid glands. Concise communication

    Energy Technology Data Exchange (ETDEWEB)

    Fukuchi, M.; Kido, A.; Hyodo, K.; Tachibana, K.; Onoue, K.; Morita, T.; Nagai, K.

    1979-08-01

    We have investigated the thyroid uptake of Tl-201 in 37 patients with various types of goiter, and in six with normal thyroids. Significant thallium uptake was found in all cases in which there was thyroid enlargement, including Graves' disease, toxic thyroid nodule, primary hypothyroidism, simple goiter, Hashimoto's disease, thyroid carcinoma, and thyroid adenoma. If goiter was absent, however, there was no demonstrable uptake - e.g., in secondary hypothyroidism, subacute thyroiditis, and the normal controls. Thallium uptake did not correlate with thyroid function tests such as BMR, T/sub 3/-RU, T/sub 3/, T/sub 4/, TSH, antithyroid antibodies, or the 24-hr I-131 uptake. In 23 patients with diffuse goiter, on the other hand, maximum Tl-201 uptake correlated well with thyroid weight: r = 0.836 (p < 0.001); y = 0.02 x + 0.06.

  10. Drug-associated gingival enlargement in pediatric patients

    Directory of Open Access Journals (Sweden)

    Nowzari H.

    2009-03-01

    Full Text Available "nGingival overgrowth is a drug-associated side effect occurs in pediatric patients. Phenytoin, cyclosporine, calcium channel blockers, and amphetamine are primary drugs that can cause gingival enlargement in children. Pediatric patients are more prone to drug-associated gingival overgrowth rather than adults. Gingival overgrowth may cause functional, phonetic, and nutritional difficulties, and more importantly, may affect the psycho-social development, self-esteem, and quality of life in children. However, the researches about this issue are rare. This Part I paper provides an analysis of pediatric systemic disease and corresponding prescribed medications for selected physical and mental health conditions. This paper describes the morbidity and risk for children related to gingival overgrowth and proposes a framework for action that will be more completely described in a part II paper on this topic.

  11. A Digitally Programmable Differential Integrator with Enlarged Time Constant

    Directory of Open Access Journals (Sweden)

    S. K. Debroy

    1994-12-01

    Full Text Available A new Operational Amplifier (OA-RC integrator network is described. The novelties of the design are used of single grounded capacitor, ideal integration function realization with dual-input capability and design flexibility for extremely large time constant involving an enlargement factor (K using product of resistor ratios. The aspect of the digital control of K through a programmable resistor array (PRA controlled by a microprocessor has also been implemented. The effect of the OA-poles has been analyzed which indicates degradation of the integrator-Q at higher frequencies. An appropriate Q-compensation design scheme exhibiting 1 : |A|2 order of Q-improvement has been proposed with supporting experimental observations.

  12. Compact lensless digital holographic microscopy using a curved mirror for an enlarged working distance.

    Science.gov (United States)

    Shi, Ervin Cheng; Ng, Joshua Jeremiah; Lim, Choo Min; Qu, Weijuan

    2016-05-10

    Digital holographic microscopy (DHM) has a wide range of applications from the analysis of microelectronic mechanical systems (MEMS) to the measurement of cells. We intend on making the system more compact to improve the portability of the device. A concave mirror has been presented to be used in a lensless DHM system to effectively enlarge the working distance and at the same time maintain the compact size of the whole system. A theoretical analysis of the phase compensation between the object wave and the wave reflected from curved reference mirrors is given. Experimental demonstrations of the curved reference mirrors used in the DHM system have been obtained to support our idea. This would change the overall size and adaptability of the DHM system and provide a better understanding of the effects of phase reflected off a curved mirror. PMID:27168290

  13. Accuracy of electrocardiographic criteria for atrial enlargement: validation with cardiovascular magnetic resonance

    OpenAIRE

    Manning Warren J; Agarwal Anupam; O'Halloran T David; Hauser Thomas H; Josephson Mark E; Tsao Connie W; Yeon Susan B

    2008-01-01

    Abstract Background Anatomic atrial enlargement is associated with significant morbidity and mortality. However, atrial enlargement may not correlate with clinical measures such as electrocardiographic (ECG) criteria. Past studies correlating ECG criteria with anatomic measures mainly used inferior M-mode or two-dimensional echocardiographic data. We sought to determine the accuracy of the ECG to predict anatomic atrial enlargement as determined by volumetric cardiovascular magnetic resonance...

  14. Nuclear energy - a vote for good sense. 4. enlarged ed.

    International Nuclear Information System (INIS)

    What does Chernobyl mean for the current discussion in the public on nuclear energy and its utilisation in the Federal Republic of Germany - what can it mean, and what should it mean. Is it the memento showing us that we ought to abandon nuclear energy. There are many people who now are prepared to do so; for them, the accident there radically changed the situation here - a conclusion which is far from being logical if one compares the Soviet design of nuclear power stations with our German standards. Chernobyl has raised emotions, but fear must not be the only factor determining the decision about an appropriate utilisation of nuclear energy. This is why this enlarged edition of the third, 1981 edition of 'Nuclear energy - a vote for good sense' is published now, with a preface and three chapters in the annex discussing the Chernobyl accident and its consequences. Surprisingly, the answers given five years ago to queries concerning the safety of the peaceful use of nuclear energy still are the same, and still valid. (orig.)

  15. Positive T wave overshoot as a sign of ventricular enlargement.

    Science.gov (United States)

    Short, D; Weir, J

    1984-03-01

    A consecutive series of 86 patients with an inverted T wave showing terminal positivity (overshoot) of a specific pattern in the resting electrocardiogram were studied. Patients with bundle branch block or electrocardiographic evidence of acute infarction and those taking digoxin or a similar drug were excluded. In 67 patients the heart was examined by echocardiography and in a further two by direct inspection. Sixty six of the 69 patients had an abnormal thickness of the left (or right) ventricle or a calculated left ventricular mass greater than 200 g. Seven of the patients examined by echocardiography had clinically pure ischaemic heart disease; all showed evidence of left ventricular enlargement. In only 39 of the 63 patients with anatomical evidence of left ventricular hypertrophy or dilatation did the electrocardiogram satisfy the standard voltage criterion of left ventricular hypertrophy. In the absence of acute infarction, bundle branch block, or digitalisation positive T wave overshoot of the pattern described is a sign of increased ventricular mass. PMID:6230092

  16. A visible QCD axion from an enlarged color group

    Science.gov (United States)

    Gherghetta, Tony; Nagata, Natsumi; Shifman, Mikhail

    2016-06-01

    We consider the possibility of an enlarged QCD color group, SU (3 +N') spontaneously broken to SU (3 )c×SU (N') with extra vectorlike quarks transforming in the fundamental representation. When the heavy quarks are integrated out below the PQ-breaking scale, they generate an axion coupling which simultaneously solves the strong C P problem for both gauge groups. However, the axion mass now receives a new nonperturbative contribution from the SU (N') confinement scale, which can be substantially larger than the QCD scale. This can increase the axion mass to be at or above the electroweak scale. This visible axion can then decay into gluons and photons giving rise to observable signals at run II of the LHC. In particular, if the mass is identified with the 750 GeV diphoton resonance, then the new confinement scale is ˜TeV and the PQ-breaking scale is ˜10 TeV . This predicts vectorlike quarks and a PQ scalar resonance in the multi-TeV range, with the possibility that dark matter is an SU (N') baryon.

  17. Minority Rights, Multiculturalism and EU Enlargement: the Case of Estonia

    Directory of Open Access Journals (Sweden)

    David J. Smith

    2003-04-01

    Full Text Available This article examines the process of EU enlargement and its impact upon ethnopolitics in contemporary Estonia. After discussing the construction of the post-communist state order within the context of emerging CSCE and Council of Europe norms on minority rights, the author looks at how Estonia was able to reconcile its so-called 'ethnic democracy' with the EU Copenhagen criteria requiring the 'respect for and protection of minorities'. The author draws attention to the subsequent shift away from 'nationlizing statehood' in Estonia towards a new strategy of 'multicultural integration' (where 'multicultural democracy' is portrayed as the ideal end-point of the integrative processes currently underway. In conclusion, the author discusses some of the ambiguities surrounding the concept of 'multicultural integration'. Whilst deemed consistent with EU norms, it is argued that the meaning of this term remains vague and contested within an Estonian context. As a consequence, its relationship to existing Western models - and its applicability to post-Soviet Estonia - is still not entirely clear.

  18. Comparison of transcriptomes of enlarged spheroplasts of Erythrobacter litoralis and Lelliottia amnigena

    Directory of Open Access Journals (Sweden)

    Sawako Takahashi

    2016-05-01

    Full Text Available Bacterial spheroplasts do not divide but they grow and enlarge with DNA replication in a broth containing an inhibitor of peptidoglycan synthesis and high salt concentration. The enlarged spheroplasts of Lelliottia amnigena, belonging to the family Enterobacteriaceae, formed vacuole-like structures, while those of the aerobic photosynthetic marine bacterium Erythrobacter litoralis did not form such structures. In addition, the enlarged spheroplasts of L. amnigena, which differ in the size of inner and outer membranes, were larger than those of E. litoralis. To elucidate the reason for these differences, we analyzed the transcriptome (RNA-seq of spheroplasts at the beginning of growth and upon enlargement. After sequencing the RNAs expressed in normal and enlarged spheroplasts, we compared the gene expression levels of the 1100 orthologs in E. litoralis and L. amnigena. Among these, 347 and 213 genes were more than 2-fold upregulated in enlarged spheroplasts of E. litoralis and L. amnigena, respectively; 193 and 269 genes were less than 0.5-fold downregulated in those of E. litoralis and L. amnigena, respectively. Thirty six genes were upregulated in L. amnigena enlarged spheroplasts but were downregulated in E. litoralis enlarged spheroplasts, and may be related to vacuole-like structure generation. Fourteen of the 36 genes encoded a membrane protein. Our findings indicate that spheroplast enlargement varies between different organisms with respect to gene expression.

  19. Enlarged perivascular spaces and lacunar infarction Cerebral magnetic resonance evaluation

    Institute of Scientific and Technical Information of China (English)

    Weihong Yan; Jing Fang; Cuijuan Zhou

    2008-01-01

    BACKGROUND:Previous studies have demonstrated that enlarged perivascular spaces(EPVS)arg a result of microvaseular disease.To date,there age few reports about the relationship between EPVS and lacunar infarction.OBJECTIVE:To investigate whether EPVS is associated with lacunar infarction on the basis of cerebral magnetic resonance(MR)examination,clinical symptoms and signs,and past medical history of patients.DESIGN,TIME AND SETTING:Case contrast analysis was performed at the Department of Neurology,Shanghai Ninth People's Hospital from January 2007 to January 2008.PARTICIPANTS:Sixty-eight patients with lacunar infarction were admired to the Department of Neurology of Shanghai Ninth People's Hospital,including 37 cases with first-ever infarction,and 31 with infarction recurrence.In addition,53 healthy people were selected as controls.METHODS:All participants underwent past medical history investigation,nervous system examination.and cranial MR.The subjects were assessed using the JMW rating scale to identify the EPVS grade.MAIN OUTCOME MEASURES:EPVS scores of patients and controls;risk factors for cerebral vascular disease in patients with first-ever or recurrence of lacunar infarction.RESULTS:The EPVS grade from lacunar infarction patients was significantly higher than of the control group(P<0.05).The EPVS grade in patients with recurring lacunar infarction was significantly higher than in patients with first-ever infarction(P<0.05).In addition,hypertension incidence in patients with recurring lacunar infarction was significantly higher than in patients wim first-ever infarction (P<0.05).CONCLUSION:Results indicate that EPVS is related to the incidence of lacunar infarction.Earlier screening of EPVS.and the evaluation of EPVS severity,is of great importance to control the risk factors for cerebral vascular disease and to prevent lacunar infarction.

  20. An enlarged intramuscular venous malformation in the femoral region successfully treated with complete resection

    OpenAIRE

    Takuo Murakami; Dai Ogata; Kyohei Miyano; Tetsuya Tsuchida

    2016-01-01

    Introduction: Intramuscular venous malformations have been previously described as intramuscular hemangiomas, and various therapies have been applied for their treatment. This condition is relatively rare, and therefore, physicians often struggle to determine the appropriate therapy. We presented a case of an enlarged intramuscular venous malformation relapsed after surgery successfully treated with complete resection. Presentation of case: We presented a case of an enlarged intramuscular ...

  1. Unilateral enlargement of the testis in childhood: does it need exploration?

    Science.gov (United States)

    MacMahon, R A; Cussen, L J

    1991-01-01

    Unilateral testicular enlargement in the pubertal boy is not an indication for exploration and biopsy, if the clinical features and investigations show no evidence of malignancy. In the prepubertal boy, unilateral testicular enlargement is not necessarily an indication for exploration if there are no clinical or investigational grounds for suspicion of neoplasia. Close follow-up is essential. PMID:2005529

  2. Comparative study of vaginal hysterectomy and abdominal hysterectomy for enlarged uterus

    Directory of Open Access Journals (Sweden)

    Chandrika S.

    2016-09-01

    Conclusions: Bulk reducing techniques were used to remove the moderately enlarged uterus through vaginal route. Vaginal hysterectomy is invasive route, safe and feasible in cases with enlarged uteri up to 14 weeks due to benign causes. [Int J Reprod Contracept Obstet Gynecol 2016; 5(9.000: 3116-3120

  3. Constraining Political Budget Cycles : Media Strength and Fiscal Institutions in the Enlarged EU

    NARCIS (Netherlands)

    Ademmer, Esther; Dreher, Ferdinand

    2016-01-01

    This article revisits institutional constraints to political budget cycles (PBCs) in the enlarged European Union (EU). Based on a panel of 25 Member States, we show that governments frequently fiscally stimulate the economy prior to elections. We argue that the occurrence of PBCs in the enlarged EU

  4. Histological and immunohistochemical features of gingival enlargement in a patient with AML

    NARCIS (Netherlands)

    N. Sonoi; Y. Soga; H. Maeda; K. Ichimura; T. Yoshino; K. Aoyama; N. Fujii; Y. Maeda; M. Tanimoto; R. Logan; J. Raber-Durlacher; S. Takashiba

    2012-01-01

    Here, we discuss the pathophysiology of leukemia-associated gingival enlargement based on a case of acute myelomonocytic leukemia (AML-M4) with typical gingival enlargement. Uniquely, this patient was well enough to allow full periodontal examination and incisional gingival biopsy to be performed bo

  5. Mouse model of enlarged vestibular aqueducts defines temporal requirement of Slc26a4 expression for hearing acquisition

    OpenAIRE

    Choi, Byung Yoon; Kim, Hyoung-Mi; Ito, Taku; Lee, Kyu-yup; Li, Xiangming; Monahan, Kelly; Wen, Yaqing; Wilson, Elizabeth; Kurima, Kiyoto; Saunders, Thomas L.; Petralia, Ronald S; Wangemann, Philine; Friedman, Thomas B.; Griffith, Andrew J.

    2011-01-01

    Mutations in human SLC26A4 are a common cause of hearing loss associated with enlarged vestibular aqueducts (EVA). SLC26A4 encodes pendrin, an anion-base exchanger expressed in inner ear epithelial cells that secretes HCO3– into endolymph. Studies of Slc26a4-null mice indicate that pendrin is essential for inner ear development, but have not revealed whether pendrin is specifically necessary for homeostasis. Slc26a4-null mice are profoundly deaf, with severe inner ear malformations and degene...

  6. Cooperative diplomacy: Citizens, sovereignty, and the logic of democratic enlargement

    Science.gov (United States)

    Ndungu, Anthony Mark

    2000-12-01

    that intergovernmental agreement on compliance questions is most likely to occur when decision-making and policy-implementing processes are decentralized, and when governments establish and support decentralized intra- and trans-governmental institutions that enable private domestic groups of individuals to participate in international governance through two mechanisms. First, those decentralized institutions facilitate the formation of transnational coalitions of politically autonomous private domestic groups that can serve as a ``horizontal transmission belt'' for ideas and practices among private and public proponents of the major opposing domestic positions, thereby generating public transnational deliberation on compliance, monitoring and distributive questions. Second, politically autonomous private domestic groups can, by engaging in performance-based partnerships with senior government officials, also serve as a ``vertical transmission belt'' between domestic and intergovernmental regimes and vice versa, thereby encouraging their respective governments to adapt the social practices in issue-specific domestic regimes to international structural forces. These findings have significant ramifications for the concept of democratic enlargement, the institutionalization of competitive pluralism in non- liberal states. The robustness, across changes in administrations both at home and abroad, of the norms codified in international agreements may hinge on institutionalizing the participation of politically autonomous private domestic groups in decentralized intra- and trans-governmental decision-making and policy- implementing processes.

  7. EFFECT OF ENLARGED FREE JET ON ENERGY CONVERSION IN PELTON TURBINE

    Institute of Scientific and Technical Information of China (English)

    LIU Jie; WEI Cai-xin; HAN Feng-qin

    2006-01-01

    In Pelton turbines, when the water jet emerges in the air, its velocity decreases downstream and its diameter increases to meet the continuity. In this paper, a physical parameter, the enlarging rate of jet diameter kDj was introduced and measured experimentally. The measurement of enlarging rate was carried out in three model turbines with different distributing Y-branch and nozzle configurations under various operating conditions. The effect of jet enlarging rate on the unsteady water sheet flow in the rotating buckets has not been investigated so far. This paper also presents the comparative numerical analysis of the flow in buckets at different enlarging rates of jet. It is shown that the effect of jet enlargement is so large that the flow pattern in the bucket is drastically changed by the latter half of the frames. The jet with large enlarging rate also introduces worse energy behavior to the hydraulic performance of the Pelton turbine. Besides, the phenomenon of jet interference was also discussed by using the results of numerical simulation for one jet. It indicates that the jet with large enlarging rate takes more risk that jet interference may damage the performance of multi-nozzle Pelton turbine.

  8. Roentgenography with direct enlargement of image and roentgenopneumopolygraphy as additional methods for early diagnosis of pneumoconiosis

    International Nuclear Information System (INIS)

    The efficacy of roentgenography with direct enlargement of image and roentgenopneumopolygraphy (RPPG) combined with other X-ray and clinical methods was studied in 120 patients suffering from pneumoconioses. The comparison of skialogy results and comparative evaluation of morphological changes showed that an intensified and deformed pulmonary pattern, initial changes of small units of the division of vessels, bronchi and the presence of nodules were determined more clearly on enlarged radiograms. RPPG is effective for a study of functional shifts of the bronchopulmonary system in pneumoconioses. Roentgenography with direct enlargement of image and RPPG can be used for early diagnosis of pneumoconioses and the determination of efficacy of their treatment

  9. Eponyms related to genetic disorders associated with gingival enlargement; part II

    Directory of Open Access Journals (Sweden)

    Nora Mohammed Al-Aboud

    2015-01-01

    Full Text Available There are genetic disorders associated with gingival enlargement. In our part I, we reviewed the eponyms linked to Hereditary Gingival Fibromatosis (HGF [1]. Historical Article How to cite this article: Al Aboud A, Al-Aboud NM, Barnawi H, Al Hakami A. Eponyms related to genetic disorders associated with gingival enlargement: Part II. Our Dermatol Online. 2015;6(1:114-117. Submission: 27.05.2013; Acceptance: 21.09.2014 DOI: 10.7241/ourd.20151.32 In this part II of this review, we are going to shed some light on eponyms linked to groups of genetic disorders which may feature gingival enlargement.

  10. Chest CT findings in EBUS-TBNA-proven anthracosis in enlarged mediastinal lymph nodes

    Energy Technology Data Exchange (ETDEWEB)

    Kirchner, J. [Allgemeines Krankenhaus Hagen (Germany). Dept. of Interventional and Diagnostic Radiology; Mueller, P. [Allgemeines Krankenhaus Hagen (Germany). Dept. of Medicine; Broll, M.; Kirchner, E.M. [Sana Klinikum Duisburg (Germany). Dept. of Medicine; Pomjanski, N.; Biesterfeld, S. [University Hospital Duesseldorf (Germany). Dept. of Pathology; Liermann, D. [Marien Hospital, Herne (Germany). Dept. of Diagnostic and Interventional Radiology and Nuclear Medicine; Kickuth, R. [University Hospital Wuerzburg (Germany). Dept. of Radiology

    2014-12-15

    We demonstrate the multislice computed tomography (MSCT) findings of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)-proven hilar and mediastinal lymph node enlargement with signs of anthracosis. 53 enlarged lymph nodes in 39 patients (28 male, 11 female) with EBUS-TBNA-confirmed anthracosis were analyzed retrospectively. The mean short axis diameter of the enlarged lymph nodes with signs of anthracosis was 13.7 mm. Lymph nodes most often showed an oval shape (84%) and were well defined in 66% of cases. Lymph node confluence was observed in 32% of cases. Calcifications were documented in 24.5% of cases. Contrast enhancement and fatty involution were seen seldom (3.8%). Lymph node necrosis was not seen. Lymph node anthracosis may be found most often in enlarged, well defined lymph nodes with an oval shape, frequently associated with confluence and calcifications.

  11. Management of amlodipine-induced gingival enlargement: Series of three cases

    Directory of Open Access Journals (Sweden)

    Srivastava Amit

    2010-01-01

    Full Text Available Gingival enlargement is one of the side effects associated with certain drugs. Amlodipine, a calcium channel blocker, used as antihypertensive drug has been found associated with gingival hyperplasia. This case series presents diagnosis and management of amlodipine-induced gingival hyperplasia. Amlodipine-induced gingival enlargement was diagnosed and managed by thorough scaling and root planning. Drug substitution and surgical intervention was performed in first two cases. The pathogenesis of gingival enlargement is uncertain and the treatment is still largely limited to the maintenance of an improved level of oral hygiene and surgical removal of the overgrown tissue. Several factors may influence the relationship between the drugs and gingival tissues as discussed by Seymour et al. Meticulous oral hygiene maintenance, switchover to alternative drug, professional scaling and root planning and surgical excision of enlarged gingival tissue may help overcome the effect of these drugs.

  12. Cytological evaluation of enlarged lymph nodes in metastatic disease: A hospital-based assessment

    Directory of Open Access Journals (Sweden)

    Ghazala Mehdi

    2015-01-01

    Full Text Available Background: Lymphadenopathy is a heterogeneous entity with many underlying causes, ranging from self-limiting benign disease to severe neoplastic proliferations. Fine-needle aspiration is a cost-effective and reliable tool for initial investigation of enlarged lymph nodes. Materials and Methods: A study was conducted on 326 patients with metastatic disease in order to evaluate the efficacy of cytology in diagnosing malignancies metastatizing to the lymph node and predicting their primary origin as well as to find the relative frequency of different malignancies. The findings were also correlated with histopathology. Results: Cervical lymph nodes were the most frequently involved group, followed by axillary, supraclavicular, and inguinal lymph nodes. Squamous cell carcinoma (SCC and adenocarcinoma were the most common cytological diagnosis. Among the cases with known primary tumors, head and neck was the most common site followed by breast carcinoma. Most common lymph node group to be aspirated in cases with unknown primary was cervical lymph node, and SCC was most frequently diagnosed cases. Sensitivity and positive predictive value of cytological diagnosis were calculated to be 100% and 93.1%, respectively. Conclusion: Fine-needle aspiration cytology has a very high sensitivity and positive predictive value and hence, a presumptive diagnosis can be made along with the detection of the primary site in case of metastatic disease.

  13. Language, diversity and integration in the enlarged European Union : challenges and opportunities from East to West

    OpenAIRE

    Hogan-Brun, Gabrielle

    2006-01-01

    The conference on ‘Language, Diversity and Integration in the Enlarged EU: Challenges and Opportunities’ focused on ways in which language ideologies, policies and practices impact on the consolidation of society post EU enlargement. Considering the interplay between language, diversity and integration, the following were areas of particular concern in the range of papers presented: language issues in relation to ethnicity, citizenship, class, gender; language ideologies and public discourse;...

  14. Enlarging the European Union: The short-term success of incrementalism and de-politicisation

    OpenAIRE

    Falkner, Gerda; Nentwich, Michael

    2000-01-01

    This paper analyses the most important issues of the EU enlargement process. We first discuss an empirical paradox involved in enlargement: the obvious development of the original European Communities into a Union with important supranational features and ever more policy clout has by no means discouraged aspirant member states. Why is it that more and more states are willing to give up much of their otherwise cherished national sovereignty by joining this Union, knowing that even more sovere...

  15. Acceleration-Enlarged Symmetries in Nonrelativistic Space-Time with a Cosmological Constant

    OpenAIRE

    Lukierski, J.; Stichel, P. C.; Zakrzewski, W. J.

    2007-01-01

    By considering the nonrelativistic limit of de-Sitter geometry one obtains the nonrelativistic space-time with a cosmological constant and Newton-Hooke (NH) symmetries. We show that the NH symmetry algebra can be enlarged by the addition of the constant acceleration generators and endowed with central extensions (one in any dimension (D) and three in D=(2+1)). We present a classical Lagrangian and Hamiltonian framework for constructing models quasi-invariant under enlarged NH symmetries which...

  16. Lymph node enlargement in pulmonary arterial hypertension due to chronic thromboembolism

    International Nuclear Information System (INIS)

    The aim of this study was to determine the prevalence and location of enlarged mediastinal and hilar lymph nodes in patients with pulmonary arterial hypertension (PAH) due to chronic pulmonary thromboembolism (CPTE) and to identify possible causes. Thoracic CT images of 85 patients(43 men and 42 women, aged 18-80 years) with PAH in whom CPTE was confirmed at surgery (n = 75) or angiography and angioscopy (n = 10) were evaluated by two thoracic radiologists to determine the presence, size and location of lymph nodes more than 1 cm in the short axis. The presence of pleural and pericardial effusions and parenchymal abnormalities were also noted. Enlarged lymph nodes were identified in 38 patients (44.7%), including 11 with possible causes of lymphadenopathy other than CPTE. In the 27 patients with CPTE alone, 67 enlarged lymph nodes were detected (average 2.5 per patient). Nine patients had three or more enlarged lymph nodes. The most common sites of lymph node enlargement were American Thoracic Society locations 7 (n = 13), 6 (n = 10), 11L (n = 9), 10R (n = 7) and 4R (n = 7). Pleural and pericardial effusions were more common in patients with CPTE who also had lymphadenopathy than in the group with no lymphadenopathy (P < 0.05). Lymph node enlargement is common in patients with PAH caused by CPTE. The frequent association of lymphadenopathy with pleural and pericardial effusions suggest a possible pathophysiological mechanism of increased lymphatic flow caused by right heart failure.

  17. Methods of artificial enlargement of the training set for statistical shape models.

    Science.gov (United States)

    Koikkalainen, Juha; Tölli, Tuomas; Lauerma, Kirsi; Antila, Kari; Mattila, Elina; Lilja, Mikko; Lötjönen, Jyrki

    2008-11-01

    Due to the small size of training sets, statistical shape models often over-constrain the deformation in medical image segmentation. Hence, artificial enlargement of the training set has been proposed as a solution for the problem to increase the flexibility of the models. In this paper, different methods were evaluated to artificially enlarge a training set. Furthermore, the objectives were to study the effects of the size of the training set, to estimate the optimal number of deformation modes, to study the effects of different error sources, and to compare different deformation methods. The study was performed for a cardiac shape model consisting of ventricles, atria, and epicardium, and built from magnetic resonance (MR) volume images of 25 subjects. Both shape modeling and image segmentation accuracies were studied. The objectives were reached by utilizing different training sets and datasets, and two deformation methods. The evaluation proved that artificial enlargement of the training set improves both the modeling and segmentation accuracy. All but one enlargement techniques gave statistically significantly (p < 0.05) better segmentation results than the standard method without enlargement. The two best enlargement techniques were the nonrigid movement technique and the technique that combines principal component analysis (PCA) and finite element model (FEM). The optimal number of deformation modes was found to be near 100 modes in our application. The active shape model segmentation gave better segmentation accuracy than the one based on the simulated annealing optimization of the model weights.

  18. Severe Gingival Enlargement with Coexisting Erosive Lichen Planus in Severe Chronic Periodontitis Patient

    Directory of Open Access Journals (Sweden)

    Ambika Sharma

    2015-01-01

    Full Text Available Plaque induced gingival enlargement is most commonly seen and when encountered simultaneously with erosive lichen planus poses a challenge to the treating dentist. Prognosis of one condition may influence the prognosis of another condition. The presented case highlights the significance of proper diagnosis and the management of simultaneously occurring gingival lesions. A 49-year-old hypertensive female presented with painful enlarged bleeding and suppurating gums with burning sensation on eating food along with long-term usage of antihypertensive drug amlodipine known for its gingival enlargement effect. All these multiple factors led to diagnostic dilemma. Effective management of the gingival enlargement was done by using electrocautery to rehabilitate the functions and esthetics of the patient. Gingival condition was also complicated by the presence of coexisting lichen planus which was predominantly erosive for which topical corticosteroid, antifungal, and antimicrobial agents were prescribed. Eight-month follow-up did not show recurrence of gingival enlargement. Electrocautery is an effective tool for the gingivectomy in severe inflammatory type of gingival enlargement because of rapid postoperative hemostasis. For the management of erosive lichen planus, long-term use of topical corticosteroids is an effective approach. Maintenance of oral hygiene and regular follow-ups are essential for these conditions.

  19. Enlarging Pancreatic Schwannoma – A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Narjust Duma

    2015-07-01

    Full Text Available Context Schwannomas are rare neoplasms that typically occur in the peripheral nerve of the extremities. Visceral localization of these tumors is particularly rare. We present a unique case of a pancreatic schwannoma presenting as long-lasting dyspepsia and intermittent epigastric pain. Case report Seventy-two-year-old female presented with dyspepsia for 2 years and an incidental mass in the head of the pancreas on abdominal CT scan. Patient had multiple negative endoscopic ultrasound guided biopsies and a non-diagnostic open core biopsy. She was followed up for 3 years with serial imaging until an abdominal CT scan showed an increase in size of the pancreatic mass from 1.9x2.2 cm to 3.1x2.7 cm. Physical examination was unremarkable. Laboratory tests including tumor markers were normal. Given the enlarging size of the mass and its impingement on the portal vein, the consensus was to proceed with surgery. Patient underwent a nonpylorus preserving pancreaticoduodenectomy. Histology revealed a 3.5 cm mass showing a spindle cell neoplasm with mild atypia. The lesion was well defined and nerve tissue was noted at the periphery. On immuno stains, the spindle cells were positive for S-100 protein and negative for pancytokeratin, CD-34, CD-117, smooth muscle actin and Melan A, consistent with the diagnosis of a prancreatic schwannoma. Conclusions Pancreatic schwannomas arise from branches of the vagus nerve which courses through the pancreas. Pre-operative diagnosis of pancreatic schwannomas is difficult even with multiple imaging modalities. The final diagnosis of these tumors is often made only after operative excision and histological studies.

  20. A case of tubulointerstitial nephritis in IgG4-related systemic disease with markedly enlarged kidneys.

    Science.gov (United States)

    Mise, Naobumi; Tomizawa, Yutaka; Fujii, Akiko; Yamaguchi, Yutaka; Sugimoto, Tokuichiro

    2009-06-01

    IgG4-related systemic disease, including autoimmune pancreatitis, is a multi-organ disorder characterized by elevated serum immunoglobulin G4 (IgG4) concentration and IgG4-positive plasma cell infiltration. We report the case of a 67-year-old man with IgG4-related tubulointerstitial nephritis, presenting with markedly enlarged kidneys and renal dysfunction. The serum IgG4 level was elevated with 4200 mg/dl and pathological examination revealed patchy, clearly fringed areas of IgG4-positive plasma cell infiltration and advanced fibrosis in the renal parenchyma, perirenal tissue and lymph nodes. With oral prednisolone at a dose of 60 mg daily, a contraction of the kidneys and an improvement of renal function were observed. No recurrence of the disease was observed during the reduction of prednisolone to 2 mg daily over 4 years.

  1. Endolymphatic Sac Enlargement in a Girl with a Novel Mutation for Distal Renal Tubular Acidosis and Severe Deafness

    Directory of Open Access Journals (Sweden)

    Rink Nikki

    2012-01-01

    Full Text Available Hereditary distal renal tubular acidosis (dRTA is caused by mutations of genes encoding subunits of the H+-ATPase (ATP6V0A4 and ATP6V1B1 expressed in α-intercalated cells of the distal renal tubule and in the cochlea. We report on a 2-year-old girl with distal RTA and profound speech delay which was initially misdiagnosed as autism. Genetic analysis showed compound heterozygous mutations with one known and one novel mutation of the ATP6V1B1 gene; cerebral magnetic resonance imaging (MRI revealed bilateral enlargement of the endolymphatic sacs of the inner ear. With improved cooperation, audiometric testing showed that hearing loss was most profound on the right, where endolymphatic sac enlargement was greatest, demonstrating a clear link between the degree of deafness and the degree of inner ear abnormality. This case indicates the value of MRI for diagnosis of inner ear involvement in very young children with distal RTA. Although citrate therapy quickly corrects the acidosis and restores growth, early diagnosis of deafness is crucial so that hearing aids can be used to assist acquisition of speech and to provide enough auditory nerve stimulation to assure the affected infants remain candidates for cochlear implantation.

  2. Endolymphatic sac enlargement in a girl with a novel mutation for distal renal tubular acidosis and severe deafness.

    Science.gov (United States)

    Nikki, Rink; Martin, Bitzan; Gus, O'Gorman; Mato, Nagel; Elena, Torban; Paul, Goodyer

    2012-01-01

    Hereditary distal renal tubular acidosis (dRTA) is caused by mutations of genes encoding subunits of the H(+)-ATPase (ATP6V0A4 and ATP6V1B1) expressed in α-intercalated cells of the distal renal tubule and in the cochlea. We report on a 2-year-old girl with distal RTA and profound speech delay which was initially misdiagnosed as autism. Genetic analysis showed compound heterozygous mutations with one known and one novel mutation of the ATP6V1B1 gene; cerebral magnetic resonance imaging (MRI) revealed bilateral enlargement of the endolymphatic sacs of the inner ear. With improved cooperation, audiometric testing showed that hearing loss was most profound on the right, where endolymphatic sac enlargement was greatest, demonstrating a clear link between the degree of deafness and the degree of inner ear abnormality. This case indicates the value of MRI for diagnosis of inner ear involvement in very young children with distal RTA. Although citrate therapy quickly corrects the acidosis and restores growth, early diagnosis of deafness is crucial so that hearing aids can be used to assist acquisition of speech and to provide enough auditory nerve stimulation to assure the affected infants remain candidates for cochlear implantation. PMID:22966473

  3. Pneumocystis Pneumonia Presenting as an Enlarging Solitary Pulmonary Nodule.

    Science.gov (United States)

    Patel, Krunal Bharat; Gleason, James Benjamin; Diacovo, Maria Julia; Martinez-Galvez, Nydia

    2016-01-01

    Pneumocystis pneumonia is a life threatening infection that usually presents with diffuse bilateral ground-glass infiltrates in immunocompromised patients. We report a case of a single nodular granulomatous Pneumocystis pneumonia in a male with diffuse large B-cell lymphoma after R-CHOP therapy. He presented with symptoms of productive cough, dyspnea, and right-sided pleuritic chest pain that failed to resolve despite treatment with multiple antibiotics. Chest X-ray revealed right lower lobe atelectasis and CT of chest showed development of 2 cm nodular opacity with ground-glass opacities. Patient underwent bronchoscopy and biopsy that revealed granulomatous inflammation in a background of organizing pneumonia pattern with negative cultures. Respiratory symptoms resolved but the solitary nodular opacity increased in size prompting a surgical wedge resection which revealed granulomatous Pneumocystis pneumonia infection. This case is the third documented report of Pneumocystis pneumonia infection within a solitary pulmonary nodule in an individual with hematologic neoplasm. Although Pneumocystis pneumonia most commonly occurs in patients with HIV/acquired immunodeficiency syndrome and with diffuse infiltrates, the diagnosis should not be overlooked when only a solitary nodule is present. PMID:27648318

  4. Pneumocystis Pneumonia Presenting as an Enlarging Solitary Pulmonary Nodule

    Directory of Open Access Journals (Sweden)

    Krunal Bharat Patel

    2016-01-01

    Full Text Available Pneumocystis pneumonia is a life threatening infection that usually presents with diffuse bilateral ground-glass infiltrates in immunocompromised patients. We report a case of a single nodular granulomatous Pneumocystis pneumonia in a male with diffuse large B-cell lymphoma after R-CHOP therapy. He presented with symptoms of productive cough, dyspnea, and right-sided pleuritic chest pain that failed to resolve despite treatment with multiple antibiotics. Chest X-ray revealed right lower lobe atelectasis and CT of chest showed development of 2 cm nodular opacity with ground-glass opacities. Patient underwent bronchoscopy and biopsy that revealed granulomatous inflammation in a background of organizing pneumonia pattern with negative cultures. Respiratory symptoms resolved but the solitary nodular opacity increased in size prompting a surgical wedge resection which revealed granulomatous Pneumocystis pneumonia infection. This case is the third documented report of Pneumocystis pneumonia infection within a solitary pulmonary nodule in an individual with hematologic neoplasm. Although Pneumocystis pneumonia most commonly occurs in patients with HIV/acquired immunodeficiency syndrome and with diffuse infiltrates, the diagnosis should not be overlooked when only a solitary nodule is present.

  5. Portugal and the EU’s Eastern Enlargement: A logic of identity endorsement

    Directory of Open Access Journals (Sweden)

    Arne Niemann

    2012-07-01

    Full Text Available This paper addresses the puzzle of why Portugal has consistently supported the EU’s fifth enlargement. We argue that standard explanations, based on welfare maximisation, geopolitics, or rhetorical action, cannot persuasively account for this policy choice. Instead, we advance an alternative explanation – subsequently referred to as ‘identity endorsement –that is based on a logic of appropriateness where behaviour is shaped by aspects of similarity and congruence, and where the development of Portuguese identity has constituted what has been perceived as appropriate in the context of Eastern enlargement. We argue that EC/EU membership has provided Portuguese political elites with a renewed collective identity, in which a choice for membership has been equated with a choice for democracy, stability and openness. Portuguese support for Eastern enlargement has consistently been based on these concepts that originated from Portugal’s own period of accession negotiations. By fully supporting Eastern enlargement, Portugal could act together with the ‘European core’, and Portugal itself would become more ‘core’, i.e. more European. For Portuguese political elites, supporting Eastern enlargement thus constituted an act of ‘identity endorsement’, i.e. the confirmation, (re-production and reinforcement of existing identity constructions. We tentatively suggest that the notion of identity endorsement may also shed light on other empirical puzzles related to European integration.

  6. Right Ventricular Enlargement within Months of Arteriovenous Fistula Creation in 2 Hemodialysis Patients.

    Science.gov (United States)

    Ragupathi, Loheetha; Johnson, Drew; Marhefka, Gregary D

    2016-08-01

    Surgically created arteriovenous fistulae (AVF) for hemodialysis can contribute to hemodynamic changes. We describe the cases of 2 male patients in whom new right ventricular enlargement developed after an AVF was created for hemodialysis. Patient 1 sustained high-output heart failure solely attributable to the AVF. After AVF banding and subsequent ligation, his heart failure and right ventricular enlargement resolved. In Patient 2, the AVF contributed to new-onset right ventricular enlargement, heart failure, and ascites. His severe pulmonary hypertension was caused by diastolic heart failure, diabetes mellitus, and obstructive sleep apnea. His right ventricular enlargement and heart failure symptoms did not improve after AVF ligation. We think that our report is the first to specifically correlate the echocardiographic finding of right ventricular enlargement with AVF sequelae. Clinicians who treat end-stage renal disease patients should be aware of this potential sequela of AVF creation, particularly in the upper arm. We recommend obtaining preoperative echocardiograms in all patients who will undergo upper-arm AVF creation, so that comparisons can be made postoperatively. Alternative consideration should be given to creating the AVF in the radial artery, because of less shunting and therefore less potential for right-sided heart failure and pulmonary hypertension. A multidisciplinary approach is optimal when selecting patients for AVF banding or ligation.

  7. The EU and ‘Enlargement Fatigue’: Why Has the European Union Not Been Able to Counter ‘Enlargement Fatigue’?

    Directory of Open Access Journals (Sweden)

    Anna Szolucha

    2010-05-01

    Full Text Available This article provides an up-to-date overview of the problems connected with European integration. It focuses on the phenomenon of ‘enlargement fatigue’ and examines its meaning as utilised by the media, EU officials and academics. The article argues that ‘enlargement fatigue’ is not a new concept since the EU has witnessed many 'symptoms' of fatigue at multiple times in its history. The two main arguments that are often presented in order to explain why the EU has not been able to counter ‘enlargement fatigue’, namely the insufficiently tight conditionality applied to prospective members and the EU's crisis of confidence and accountability after the failed attempt to introduce the Constitutional Treaty and prolonged Lisbon Treaty ratification process, are insufficient to explain why fatigue has been so persistent a phenomenon. This article argues that the EU's failure to develop a new vision of the organisation and adjust its structural design accordingly is a reason why the Union has not dealt successfully with fatigue. Such a vision would encompass notions of “variable geometry”, “avant-garde groups” and make European borders flexible and fuzzy.

  8. Pyrrolidine dithiocarbamate reduces the progression of total kidney volume and cyst enlargement in experimental polycystic kidney disease.

    Science.gov (United States)

    Ta, Michelle H T; Rao, Padmashree; Korgaonkar, Mayuresh; Foster, Sheryl F; Peduto, Anthony; Harris, David C H; Rangan, Gopala K

    2014-12-01

    Heterocyclic dithiocarbamates have anti-inflammatory and anti-proliferative effects in rodent models of chronic kidney disease. In this study, we tested the hypothesis that pyrrolidine dithiocarbamate (PDTC) reduces the progression of polycystic kidney disease (PKD). Male Lewis polycystic kidney (LPK) rats (an ortholog of Nek8/NPHP9) received intraperitoneal injections of either saline vehicle or PDTC (40 mg/kg once or twice daily) from postnatal weeks 4 until 11. By serial magnetic resonance imaging at weeks 5 and 10, the relative within-rat increase in total kidney volume and cyst volume were 1.3-fold (P = 0.01) and 1.4-fold (P < 0.01) greater, respectively, in LPK + Vehicle compared to the LPK + PDTC(40 mg/kg twice daily) group. At week 11 in LPK rats, PDTC attenuated the increase in kidney weight to body weight ratio by 25% (P < 0.01) and proteinuria by 66% (P < 0.05 vs. LPK + Vehicle) but did not improve renal dysfunction. By quantitative whole-slide image analysis, PDTC did not alter interstitial CD68+ cell accumulation, interstitial fibrosis, or renal cell proliferation in LPK rats at week 11. The phosphorylated form of the nuclear factor (NF)-κB subunit, p105, was increased in cystic epithelial cells of LPK rats, but was not altered by PDTC. Moreover, PDTC did not significantly alter nuclear expression of the p50 subunit or NF-κB (p65)-DNA binding. Kidney enlargement in LPK rats was resistant to chronic treatment with a proteasome inhibitor, bortezomib. In conclusion, PDTC reduced renal cystic enlargement and proteinuria but lacked anti-inflammatory effects in LPK rats. PMID:25501440

  9. Bilateral Carotid-Cavernous Fistulas: An Uncommon Cause of Pituitary Enlargement and Hypopituitarism

    Science.gov (United States)

    Lechan, Ronald M.

    2016-01-01

    Carotid-cavernous fistulas (CCFs) are rare, pathologic communications of the carotid artery and the venous plexus of the cavernous sinus. They can develop spontaneously in certain at risk individuals or following traumatic head injury. Typical clinical manifestations include headache, proptosis, orbital pain, and diplopia. We report a case of bilateral carotid-cavernous fistulas associated with these symptoms and also with pituitary enlargement and hypopituitarism, which improved following surgical intervention. Arterialization of the cavernous sinus and elevated portal pressure may interfere with normal venous drainage and the conveyance of inhibiting and releasing hormones from the hypothalamus, resulting in pituitary enlargement and hypopituitarism. This condition should be considered in the differential diagnosis of hypopituitarism associated with anterior pituitary enlargement.

  10. A Rare Case Report of Amlodipine-Induced Gingival Enlargement and Review of Its Pathogenesis

    Directory of Open Access Journals (Sweden)

    Sanjeev Joshi

    2013-01-01

    Full Text Available Gingival enlargement is a common clinical feature of gingival and periodontal diseases. It is an unwanted side effect of certain systemic drugs given for nondental treatment. It is being reported with three main groups of drugs like calcium channel blockers (CCBs, immunosuppressants, and anticonvulsants. Among calcium channel blockers, nifedipine causes gingival hyperplasia in about 10% of patients, whereas the incidence of amlodipine-, a third generation calcium channel blocker, induced gingival hyperplasia is very limited. There are very few reports of amlodipine-induced gingival enlargement at a dose of 5 mg. We report a case of amlodipine-induced gingival enlargement in a 45-year-old hypertensive patient taking amlodipine at a dose of 5 mg.

  11. Etiologic significance of enlargement of the left atrial appendage in adults

    Energy Technology Data Exchange (ETDEWEB)

    Green, C.E.; Kelley, M.J.; Higgins, C.B.

    1982-01-01

    Fifty-one patients were divided into two groups: 20 patients with proven rheumatic mitral valve disease (RMVD) and 31 patients with left atrial enlargement (LAE) of a nonrheumatic etiology. The latter group included patients with ischemic papillary muscle dysfunction, mitral valve prolapse, and congestive cardiomyopathy. Radiographic studies showed that enlargement of the left atrial appendage (LAAE) was present in 18 of 20 rheumatics but in only one of 31 nonrheumatics. There was no direct relationship between enlargement of the LAA and radiographic or echocardiographic left atrial size, degree of pulmonary venous hypertension (PVH), or presence of atrial fibrillation. It is postulated that rheumatic influammation of the LAA allows it to dilate out of proportion to the body of the left atrium. In the adult patient with radiographic findings of PVH, LAAE is a valuable and specific radiographic sign of rheumatic mitral valve disease.

  12. Acceleration-Enlarged Symmetries in Nonrelativistic Space-Time with a Cosmological Constant

    CERN Document Server

    Lukierski, J; Zakrzewski, W J

    2007-01-01

    By considering the nonrelativistic limit of de-Sitter geometry one obtains the nonrelativistic space-time with a cosmological constant and Newton-Hooke (NH) symmetries. We show that the NH symmetry algebra can be enlarged by the addition of the constant acceleration generators and endowed with central extensions (one in any dimension (D) and three in D=(2+1)). We present a classical Lagrangian and Hamiltonian framework for constructing models quasi-invariant under enlarged NH symmetries which depend on three parameters described by three nonvanishing central charges. The Hamiltonian dynamics then splits into external and internal sectors with new non-commutative structures of external and internal phase spaces. We show that in the limit of vanishing cosmological constant the system reduces to the one presented in [1] which possesses accelaration-enlarged Galilean symmetries.

  13. Acceleration-enlarged symmetries in nonrelativistic space-time with a cosmological constant

    Energy Technology Data Exchange (ETDEWEB)

    Lukierski, J. [University of Wroclaw, Institute for Theoretical Physics, Wroclaw (Poland); University of Valencia, Department of Theoretical Physics, Burjassot (Valencia) (Spain); Zakrzewski, W.J. [University of Durham, Department of Mathematical Sciences, Durham (United Kingdom); Stichel, P.C.

    2008-05-15

    By considering the nonrelativistic limit of de Sitter geometry one obtains the nonrelativistic space-time with a cosmological constant and Newton-Hooke (NH) symmetries. We show that the NH symmetry algebra can be enlarged by the addition of the constant acceleration generators and endowed with central extensions (one in any dimension (D) and three in D=(2+1)). We present a classical Lagrangian and Hamiltonian framework for constructing models quasi-invariant under enlarged NH symmetries that depend on three parameters described by three nonvanishing central charges. The Hamiltonian dynamics then splits into external and internal sectors with new noncommutative structures of external and internal phase spaces. We show that in the limit of vanishing cosmological constant the system reduces to the one, which possesses acceleration-enlarged Galilean symmetries. (orig.)

  14. Cystic lymph node enlargement of the neck: filariasis as a rare differential diagnosis in MRI

    Energy Technology Data Exchange (ETDEWEB)

    Schick, Christoph; Thalhammer, Axel; Balzer, Joern O.; Abolmaali, Nasreddin; Vogl, Thomas J. [Department of Diagnostic and Interventional Radiology, University of Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt/Main (Germany)

    2002-09-01

    Cervical lymph node enlargement is a common feature of most inflammatory and neoplastic entities of the head and neck. Filariasis can lead to lymphangiectasis resembling lymph node enlargement; however, this is a rare differential diagnosis in European patients. As ethnic minorities are increasing throughout Europe and personal mobility, e.g. during holidays, is increasing, such rare differential diagnoses have to be taken into consideration. We present the case of an Iraqi patient referred to as for a suspected cystic lymph node mass that was verified histologically by open MRI biopsy and proved to be a cystic manifestation of filariasis. (orig.)

  15. Unusual presentation of localized gingival enlargement associated with a slow-growing odontogenic myxoma

    Institute of Scientific and Technical Information of China (English)

    Jaume Miranda Rius; Alfons Nadal; Eduard Lahor; Beatus Mtui; Llus Brunet

    2013-01-01

    Unusual presentation of localized gingival enlargement associated with a subjacent tumoural pathology is reported. The patient was a 55-year-old black male, whose chief complaint was a progressive gingival overgrowth for more than ten years, in the buccal area of the anterior left mandible. According to the clinical features and the radiological diagnosis of odontogenic keratocyst, a conservative surgery with enucleation and curettage was performed. Tissue submitted for histopathological analysis rendered the diagnosis of odontogenic myxoma. After 12-month of follow-up, no evidence of recurrence was found. Clinicians should be cautious when facing any gingival enlargement to avoid diagnostic pitfalls and to indicate the appropriate treatment.

  16. Clinical and morphological study of calf enlargement following S-1 radiculopathy

    OpenAIRE

    Nascimento, Osvaldo J.M.; Marcos R. G. de freitas; Myrian D. Hahn; Abelardo Q.C. Araújo

    1992-01-01

    Calf enlargement following sciatica is a rare condition. It is reported the case of a 28-year-old woman who complained of repeated episodes of lower back pain radiating into the left buttock and foot. One year after the beginning of her symptoms, she noticed enlargement of her left calf. X-ray studies disclosed L5-S1 disk degeneration. EMG showed muscle denervation with normal motor conduction velocity. Open biopsies of the gastrocnemius muscles were performed. The left gastrocnemius muscle s...

  17. Eponyms related to genetic disorders associated with gingival enlargement; part II

    OpenAIRE

    Nora Mohammed Al-Aboud; Hanan Barnawi; Ahlam Al Hakami

    2015-01-01

    There are genetic disorders associated with gingival enlargement. In our part I, we reviewed the eponyms linked to Hereditary Gingival Fibromatosis (HGF) [1]. Historical Article How to cite this article: Al Aboud A, Al-Aboud NM, Barnawi H, Al Hakami A. Eponyms related to genetic disorders associated with gingival enlargement: Part II. Our Dermatol Online. 2015;6(1):114-117. Submission: 27.05.2013; Acceptance: 21.09.2014 DOI: 10.7241/ourd.20151.32 In this part II of thi...

  18. The Effects of Guide Pads on Bore Diameter Enlargement Magnitude in Deep Hole Drilling

    Directory of Open Access Journals (Sweden)

    Zhang Huang

    2016-01-01

    Full Text Available Deep hole machining accuracy plays a crucial role in product’s quality. The results of an investigation into the machining accuracy of deep drilling holes which highlights problems of bore diameter enlargement magnitude assessment are presented in this paper. Through the study of BTA deep drilling tool properties and mechanism, as well as the formation rule of deep hole surface, clarified the burnishing mechanism of guide pad in deep hole drilling, and obtained the directly relationship between surface formation rule and the guide pad. After drilling experimentrevealed the effect of guide pad on bore diameter enlargement magnitude.

  19. [Somatotopic Representation of the Anterior Horn within Cervical Enlargement: Reappraisal of Known Doctrine Based on Clinicopathological Findings Seen in Hirayama Disease].

    Science.gov (United States)

    Hirayama, Keizo

    2016-05-01

    Clinical features (weakness and amyotrophy of intrinsic hand muscles and obliquely distributed amyotrophy of forearm muscles, figure 1), needle electromyographic findings (distribution of neurogenic activities, figure 2), and pathological findings (ischemic necroses of the anterior horns between C6 and T1, figure 3) of Hirayama disease suggest that understanding of somatotopic representation of the anterior horn innervating arm muscles in the cervical enlargement of spinal cord differs from the known doctrine. Anterior horn cells of the intrinsic hand muscles are located between C7 and T1, those of forearm muscles and triceps brachii muscle as elbow extensor are, contrary to the known doctrine, located in C5 and C6, and those of elbow flexors such as biceps brachii and brachioradialis are located in C4 and above (figure 5). Development of dexterity in human hand may reflect development of cervical enlargement in accord with larger areas representing the hand and fingers on cerebral motor cortex.

  20. NAD(P-DEPENDENT DEHYDROGENASE ACTIVITY IN PERIPHERAL BLOOD LYMPHOCYTES OF INFANTS WITH ENLARGEMENT OF PHARYNGEAL TONSILS

    Directory of Open Access Journals (Sweden)

    L. M. Kurtasova

    2014-01-01

    Full Text Available We have observed and examined 57 children 1 to 3 years old diagnosed with enlargement of pharyngeal tonsils. A control group was presented by 35 healthy children. Bioluminescence technique was applied for studying NAD(P-dependent dehydrogenase activity in peripheral blood lymphocytes. Activation of aerobic respiration and increasing activity of pentose phosphate cycle-dependent plastic processes were registered in blood lymphocytes of children with hypertrophic pharyngeal tonsils; along with decreased function of malate-aspartate shunt in energy metabolism of the cells, diminished anaerobic reaction of NADHdependent LDH, lower interaction between Krebs cycle and reactions of amino acid metabolism, and reduced activity of glutathione reductase.

  1. Lack of potassium channel induces proliferation and survival causing increased neurogenesis and two-fold hippocampus enlargement

    DEFF Research Database (Denmark)

    Almgren, Malin; Persson, Ann-Sophie; Fenghua, Chen;

    2007-01-01

    The megencephaly mice show dramatic progressive increase in brain size and seizures. The overgrowth affects primarily the hippocampus and ventral cortex. The phenotype originates from a mutation in the Shaker-like voltage-gated potassium channel Kv1.1 brain, which results in a malfunctioning...... protein. A key question in elucidating the mechanism behind the unique brain overgrowth is whether it is caused by an increase in cell number. By applying stereological techniques, we found that the number of both neurons and astrocytes, as well as structure volume, was increased approximately two...... lower in mceph/mceph supporting additional overgrowth mechanism than induced by seizures. In conclusion, lack of a functional Kv1.1 ion channel subunit in the mceph/mceph mice causes a unique neuronal hyperplasia in distinct hippocampal regions and consequently hippocampal enlargement from 2 to 3 weeks...

  2. NATO Enlargement.

    Science.gov (United States)

    Volker, Karen

    1998-01-01

    Reviews the history of the North Atlantic Treaty Organization (NATO) and describes the debate over expanding its membership. Includes a discussion of the process for adding NATO members and a copy of the treaty. Suggests several exercises to help students better understand the NATO-expansion debate. (DSK)

  3. Gingival Enlargement

    Science.gov (United States)

    ... explained after the dentist takes a thorough medical history and performs an oral examination. In rare cases, further tests such as blood studies or a biopsy may be necessary to determine the exact cause ...

  4. Cytochrome P450 2C9 gene polymorphism in phenytoin induced gingival enlargement: A case report.

    Science.gov (United States)

    Babu, S P K Kennedy; Ramesh, V; Samidorai, Agila; Charles, N S C

    2013-07-01

    Gingival enlargement comprises any clinical condition in which an increase in the size of the gingiva is observed. Among the drugs that induce gingival enlargement, the antiepileptic agent phenytoin has been widely related to this condition. The Cytochrome P450(CYP) superfamily is the most commonly involved enzymes in metabolism of drugs. Common coding region CYP variants that affects drug elimination and response has been studied in great detail. Pharmacogenetic influences on drug metabolism have been widely reviewed and gene polymorphism of cytochrome P450 2C9 appeared to be responsible for much of the interindividual variability on drug elimination. Genetic variation in the CYP2C9 gene can affect metabolism, leading to altered phenotypes. Individuals with poor metaboliser alleles of CYP2C9 gene were shown to have a reduced metabolism of phenytoin compared with wild-type alleles. Thus identification of patients genotype prior to anti-epileptic drug administration could potentially prevent higher serum drug concentrations leading to adverse side effects such as gingival enlargement. This case report addresses the influence of CYP2C9 genetic polymorphism on Phenytoin drug metabolism thereby causing gingival enlargement. PMID:24082701

  5. Spontaneous breast enlargement following liposuction of the abdominal wall : Does a link exist?

    NARCIS (Netherlands)

    van der Lei, Berend; Halbesma, Gert-Jan; van Nieuwenhoven, Christianne A.; van Wingerden, Jan J.

    2007-01-01

    Background: A retrospective study was undertaken to determine the specific incidence of breast enlargement following liposuction of the abdomen (alone or in combination with the flanks), and to compare its effect with a control group of patients who had undergone abdominoplasty only and, where possi

  6. Micro-CT analyses of apical enlargement and molar root canal complexity

    DEFF Research Database (Denmark)

    Markvart, Merete; Darvann, Tron Andre; Larsen, Per;

    2012-01-01

    AIM: To compare the effectiveness of two rotary hybrid instrumentation techniques with focus on apical enlargement in molar teeth and to quantify and visualize spatial details of instrumentation efficacy in root canals of different complexity. METHODOLOGY: Maxillary and mandibular molar teeth were...

  7. Impact of EU Enlargement on Business Environment of Small and Medium-Sized Enterprises in Slovakia

    OpenAIRE

    Ján Vravec; Marián Gál; Tomás Sabol

    2005-01-01

    The paper discusses the impact of EU enlargement on business environment in the Slovak Republic. Integration of Slovakia into EU has significantly influenced operating conditions for small and medium enterprises. Prosperity of small and medium enterprises depends mainly on their ability to adapt themselves to these new conditions.

  8. Diaphragmatic hernia and right-sided heart enlargement in a Florida manatee (Trichechus manatus latirostris).

    Science.gov (United States)

    Gerlach, Trevor J; de Wit, Martine; Landolfi, Jennifer A

    2012-10-01

    Postmortem evaluation of a Florida manatee (Trichechus manatus latirostris) revealed cold stress lesions and previous watercraft trauma that included broken ribs, a diaphragmatic hernia, an enlarged vena cava, and right-sided cardiomegaly. We discuss these findings and present a possible pathogenesis for the cardiomegaly.

  9. Managing migration? EU enlargement, local government capacity and performance in England

    NARCIS (Netherlands)

    Andrews, Rhys; Boyne, George; O'Toole, Larry; Meier, Kenneth; Walker, Richard

    2013-01-01

    This study explores how English local governments managed high levels of worker migration from Eastern Europe in the wake of the enlargement of the European Union in 2004. Theories of local government capacity suggest that strong central administration and vibrant community organizational life can i

  10. Misdiagnosis of otosclerosis in a patient with enlarged vestibular aqueduct syndrome: a case report

    Directory of Open Access Journals (Sweden)

    Távora-Vieira Dayse

    2012-07-01

    Full Text Available Abstract Introduction In the present case we report on the mismanagement of a patient misdiagnosed with otosclerosis, who was subsequently found to have enlarged vestibular aqueduct syndrome bilaterally. This highlights the need to not only be vigilant in pre-operative assessment of otosclerosis but also in post-operative investigations of stapedectomy failures. Case presentation Our patient, a 56-year-old Caucasian Australian woman, lost the hearing in her right ear following a stapedectomy approximately 25 years ago. It is thought that preoperative imaging was not conducted, while an inadequate (unmasked audiogram was used to formulate the initial diagnosis of otosclerosis. The hearing in her left ear deteriorated to the point that a cochlear implant was now being considered for her right ear. Imaging performed as part of our pre-cochlear implant battery revealed bilateral enlarged vestibular aqueducts and thus the decision to proceed with a right cochlear implant was made following discussion with our patient and her family in regard to not only general surgical risks but specifically the remote risk that the surgical drilling required during the procedure could risk a deterioration of the hearing in her left ear because of the enlarged vestibular aqueduct on that side. Conclusions This report illustrates a case of misdiagnosis and mismanagement of bilateral enlarged vestibular aqueduct resulting in profound hearing loss. Fortunately our patient has been successfully implanted with a right cochlear implant with remarkable outcomes.

  11. "Offline": the 2004 European parliamentary elections on television news in the enlarged Europe

    NARCIS (Netherlands)

    C.H. de Vreese; S.A. Banducci; H.A. Semetko; H.G. Boomgaarden

    2005-01-01

    We outline the competitive television news market in the enlarged European Union (EU) and demonstrate the continued importance of traditional media, in particular television, in the context of proliferation in choice of news sources, including on-line news services. Drawing upon a content analysis o

  12. "Off-line": the 2004 European parliamentary elections on television news in the enlarged Europe

    NARCIS (Netherlands)

    Vreese, de Claes H.; Banducci, Susan A.; Semetko, Holli A.; Boomgaarden, Hajo G.

    2005-01-01

    We outline the competitive television news market in the enlarged European Union (EU) and demonstrate the continued importance of traditional media, in particular television, in the context of proliferation in choice of news sources, including on-line news services. Drawing upon a content analysis o

  13. An Efficient Image Enlargement Method for Image Sensors of Mobile in Embedded Systems

    Directory of Open Access Journals (Sweden)

    Hua Hua

    2016-01-01

    Full Text Available Main challenges for image enlargement methods in embedded systems come from the requirements of good performance, low computational cost, and low memory usage. This paper proposes an efficient image enlargement method which can meet these requirements in embedded system. Firstly, to improve the performance of enlargement methods, this method extracts different kind of features for different morphologies with different approaches. Then, various dictionaries based on different kind of features are learned, which represent the image in a more efficient manner. Secondly, to accelerate the enlargement speed and reduce the memory usage, this method divides the atoms of each dictionary into several clusters. For each cluster, separate projection matrix is calculated. This method reformulates the problem as a least squares regression. The high-resolution (HR images can be reconstructed based on a few projection matrixes. Numerous experiment results show that this method has advantages such as being efficient and real-time and having less memory cost. These advantages make this method easy to implement in mobile embedded system.

  14. Diaphragmatic hernia and right-sided heart enlargement in a Florida manatee (Trichechus manatus latirostris).

    Science.gov (United States)

    Gerlach, Trevor J; de Wit, Martine; Landolfi, Jennifer A

    2012-10-01

    Postmortem evaluation of a Florida manatee (Trichechus manatus latirostris) revealed cold stress lesions and previous watercraft trauma that included broken ribs, a diaphragmatic hernia, an enlarged vena cava, and right-sided cardiomegaly. We discuss these findings and present a possible pathogenesis for the cardiomegaly. PMID:23060518

  15. Differential diagnosis of arachnoid cyst from subarachnoid space enlargement by phase-contrast cine MRI

    Institute of Scientific and Technical Information of China (English)

    于群; 孔祥泉; 刘定西

    2003-01-01

    Objectives To reveal the relationship of brain motion and cerebrospinal fluid (CSF) flow by phase-contrast cine MRI, and to evaluate this technique in differentiating between arachnoid cysts and subarachnoid space enlargement. Methods Using a phase-contrast cine MRI pulse sequence, we measured brain motion and CSF flow during the cardiac cycle in 10 healthy volunteers and 10 patients with MRI-suspected arachnoid cyst or subarachnoid space enlargement. CSF stroke volume curve was illustrated according to flow quantification, and time-signal intensity curve was traced. The two curves were compared. Results This study showed that brain motion was due to the volume difference between arterial and venous blood flow during a cardiac cycle, and thus drives CSF pulsation. Arachnoid cysts and subarachnoid space enlargement carried different curve patterns, demonstrating that phase-contrast MRI and flow quantification can be a useful and reliable technique for non-invasive evaluation of brain motion and CSF flow. Conclusion Arachnoid cysts can be successfully differentiated using phase-contrast cine MRI from subarachnoid space enlargement.

  16. Reflex receptive fields are enlarged in patients with musculoskeletal low back and neck pain.

    Science.gov (United States)

    Biurrun Manresa, José A; Neziri, Alban Y; Curatolo, Michele; Arendt-Nielsen, Lars; Andersen, Ole K

    2013-08-01

    Pain hypersensitivity has been consistently detected in chronic pain conditions, but the underlying mechanisms are difficult to investigate in humans and thus poorly understood. Patients with endometriosis pain display enlarged reflex receptive fields (RRF), providing a new perspective in the identification of possible mechanisms behind hypersensitivity states in humans. The primary hypothesis of this study was that RRF are enlarged in patients with musculoskeletal pain. Secondary study end points were subjective pain thresholds and nociceptive withdrawal reflex (NWR) thresholds after single and repeated (temporal summation) electrical stimulation. Forty chronic neck pain patients, 40 chronic low back pain patients, and 24 acute low back pain patients were tested. Electrical stimuli were applied to 10 sites on the sole of the foot to quantify the RRF, defined as the area of the foot from where a reflex was evoked. For the secondary end points, electrical stimuli were applied to the cutaneous innervation area of the sural nerve. All patient groups presented enlarged RRF areas compared to pain-free volunteers (P<.001). Moreover, they also displayed lower NWR and pain thresholds to single and repeated electrical stimulation (P<.001). These results demonstrate that musculoskeletal pain conditions are characterized by enlarged RRF, lowered NWR and pain thresholds, and facilitated temporal summation, most likely caused by widespread spinal hyperexcitability. This study contributes to a better understanding of the mechanisms underlying these pain conditions, and it supports the use of the RRF and NWR as objective biomarkers for pain hypersensitivity in clinical and experimental pain research. PMID:23707309

  17. Influence of the endodontic irrigation needle and root canal enlargement on endodontic cleaning efficacy

    Directory of Open Access Journals (Sweden)

    Livia Etchebehere de Loiola

    2011-04-01

    Full Text Available ntroduction: The irrigation of root canals aims to their cleaning and disinfection, improving endodontic treatment success. Objective: To investigate the influence of the diameter and type of irrigation needle and the root canal enlargement on the mechanical efficacy of endodontic irrigation. Material and methods: Twelve human single-rooted mandibular incisors were used. During some instrumentation stages (enlargement by #20, #30, and #40 K file, root canals were filled with radiographic contrast solution mixed to propyleneglycol and zinc oxide. Needles with different diameters and designs were employed: G1 – 23G and lateral opening; G2 – 22G and apical opening; G3 – 30G and lateral opening; G4 – 30G and apical opening. The needles were inserted up to resistance, with 1 mm step-back to avoid root canal obliteration. The irrigation was performed with 2 mL of distilled water. Before and after irrigation/aspiration, teeth were radiographed at bucco-lingual and mesiodistal direction, using a digital radiographic system. Then, root canal areas, before (filled by contrast solution and after irrigation (remnant of contrast solution, were submitted to image subtraction with Adobe Photoshop CS4 software. Subsequently, the areas were measured by Image Tool 3.0 software, allowing the obtaining of the cleaning percentage for each modality. Data were analysed byusing Anova and Tukey’s test. The level of significance was set at P < 0.05. Results: For all root canal enlargements, 30G needles (G3 e G4 presented a better cleaning efficacy. In all groups, higher cleaning efficacy percentage was observed at #30 and #40 K file enlargement. Conclusion: Regardless their design, thinner needles were more effective; a better cleaning efficacy occurred in more enlarged root canals.

  18. Accuracy of electrocardiographic criteria for atrial enlargement: validation with cardiovascular magnetic resonance

    Directory of Open Access Journals (Sweden)

    Manning Warren J

    2008-01-01

    Full Text Available Abstract Background Anatomic atrial enlargement is associated with significant morbidity and mortality. However, atrial enlargement may not correlate with clinical measures such as electrocardiographic (ECG criteria. Past studies correlating ECG criteria with anatomic measures mainly used inferior M-mode or two-dimensional echocardiographic data. We sought to determine the accuracy of the ECG to predict anatomic atrial enlargement as determined by volumetric cardiovascular magnetic resonance (CMR. Methods ECG criteria for left (LAE and right atrial enlargement (RAE were compared to CMR atrial volume index measurements for 275 consecutive subjects referred for CMR (67% males, 51 ± 14 years. ECG criteria for LAE and RAE were assessed by an expert observer blinded to CMR data. Atrial volume index was computed using the biplane area-length method. Results The prevalence of CMR LAE and RAE was 28% and 11%, respectively, and by any ECG criteria was 82% and 5%, respectively. Though nonspecific, the presence of at least one ECG criteria for LAE was 90% sensitive for CMR LAE. The individual criteria P mitrale, P wave axis 0.04s·mm were 88–99% specific although not sensitive for CMR LAE. ECG was insensitive but 96–100% specific for CMR RAE. Conclusion The presence of at least one ECG criteria for LAE is sensitive but not specific for anatomic LAE. Individual criteria for LAE, including P mitrale, P wave axis 0.04s·mm are highly specific, though not sensitive. ECG is highly specific but insensitive for RAE. Individual ECG P wave changes do not reliably both detect and predict anatomic atrial enlargement.

  19. Short-term exposure of mice to cigarette smoke and/or residual oil fly ash produces proximal airspace enlargements and airway epithelium remodeling

    Directory of Open Access Journals (Sweden)

    P.J.C. Biselli

    2011-05-01

    Full Text Available Chronic obstructive pulmonary disease (COPD is associated with inflammatory cell reactions, tissue destruction and lung remodeling. Many signaling pathways for these phenomena are still to be identified. We developed a mouse model of COPD to evaluate some pathophysiological mechanisms acting during the initial stage of the disease. Forty-seven 6- to 8-week-old female C57/BL6 mice (approximately 22 g were exposed for 2 months to cigarette smoke and/or residual oil fly ash (ROFA, a concentrate of air pollution. We measured lung mechanics, airspace enlargement, airway wall thickness, epithelial cell profile, elastic and collagen fiber deposition, and by immunohistochemistry transforming growth factor-β1 (TGF-β1, macrophage elastase (MMP12, neutrophils and macrophages. We observed regional airspace enlargements near terminal bronchioles associated with the exposure to smoke or ROFA. There were also increases in airway resistance and thickening of airway walls in animals exposed to smoke. In the epithelium, we noted a decrease in the ciliated cell area of animals exposed to smoke and an increase in the total cell area associated with exposure to both smoke and ROFA. There was also an increase in the expression of TGF-β1 both in the airways and parenchyma of animals exposed to smoke. However, we could not detect inflammatory cell recruitment, increases in MMP12 or elastic and collagen fiber deposition. After 2 months of exposure to cigarette smoke and/or ROFA, mice developed regional airspace enlargements and airway epithelium remodeling, although no inflammation or increases in fiber deposition were detected. Some of these phenomena may have been mediated by TGF-β1.

  20. Pneumocystis murina infection and cigarette smoke exposure interact to cause increased organism burden, development of airspace enlargement, and pulmonary inflammation in mice.

    Science.gov (United States)

    Christensen, Paul J; Preston, Angela M; Ling, Tony; Du, Ming; Fields, W Bradley; Curtis, Jeffrey L; Beck, James M

    2008-08-01

    Chronic obstructive pulmonary disease (COPD) is characterized by the presence of airflow obstruction and lung destruction with airspace enlargement. In addition to cigarette smoking, respiratory pathogens play a role in pathogenesis, but specific organisms are not always identified. Recent reports demonstrate associations between the detection of Pneumocystis jirovecii DNA in lung specimens or respiratory secretions and the presence of emphysema in COPD patients. Additionally, human immunodeficiency virus-infected individuals who smoke cigarettes develop early emphysema, but a role for P. jirovecii in pathogenesis remains speculative. We developed a new experimental model using immunocompetent mice to test the interaction of cigarette smoke exposure and environmentally acquired Pneumocystis murina infection in vivo. We hypothesized that cigarette smoke and P. murina would interact to cause increases in total lung capacity, airspace enlargement, and pulmonary inflammation. We found that exposure to cigarette smoke significantly increases the lung organism burden of P. murina. Pulmonary infection with P. murina, combined with cigarette smoke exposure, results in changes in pulmonary function and airspace enlargement characteristic of pulmonary emphysema. P. murina and cigarette smoke exposure interact to cause increased lung inflammatory cell accumulation. These findings establish a novel animal model system to explore the role of Pneumocystis species in the pathogenesis of COPD. PMID:18490462

  1. ON A CARRIAGE TOWARDS EUROPE. THE CONSEQUENCES OF THE ELI’S EASTERN ENLARGEMENT FOR AGRICULTURAL POLICY – THE ROMANIAN PERSPECTIVE. THE EASTERN ENLARGEMENT OF THE EU

    Directory of Open Access Journals (Sweden)

    Frank BÖNKER

    2007-06-01

    Full Text Available Restraining the broad area of the challenges raised by the Eastern Enlargement of the European Union only to the agricultural coordinates and only to the Romanian case, the aim of this paper is mainly to depict the context and to attempt to explain the more or less blurry colors of the Romanian agricultural panorama. The inevitable change, an adoption of new models, new methods, a different approach to the agricultural field will for sure cast a different light on the whole Romanian picture. But this is more than just a matter of time, and European aid, it is still a matter of effort and of restructuring, not only of the agriculture itself, but also of the social sphere.The perspective is evolving in a chronological manner, analyzing first the changes made in Romanian agriculture after 1989, describing than the level of Romanian agriculture during the first enlargement wave, explaining the present economic and social conditions as an outcome of a long and slow period of transition, and, in the end, trying to identify some future trends and some future challenges the Romanian agriculture and rural economy shall face.

  2. Improving the Effect and Efficiency of FMD Control by Enlarging Protection or Surveillance Zones

    DEFF Research Database (Denmark)

    Hisham Beshara Halasa, Tariq; Toft, Nils; Boklund, Anette

    2015-01-01

    An epidemic of foot-and-mouth disease (FMD) in a FMD-free country with large exports of livestock and livestock products would result in profound economic damage. This could be reduced by rapid and efficient control of the disease spread. The objectives of this study were to estimate the economic....... The stochastic spatial simulation model DTU-DADS was used to simulate the spread of FMD in Denmark. The control strategies were the basic EU and Danish strategy, pre-emptive depopulation, suppressive or protective vaccination, enlarging protection or surveillance zones, and a combination of pre......-emptive depopulation or emergency vaccination with enlarged protection or surveillance zones. Herds are detected either based on basic detection through the appearance of clinical signs, or as a result of surveillance in the control zones. The economic analyses consisted of direct costs and export losses. Sensitivity...

  3. Micro‐CT analyses of apical enlargement and molar root canal complexity

    DEFF Research Database (Denmark)

    Markvart, M.; Darvann, Tron Andre; Larsen, P.;

    2012-01-01

    Markvart M, Darvann TA, Larsen P, Dalstra M, Kreiborg S, Bjørndal L. Micro‐CT analyses of apical enlargement and molar root canal complexity. International Endodontic Journal, 45, 273–281, 2012. Aim To compare the effectiveness of two rotary hybrid instrumentation techniques with focus on apical...... enlargement in molar teeth and to quantify and visualize spatial details of instrumentation efficacy in root canals of different complexity. Methodology Maxillary and mandibular molar teeth were scanned using X‐ray microcomputed tomography. Root canals were prepared using either a GT/Profile protocol or a Ra......Ce/NiTi protocol. Variables used for evaluation were the following: distance between root canal surfaces before and after preparation (distance after preparation, DAP), percentage of root canal area remaining unprepared and increase in canal volume after preparation. Root canals were classified according to size...

  4. Enlargement of mitral valve ring in a young woman with severe prosthesis-patient mismatch.

    Science.gov (United States)

    Attisani, Matteo; Pellegrini, Augusto; Sorrentino, Paolo; Rinaldi, Mauro

    2014-04-01

    Mechanical prosthesis is the first choice for valve replacement at the mitral position in children. Replacement of the original prosthesis because of prosthesis-patient mismatch (PPM) is almost inevitable when prostheses are implanted in small children. The impact of PPM on long-term mortality becomes significant when the effective orifice area (EOA) is severely reduced. In these cases prosthesis replacement can be technically difficult, and it often requires extended enlargement of the mitral valve annulus ring. We report a case of a woman who underwent a mitral valve replacement with a 19-mm St. Jude mechanical prosthetic valve at the age of 3 years. At the age of 33 years, the patient underwent a successful minimally invasive mitral annulus ring enlargement and implantation of a 23-mm St. Jude mechanical prosthetic valve via a right minithoracotomy. PMID:24808442

  5. Clinical and morphological study of calf enlargement following S-1 radiculopathy

    Directory of Open Access Journals (Sweden)

    Osvaldo J. M. Nascimento

    1992-09-01

    Full Text Available Calf enlargement following sciatica is a rare condition. It is reported the case of a 28-year-old woman who complained of repeated episodes of lower back pain radiating into the left buttock and foot. One year after the beginning of her symptoms, she noticed enlargement of her left calf. X-ray studies disclosed L5-S1 disk degeneration. EMG showed muscle denervation with normal motor conduction velocity. Open biopsies of the gastrocnemius muscles were performed. The left gastrocnemius muscle showed hypertrophic type 2 fibers in comparison with the right gastrocnemius. Electron microscopy showed mildly increased number of mitochondria in these fibers. A satisfactory explanation for denervation hypertrophy has yet to be provided.

  6. Ectopic opening of cystic dilatation of the ejaculatory duct into enlarged prostatic utricle.

    Science.gov (United States)

    Lin, Jian-Zhong; Wu, Hong-Fei; Wang, Ji-Chen; Le, Mei-Zhao; Yu, Hong-Bo; Zhou, He-Tong

    2012-01-01

    A 28-year-old man was referred to our department for the management of recurrent hemospermia during the past 5 years. Genital examination and hormonal levels were normal. Semen analysis showed no change in volume and pH; however, hemospermia and asthenozoospermia were observed. Ultrasonography and computed tomography scan revealed the presence of a cystic lesion with calcification in the terminal part of seminal vesicles adjoining the prostate gland. The following vasography and endoscopic retrograde urethrography demonstrated 2 communicating cystic dilatations arising from the verumontanum. The diagnosis of cystic dilatation of the ejaculatory duct opening into an enlarged prostatic utricle was reached. Transurethral unroofing of the cyst was separately performed with a successful outcome. The characteristic of the 2 cystic dilatations was confirmed by pathologic examination. To the best of our knowledge, this is the first case of ectopic cystic dilatation of the ejaculatory duct opening into an enlarged prostatic utricle.

  7. Insulation co-ordination and the enlargement law for the GM counter tube

    Directory of Open Access Journals (Sweden)

    Dolićanin Edin Ć.

    2016-01-01

    Full Text Available In this paper we analyze application of contemporary methods of insulation co-ordination and the enlargement law in designing a GM counting tube. It has been shown that by applying insulation co-ordination methods the counting tube can be optimally dimensioned. The application of the enlargement law was demonstrated in generalizing the results of test obtained by the GM tube to those obtained by the counting tube with m-times greater dimensions. The investigations were conducted both theoretically and by experiment. Using theoretical analysis, we derived the expressions that may be applied if a performance function of a random variable breakdown voltage is known. The experiments were conducted on a GM counter model under well controlled laboratory conditions.

  8. Stochastic control under progressive enlargement of filtrations and applications to multiple defaults risk management

    CERN Document Server

    Pham, Huyen

    2010-01-01

    We formulate and investigate a general stochastic control problem under a progressive enlargement of filtration. The global information is enlarged from a reference filtration and the knowledge of multiple random times together with associated marks when they occur. By working under a density hypothesis on the conditional joint distribution of the random times and marks, we prove a decomposition of the original stochastic control problem under the global filtration into classical stochastic control problems under the reference filtration, which are determined in a finite backward induction. Our method revisits and extends in particular stochastic control of diffusion processes with finite number of jumps. This study is motivated by optimization problems arising in default risk management, and we provide applications of our decomposition result for the indifference pricing of defaultable claims, and the optimal investment under bilateral counterparty risk. The solutions are expressed in terms of BSDEs involvin...

  9. Mediastinal lymph node enlargement in patients with valvular heart disease: CT evaluation and clinical correlation

    Energy Technology Data Exchange (ETDEWEB)

    Park, Hye Ju; Jung, Jung Im; Ahn, Myeong Im; Han, Dae Hee; Park, Seog Hee [Dept. of Radiology, Seoul St. Mary' s Hospital, College of Medicine, The Catholic University of Korea, Seoul (Korea, Republic of)

    2016-04-15

    To evaluate the presence, size and location of enlarged mediastinal lymph nodes (LNs) in patients with valvular heart disease (VHD) using computed tomography scans in correlation with ejection fraction (EF). We retrospectively evaluated 30 patients with VHD, without pre-existing diseases that could cause lymphadenopathy (LAP). The presence, size, and location of LNs greater than 1 cm in short axis diameter were evaluated. The location of mediastinal LNs was recorded according to the International Association for the Study of Lung Cancer. Furthermore, we evaluated the presence of pulmonary edema, pleural effusion, and other thoracic abnormalities and evaluated EF of the heart on transthoracic echocardiography. Sixteen patients (53%) had at least 1 enlarged mediastinal LN. The most frequent locations were lower paratracheal (4R, n = 8/4L, n = 6), subcarinal (7, n = 5) and right upper paratracheal (2R, n = 4) regions. The frequency of mediastinal LAP was higher in patients with aortic regurgitation (2 of 2, 100%) followed by mitral regurgitation (8 of 11, 73%); it was also high in patients with pulmonary edema (80%), pleural effusion (81%), or both (77%), as compared to patients without pulmonary edema or pleural effusion (17%) (p = 0.001). Ten of 30 patients showed an abnormal EF of < 55%; among them, 8 had mediastinal LAP. However, the relationship between EF and LAP was not statistically significant (p = 0.058). Mediastinal LN enlargement is common in patients with VHD, especially in cases of pulmonary edema and pleural effusion. Enlarged mediastinal LNs were frequently observed with abnormal EF, however, the relationship between EF and mediastinal LAP was not statistically significant.

  10. Molecular weight enlargement--a molecular approach to continuous homogeneous catalysis.

    Science.gov (United States)

    Janssen, Michèle; Müller, Christian; Vogt, Dieter

    2010-09-28

    Molecular weight enlargement (MWE) is an attractive method for homogeneous catalyst recycling. Applications of MWE in combination with either catalyst precipitation or nanofiltration have demonstrated their great potential as a method for process intensification in homogeneous catalysis. Selected, recent advances in MWE in combination with catalyst recovery are discussed, together with their implication for future developments. These examples demonstrate that this strategy is applicable in many different homogeneously catalyzed transformations.

  11. Morphology and morphometry of the human sublingual glands in mouth floor enlargements of edentulous patients

    OpenAIRE

    Josiane Costa Rodrigues de SA; TOLENTINO, Elen de Souza; Luciana Reis AZEVEDO-ALANIS; IWAKI FILHO, Liogi; LARA, Vanessa Soares; Jose Humberto DAMANTE

    2013-01-01

    Asymptomatic mouth floor enlargements may be observed in edentulous patients. These masses, which protrude from the mouth floor, may complicate the fitting of dentures and require surgery. Whether this "entity" may be considered an anatomical variation of the mouth floor or represent specific alterations in the sublingual gland is not known. Objective: The aim of this work is to investigate the morphological and morphometric aspects of the sublingual glands of edentulous patients with mout...

  12. Enlargement of the narrow aortic root and oblique insertion of a St Jude prosthesis.

    OpenAIRE

    Kinsley, R H; Antunes, M J; McKibbin, J K

    1983-01-01

    The aortic root was enlarged and a St Jude Medical valve obliquely inserted in 11 patients. Prosthetic valve sizes at least one, but often two, sizes larger than that which would normally be accommodated by the dimensions of the host aortic annulus were used. Closure of the valve was not affected by obliquity. This simple technique is recommended whenever the host aortic annulus does not allow the insertion of a substitute valve of an appropriate size.

  13. Labour mobility in the enlarged European Union: International migration from the EU8 countries

    OpenAIRE

    Fihel, Agnieszka; Kaczmarczyk, Paweł; Okólski, Marek

    2006-01-01

    The present paper consists of an extensive description of recent migration in the 8 new European Union member countries which accessed the EU on May 1st, 2004. Since 1989 all of these countries experience an unique shift from socialist to market economy. The paper attempts to capture an interplay or correlation of pre- and post-enlargement developments with the phenomena of political and socio-economic transition on migration from and into this region.

  14. Acute Unilateral Parotid Glands Enlargement Following Endotracheal General Anesthesia: Report of Two Cases

    OpenAIRE

    Hung-Jr Chiou; Yuan-Ji Day; Allen H. Li; Jiin-Tarng Liou; Fu-Chao Liu

    2007-01-01

    Acute parotid gland enlargement in association with general anesthesia is rare and hasalso been called anesthesia mumps. We present two patients who were scheduled for lumbarspine surgery under general anesthesia. Each developed acute unilateral parotid glandenlargement over one side of the face proven by sonography. Case 1: A 52-year-old manwas scheduled for his third lumbar spine to first sacral spine surgery for scoliosis andspondylolisthesis. The patient was provided general anesthesia wi...

  15. EU Enlargement – Gains With or Without Membership

    OpenAIRE

    Arnswald, Ulrich [Rez.

    2001-01-01

    Enlargement is one of the greatest opportunities for the European Union (EU) at the beginning of the 21st century. So far, thirteen applicant states are waiting ante portas: Bulgaria, Cyprus, the Czech Republic, Estonia, Hungary, Latvia, Lithuania, Malta, Poland, Romania, the Slovak Republic, Slovenia and Turkey. The peaceful integration of these societies from across the whole continent is a unique historic, political, and socio-economic opportunity. Extending security and political stabilit...

  16. Misdiagnosis of otosclerosis in a patient with enlarged vestibular aqueduct syndrome: a case report

    OpenAIRE

    Távora-Vieira Dayse; Miller Stuart

    2012-01-01

    Abstract Introduction In the present case we report on the mismanagement of a patient misdiagnosed with otosclerosis, who was subsequently found to have enlarged vestibular aqueduct syndrome bilaterally. This highlights the need to not only be vigilant in pre-operative assessment of otosclerosis but also in post-operative investigations of stapedectomy failures. Case presentation Our patient, a 56-year-old Caucasian Australian woman, lost the hearing in her right ear following a stapedectomy ...

  17. EU enlargement : what does it change for the european economic geography

    OpenAIRE

    Mouhoud, El Mouhoub; Jennequin, Hugues; Dupuch, Sébastien

    2004-01-01

    This paper evaluates the effects of the enlargement of the EU to the Central and Eastern European Countries (CEECs), focusing on agglomeration and industrial specialisation patterns in Europe. We first present the theoretical debate based on the New Economic Geography models. The outcome is that, in spite of the lack of labour mobility within the EU, a core periphery schema is expected to occur as a result of vertical linkages. Then, we provide evidence on real and structural convergence and ...

  18. Amygdala enlargement in patients with mesial temporal lobe epilepsy without hippocampal sclerosis

    Directory of Open Access Journals (Sweden)

    Ana Carolina Coan

    2013-10-01

    Full Text Available Purpose: Patients with mesial temporal lobe epilepsy (MTLE without MRI abnormalities (MTLE-NL represent a challenge for definition of underlying pathology and for presurgical evaluation. In a recent study we observed significant amygdala enlargement in 14% of MTLE patients with MRI signs of HS. Areas of gray matter volume (GMV increase could represent structural abnormalities related to the epileptogenic zone or part of a developmental abnormality. Our objective was to look for undetected areas of increased GMV in MTLE-NL using post processing MRI techniques to better understand the pathophysiology of this condition.Methods: We evaluated 66 patients with MTLE-NL on visual analysis and 82 controls. Voxel-based morphometry (VBM group analysis was performed with VBM8/SPM8 looking for areas of increased GMV. We then performed automatic amygdala volumetry using Freesurfer software and T2 relaxometry to confirm VBM findings.Results: VBM group-analysis demonstrated increased amygdala volume in the MTLE-NL group compared to controls. Individual volumetric analysis confirmed amygdala enlargement (AE in eight (12% patients. Overall, from all patients with AE and defined epileptic focus, four (57% had the predominant increased volume ipsilateral to the epileptic focus. These results were cross-validated by a secondary VBM analysis including subgroups of patients according to the volumetric data. T2 relaxometry demonstrated no amygdala hyperintense signal in any individual with significant amygdala enlargement. There were no clinical differences between patients with and without AE.Discussion: This exploratory study demonstrates the occurrence of AE in 12% of patients with MTLE-NL. This finding supports the hypothesis that there might be a subgroup of patients with MTLE-NL in which the enlarged amygdala could be related to the epileptogenic process. Further studies are necessary but this finding could be of great importance in the understanding of MTLE-NL.

  19. Inhibitory effects by ayurvedic plants on prostate enlargement induced in rats

    OpenAIRE

    Rahul K Dumbre; Manisha B Kamble; Patil, Vijay R.

    2014-01-01

    Background: Ayurveda recommends several plants and plant preparation for conditions of urogenital disorders as per its principles. Objectives: Ayurvedic plants Tamala (Cinnamomum tamala); Daruhalad (Berberis aristata); Ativish (Aconitum heterophyllum) were studied for mechanisms of prostatic hyperplasia induced in rats. Materials and Methods: Prostatic enlargement was induced in castrated rats by testosterone injection s.c. for 21 days and simultaneously plants were dosed orally daily. On day...

  20. CT appearance of hilar and mediastinal enlarged lymph nodes of coal worker's pneumoconiosis

    International Nuclear Information System (INIS)

    Objective: To study the CT appearance of the hilar and mediastinal enlarged lymph nodes in coal worker's pneumoconiosis (CWP), its pathological basis and diagnostic value for CWR complicated with lung cancer. Methods: (1) Twelve isolated lungs with CWP obtained at autopsy were inflated and fixed. CT scan was performed. The pathologic findings of enlarged lymph nodes were identified. (2) CT findings of hilar and mediastinal enlarged lymph nodes of 71 cases with CWP and 22 cases of CWP complicated with lung cancer were analyzed. Results: (1) Most of the enlarged hilar and mediastinal lymph nodes in simple CWR was in third stage of fibrosis. The fourth stage of fibrosis was only seen in lymph nodes of a case with complicated CWP. In this case the necrotic materials of lymph nodes eroded adjacent bronchi and vessels, and coalesced with progressive massive fibrosis (PMF). (2) The average number of lymph nodes in cases of complicated CWP was more than that of simple CWP (P 2 cm was 7.4%. (3) The prevalence of lymph nodes calcification in CWP was 61.1%, but egg shell calcification was only 14.7%. (4) In the cases of CWP complicated with lung cancer, lymph node > 2 cm was 20.8%, that was more than CWP (P3 cm was 7.6%. Conclusion: Lymph nodes up to 1 cm may have dust fibrosis and coal silicosis nodules. The lymph nodes >2 cm is more common in CWP complicated with lung cancer than in simple CWP. The lymph nodes > 3 cm indicates higher probability of CWP with lung cancer than PMF

  1. Clinical correlates of enlarged prostate size in subjects with sexual dysfunction

    Directory of Open Access Journals (Sweden)

    Giovanni Corona

    2014-10-01

    Full Text Available Digito-rectal examination (DRE of the prostate provides useful information on the state of prostate growth and on the presence of suspected peripheral nodules. The aim of this study is to describe the clinical and biochemical correlates of finding an enlarged prostate size at DRE in subjects with sexual dysfunction (SD. A consecutive series of 2379 patients was retrospectively studied. The analysis was focused on a subset of subjects (n = 1823; mean age 54.7 ± 11.4 selected for being free from overt prostatic diseases. Several parameters were investigated. After adjusting for confounders, the presence of an enlarged prostate size at DRE was associated with a higher risk of metabolic syndrome (HR = 1.346 (1.129-1.759; P = 0.030, type 2 diabetes mellitus (HR = 1.489 (1.120-1.980; P = 0.006, increased LDL cholesterol (>100 mg dl−1 ; HR = 1.354 (1.018-1.801; P = 0.037 and increased mean blood pressure (BP values (HR = 1.017 (1.007-1.027 for each mmHg increment; P = 0.001. Accordingly, enlarged prostate size was also associated with a higher risk of arteriogenic erectile dysfunction (ED, as well as with other andrological conditions, such as varicocele and premature ejaculation (PE. PSA levels were significantly higher in subjects with enlarged prostate size when compared to the rest of the sample (HR = 3.318 (2.304; 4.799 for each log unit increment in PSA levels; P < 0.0001. Arteriogenic ED, according to different criteria, was also associated with increased PSA levels. In conclusion, our data support the need to examine prostate size either by clinical (DRE or biochemical (PSA inspection in subjects with SD, in order to have insights into the nature of the SD and the metabolic and cardiovascular (CV background of the patient.

  2. Blood Flow Simulations for the Design of Stented Valve Reducer in Enlarged Ventricular Outflow Tracts

    OpenAIRE

    Caiazzo, Alfonso; Guibert, Romain; Boudjemline, Younes; Vignon-Clementel, Irene

    2015-01-01

    International audience Tetralogy of Fallot is a congenital heart disease characterized over time, after the initial repair, by the absence of a functioning pulmonary valve, which causes regurgitation, and by progressive enlargement of the right ventricle outflow tract (RVOT). Due to this pathological anatomy, available transcatheter valves are usually too small to be deployed there. To avoid surgical valve replacement, an alternative consists in implanting a reducer prior to or in combinat...

  3. Welfare State Formation in the Enlarged European Union: Patterns of Reform in Postcommunist States

    OpenAIRE

    Offe, Claus; Fuchs, Susanne

    2007-01-01

    Eastern Enlargement of the European Union challenged the design of European Welfare states. Many authors discuss the impact of East European social security systems on their West European counterparts and fear a “race to the bottom”. This paper addresses welfare state developments in the eight post-socialist new member states which completed the accession process in 2004, Estonia, Latvia, Lithuania, Poland, the Czech Republic, Slovakia, Hungary, and Slovenia (EU-8). We focus on institutional ...

  4. An Ultrasensitive Chemiluminescence Biosensor for Carcinoembryonic Antigen Based on Autocatalytic Enlargement of Immunogold Nanoprobes

    OpenAIRE

    2012-01-01

    A sensitive flow injection chemiluminescence assay for carcinoembryonic antigen (CEA) detection based on signal amplification with gold nanoparticles (NPs) is reported in the present work. The sandwich system of CEA/anti-CEA/goat-anti-mouse IgG functionalized Au nanoparticles was used as the sensing platform. In order to improve detection sensitivity, a further gold enlargement step was developed based on the autocatalytic Au deposition of gold nanoprobes via the reduction of AuCl4 − to Au0 o...

  5. Reversible and non-reversible enlargement of cerebral spinal fluid spaces in anorexia nervosa

    International Nuclear Information System (INIS)

    Brain CT studies of 35 patients with anoxia nervosa confirmed the observations of other authors: cerebral dystrophic changes correlate with weight loss and the reversibility of these changes also correlates with the normalization of body weight. Other corroborated facts are: the most numerous and most pronounced enlargements are of the cortical sulci and the interhemispheric fissure, moderate widening affects the ventricles and the rarest and most insignificant changes are those of the cerebellum. The reversibility of the changes showed a parallel to the extent of the changes themselves and to the duration of improvement of the body weight. The reversibility of the enlargement of the cortical sulci and of the distances between the frontal horns of the lateral ventricles was more often significant than that of the abnormal measurements of the cella media. This difference is based on minimal early acquired brain damage which occurs in 60% of our patients. This high incidence of early acquired minimal brain disease in patients with anorexia nervosa is here discussed as a nonspecific predisposing factor. Although there is no exact explanation of the etiology of the reversible enlargement of cerenral spinal fluid (CSF) spaces in anorexia nervosa, the changes resemble those in alcoholics. The mechanisms of brain changes in alcoholism, as shown experimentally, seem to us to throw light on the probable mechanism of reversible dystrophic brain changes in anorexia nervosa. (orig.)

  6. Association between gingivitis and anterior gingival enlargement in subjects undergoing fixed orthodontic treatment

    Directory of Open Access Journals (Sweden)

    Fabricio Batistin Zanatta

    2014-06-01

    Full Text Available OBJECTIVE: The aim of this study was to investigate the association among gingival enlargement (GE, periodontal conditions and socio-demographic characteristics in subjects undergoing fixed orthodontic treatment. METHODS: A sample of 330 patients undergoing fixed orthodontic treatment for at least 6 months were examined by a single calibrated examiner for plaque and gingival indexes, probing pocket depth, clinical attachment loss and gingival enlargement. Socio-economic background, orthodontic treatment duration and use of dental floss were assessed by oral interviews. Associations were assessed by means of unadjusted and adjusted Poisson's regression models. RESULTS: The presence of gingival bleeding (RR 1.01; 95% CI 1.00-1.01 and excess resin around brackets (RR 1.02; 95% CI 1.02-1.03 were associated with an increase in GE. No associations were found between socio-demographic characteristics and GE. CONCLUSION: Proximal anterior gingival bleeding and excess resin around brackets are associated with higher levels of anterior gingival enlargement in subjects under orthodontic treatment.

  7. Reversible and non-reversible enlargement of cerebral spinal fluid spaces in anorexia nervosa

    Energy Technology Data Exchange (ETDEWEB)

    Artmann, H.; Grau, H.; Adelmann, M.; Schleiffer, R.

    1985-07-01

    Brain CT studies of 35 patients with anoxia nervosa confirmed the observations of other authors: cerebral dystrophic changes correlate with weight loss and the reversibility of these changes also correlates with the normalization of body weight. Other corroborated facts are: the most numerous and most pronounced enlargements are of the cortical sulci and the interhemispheric fissure, moderate widening affects the ventricles and the rarest and most insignificant changes are those of the cerebellum. The reversibility of the changes showed a parallel to the extent of the changes themselves and to the duration of improvement of the body weight. The reversibility of the enlargement of the cortical sulci and of the distances between the frontal horns of the lateral ventricles was more often significant than that of the abnormal measurements of the cella media. This difference is based on minimal early acquired brain damage which occurs in 60% of our patients. This high incidence of early acquired minimal brain disease in patients with anorexia nervosa is here discussed as a nonspecific predisposing factor. Although there is no exact explanation of the etiology of the reversible enlargement of cerenral spinal fluid (CSF) spaces in anorexia nervosa, the changes resemble those in alcoholics. The mechanisms of brain changes in alcoholism, as shown experimentally, seem to us to throw light on the probable mechanism of reversible dystrophic brain changes in anorexia nervosa.

  8. Inhibitory effects by ayurvedic plants on prostate enlargement induced in rats

    Directory of Open Access Journals (Sweden)

    Rahul K Dumbre

    2014-01-01

    Full Text Available Background: Ayurveda recommends several plants and plant preparation for conditions of urogenital disorders as per its principles. Objectives: Ayurvedic plants Tamala (Cinnamomum tamala; Daruhalad (Berberis aristata; Ativish (Aconitum heterophyllum were studied for mechanisms of prostatic hyperplasia induced in rats. Materials and Methods: Prostatic enlargement was induced in castrated rats by testosterone injection s.c. for 21 days and simultaneously plants were dosed orally daily. On day 22 rats were sacrificed and prostate was removed; weight and volume of prostate was measured; histopathology performed. Inflammation was induced by injecting carrageenan in rat hind paw and inhibition was studied by measuring rat paw oedema at different time points. Results: Tamala showed significant effect where it reduced prostatic enlargement and improved hyperplastic changes, while Daruhalad and Ativisha did not show any significant effect. All of them showed mild to moderate anti-inflammatory activity. Conclusion: Study concludes that Tamala may benefit in prostate disorder by virtue of inhibition of androgen mechanisms in prostate and modulating inflammatory mediators in prostate. Daruhalad and Ativisha did not show any effect in this model of prostate enlargement while the anti-inflammatory effect may propose one of the useful properties when included in various formulations.

  9. The Significance of Macrocephaly or Enlarging Head Circumference in Infants With the Triad

    Science.gov (United States)

    Miller, David; Barnes, Patrick; Miller, Marvin

    2015-01-01

    Abstract Infants with the triad (neurologic dysfunction, subdural hematoma [SDH], and retinal hemorrhage) are often diagnosed as victims of shaken baby syndrome. Medical conditions/predisposing factors to developing the triad are often dismissed: short falls, birth-related SDH that enlarges, macrocephaly, sinus/cortical vein thrombosis, and others. Six infants with the triad are described in which child abuse was diagnosed, but parents denied wrongdoing. All 6 had either macrocephaly or enlarging head circumference, which suggested medical explanations. Three infants incurred short falls, 1 had a difficult delivery in which there was likely a rebleed of a birth-related SDH, 1 had a spontaneous SDH associated with increased extra-axial fluid spaces, and 1 had a sinus thrombosis. Following legal proceedings, all 6 infants were returned to their parents, and there has been no child maltreatment in follow-up, suggesting child abuse never happened. The results indicate that alternative medical explanations for causing the triad should be considered and that macrocephaly or an enlarging head circumference raises the possibility of a medical explanation. PMID:25893912

  10. [Mother and son with enlarged parietal foramina, persistent fetal vein, and ALX4 mutation].

    Science.gov (United States)

    Morita, Motoaki; Nanba, Eiji; Adachi, Kaori; Ohno, Kousaku

    2016-05-01

    Enlarged parietal foramina (EPF) are rare congenital skull defects. These round or oval defects are situated on each parietal bone approximately 1 cm from the midline. Most patients with EPF have a positive family history. The condition is inherited as an autosomal dominant trait with relatively high, but not full, penetrance. Mutation in either MSX2 or ALX4 genes is associated with enlarged parietal foramina. Case 1 is a boy who was noticed to have a large anterior fontanelle, large posterior fontanelle, and widely opened sagittal suture at 2 months. During development, the anterior fontanelle and sagittal suture closed at 3 years and the posterior fontanelle subsequently divided into two foramina with ossification of the midline bridge by 4 years. The foramina were about 2.5 x 2.5 cm in diameter at 8 years. Case 2 is the 34-year-old mother of Case 1. She showed similar bone defects in her cranium, again about 2.5 x 2.5 cm in diameter. Neither patient showed any neurological symptoms. Genetic analysis revealed a mutation in the ALX4 gene in both patients, and magnetic resonance imaging showed a persistent falcine sinus and a hypoplastic straight sinus. Further evaluation revealed that the mother of Case 2 also had a mutation in the ALX4 gene, but no enlarged parietal foramina. Although high penetrance of this condition has been reported, this family suggests incomplete penetrance of this disorder. PMID:27349084

  11. The Eurosafe Forum 2003: Nuclear expertise and challenges of the enlargement of the European Union

    International Nuclear Information System (INIS)

    EUROSAFE is an international forum for discussions among experts from technical safety organisations, research institutes, safety authorities, utilities, the industry, public authorities and non-governmental organisations concerning the status of and recent achievements in nuclear installation safety, waste management, radiation safety and nuclear material security. The Eurosafe Forum 2003 - the fifth of its kind - was held at the Palais Brongniart in Paris on November 25 and 26, 2003. This year's theme was: 'Nuclear expertise and challenges of the enlargement of the European Union: speakers in the various European countries about the environmental scan before enlargement, development and structuring perspectives within the enlarged Europe'. The event brought together 445 experts and researchers from around the world (including 124 from Germany, 184 from France, 88 from Eastern Europe, as well as representatives from Korea, Japan, the United States, Canada, Cuba, and Armenia. The proceedings of the symposium can now be consulted online. The fifth edition of the forum focused on nuclear expertise and the challenge of EU-enlargement and the latest work carried out by GRS, IRSN and their partners from the European Union, Switzerland and Eastern Europe. Nuclear energy contributes approximately one third of European electricity production. A high level of nuclear safety is a priority for the countries of Europe. The technical safety organisations play an important role in contributing to that objective through appropriate approaches to major safety issues as part of their assessments and research activities. The challenges to nuclear safety are increasingly international. Changes in underlying technologies such as instrumentation and control, the impact of electricity market deregulation, demands for improved safety, the ageing of nuclear facilities, waste management, maintaining and improving scientific and technical knowledge and the need for greater transparency

  12. Transient enlargement of contrast uptake on MRI after linear accelerator (linac) stereotactic radiosurgery for brain metastases

    International Nuclear Information System (INIS)

    Purpose/Objective: With the increasing number of patients successfully treated with stereotactic radiosurgery for brain metastases, decision making after therapy based on follow-up imaging findings becomes more and more important. Magnetic resonance imaging (MRI) is the most sensitive means for follow-up studies. The objective of this study was to investigate the treatment outcome of our radiosurgery program and to describe the response of brain metastases to contrast-enhanced MRI after linear accelerator (linac) stereotactic radiosurgery and identify factors to distinguish among local control and local failure. Methods and Materials: Using serial MRI, we followed the course of 87 brain metastases in 48 consecutive patients treated between September 1996 and November 1997 with linac-based radiosurgery with 15-MV photons. Treatment planning was performed on an MR data cube. For spherical metastases, radiosurgery was delivered using a 9 noncoplanar arc technique with circular-shaped collimators. For irregularly shaped targets, radiosurgery was delivered using a manually driven multi-leaf collimator with a leaf width of 1.5 mm projected to the isocenter. Median radiosurgery dose was 20 Gy prescribed to the 80% isodose. Together with whole brain radiotherapy (20x2 Gy, 5/w), a median radiosurgical dose of 15 Gy was delivered. Median follow-up was 8 (range 2-36) months. Factors influencing local control and survival rates were analyzed with respect to MRI response, and Kaplan-Meier curves were calculated. Results: Actuarial local tumor control was 91% at one and two years. Patient survival at one and two years was 30% and 18%. Median survival was 9 months. During follow-up in 70 (81%) of the 87 treated metastases, the contrast-enhancing volumes on T1W images were stable or disappeared partly or completely. A transient enlargement of contrast-enhancing volumes was observed in 11 (12%) of the 87 lesions treated, while a progressive enlargement due to local treatment

  13. Wellbore enlargement investigation: Potential analogs to the Waste Isolation Pilot Plant during inadvertent intrusion of the repository

    International Nuclear Information System (INIS)

    This study involved the evaluation and documentation of cases in which petroleum wellbores were enlarged beyond the nominal hole diameter as a consequence of erosion during exploratory drilling, particularly as a function of gas flow into the wellbore during blowout conditions. A primary objective was to identify analogs to potential wellbore enlargement at the Waste Isolation Pilot Plant (WIPP) during inadvertent human intrusion. Secondary objectives were to identify drilling scenarios associated with enlargement, determine the physical extent of enlargement, and establish the physical properties of the formation in which the enlargement occurred. No analogs of sufficient quality to establish quantitative limits on wellbore enlargement at the WIPP disposal system were identified. However, some information was obtained regarding the frequency of petroleum well blowouts and the likelihood that such blowouts would bridge downhole, self-limiting the surface release of disposal-system material. Further work would be necessary, however, to determine the conditions under which bridging could occur and the extent to which the bridging might be applicable to WIPP. In addition, data on casing sizes of petroleum boreholes in the WIPP vicinity support the use of a 12-1/4 inch borehole size in WIPP performance assessment calculations. Finally, although data are limited, there was no evidence of significant wellbore enlargement in any of three blowouts that occur-red in wellbores in the Delaware Basin (South Culebra Bluff Unit No. 1, Energy Research and Development Administration (ERDA) 6, and WIPP 12)

  14. Communities, Boundaries and New Neighbours: the Discursive Construction of EU Enlargement

    Directory of Open Access Journals (Sweden)

    Giuditta Caliendo

    2008-12-01

    Full Text Available The institutional discourse of the European Union (EU is undergoing important changes that are also reflected by new initiatives in its communication policy. Against a background of widespread scepticism towards EU enlargement among the public, this change is driven by the need to promote the widening of its borders in a more effective way in order to prompt popular endorsement. Through the use of its textual and visual communicative strategies, the EU is thus finding new ways to buttress its legitimacy and raise consensus around its political actions. The node of interaction between citizens and institutions is represented by the informative publications of the EU (also made available on the europa website, which become a constitutive element in building Union-to-citizen communication. The analysis of textual and visual formulations of the European Commission’s key booklets on EU enlargement in the period from 2004 to 2007 - in terms of their content and pragmatic aims - reveals the emergence of new consensus-building strategies. Results show that a sense of allegiance and belonging attributed to a deepening of European integration is now increasingly linked to the practical advantages of EU enlargement, as expressed through the use of ‘promotional’ and strategic discursive practices. Moving away from a merely informative content, communication modes ‘migrate’ towards a more direct and ‘commodified’ type of message, while an increase in visual elements plays a complementing role in promoting legitimacy and a feeling of mutual belonging between ‘old’ and ‘new’ members of the European family.

  15. Determination of nanomolar uric and ascorbic acids using enlarged gold nanoparticles modified electrode.

    Science.gov (United States)

    Kannan, P; John, S Abraham

    2009-03-01

    Individual and simultaneous determination of 50nM uric acid (UA) and ascorbic acid (AA) using enlarged, citrate-stabilized gold nanoparticles (AuNPs) self-assembled to 2,5-dimercapto-1,3,4-thiadiazole (DMT) monolayer modified Au (Au/DMT) electrode by an amperometric method is described for the first time. Self-assembly of AuNPs on the electrode surface was confirmed by atomic force microscopy (AFM), attenuated total reflectance FT-IR and diffuse reflectance spectral measurements. The electron transfer reaction (ETR) of [Fe(CN)(6)](3-/4-) was blocked at Au/DMT electrode, whereas it was restored with a peak separation of 200mV after the attachment of AuNPs on the Au/DMT (Au/DMT/AuNPs) electrode, which was confirmed from the ETR of the [Fe(CN)(6)](3-/4-) redox couple. When the self-assembled AuNPs were enlarged by hydroxylamine seeding, the ETR of [Fe(CN)(6)](3-/4-) was improved significantly with a peak separation of 100mV. Tapping mode AFM showed that the average size of the enlarged-AuNPs (E-AuNPs) was 50-70nm. The E-AuNPs modified electrode catalyzes the oxidation of AA and UA, separates their voltammetric signals by 200mV, and has excellent sensitivity towards AA and UA with a detection limit of 50nM. The practical application of the modified electrode was demonstrated by measuring the concentration of UA in blood serum and urine. PMID:19111516

  16. Future of nuclear energy in the enlarged European Union: a perspective from Brussels

    International Nuclear Information System (INIS)

    As a trade association of the European nuclear industry FORATOM works to enhance the relations between the industry and European institutions, provides information on nuclear energy to the European institutions, considers the EU enlargement process as the top priority in the lobbying actions. FORATOM working groups focus on the following subjects: accession, climate change, legal affairs, nuclear research and development, decommissioning, quality management, waste, transport, security of supply and sustainable development. The paper presents the current activities and future tasks in the EUs changing operational environment

  17. 10 Years After: EU Enlargement, Closed Borders, and Migration to Germany

    OpenAIRE

    Elsner, Benjamin; Zimmermann, Klaus F.

    2013-01-01

    We study how the EU enlargement in 2004 and the Great Recession in the late 2000s have shaped the scale and composition of migration flows from the New Member States to Germany. We demonstrate that immigration increased substantially despite the restrictions on the German labor market, and that net flows decreased to zero at the outset of the recession. The cohorts arriving after 2004 had on average a lower education than the previous arrival cohort, but the wage gap compared to Germans becam...

  18. Successful nonsurgical management of post-orthodontic gingival enlargement with intensive cause-related periodontal therapy.

    Science.gov (United States)

    Kwon, TaeHyun; Kim, David M; Levin, Liran

    2015-03-01

    Successful nonsurgical management of severe postorthodontic gingival enlargement and erythema in a 24-year-old male is presented. The patient received an intensive cause-related periodontal therapy, consisting of oral hygiene instruction, scaling and root planing, and weekly recall visits. At week five, complete resolution of the lesions was achieved. By targeting the primary etiologic factor, i.e., plaque, periodontal health was restored without needing surgical intervention. Reducing the bacterial load will give the biologic natural healing capacity of the body the opportunity to stabilize the periodontal condition and, thus, should be considered as the first line of intervention before a surgical approach is taken. PMID:25928969

  19. To enlarge the travel markets from Shanghai to Turku (Shanghai CITS, Ltd.)

    OpenAIRE

    Wang, Chunyang

    2010-01-01

    This paper is made in order to make thorough analysis in current Chinese travel markets and travel agencies, as well as the analysis on Turku’s travel markets, with which it can know the feasibility in enlarge the travel markets for CITS into Turku. In details, as the background information, the brief overview of history of China’s domestic travel agencies and a brief description of Shanghai CITS in terms of its business and management status are posed with the aim of getting enough suppo...

  20. Use of minocycline as systemic antimicrobial therapy in refractory periodontitis with chronic gingival enlargement

    Directory of Open Access Journals (Sweden)

    Parag M Khatri

    2012-01-01

    Full Text Available Periodontal disease is a multifactorial disease having various risk factors, but a dynamic interaction between bacterial products and host response in association with genetic and environmental factors is considered as the primary cause for periodontal tissue destruction in periodontitis. This bacterial-host interaction which is ever-so-present in periodontitis directs us toward utilizing antimicrobial agents along with the routine mechanical debridement. This case report present a case of a female patient with recurrent periodontal infections with gingival enlargement treated with systemic Minocycline in conjunction with the conventional non-surgical approach.

  1. Dual Enlargement of Gold Nanoparticles: From Mechanism to Scanometric Detection of Pathogenic Bacteria

    DEFF Research Database (Denmark)

    Cao, Cuong; Gontard, Lionel Cervera; Le Ly, Tram Thuy;

    2011-01-01

    the electron density of the nanostructures, leading to a stronger intensity for colorimetric discrimination as well as better sensitivity for quantitative measurement. Based on this, a simple scanometric assay for the on‐slide detection of the food‐born pathogen Campylobacter jejuni is developed. After...... capturing the target bacteria, gold‐tagged immunoprobes are added to create a signal on a solid substrate. The signal is then amplified by the dual enlargement process, resulting in a strong color intensity that can easily be recognized by the unaided eye, or measured by an inexpensive flatbed scanner...

  2. The effect of the 2004 and 2007 EU enlargement on the Spanish labour market

    OpenAIRE

    de la Rica, Sara.

    2009-01-01

    The 2004 and 2007 EU enlargement has led to a significant increase in the immigration flow to Spain. Individuals from the new-EU-12 countries accounted for no more than 10% of the whole Spanish immigrant population in 2004, but by 2008 they accounted for almost 20% of the total flow of immigrants. As of 2008, immigrants from Bulgaria, Poland and Rumania account for 97 percent of new-EU-12 immigrants. These immigrants are younger, and the vast majority of them are educated to secondary level. ...

  3. Spatial bandwidth enlargement and field enhancement of shear horizontal waves in finite graded piezoelectric layered media

    KAUST Repository

    Xu, Yanlong

    2015-09-01

    Shear horizontal (SH) wave propagation in finite graded piezoelectric layered media is investigated by transfer matrix method. Different from the previous studies on SH wave propagation in completely periodic layered media, calculations on band structure and transmission in this paper show that the graded layered media possess very large band gaps. Harmonic wave simulation by finite element method (FEM) confirms that the reason of bandwidth enlargement is that waves within the band gap ranges are spatially enhanced and stopped by the corresponding graded units. The study suggests that the graded structure possesses the property of manipulating elastic waves spatially, which shows potential applications in strengthening energy trapping and harvesting. © 2015.

  4. Efficient Molecular Genetic Diagnosis of Enlarged Vestibular Aqueducts in East Asians

    OpenAIRE

    Choi, Byung Yoon; Stewart, Andrew K.; Nishimura, Katherine K.; Cha, Won Jae; Seong, Moon-Woo; Park, Sung Sup; Kim, Seung Won; Chun, Yang Sook; Chung, Jong Woo; Park, Shi-Nae; Chang, Sun O; Kim, Chong-Sun; Alper, Seth L; Griffith, Andrew J.; Oh, Seung-Ha

    2009-01-01

    Context: Enlargement of the vestibular aqueduct (EVA) is a commonly detected inner ear anomaly related to hearing loss and often associated with mutations of SLC26A4 encoding pendrin, a transmembrane exchanger of Cl−, I−, and HCO3−. Here we describe the phenotypes of 27 Korean EVA subjects and their SLC26A4 genotypes determined by bidirectional nucleotide sequencing. Results: The detected variants include two novel missense substitutions (p.V138L and p.P542R). We characterized the ability of ...

  5. Engrosamiento peneano: complicación de lipotransferencia Penis enlargement: complication of lipotransfer

    Directory of Open Access Journals (Sweden)

    C.G. Conde

    2012-12-01

    Full Text Available La solicitud de engrosamiento del pene por parte de los pacientes tiene un crecimiento sostenido. El empleo de grasa autóloga como relleno puede causar una deformidad que provoca un menoscabo funcional y estético. Presentamos un caso de complicación que requirió de tratamiento quirúrgico.Penis enlargement is a practice widely requested by the patients. The use of autologous fat transplantation can produce deformity and functional and aesthetic deficiency. The authors present a clinical case of complication and its surgical resolution.

  6. International marketing in an enlarged European Union: Some insights into cultural heterogeneity in Central Europe

    OpenAIRE

    Skinner, Heather; Kubacki, Krzysztof; Moss, Gloria; Chelly, David

    2008-01-01

    We inhabit a global village in which international marketers are encouraged to think and act with both global and local interests in mind. The enlargement of the European Union (EU) in January 2007 has created a 27 member state EU with a population of nearly half a billion. The purpose of this article is therefore to examine the nature of these differences in so far as they impact on the segmentation decisions made by international marketers. This article examines the literature on culture, i...

  7. Influence of the apical enlargement size on the endotoxin level reduction of dental root canals

    Directory of Open Access Journals (Sweden)

    Ariane Cassia Salustiano Marinho

    2012-12-01

    Full Text Available Gram-negative bacteria play an essential role in endodontic infections because they have virulence factors such as endotoxin. Due to its potential cytotoxic activity, special attention has been given to the removal/neutralization of this endotoxin in the root canal system. OBJECTIVE: The aim of this study was to evaluate the influence of the apical enlargement size (AES by using rotary instruments on the endotoxin level reduction of dental root canals. MATERIAL AND METHODS: Forty root canals of the mandibular premolar teeth were used. Escherichia coli endotoxin (055: B55 was inoculated into thirty root canals. Ten teeth served as the negative control group. After the incubation period, the first endotoxin samples were collected from the root canals with a sterile/apyrogenic paper point for the analysis of the endotoxin units (EU/mL present before instrumentation (S1. Specimen instrumentation was performed with the Mtwo® rotary system in the sequence 10/.04, 15/.05, 20/.06, 25/.06, 30/.05, 35/.04 and 40/.04. To monitor the effectiveness of increasing apical enlargement on endotoxin removal, the second endotoxin samples were collected from all the root canals after instrumentation with the following instruments: #25/.06- (S2; #30/.05- (S3; # 35/.04- (S4; and #40/.04- (S5. Limulus amebocyte lysate (LAL was used to quantify the levels of endotoxin. The results were statistically compared by using repeated measures of ANOVA with post hoc Tukey testing. RESULTS: Increasing levels of endotoxin removal was achieved by large sized apical enlargement: S2 (AES #25/.06- 89.2%, S3 (AES #30/.05- 95.9%, S4 (AES #35/.04- 97.8% and S5 (AES #40/.04- 98.2%. Substantial reduction of endotoxin content was obtained in S4 and S5 compared to S2 (p<0.05, however, the root canal preparation was not able to eliminate the endotoxin. CONCLUSIONS: Under the conditions of this study, it was concluded that the reduction of endotoxin levels of the dental root canals could be

  8. U.S. decisionmaking process on NATO enlargement: implications for East Eurpoean States

    OpenAIRE

    Malashchenko, Vitaliy B.

    1996-01-01

    This thesis examines the evolution of post-Cold War U.S. policy towards NATO as a case study of the way in which domestic and international pressures interact to shape security policy. I argue that the expansion of U.S. commitments to post-Cold War Europe corresponds to the way key U.S. policymaking institutions have framed American national interests. President Clinton, his key advisers and Republican leaders of Congress emphasize that NATO enlargement advances American interests by accelera...

  9. Clinical correlates of enlarged prostate size in subjects with sexual dysfunction

    Institute of Scientific and Technical Information of China (English)

    Giovanni Corona; Mauro Gacci; Elisa Maseroli; Giulia Rastrelli; Linda Vignozzi; Alessandra Sforza; Gianni Forti; Edoardo Mannucci; Mario Maggi

    2014-01-01

    Digito‑rectal examination(DRE) of the prostate provides useful information on the state of prostate growth and on the presence of suspected peripheral nodules. The aim of this study is to describe the clinical and biochemical correlates of ifnding an enlarged prostate size at DRE in subjects with sexual dysfunction(SD). Aconsecutive series of 2379patients was retrospectively studied. The analysis was focused on a subset of subjects(n=1823; mean age 54.7±11.4) selected for being free from overt prostatic diseases. Several parameters were investigated. After adjusting for confounders, the presence of an enlarged prostate size at DRE was associated with a higher risk of metabolic syndrome(HR=1.346(1.129–1.759);P=0.030), type2 diabetes mellitus(HR=1.489(1.120–1.980);P=0.006), increased LDL cholesterol(>100mgdl−1; HR=1.354(1.018–1.801);P=0.037) and increased mean blood pressure(BP) values(HR=1.017(1.007–1.027) for each mmHg increment;P=0.001). Accordingly, enlarged prostate size was also associated with a higher risk of arteriogenic erectile dysfunction(ED), as well as with other andrological conditions, such as varicocele and premature ejaculation(PE). PSA levels were signiifcantly higher in subjects with enlarged prostate size when compared to the rest of the sample(HR=3.318(2.304; 4.799) for each log unit increment in PSA levels;P<0.0001). Arteriogenic ED, according to different criteria, was also associated with increased PSA levels. In conclusion, our data support the need to examine prostate size either by clinical(DRE) or biochemical(PSA) inspection in subjects with SD, in order to have insights into the nature of the SD and the metabolic and cardiovascular(CV) background of the patient.

  10. Multiple detection of single nucleotide polymorphism by microarray-based resonance light scattering assay with enlarged gold nanoparticle probes.

    Science.gov (United States)

    Gao, Jiaxue; Ma, Lan; Lei, Zhen; Wang, Zhenxin

    2016-03-01

    The mapping of specific single nucleotide polymorphisms (SNPs) in patients' genome is a critical process for the development of personalized therapy. In this work, a DNA microarray-based resonance light scattering (RLS) assay has been developed for multiplexed detection of breast cancer related SNPs with high sensitivity and selectivity. After hybridization of the desired target single-stranded DNAs (ssDNAs) with the ssDNA probes on a microarray, the polyvalent ssDNA modified 13 nm gold nanoparticles (GNPs) are employed to label the hybridization reaction through the formation of a three-stranded DNA system. The H2O2-mediated enlargement of GNPs is then used to enhance the RLS signal. The microarray-based RLS assay provides a detection limit of 10 pM (S/N = 3) for the target ssDNA and determines an allele frequency as low as 1.0% in the target ssDNA cocktail. Combined with an asymmetric PCR technique, the proposed assay shows good accuracy and sensitivity in profiling 4 SNPs related to breast cancer of three selected cell lines.

  11. The Deadlock that never Happened: the Impact of Enlargement on the Common Foreign and Security Policy Council Working Groups

    OpenAIRE

    JUNCOS, Ana E; Karolina Pomorska

    2007-01-01

    Contrary to some previous assumptions, the enlargement did not halt the Common Foreign and Security Policy (CFSP) decision-making process in a substantial way. Rather it changed the dynamics within the working environment, preserving the importance of consensus-building practices in the Council working groups. The aim of this article is twofold. First, it tracks the changes that the recent enlargement caused in the working practices of the Council working groups. It also attempts to assess th...

  12. Conduit enlargement during the precursory Plinian eruption of Aira Caldera, Japan

    Science.gov (United States)

    Geshi, Nobuo; Miyabuchi, Yasuo

    2016-09-01

    Increase in magma flux as the result of conduit enlargement is one of the key processes that triggered caldera collapse and eruption of the Ito ignimbrite from Aira Caldera at ~29 ka. We examine the total volume of the pumice fall deposit, vertical variations in grain size of pumice, and the lithic content in the Osumi pumice deposit to investigate the trigger for caldera collapse. Wider distribution of the later-stage unit and the upward coarsening of grain size throughout the Osumi pumice fall deposit indicate an increase in magma discharge toward the onset of collapse. The total volume of lithic fragments in the Osumi pumice fall deposit is estimated as ~1.6 km3, based on the lithic content in several representative outcrops and the total volume of the Osumi pumice fall deposit. The lithic fragments in the Osumi pumice fall deposit indicate intense mechanical erosion of the conduit during the Plinian eruption prior to caldera collapse. Caldera collapse requires decompression of the magma chamber by withdrawal of magma; effective enlargement of the conduit diameter during precursory eruptive phases is one of the important processes that subsequently allow the rapid discharge of a large volume of magma, which in turn facilitates decompression of the reservoir and induces caldera collapse.

  13. Right heart enlargement in heartworm-infected dogs: a radiographic, electrocardiographic, and echocardiographic correlation

    International Nuclear Information System (INIS)

    Radiographically, the size of the right ventricle of 54 heartworm-infected dogs was graded subjectively as normal, 1 +, 2 +, and 3 + and served to classify the dogs into groups A, B, C, and D. With M-mode echocardiograms, right ventricular enlargement ratios (RVE ratios) were determined for each dog by dividing the measured right ventricular internal diastolic dimension (RVIDd) by the expected RVIDd of a normal dog of the same body weight. The normal RVIDd relation to body weight was derived from 25 healthy heartworm-free control dogs. These two variables were linearly related with a correlation coefficient r2 = 0.59. Means and standard deviations of the RVE ratio were calculated for each group. Despite wide ranges and considerable overlap, the ratio was significantly different (t-test, p < 0.005) between groups with the exception of groups A and B, and C and D. The incidence of electrocardiographic signs of right ventricular hypertrophy was also determined for each group; it was 38% in group C and 62% in group D. From this data, it was concluded that M-mode echocardiography is a very sensitive technique for the documentation of right ventricular dilatation in heartworm-infected dogs, correlating with radiographic impressions of right ventricular enlargement. (author)

  14. Vaginal hysterectomy or laparoscopic assisted vaginal hysterectomy for enlarged myomatous uterus: a randomized clinical trial

    Institute of Scientific and Technical Information of China (English)

    Fan Rong; Zhu Lan; Lang Jing-he; Shi Hong-hui; Gong Xiao-ming

    2011-01-01

    Objective:To compare the intraoperative condition and short-term outcomes of vaginal hysterectomy (VH) and laparoscopic assisted vaginal hysterectomy (LAVH) for enlarged myomatous uterus.Methods:Fifty patients from Peking Union Medical College Hospital (PUMCH) were randomly assigned to two treatment groups:VH (n=23) and LAVH (n=27).All procedures were performed by a single senior surgeon to maintain homogeneity.Results:The baseline characteristics of the two groups were comparable.The operative time for LAVH was significantly longer than for VH (76.7±23.2 vs.57.6±23.5 min,P<0.05),and LAVH costs more money than VH (6,923.07±622.96 vs.5,974.46±1,408.08 RMB,P<0.05).Major complications,uterine weight and the length of hospital stay were comparable between VH and LAVH group.One case of VH was converted to LAVH due to adhesion.Conclusions:Compared with LAVH,VH is a time- and cost-saving operative technique for enlarged myomatous uterus.VH should be the primary method for uterine removal,but LAVH may have advantages when adhesion is present.

  15. Improvement on Diversity Gain with Filter Bandwidth Enlargement in Fractional Sampling OFDM Receiver

    Science.gov (United States)

    Shinkai, Toshiya; Nishimura, Haruki; Sanada, Yukitoshi

    A diversity scheme with Fractional Sampling (FS) in an OFDM receiver has been investigated recently. Through FS, it is possible to separate multipath components and obtain diversity gain in OFDM systems. Enlargement of the bandwidth of the total frequency response between transmit and receive baseband filters allows the FS scheme to achieve path diversity. However, the transmit filter has to be designed according to the spectrum mask of the wireless standards such as IEEE802.11a/g to avoid interference to the other communication systems and the frequency response of the composite channel including the transmit and receive filters has often been set to minimal bandwidth to eliminate adjacent channel signals. In order to achieve the maximum signal-to-noise ratio (SNR), the same filter is commonly used in the transmitter and the receiver. In this paper, the trade-off among the SNR deterioration, adjacent channel interference, and the diversity gain due to the enlargement of the bandwidth of the receive filter is investigated. Numerical results from computer simulations indicate that the BER performance with wider bandwidth in the receiver shows better performance than that with the minimal bandwidth for maximizing the SNR in certain conditions.

  16. Enlarged piloid astrocytoma of the midbrain: recurrence or pseudoprogression? A clinical case

    Directory of Open Access Journals (Sweden)

    Yu. Yu. Trunin

    2016-01-01

    Full Text Available Piloid astrocytoma (PA is a glioma that is most frequently encountered in children (WHO grade I. According to most authors, stereotactic radiation (radiotherapy and radiosurgery is an effective method to control tumor growth in patients with incomplete removal of PA and its recurrence. The authors describe a clinical case of a female patient with PA of the midbrain; during the first 7 months after radiation she showed an obvious enlargement of the tumor, as evidenced by magnetic resonance imaging (MRI, with its further regression without any antitumor treatment. A follow-up of the patient and a regular evaluation of her clinical status and MRI changes, as compared to the similar clinical cases and literature data, may suggest that PA enlargement early after radiotherapy is generally pseudoprogression rather than true progression of the tumor. An understanding of this phenomenon will be able to improve the assessment of radiotherapy results in patients with PA and to rule out unnecessary antitumor treatment in this category of patients. 

  17. Posterior cusp enlargement in mitral valve reconstructive surgery for restrictive valve insufficiency: Case report

    Directory of Open Access Journals (Sweden)

    Stojanović Ivan

    2007-01-01

    Full Text Available Introduction According to Carpentier classification, group III of mitral insufficiency is caused by the restrictive motion of the mitral valve. A rheumatic process and a coronary disease are the main causes. It is very important to examine the valve precisely, to define deformities and aetiology in order to make such a valve functional. In rheumatic disease, fibrosis and degeneration deform the entire mitral apparatus. A surgical principle is to re-establish mobility and pliability of the apparatus taking care of the functional anatomy at the same time. Cusp enlargement, chordal mobilization and ring remodeling are just some of the numerous surgical techniques that could be performed in these patients. Case outlineA 55-year old female patient was admitted to hospital with severe mitral regurgitaion. She belonged to NYHA, functional stage 2. Echocardiography revealed that both cusps, mostly posterior, were of reduced size and mobility, resulting in grade 3 regurgitation. We performed posterior cusp enlargement by using autologous pericardium treated in 0.6% of glutaraldehyde solution. Annulus remodeling was done using size 27 flexible Duran ring. Control echocardiography found trivial regurgitation. The patient was discharged on 12th postoperative day in sinus rhythm. Conclusion Surgical reconstruction of the rheumatic mitral valve back to the functional state is a demanding procedure, which, however, provides certain benefit for the successfully treated patient.

  18. PROGRESS AND OBSTACLES IN THE AREA OF JUSTICE AND HOME AFFAIRS IN AN ENLARGING EUROPE

    Directory of Open Access Journals (Sweden)

    Joanna Apap

    2003-09-01

    Full Text Available This article makes an assessment of the legislative achievements made so far of the objectives set by the Amsterdam Treaty and the Tampere European Council. A number of Justice and Home Affairs (JHA policy areas have experienced a major degree of development or convergence more than others. Why? This is a most sensitive field of study, which has been until now guarded very much as an area primarily of national sovereignty or where sovereignty issues could be at stake. The existence of frictions and strains can be considered as the main justification for this to happen. The way in which certain frictions between member states have affected the implementation of policy as well as how these may be further exacerbated by the forthcoming enlargement will be equally analyzed. The article is divided into two main parts: the evaluation of the main progress in implementing the Tampere Scoreboard on the eve of enlargement, as well as the analysis of the reasons why some JHA policy areas have not achieved the expected level of development.

  19. Alice is not missing wonderland the eastward enlargement of the European Union

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    Prokopijević Miroslav

    2005-01-01

    Full Text Available In this paper I will try to show that the EU enlargement from 2004 is not a good economic move for eight newcomers from Central and Eastern Europe (CEECs. It is unlikely that newcomers will get larger FDI, speed up their economic growth and catch up with richer EU countries, although this was broadly advertised both academically and by the EU "propaganda for happiness." The EU subsidies, intended to offset accession costs, turn out to be useless if not damaging for acceding economies, because they change the structure of incentives. So, instead of being rewarded for accession accession countries are going to be punished twice. Firstly, by lower FDI and a persisting GDP gap. Secondly, by getting subsidies which worsen the situation. CEECs would be better off staying outside the EU and continuing to improve economic freedom and the rule of law. But even after they have acceded, there is still some space for reasonable objectives of the CEECs due to unintended consequences of the socialist enlargement design.

  20. The Eurosafe Forum 2003: Nuclear expertise and challenges of the enlargement of the European Union

    Energy Technology Data Exchange (ETDEWEB)

    Lacronique, Jean-Francois; Repussard, Jacques (eds.) [Institut de Radioprotection et de Surete Nucleaire, IRSN, B.P. 17, F - 92262 Fontenay-aux-Roses Cedex (France); Hahn, Lothar (ed.) [Gesellschaft fuer Anlagen- und Reaktorsicherheit mbH, GRS, Schwertnergasse 1, D - 50667 Koeln (Germany)

    2003-07-01

    EUROSAFE is an international forum for discussions among experts from technical safety organisations, research institutes, safety authorities, utilities, the industry, public authorities and non-governmental organisations concerning the status of and recent achievements in nuclear installation safety, waste management, radiation safety and nuclear material security. The Eurosafe Forum 2003 - the fifth of its kind - was held at the Palais Brongniart in Paris on November 25 and 26, 2003. This year's theme was: 'Nuclear expertise and challenges of the enlargement of the European Union: speakers in the various European countries about the environmental scan before enlargement, development and structuring perspectives within the enlarged Europe'. The event brought together 445 experts and researchers from around the world (including 124 from Germany, 184 from France, 88 from Eastern Europe, as well as representatives from Korea, Japan, the United States, Canada, Cuba, and Armenia. The proceedings of the symposium can now be consulted online. The fifth edition of the forum focused on nuclear expertise and the challenge of EU-enlargement and the latest work carried out by GRS, IRSN and their partners from the European Union, Switzerland and Eastern Europe. Nuclear energy contributes approximately one third of European electricity production. A high level of nuclear safety is a priority for the countries of Europe. The technical safety organisations play an important role in contributing to that objective through appropriate approaches to major safety issues as part of their assessments and research activities. The challenges to nuclear safety are increasingly international. Changes in underlying technologies such as instrumentation and control, the impact of electricity market deregulation, demands for improved safety, the ageing of nuclear facilities, waste management, maintaining and improving scientific and technical knowledge and the need for greater

  1. Ghost cell lesions

    Directory of Open Access Journals (Sweden)

    E Rajesh

    2015-01-01

    Full Text Available Ghost cells have been a controversy for a long time. Ghost cell is a swollen/enlarged epithelial cell with eosnophilic cytoplasm, but without a nucleus. In routine H and E staining these cells give a shadowy appearance. Hence these cells are also called as shadow cells or translucent cells. The appearance of these cells varies from lesion to lesion involving odontogenic and nonodontogenic lesions. This article review about the origin, nature and significance of ghost cells in different neoplasms.

  2. Botulinum Neurotoxin A for Parotid Enlargement in Cystic Fibrosis: The First Case Report.

    Science.gov (United States)

    El Khoury, Joseph; Habre, Samer; Nasr, Marwan; Hokayem, Nabil

    2016-09-01

    Cystic fibrosis (CF) is the most common lethal autosomal recessive genetic disease associated with exocrine gland dysfunction. Salivary gland involvement is a common finding. The literature on submaxillary gland involvement has failed to address the parotid gland and any specific treatment of salivary gland manifestations of CF. Treatment is mainly symptomatic, consisting of analgesics, gustatory stimulation, and massage. Salivary secretion has clearly been linked to parasympathetic and sympathetic signals through intracellular calcium release. CF alters salivary composition with increased calcium and phosphorus concentrations and causes histologic changes (duct enlargement, dilation of acini, and abnormal mucous plugs). This study investigated whether botulinum toxin injected into the parotid gland during an acute exacerbation of CF-associated salivary gland disease could alleviate pain and control future exacerbations.

  3. Enlarging the operation range of a centrifugal compressor by cutting vanes based on CFD

    Science.gov (United States)

    Mo, J. T.; Gu, C. H.; Pan, X. H.; Y Zheng, S.

    2013-12-01

    Many centrifugal compressors are liable to insufficient operation range. The purpose of this paper is to enlarge the operation range of a centrifugal compressor used in turbocharger by cutting vanes. Some numerical works have been done based on CFD. The comparison of the calculated and measured results shows good agreement. The overall performance characteristics of the centrifugal compressor with different cutted vanes are observed and analyzed. The performance characteristic curves show that cutting vanes can increase the operation range by more than 50% with the loss of the highest efficiency limited in 1%. The flow fields are also shown in this paper and related explanations about the change of the performance characteristics curves are given. Shock wave is also detected in the simulation, and some related characteristics are summed up.

  4. About a peri-Gondwanan-North African enlarged acceptance of the Caledonian Orogeny

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    Ioan Balintoni

    2011-04-01

    Full Text Available The notion of “Caledonian Orogeny” is restricted by most authors to the Ordovician-Devonian thermotectonic events associated with the Laurentia-Baltica- Avalonia suturing. However, some views consider an orogeny as the sum of tectonic, metamorphic and magmatic events accompanying an entire supercontinent assembly or Wilson cycle. Following this line of thinking, the Caledonian and Variscan orogenies successively assembled Pangea. During the Ordovician Period, rifting, collision, deformation, metamorphism and magmatism took place within the Gondwana margin. All these events are known today in the basement of the Cadomian terranes from Iberia through the Alps up to the Romanian Carpathians and Balkans. We plead here for an enlargement of the “Caledonian Orogeny” terminology to these events and places, under the name of the “Caledonian North African orogenic event" or "Caledonian North African orogeny"

  5. The “transforming power” of EU Enlargement policy in Serbia. An anthropological reflection

    Directory of Open Access Journals (Sweden)

    Francesco Florindi

    2012-05-01

    Full Text Available The enlargement process of the European Union contributed substantially to the harmonisation of legal systems over the continent. The article provides an anthropological critique to the way harmonisation to EU law is implemented in the Balkans, underlining the general lack of awareness by both Serbian government and the EU of Serbian social and legal systems. While applying the anthropological method to EU law’s effects in Serbia, the author investigates also the inner value of the EU project itself. For instance the State's failure to regulate anti-corruption matters has been experienced even when the State's provision in question were in full compliance with several other international obligations and with a positively hierarchically superior legal system: the Constitution.

  6. Synthesis, characterization and oxygen-sensing performance of a rhenium complex having an enlarged sensing area

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Xiao-yong, E-mail: dreamxxy01@163.com [Center for Functional Materials of Pingxiang, Pingxiang 337055 (China); College of Materials Science and Engineering, Hunan University, Changsha 410082 (China); Deng, Ai-ping; Xiang, Yun [Center for Functional Materials of Pingxiang, Pingxiang 337055 (China)

    2015-04-15

    In this paper, we reported a Re(I) complex Re(CO){sub 3}(IPD-Et)Br having an enlarged conjugation chain for oxygen sensing purpose, where IPD-Et=4-(1-ethyl-1 H-imidazo [4,5-f][1,10] phenanthrolin-2-yl)-N,N-diphenylaniline. Its conjugation chain was composed of triphenylamine group and imidazole group. In addition, an alkyl chain was connected with this N–N ligand to breach π–π attraction between ligand planes. It was assumed that above two factors could improve oxygen sensing sensitivity. Theoretical calculation and analysis firstly confirmed this hypothesis. Then photophysical measurement on Re(CO){sub 3}(IPD-Et)Br suggested that its emission was a lon-lived one peaking at 545 nm and thus vulnerable to molecular O{sub 2}. Composite systems were constructed for oxygen sensing, using Re(CO){sub 3}(IPD-Et)Br as probe and mesoporous silicate MCM-41 as supporting matrix, respectively. Linear Stern–Volmer curves, short response time of ~13 s and high sensitivity of 3.99 were finally obtained. - Highlights: • A Re(I) complex with enlarged but limited conjugation chain for oxygen sensing. • An alkyl chain was connected onto this N–N ligand to breach π–π attraction. • Complex emission peaking at 545 nm owned a long-lived emissive center. • Composite sensing systems were constructed for oxygen sensing. • Linear Stern–Volmer plots, short response time and high sensitivity were obtained.

  7. Size enlargement of radioactive and hazardous species and their separation by microfiltration and ultrafiltration membranes

    International Nuclear Information System (INIS)

    Separation and volume reduction of aqueous solutions involving membranes is evolving into an expanding and diversified field. Numerous commercially successful membranes and their applications are now available. Among different driving forces used in membrane separation, pressure-driven separation has gained wide application. Depending on the size of the dissolved species in solution to be separated, the pressure needed to achieve the desired separation varies. The microfiltration and ultrafiltration membrane systems are low-pressure processes that generally operate below 350 kPa. To exploit these membranes in applications involving the removal of dissolved contaminants from solutions, it is essential to create a suitable size for the dissolved contaminants, so that the membranes can effectively retain them while producing a filtrate stream essentially free of contaminants. Size enlargement of the dissolved contaminants can be achieved through solution conditioning with the addition of one or a combination of chemical reagents and powdered materials. Examples of typical additives include: pH chemicals, polyelectrolytes, microorganisms and powdered adsorption/ion-exchange materials. In many situations, adequate control and optimization of the system chemistry and hydraulic conditions provide high selectivity and efficiency for contaminant removal. This paper summarizes removal efficiency data for cadmium, lead, mercury, uranium, arsenic, strontium-90/85, cesium-137 and iron. These data resulted from various initiatives on membrane technology undertaken during the past five years by the Waste Processing Technology group at Chalk River Laboratories. The technology involves size enlargement of contaminants present in waste solution, and their separation using either microfiltration or ultrafiltration. The data support remedial applications involving treatment of contaminated groundwater and soils

  8. Correlation between adenoidal nasopharyngeal ratio and symptoms of enlarged adenoids in children with adenoidal hypertrophy

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    Taiwo Olugbemiga Adedeji

    2016-01-01

    Full Text Available Background: Adenoid hypertrophy is one of the most common health problems affecting the paediatric population. This study aims to correlate adenoidal nasopharyngeal ratio (ANR with symptoms of enlarged adenoids in children with enlarged adenoids. Materials and Methods: It was a year, cross-sectional, hospital-based study conducted at Lautech Teaching Hospital, Osogbo. ANR was determined by dividing adenoidal depth with nasopharyngeal depth on the plain lateral radiographs. Results: A total of 90 consecutive children consisting of 61 males and 29 females were included in the study with M:F ratio of 2.1:1. Their ages ranged from 8 months to 11 years. All the patients presented with nasal obstruction, mouth breathing and noisy breathing. Majority (64.5% had severe obstructions with preponderance among children of 3-5 years (39.9%. Linear regression analysis showed significant association between age and ANR (t = 10.447, P < 0.001. There was high significant association (P < 0.05 between presenting symptoms and degree of nasopharyngeal airway obstruction; for snoring (r = 0.251, P = 0.000, sleep apnoea (r = 0.594, P = 0.000, nasal discharge (r = 0.314, P = 0.001, excessive daytime sleepiness (r = 0.219, P = 0.019 and failure to thrive (r = 0.240, P = 0.011. Conclusion: Lateral X-ray of the nasopharynx is an effective tool to evaluate children with suspected adenoid hypertrophy. It correlates well with patients′ symptoms and provides objective measures of adenoid hypertrophy.

  9. Segmental arterial mediolysis accompanied by renal infarction and pancreatic enlargement: a case report

    Directory of Open Access Journals (Sweden)

    Ito Nobuhisa

    2012-09-01

    Full Text Available Abstract Introduction Due to recent advances in imaging diagnostic techniques, there are an increasing number of case reports of segmental arterial mediolysis. However, there are only a limited number of reports on segmental arterial mediolysis-related abnormalities of abdominal organs other than the intestine. This report describes a case of segmental arterial mediolysis accompanied by abnormalities of abdominal organs without clinical symptoms. Case presentation A 52-year-old Japanese man with hematuria and no prior medical history was referred to a urologist and was diagnosed as having urinary bladder cancer. He underwent trans-urethral resection of the bladder tumor and intra-vesical instillation therapy, which was followed by observation. During follow-up, although no abdominal symptoms were observed, an abdominal computed tomography scan revealed a dissection of the superior mesenteric artery. A false lumen partially occluded by a thrombus was located distal to this occlusion. The lumen was irregularly shaped with narrow and wide sections. Similar irregularities were also observed in the wall of the inferior mesenteric artery. Arterial dissection with thromboembolism in the left renal artery and renal infarction was also observed. Follow-up computed tomography after two months revealed an enlargement of the pancreatic tail adjacent to the splenic artery. Follow-up three-dimensional computed tomography showed gradual re-expansion of the true lumen of the superior mesenteric artery, improvement in arterial wall irregularities, and a reduction in the pancreas enlargement and renal infarction. Over the following 15 months, these changes gradually normalized. On the basis of the vascular changes in multiple arterial systems that resolved spontaneously, we considered that the lesions were associated with segmental arterial mediolysis. Conclusions We present a rare case of segmental arterial mediolysis accompanied by abnormalities of abdominal

  10. The Border-making Policy of the European Union: Eastern Enlargement

    Directory of Open Access Journals (Sweden)

    Lika Mkrtchyan

    2012-12-01

    Full Text Available Having no internal borders, what is a border for the European Union (EU? Which criteria does this powerful organization pursue in its decision-making on further expansion: geographical, political, cultural, economic or all of these? What is the profi t of the Union in advancing its external borders to the east? And why to the east and not the south or west across the Atlantic? Does it still mean that there is the reason for enlarging eastward based on the geographical belonging to Europe? This paper discusses the expansion of the European Union to the east with the main focus on its political and economic aspects of integration. The fi rst part includes introduction to the concept of Europe, historic background about the formation of the united Europe in terms of geography, culture, politics and economy, juxtaposing opinions and viewpoints of different experts and political scientists on “what is Europe?” and what are the core issues of its enlargement. The second and third parts are dedicated to the advantages and disadvantages of European Integration for both parties concerned – the EU and the candidate/member state, in the case of the former having its own “demarcation policy” towards certain regions of the continent when it comes to unifi cation. And the fourth part is about the communication and miscommunication of the informative bodies of the European Union that are responsible for public awareness on any process that goes on within the European family. The lack of information results in the ignorance of citizens of European and partner countries, which, of course, refl ects on the further processes of expansion on the political level and cultural perception and mentality on the social level. The conclusion sums up the research, and the bibliography lists the books, articles, monographs and Internet sources used in the course of the study.

  11. Compensatory enlargement of Ossabaw miniature swine coronary arteries in diffuse atherosclerosis

    Directory of Open Access Journals (Sweden)

    Jenny S. Choy

    2015-03-01

    Full Text Available Studies in human and non-human primates have confirmed the compensatory enlargement or positive remodeling (Glagov phenomenon of coronary vessels in the presence of focal stenosis. To our knowledge, this is the first study to document arterial enlargement in a metabolic syndrome animal model with diffuse coronary artery disease (DCAD in the absence of severe focal stenosis. Two different groups of Ossabaw miniature pigs were fed a high fat atherogenic diet for 4 months (Group I and 12 months (Group II, respectively. Group I (6 pigs underwent contrast enhanced computed tomographic angiography (CCTA and intravascular ultrasound (IVUS at baseline and after 4 months of high fat diet, whereas Group II (7 pigs underwent only IVUS at 12 months of high fat diet. IVUS measurements of the left anterior descending (LAD, left circumflex (LCX and right coronary (RCA arteries in Group I showed an average increase in their lumen cross-sectional areas (CSA of 25.8%, 11.4%, and 43.4%, respectively, as compared to baseline. The lumen CSA values of LAD in Group II were found to be between the baseline and 4 month values in Group I. IVUS and CCTA measurements showed a similar trend and positive correlation. Fractional flow reserve (FFR was 0.91 ± 0.07 at baseline and 0.93 ± 0.05 at 4 months with only 2.2%, 1.6% and 1% stenosis in the LAD, LCX and RCA, respectively. The relation between percent stenosis and lumen CSA shows a classical Glagov phenomenon in this animal model of DCAD.

  12. Chronic Exposure to Water-Pipe Smoke Induces Alveolar Enlargement, DNA Damage and Impairment of Lung Function

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    Abderrahim Nemmar

    2016-03-01

    Full Text Available Background/Aim: Epidemiological evidence indicates that water-pipe smoking (WPS adversely affects the respiratory system. However, the mechanisms underlying its effects are not well understood. Recent experimental studies reported the occurrence of lung inflammation and oxidative stress following acute and subacute exposure to WPS. Here, we wanted to verify the extent of inflammation and oxidative stress in mice chronically-exposed to WPS and to evaluate, for the first time, its effect on alveolar injury and DNA damage and their association with impairment of lung function. Methods: Mice were nose-only exposed to mainstream WPS (30 min/day; 5 days/week for 6 consecutive months. Control mice were exposed using the same protocol to atmospheric air only. At the end of the exposure period, several respiratory parameters were assessed. Results: In bronchoalveolar lavage fluid, WPS increased neutrophil and lymphocyte numbers, lactate dehydrogenase, myeloperoxidase and matrix metallopeptidase 9 activities, as well as several proinflammatory cytokines. In lung tissue, lipid peroxidation, reactive oxygen species, superoxide dismutase activity and reduced glutathione were all increased by WPS exposure. Along with oxidative stress, WPS exposure significantly increased lung DNA damage index. Histologically the lungs of WPS-exposed mice had foci of mixed inflammatory cells infiltration in the interalveolar interstitium which consisted of neutrophils, lymphocytes and macrophages. Interestingly, we found dilated alveolar spaces and alveolar ducts with damaged interalveolar septae, and impairment of lung function following WPS exposure. Conclusion: We show the persistence of lung inflammation and oxidative stress in mice chronically-exposed to WPS and demonstrate, for the first time, the occurrence of DNA damage and enlargement of alveolar spaces and ducts associated with impairment of lung function. Our findings provide novel mechanistic elucidation for the

  13. Ovarian Germ Cell Tumors Treatment

    Science.gov (United States)

    ... c) cancer cells are found in the pelvic peritoneum. In stage I , cancer is found in one ... in the abdomen ) or in washings of the peritoneum ( tissue lining the peritoneal cavity). Stage II Enlarge ...

  14. Bronchial compression by an enlarged left atrium in infants; a cause of hypovascularity of the left lung

    Energy Technology Data Exchange (ETDEWEB)

    Corr, L.; Hallidie-Smith, K.A.; McCarthy, P.A.; Lavender, J.P.

    1988-09-01

    In three infants seen recently at our institution we noted signs of compression of the left main bronchus associated with enlarged left atria. None of our cases demonstrated the more usual signs of hyperinflation which are a hyperlucent lung field, depressed hemidiaphragm and mediastinal shift away from the affected side. In addition, hypoperfusion of the left lung was noted in each case. We believe that bronchial compression due to an enlarged left atrium, with consequent hypoxic vasoconstriction is a clinically significant entity, which is not well described and may be unappreciated in infants in whom the typical signs of hyperinflation are absent.

  15. A morphological adaptation? The prevalence of enlarged external occipital protuberance in young adults.

    Science.gov (United States)

    Shahar, David; Sayers, Mark G L

    2016-08-01

    Enthesophytes are bony projections that arise from the sites of ligament, tendon or joint capsule attachment to a bone. They are seen rarely in radiographic findings in young adults, as these bony adaptations are assumed to develop slowly over time. However, in recent years, the presence of an enlarged external occipital protuberance (EEOP) has been observed frequently in radiographs of relatively young patients at the clinic of the lead author. Accordingly, the aim of this project was to assess the prevalence of an EEOP in a young adult population. Analysis involved a retrospective analysis of 218 lateral cervical radiographic studies of 18-30-year-old participants. Group A (n = 108; males = 45, females = 63) consisted of asymptomatic university students, while Group B (n = 110; males = 50, females = 60) were an age-matched mildly symptomatic, non-student population. The external occipital protuberance (EOP) size was defined as the distance from the most superior point of the EOP (origin) to a point on the EOP that is most distal from the skull. To avoid ambiguity, the threshold for recording the size of an EOP was set at 5 mm, and an EOP was classified as enlarged if it exceeded 10 mm. Reliability testing was also undertaken. Results indicated that an EEOP was present in 41% of the total population, with 10% of all participants presenting with an EOP ≥ 20 mm. An EEOP was significantly more common in males (67.4%) than in females (20.3%), with the mean EEOP size for the combined male population (15 ± 7 mm) being significantly larger (P < 0.001) than for females (10 ± 4 mm). The longest EEOP in the male population was 35.7 mm, while in the female population it was 25.5 mm. Additionally, the mean EEOP size for Group A (14 ± 7 mm) was also significantly greater (P = 0.006) than that recorded for Group B (12 ± 6 mm). This study identified that an EEOP is a condition that is prevalent in the populations tested. The age of the populations, and the prevalence of

  16. Multiple, thin-walled cysts are one of the HRCT features of airspace enlargement with fibrosis

    Energy Technology Data Exchange (ETDEWEB)

    Watanabe, Yasutaka, E-mail: yasuyasu@omiya.jichi.ac.jp [Division of Diagnostic Pathology, Saitama Prefectural Cardiovascular and Respiratory Center, 1696 Itai, Kumagaya City, Saitama 360-0105 (Japan); Division of Pulmonary Medicine, Clinical Department of Internal Medicine, Jichi Medical University, Saitama Medical Center, Amanuma-cho, Omiya City, Saitama 330-8503 (Japan); Kawabata, Yoshinori [Division of Diagnostic Pathology, Saitama Prefectural Cardiovascular and Respiratory Center, 1696 Itai, Kumagaya City, Saitama 360-0105 (Japan); Kanauchi, Tetsu [Department of Radiology, Saitama Prefectural Cardiovascular and Respiratory Center, 1696 Itai, Kumagaya City, Saitama 360-0105 (Japan); Hoshi, Eishin [Department of Thoracic Surgery, Saitama Prefectural Cardiovascular and Respiratory Center, 1696 Itai, Kumagaya City, Saitama 360-0105 (Japan); Kurashima, Kazuyoshi [Department of Pulmonary Medicine, Saitama Prefectural Cardiovascular and Respiratory Center, 1696 Itai, Kumagaya City, Saitama 360-0105 (Japan); Koyama, Shinichiro [Division of Pulmonary Medicine, Clinical Department of Internal Medicine, Jichi Medical University, Saitama Medical Center, Amanuma-cho, Omiya City, Saitama 330-8503 (Japan); Colby, Thomas V. [Department of Laboratory Medicine and Pathology, Mayo Clinic Scottsdale, Scottsdale, AZ 85259 (United States)

    2015-05-15

    Highlights: • High resolution computed tomography (HRCT) findings of airspace enlargement with fibrosis (AEF), recently identified as a smoking related change. • Investigation was in 35 smokers. • They underwent lobectomy for lung cancer with pathological confirmation of AEF. • Multiple, thin-walled cysts are one of the HRCT features of AEF. - Abstract: Purpose: Airspace enlargement with fibrosis (AEF) has been identified pathologically as a smoking related change. We sought to identify the HRCT findings of AEF and search for distinguishing features from honeycombing. Materials and methods: 50 patients (47 males; mean age 69) were evaluated. All had undergone lobectomy for lung cancer and had confirmed AEF and/or usual interstitial pneumonia (UIP) by pathological evaluation. HRCT findings were first evaluated preresection for resected lobes, and then correlated with the subsequent pathological findings in the resection specimens. Three groups were devised: one with AEF alone to determine the HRCT findings of AEF, a second with AEF and UIP and third with UIP alone. HRCT features of AEF and honeycombing were compared. Results: There were 11 patients (10 male; mean age 69) with AEF alone, 24 patients (22 male; mean age 69) with AEF and UIP, and 15 patients (15 male; mean age 68) with UIP alone. The HRCT on the AEF alone showed subpleural (but not abutting the pleura) multiple thin-walled cysts (MTWCs) in 7 and reticular opacities in 3. The HRCT in AEF and UIP showed MTWCs in 10, reticular opacities in 17; and honeycombing in 5. Among these 35 patients with the pathological finding of AEF (with or without UIP), 17 showed MTWCs. The maximum cyst wall thickness of MTWCs (mean 0.81 mm) was significantly thinner than that of honeycombing (mean 1.56 mm). MTWCs did not locate in lung base and was distant from the pleura. HRCT findings correlated with gross findings on both cysts and honeycombing. No MTWCs were seen in the 15 patients with UIP, 8 of 15 had

  17. Pathogenic LRRK2 mutations, through increased kinase activity, produce enlarged lysosomes with reduced degradative capacity and increase ATP13A2 expression.

    Science.gov (United States)

    Henry, Anastasia G; Aghamohammadzadeh, Soheil; Samaroo, Harry; Chen, Yi; Mou, Kewa; Needle, Elie; Hirst, Warren D

    2015-11-01

    Lysosomal dysfunction plays a central role in the pathogenesis of several neurodegenerative disorders, including Parkinson's disease (PD). Several genes linked to genetic forms of PD, including leucine-rich repeat kinase 2 (LRRK2), functionally converge on the lysosomal system. While mutations in LRRK2 are commonly associated with autosomal-dominant PD, the physiological and pathological functions of this kinase remain poorly understood. Here, we demonstrate that LRRK2 regulates lysosome size, number and function in astrocytes, which endogenously express high levels of LRRK2. Expression of LRRK2 G2019S, the most common pathological mutation, produces enlarged lysosomes and diminishes the lysosomal capacity of these cells. Enlarged lysosomes appears to be a common phenotype associated with pathogenic LRRK2 mutations, as we also observed this effect in cells expressing other LRRK2 mutations; R1441C or Y1699C. The lysosomal defects associated with these mutations are dependent on both the catalytic activity of the kinase and autophosphorylation of LRRK2 at serine 1292. Further, we demonstrate that blocking LRRK2's kinase activity, with the potent and selective inhibitor PF-06447475, rescues the observed defects in lysosomal morphology and function. The present study also establishes that G2019S mutation leads to a reduction in lysosomal pH and increased expression of the lysosomal ATPase ATP13A2, a gene linked to a parkinsonian syndrome (Kufor-Rakeb syndrome), in brain samples from mouse and human LRRK2 G2019S carriers. Together, these results demonstrate that PD-associated LRRK2 mutations perturb lysosome function in a kinase-dependent manner, highlighting the therapeutic promise of LRRK2 kinase inhibitors in the treatment of PD. PMID:26251043

  18. Channel erosion in a rapidly urbanizing region of Tijuana, Mexico: Enlargement downstream of channel hardpoints

    Science.gov (United States)

    Taniguchi, Kristine; Biggs, Trent; Langendoen, Eddy; Castillo, Carlos; Gudiño, Napoleon; Yuan, Yongping; Liden, Douglas

    2016-04-01

    Urban-induced erosion in Tijuana, Mexico, has led to excessive sediment deposition in the Tijuana Estuary in the United States. Urban areas in developing countries, in contrast to developed countries, are characterized by much lower proportions of vegetation and impervious surfaces due to limited access to urban services such as road paving and landscaping, and larger proportions of exposed soils. In developing countries, traditional watershed scale variables such as impervious surfaces may not be good predictors of channel enlargement. In this research, we surveyed the stream channel network of an erodible tributary of the Tijuana River Watershed, Los Laureles Canyon, at 125 locations, including repeat surveys from 2008. Structure from Motion (SfM) and 3D photo-reconstruction techniques were used to create digital terrain models of stream reaches upstream and downstream of channel hardpoints. Channels are unstable downstream of hardpoints, with incision up to 2 meters and widening up to 12 meters. Coordinated channelization is essential to avoid piece-meal approaches that lead to channel degradation. Watershed impervious area is not a good predictor of channel erosion due to the overriding importance of hardpoints and likely to the high sediment supply from the unpaved roads which prevents channel erosion throughout the stream network.

  19. 'The End of the Beginning' of Eastern Enlargement Luxembourg Summit and Agenda-setting

    Directory of Open Access Journals (Sweden)

    Lykke Friis

    1998-10-01

    Full Text Available The core argument of this article is that pre-negotiation matters. Policy problems are not just out there, but socially constructed. In order to comprehend the outcome of any negotiation it is therefore not sufficient just to look at the give and take at the actual bargaining table, but also at the negotiation to negotiate. Furthermore, the article argues that pre-negotiation carves out a role for agenda-setting, seeing that governments often enter this phase with un-fixed preferences. These central points of the article are summed up in a theoretical framework, which stands out as a critique of liberal intergovernmentalism. On the basis of this framework the article sets out to analyse the pre-negotiation phase of eastern enlargement, the Luxembourg Summit. Its key conclusion is that the majority of the governments entered this game searching for their preferences and that this enabled both the Commission and two smaller states to influence the outcome by setting the agenda in a specific way.

  20. 'The End of the Beginning' of Eastern Enlargement – Luxembourg Summit and Agenda-setting

    Directory of Open Access Journals (Sweden)

    Lykke Friis

    1998-10-01

    Full Text Available The core argument of this article is that pre-negotiation matters. Policy problems are not just ‘out there’, but socially constructed. In order to comprehend the outcome of any negotiation it is therefore not sufficient just to look at the ‘give and take’ at the actual bargaining table, but also at the ‘negotiation to negotiate’. Furthermore, the article argues that pre-negotiation carves out a role for agenda-setting, seeing that governments often enter this phase with un-fixed preferences. These central points of the article are summed up in a theoretical framework, which stands out as a critique of liberal intergovernmentalism. On the basis of this framework the article sets out to analyse the pre-negotiation phase of eastern enlargement, the Luxembourg Summit. Its key conclusion is that the majority of the governments entered this ‘game’ searching for their preferences and that this enabled both the Commission and two smaller states to influence the outcome by setting the agenda in a specific way.

  1. CREB Regulates Experience-Dependent Spine Formation and Enlargement in Mouse Barrel Cortex

    Directory of Open Access Journals (Sweden)

    Annabella Pignataro

    2015-01-01

    Full Text Available Experience modifies synaptic connectivity through processes that involve dendritic spine rearrangements in neuronal circuits. Although cAMP response element binding protein (CREB has a key function in spines changes, its role in activity-dependent rearrangements in brain regions of rodents interacting with the surrounding environment has received little attention so far. Here we studied the effects of vibrissae trimming, a widely used model of sensory deprivation-induced cortical plasticity, on processes associated with dendritic spine rearrangements in the barrel cortex of a transgenic mouse model of CREB downregulation (mCREB mice. We found that sensory deprivation through prolonged whisker trimming leads to an increased number of thin spines in the layer V of related barrel cortex (Contra in wild type but not mCREB mice. In the barrel field controlling spared whiskers (Ipsi, the same trimming protocol results in a CREB-dependent enlargement of dendritic spines. Last, we demonstrated that CREB regulates structural rearrangements of synapses that associate with dynamic changes of dendritic spines. Our findings suggest that CREB plays a key role in dendritic spine dynamics and synaptic circuits rearrangements that account for new brain connectivity in response to changes in the environment.

  2. Proceedings of the enlargement workshop on Neutron Measurements and Evaluations for Applications - NEMEA

    International Nuclear Information System (INIS)

    The workshop on Neutron Measurements and Evaluation for Applications, NEMEA, was held 5-8 November 2003 in Budapest, Hungary. The objective of this workshop was to strengthen the contacts between laboratories working on nuclear data in member states of the European Union, Accession Countries joining the enlarged Union in 2004, and Candidate Countries which will join later. The workshop was organised by the Neutron Physics unit of the Institute for Reference Materials and Measurements (IRMM) together with the local organisers. The workshop included six sessions and three laboratory visits. The sessions were, in order of the agenda, Material Analysis; Data Evaluation; Safeguards, Illicit Trafficking and Demining; Biology, Medicine and Environment; Single Event Upsets; and Neutron Data for Energy Applications . In total there were thirty-seven presentations of excellent quality, illustrating the many different lines of research featuring neutron measurements and neutron data. Laboratory visits were made to the Atomki and the Institute for Experimental Physics on a one day trip from Budapest to Debrecen and to the KFKI research reactor in Budapest. Both at the Atomki and at the KFKI, laboratory visits were preceded by an excellent comprehensive overview of the facility, its history and its activities. At Debrecen, an overview was provided of the capabilities at the cyclotron laboratory in particular for neutron measurement, while at the Institute for Experimental Physics the neutron generator laboratory and the experimental setup for the demining experiments were shown. At KFKI, the participants were shown the laboratory for PGAA at the neutron beam guides of the reactor

  3. Mobile surveillance units (MSU) for border protection of the enlarged economic union

    Science.gov (United States)

    Crandon, Christopher

    2004-12-01

    During the last 12 years the European Union (EU) has financed the new member applicant countries of Central and Eastern Europe in their preparation for joining the EU. Based on this enlargement of the EU, funding for Cross Border Protection has been made available from the overall infrastructure improvement budget. Border protection was required in areas where border conflicts had taken place and to limit Illegal Immigration (II) and smuggling. After 9/11/2001, defence against terrorist activities will no doubt be added to the requirement. This paper describes the approach taken in the design of the latest "containerised" police and para military Mobile Surveillance Units (MSUs). This approach may also be considered for Homeland Security initiatives. These MSU's utilise standard road vehicles, and off-road variants, converted to use high performance military thermal imagers, such as SiGMA. In future the current, in service, MSUs will require increased sensor integration and networking to cover land and coastal borders. The underlying key is affordability for the police and para-military markets whilst retaining the highest performance derived from the latest SFPA military standard thermal imagers.

  4. The Eastern Enlargement of the European Union: Public Discourses in the Czech and Slovak Republics

    Directory of Open Access Journals (Sweden)

    Tereza Novotna

    2007-05-01

    Full Text Available The article examines the so-called Eastern enlargement of the European Union from the point of view of the Czech and Slovak Republics. Although they joined the EU at the same time, the experience of both states is diverse. The author argues that the chief obstacles on the “way back to Europe” were not so much the implementation of the acquis, but internal political weakness and unsatisfactory public discourse on the merits of joining the the EU. Slovakia, with its incorporation into the second wave of candidate countries due to its unacceptable political situation during Meciar’s government, is used as the best exemplar of the political weakness. The Czech Republic illustrates, with its initial sense of exceptionalism that turned into nationalistic-populist rhetoric of political parties’ leaders and eventually mounted into relatively low level of “yes-votes” in the closing referendum, represents the poor public discourse. Methodologically, the author analyses discursive interactions and institutional capacity using an actor-centered approach.

  5. INFORMATION AND RECOMMENDATIONS CONCERNING THE ENLARGED G8 SUMMIT MEETING AT EVIAN

    CERN Multimedia

    2003-01-01

    Despite the difficulties that CERN might encounter, the Organization will pursue its activities for the duration of the G8 Summit Meeting. The Management and Division leaders will take the necessary steps to ensure the proper functioning of the Organization, while taking account of the aforementioned difficulties. The Swiss and French authorities have informed CERN of the following general security and traffic arrangements associated with the enlarged G8 summit: a) Road traffic Between 22 May and 6 June traffic on certain roads in the Canton of Geneva (notably on the left bank) and in neighbouring France (mainly Haute-Savoie) will be disrupted and, in some cases, roads closed. As far as border crossings between 22 May and 4 June are concerned, the frontier posts will be divided into three categories (see map): - posts closed to all traffic (diversion signs will be in place), - posts open at certain times, - posts open at all times. N.B. : the road from Prévessin to Mategnin will be closed and traffic div...

  6. Increased pulse pressure is associated with left atrial enlargement in resistant hypertensive patients.

    Science.gov (United States)

    Armario, Pedro; Oliveras, Anna; Hernández-Del-Rey, Raquel; Suárez, Carmen; Martell, Nieves; Ruilope, Luis M; De La Sierra, Alejandro

    2013-02-01

    Resistant hypertension (RH) is frequently associated with a high prevalence of target organ damage, which impairs the prognosis of these patients. Considering cardiac alterations in RH, most attention has been devoted to left ventricular hypertrophy (LVH), but data concerning left atrial enlargement (LAE) is less known. This cross-sectional study assessed the factors associated with LAE, with special focus on blood pressure (BP) estimates obtained by ambulatory blood pressure monitoring (ABPM), in 250 patients with RH, aged 64 ± 11 years. LAE and LVH were observed in 10.0% (95% CI 6.3-13.7) and 57.1% (95% CI 50.8-63.5) of patients, respectively. Compared with patients with normal atrium size, those exhibiting LAE were older, more frequently women, had elevated pulse pressure (PP) measured both at the office and by ABPM, and showed higher prevalence of LVH (83% vs 54%; p = 0.016). In a logistic regression analysis, adjusting for age, gender, body mass index, left ventricular mass index and BP pressure estimates, night-time PP was independently associated with LAE (OR for 5 mmHg = 1.28, 95% CI 1.24-1.32; p = 0.001). In conclusion, besides classical determinants of LAE, such as age and LVH, an elevated night-time PP was independently associated with LAE in patients with RH. PMID:23305454

  7. Genetic basis of hearing loss associated with enlarged vestibular aqueducts in Koreans.

    Science.gov (United States)

    Park, H-J; Lee, S-J; Jin, H-S; Lee, J O; Go, S-H; Jang, H S; Moon, S-K; Lee, S-C; Chun, Y-M; Lee, H-K; Choi, J-Y; Jung, S-C; Griffith, A J; Koo, S K

    2005-02-01

    Sensorineural hearing loss associated with enlargement of the vestibular aqueduct (EVA) can be associated with mutations of the SLC26A4 gene. In western populations, less than one-half of the affected individuals with EVA have two mutant SLC26A4 alleles, and EVA is frequently caused by unknown genetic or environmental factors alone or in combination with a single SLC26A4 mutation as part of a complex trait. In this study, we ascertained 26 Korean probands with EVA and performed nucleotide sequence analysis to detect SLC26A4 mutations. All subjects had bilateral EVA, and 20 of 26 were sporadic (simplex) cases. Fourteen different mutations were identified, including nine novel mutations. Five mutations were recurrent and accounted for 80% of all mutant alleles, providing a basis for the design and interpretation of cost-efficient mutation detection algorithms. Two mutant alleles were identified in 21 (81%), one mutant allele was detected in three (11%), and zero mutant allele was detected in two (8%) of 26 probands. The high proportion of Korean probands with two SLC26A4 mutations may reflect a reduced frequency of other genetic or environmental factors causing EVA in comparison to western populations. PMID:15679828

  8. Monitoring the Monitors: EU Enlargement Conditionality and Minority Protection in the CEECs

    Directory of Open Access Journals (Sweden)

    Gwendolyn Sasse

    2003-04-01

    Full Text Available The issue of minority protection is an extreme case for analyzing the problem of linkage between EU membership conditionality and compliance by candidate countries. while EU law is virtually non-existent, EU practice is divergent, and international standards are ambiguous, the issue has been given high rhetorical prominence by the EU during enlargement. The analysis in this article follows a tracking approach to study the relationship of EU conditionality to changes in minority rights protection in the CEECs. The authors examine how the EU's monitoring process has operated, what its benchmarks have been, how the EU process has interacted with those of other international organizations, such as the Council of Europe and OSCE, and evaluate what its impact has been on the candidate countries. In conclusion, the authors find that EU conditionality is not closely temporally correlated with the emergence of new strategies and laws on minority protection in the CEECs. Instead, the EU's main instrument for accession and convergence, the Regular Reports, have been characterized by ad hocism, inconsistency, and a stress on formal measures rather than substantive evaluation of implementation.

  9. Ventricular enlargement in multiple sclerosis: a comparison of three-dimensional and linear MRI estimates

    International Nuclear Information System (INIS)

    Atrophy of central white matter is related to irreversible clinical disability in multiple sclerosis (MS) and ventricular enlargement may be a sensitive marker of this tissue loss. Therapeutic trials in MS have provided MRI data for investigation of cerebral atrophy in MS. These studies use almost exclusively two-dimensional (2-D) images, which may be limited in the assessment of three-dimensional (3-D) structures. We used 3-D MRI data to estimate ventricular volumes in 40 patients with MS and 10 healthy controls, to look at associations with clinical disability and the stage of the disease. We then compared simple linear measures of ventricular size from conventional 2-D images, with 3-D volume estimates to establish the best available linear indices of ventricular volume. Mean ventricular volumes were increased in the patients and significantly larger in the more disabled patients. The estimated volume of the third ventricle obtained from 3-D MRI showed the strongest association with the clinical stage of the disease, duration of symptoms and levels of disability. Finally, we confirmed that in patients with MS accurate data on ventricular size can be obtained from 2-D images by two simple and convenient linear measures, the width of the third ventricle and of the anterior horn of the lateral ventricle. (orig.)

  10. An ultrasensitive chemiluminescence biosensor for carcinoembryonic antigen based on autocatalytic enlargement of immunogold nanoprobes.

    Science.gov (United States)

    Hao, Minjia; Ma, Zhanfang

    2012-01-01

    A sensitive flow injection chemiluminescence assay for carcinoembryonic antigen (CEA) detection based on signal amplification with gold nanoparticles (NPs) is reported in the present work. The sandwich system of CEA/anti-CEA/goat-anti-mouse IgG functionalized Au nanoparticles was used as the sensing platform. In order to improve detection sensitivity, a further gold enlargement step was developed based on the autocatalytic Au deposition of gold nanoprobes via the reduction of AuCl(4)- to Au0 on their surface in the presence of NH(2)OH·HCl. AuCl(4)-, which is a soluble product of gold nanoprobes, served as an analyte in the CL reaction for the indirect measurement of CEA. Under optimized conditions, the CL intensity of the system was linearly related to the logarithm of CEA concentration in the range of 100 pg∙mL-1 to 1,000 ng∙mL-1, with a detection limit of 20 pg∙mL-1. PMID:23443399

  11. An Ultrasensitive Chemiluminescence Biosensor for Carcinoembryonic Antigen Based on Autocatalytic Enlargement of Immunogold Nanoprobes

    Directory of Open Access Journals (Sweden)

    Minjia Hao

    2012-12-01

    Full Text Available A sensitive flow injection chemiluminescence assay for carcinoembryonic antigen (CEA detection based on signal amplification with gold nanoparticles (NPs is reported in the present work. The sandwich system of CEA/anti-CEA/goat-anti-mouse IgG functionalized Au nanoparticles was used as the sensing platform. In order to improve detection sensitivity, a further gold enlargement step was developed based on the autocatalytic Au deposition of gold nanoprobes via the reduction of AuCl4− to Au0 on their surface in the presence of NH2OH·HCl. AuCl4−, which is a soluble product of gold nanoprobes, served as an analyte in the CL reaction for the indirect measurement of CEA. Under optimized conditions, the CL intensity of the system was linearly related to the logarithm of CEA concentration in the range of 100 pg∙mL−1 to 1,000 ng∙mL−1, with a detection limit of 20 pg∙mL−1.

  12. Minority Language Rights before and after the 2004 EU Enlargement: The Copenhagen Criteria in the Baltic States

    Science.gov (United States)

    Adrey, Jean-Bernard

    2005-01-01

    This paper examines the effect of the recent European Union (EU) enlargement on minority language policies in the Baltic states, and in particular in Latvia and Estonia. I first look at the so-called Copenhagen political criteria conditioning EU accession and at the European Commission's monitoring system for assessing applicant countries'…

  13. An enlarged parietal foramen in the late archaic Xujiayao 11 neurocranium from Northern China, and rare anomalies among Pleistocene Homo.

    Directory of Open Access Journals (Sweden)

    Xiu-Jie Wu

    Full Text Available We report here a neurocranial abnormality previously undescribed in Pleistocene human fossils, an enlarged parietal foramen (EPF in the early Late Pleistocene Xujiayao 11 parietal bones from the Xujiayao (Houjiayao site, northern China. Xujiayao 11 is a pair of partial posteromedial parietal bones from an adult. It exhibits thick cranial vault bones, arachnoid granulations, a deviated posterior sagittal suture, and a unilateral (right parietal lacuna with a posteriorly-directed and enlarged endocranial vascular sulcus. Differential diagnosis indicates that the perforation is a congenital defect, an enlarged parietal foramen, commonly associated with cerebral venous and cranial vault anomalies. It was not lethal given the individual's age-at-death, but it may have been associated with secondary neurological deficiencies. The fossil constitutes the oldest evidence in human evolution of this very rare condition (a single enlarged parietal foramen. In combination with developmental and degenerative abnormalities in other Pleistocene human remains, it suggests demographic and survival patterns among Pleistocene Homo that led to an elevated frequency of conditions unknown or rare among recent humans.

  14. Nontumorous enlargement of the internal auditory canal. A risk factor for sensorineural hearing loss? A high resolution CT-study

    Energy Technology Data Exchange (ETDEWEB)

    Stimmer, H.; Rummeny, E.J. [Technical University Munich, Klinikum rechts der Isar (Germany). Dept. of Radiology; Niedermeyer, H.P. [Technical University Munich, Klinikum rechts der Isar (Germany). ENT-Clinic; Kehl, V. [Technical University Munich, Klinikum rechts der Isar (Germany). Inst. for Medical Statistics and Epidemiology

    2015-06-15

    First aim of the study was to define normal shape and diameter of the internal auditory canal (IAC). In the second part the clinical relevance of IAC-enlargement was analyzed, considering also lesions of the subtle structures at the fundus of the internal auditory canal. 440 high resolution CT-scans of the temporal bone were used for retrospective analysis of the internal auditory canal and its fundus region. The mean value of the IAC diameter in axial and coronal plane was determined. In 20 of 440 patients IAC enlargement was found. In the group with pronounced enlargement (3fold SD) nearly all patients suffered from hearing impairment. In some of them we found structural abnormalities near the IAC fundus in the CSF/perilymph border zone. A new CT-based definition of normal shape and diameter of the internal auditory canal is presented. There is some evidence that a pathologic transmission of CSF-pressure in case of IAC-enlargement and/or abnormal fistulous communications could play an important role in the pathophysiology of hearing loss.

  15. Use of MRI to identify enlarged inferior gluteal and ischioanal lymph nodes and associated findings related to the primary disease

    Science.gov (United States)

    Uzun, Çağlar; Erden, Ayşe; Atman, Ebru Düşünceli; Üstüner, Evren

    2016-01-01

    PURPOSE We aimed to draw attention to the lymph nodes at the inferior gluteal and ischioanal regions and evaluate the lesions accompanying them using 3.0 T magnetic resonance imaging (MRI). METHODS In total, 22 patients (15 men, 7 women; mean age, 50±11.2 years; age range, 32–71 years) were included in this study. The patients’ medical records were reviewed. MRI data were reviewed on a picture archiving and communication system workstation by two radiologists in consensus. Lymph node location, laterality, number, and size were documented. RESULTS The primary disorders causing the enlargement of inferior gluteal lymph nodes (n=16) were perianal fistula of cryptoglandular origin (n=5), perianal fistula associated with Crohn’s disease (n=2), decubitus ulcers (n=2), presacral abscess (n=1), non-Hodgkin lymphoma (n=2), prostate cancer invading urethra and anorectal junction (n=1), endometrium cancer invading the urethra and vagina (n=1), and anal cancer (n=2). The pathologies causing the enlargement of ischioanal lymph nodes (n=6) were perianal fistula of cryptoglandular origin (n=4), subcutaneous inflammation of gluteal region related to Crohn’s disease (n=1), and prostate cancer (n=1). CONCLUSION The infectious and neoplastic lesions involving the anal canal, distal rectum, gluteal region, prostate, and urethra are the possible causes of inferior gluteal and ischioanal lymph node enlargement. Lymphoproliferative diseases can also affect these node groups. MRI is an important method to identify enlarged inferior gluteal and ischioanal lymph nodes and define associated findings. PMID:27113423

  16. The Impact of Globalization and Technology on Teaching Business Communication: Reframing and Enlarging World View, Methods, and Content

    Science.gov (United States)

    Berry, Priscilla

    2013-01-01

    This paper explores the current paradigm shift in the use of technology in the classroom, which is occurring because of technology explosion in society, impact of globalization, necessary reframing, and enlarging of the world view, methods, and content to make business communication classes relevant. The question is whether the classroom should…

  17. Spleen enlargement is a risk factor for thrombosis in essential thrombocythemia: Evaluation on 1,297 patients.

    Science.gov (United States)

    Andriani, Alessandro; Latagliata, Roberto; Anaclerico, Barbara; Spadea, Antonio; Rago, Angela; Di Veroli, Ambra; Spirito, Francesca; Porrini, Raffaele; De Muro, Marianna; Crescenzi Leonetti, Sabrina; Villivà, Nicoletta; De Gregoris, Cinzia; Montefusco, Enrico; Polverelli, Nicola; Santoro, Cristina; Breccia, Massimo; Cimino, Giuseppe; Majolino, Ignazio; Mazzucconi, Maria Gabriella; Vianelli, Nicola; Alimena, Giuliana; Montanaro, Marco; Palandri, Francesca

    2016-03-01

    Spleen enlargement, present in 10-20% of Essential Thrombocythemia (ET) patients at diagnosis, is a feature clinically easy to assess, confirmable by echography with a very low chance of misinterpretation. Nonetheless, the clinical and prognostic role of splenomegaly has been seldom evaluated. From 1979 to 2013, 1297 ET patients retrospectively collected in the database of the Lazio Cooperative Group and Bologna University Hospital were evaluable for spleen enlargement at diagnosis and included in the analysis. On the whole, spleen was enlarged in 172/1297 (13.0%) patients; in most cases (94.8%) splenomegaly was mild (≤5 cm). Patients with splenomegaly were younger, predominantly male, presented higher platelet count and JAK2V617F allele burden and had a lower incidence of concomitant cardiovascular risk factors. At least one thrombotic event during follow-up occurred in 97/1,125 (8.6%) patients without spleen enlargement compared to 27/172 (15.7%) patients with spleen enlargement (P = 0.003). Despite comparable use of cytoreductive/antiplatelet therapies in the two groups, the cumulative risk of thrombosis at 5 years was significantly higher in patients with baseline splenomegaly (9.8% versus 4.4% in patients without splenomegaly, P = 0.012). In multivariate analysis exploring risk factors for thrombosis, splenomegaly retained its negative prognostic role, together with previous thrombosis, leucocyte count and male gender. Baseline splenomegaly seems to be an independent additional risk factor for thrombosis in nonstrictly WHO-defined ET patients. This data could be useful in the real-life clinical management of these patients.

  18. Evaluation of the proximal aortic neck enlargement following endovascular repair of abdominal aortic aneurysm: 3-years experience

    Energy Technology Data Exchange (ETDEWEB)

    Napoli, Vinicio; Bargellini, Irene; Petruzzi, Pasquale; Cioni, Roberto; Vignali, Claudio; Bartolozzi, Carlo [Division of Diagnostic and Interventional Radiology, Department of Oncology, Transplants and Advanced Technologies in Medicine, University of Pisa, Via Roma 67, 56126, Pisa (Italy); Sardella, Savino G.; Ferrari, Mauro [Division of Vascular Surgery, Cisanello Hospital, Pisa (Italy)

    2003-08-01

    The aim of this study was to evaluate incidence, potential risk factors and effects on stent-graft migration of proximal neck dilatation after endoluminal repair of abdominal aortic aneurysm (EVAR), and the role of ultrasound (US) in detecting neck enlargement. From November 1998 to October 2001, 90 patients underwent EVAR. On follow-up, US and CT angiography (CTA) were performed, and diameters of the suprarenal and infrarenal aortic necks were monitored. Incidence of significant neck enlargement ({>=}2.5 mm) and distal stent-graft migration (>10 mm) was calculated. Several factors were evaluated as predictive of neck enlargement. Ultrasound and CTA measurements were compared. The US and CTA examinations were available in 68, 39, and 11 patients at 1, 2, and 3 years follow-up (mean follow-up 15 months). Incidence of significant neck dilatation was 21.8% at the infrarenal level (13, 33, and 36% at 1, 2, and 3 years follow-up) and 13.8% at the suprarenal level (9, 18, and 27% at 1, 2, and 3 years follow-up). Significant stent-graft migration occurred in 14 of 87 patients (16%) and was associated with neck dilatation in 8 (2 suprarenal and 6 infrarenal). No risk factors were identified. Ultrasound was less accurate than CT in measuring neck diameter, in particular at the suprarenal level. Proximal aortic neck enlargement occurs in up to 30% of patients after EVAR and represents the main risk factor for stent-graft migration. The risk of infrarenal neck dilatation is higher at 2 years follow-up, whereas the suprarenal neck enlarges later. Ultrasound is not useful in monitoring neck diameter. (orig.)

  19. THE FINANCIAL SETTLEMENT IN THE ENLARGEMENT OF THE EUROPEAN UNION: LESSONS FOR ROMANIA?

    Directory of Open Access Journals (Sweden)

    Alan Mayhew

    2003-07-01

    Full Text Available At the end of every European Union accession negotiation, there is a fight about finance. Yet finance is by no means the most important element of the negotiations. Matters affecting the vital interests of new and old members like the free movement of labour or the representation of the new member state in the institutions of the Union are usually far more important in the longer term. But it is easier for politicians to talk to voters about money than about policy. The budgetary negotiations in this first enlargement to the countries of Central and Eastern Europe were perhaps more important in that these are relatively poor countries compared to the Union average per capita gross domestic product. They all will have to invest heavily in transport and environmental infrastructure in the coming decades in order to catch up with the standards of the EU-15 and support higher economic growth and development. Assuming responsible macro-economic policy in the new member states, EU budgetary transfers can speed up this investment process considerably, allowing these countries to catch up with the old member states in terms of per capita income more quickly. Higher transfers to the new member states means of course larger net budgetary contributions for the old member states (EU-15. This comes at a time when budget deficits are high and rising throughout the EURO-zone and when member states are making politically controversial cuts in social spending. The fiscal discipline involved in membership of the monetary union and implementation of the Broad Economic Policy Guidelines therefore means that the existing member states of the Union are not keen to see their net budgetary position with Brussels deteriorate or even their gross contributions to the budget rise. This paper investigates the background to the budget negotiations and the political economy behind them.

  20. Development of Romanian Nuclear Power Program implications for future's EU enlargement

    International Nuclear Information System (INIS)

    Energy and transport are two areas for which relations with third countries are crucial. Transport is of course essential in order to ensure smooth movements of people and economic operators within the EU but also with the outside world. Its importance becomes even more apparent in a period characterised by globalization. If modes of transport are the arteries of our society, then energy is the blood. The Green Paper on the security of EU energy supply issued by the Commission shows that whereas the EU economy is energy-intensive, Community energy resources are limited. Consequently, the EU is dependent on external sources of energy, a situation which will not change with the forthcoming enlargement. Hence, most of the EU's external relations include an important chapter on energy. The instrument for applying Romania's pre-accession strategy is the National Programme for Accession (NPAR). I focused on the current situation, short and medium term priorities of the Nuclear Energy as part of the Energy Chapter of the NPAR. In spite of the Romanian Authorities' strong commitment for the completion of Unit2, obtaining the EURATOM loan, for which Societatea Nationala Nuclearelectrica S.A. applied to the European Commission in 1999, remained a critical component of the overall financing requirements of this project. The National Strategy for the Development of the Energy Sector on Medium Term 2001- 2004, as part of our national economic strategy, concludes that on a least-cost basis and considering programs for improving energy efficiency, it is necessary to have Cernavoda Unit 2 in operation by 2006. Finally, are presented the benefits for Romania, as a country involved in the process of European Integration, with a view to obtaining the EURATOM loan and finalizing Cernavoda NPP - Unit2.(author)

  1. Left atrial enlargement increases the risk of major adverse cardiac events independent of coronary vasodilator capacity

    Energy Technology Data Exchange (ETDEWEB)

    Koh, Angela S. [Brigham and Women' s Hospital, Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, Boston, MA (United States); National Heart Centre Singapore, Singapore (Singapore); Murthy, Venkatesh L.; Sitek, Arkadiusz; Gayed, Peter; Bruyere, John; Di Carli, Marcelo F. [Brigham and Women' s Hospital, Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, Boston, MA (United States); Wu, Justina [Brigham and Women' s Hospital, Division of Cardiology, Department of Medicine, and the Noninvasive Cardiovascular Imaging Program, Departments of Medicine (Cardiology) and Radiology, Boston, MA (United States); Dorbala, Sharmila [Brigham and Women' s Hospital, Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, Boston, MA (United States); Brigham and Women' s Hospital, Department of Radiology and the Division of Cardiology, Noninvasive Cardiovascular Imaging Section, Boston, MA (United States)

    2015-09-15

    Longstanding uncontrolled atherogenic risk factors may contribute to left atrial (LA) hypertension, LA enlargement (LAE) and coronary vascular dysfunction. Together they may better identify risk of major adverse cardiac events (MACE). The aim of this study was to test the hypothesis that chronic LA hypertension as assessed by LAE modifies the relationship between coronary vascular function and MACE. In 508 unselected subjects with a normal clinical {sup 82}Rb PET/CT, ejection fraction ≥40 %, no prior coronary artery disease, valve disease or atrial fibrillation, LAE was determined based on LA volumes estimated from the hybrid perfusion and CT transmission scan images and indexed to body surface area. Absolute myocardial blood flow and global coronary flow reserve (CFR) were calculated. Subjects were systematically followed-up for the primary end-point - MACE - a composite of all-cause death, myocardial infarction, hospitalization for heart failure, stroke, coronary artery disease progression or revascularization. During a median follow-up of 862 days, 65 of the subjects experienced a composite event. Compared with subjects with normal LA size, subjects with LAE showed significantly lower CFR (2.25 ± 0.83 vs. 1.95 ± 0.80, p = 0.01). LAE independently and incrementally predicted MACE even after accounting for clinical risk factors, medication use, stress left ventricular ejection fraction, stress left ventricular end-diastolic volume index and CFR (chi-squared statistic increased from 30.9 to 48.3; p = 0.001). Among subjects with normal CFR, those with LAE had significantly worse event-free survival (risk adjusted HR 5.4, 95 % CI 2.3 - 12.8, p < 0.0001). LAE and reduced CFR are related but distinct cardiovascular adaptations to atherogenic risk factors. LAE is a risk marker for MACE independent of clinical factors and left ventricular volumes; individuals with LAE may be at risk of MACE despite normal coronary vascular function. (orig.)

  2. Left atrial enlargement increases the risk of major adverse cardiac events independent of coronary vasodilator capacity

    International Nuclear Information System (INIS)

    Longstanding uncontrolled atherogenic risk factors may contribute to left atrial (LA) hypertension, LA enlargement (LAE) and coronary vascular dysfunction. Together they may better identify risk of major adverse cardiac events (MACE). The aim of this study was to test the hypothesis that chronic LA hypertension as assessed by LAE modifies the relationship between coronary vascular function and MACE. In 508 unselected subjects with a normal clinical 82Rb PET/CT, ejection fraction ≥40 %, no prior coronary artery disease, valve disease or atrial fibrillation, LAE was determined based on LA volumes estimated from the hybrid perfusion and CT transmission scan images and indexed to body surface area. Absolute myocardial blood flow and global coronary flow reserve (CFR) were calculated. Subjects were systematically followed-up for the primary end-point - MACE - a composite of all-cause death, myocardial infarction, hospitalization for heart failure, stroke, coronary artery disease progression or revascularization. During a median follow-up of 862 days, 65 of the subjects experienced a composite event. Compared with subjects with normal LA size, subjects with LAE showed significantly lower CFR (2.25 ± 0.83 vs. 1.95 ± 0.80, p = 0.01). LAE independently and incrementally predicted MACE even after accounting for clinical risk factors, medication use, stress left ventricular ejection fraction, stress left ventricular end-diastolic volume index and CFR (chi-squared statistic increased from 30.9 to 48.3; p = 0.001). Among subjects with normal CFR, those with LAE had significantly worse event-free survival (risk adjusted HR 5.4, 95 % CI 2.3 - 12.8, p < 0.0001). LAE and reduced CFR are related but distinct cardiovascular adaptations to atherogenic risk factors. LAE is a risk marker for MACE independent of clinical factors and left ventricular volumes; individuals with LAE may be at risk of MACE despite normal coronary vascular function. (orig.)

  3. Unilateral Versus Bilateral Prostatic Arterial Embolization for Lower Urinary Tract Symptoms in Patients with Prostate Enlargement

    Energy Technology Data Exchange (ETDEWEB)

    Bilhim, Tiago, E-mail: tiagobilhim@hotmail.com [Universidade Nova de Lisboa (UNL), Departamento Universitario de Anatomia, Faculdade de Ciencias Medicas (FCM) (Portugal); Pisco, Joao; Rio Tinto, Hugo; Fernandes, Lucia [Interventional Radiology, Saint Louis Hospital (Portugal); Campos Pinheiro, Luis [Universidade Nova de Lisboa (UNL), Departamento Universitario de Urologia, Faculdade de Ciencias Medicas (FCM) (Portugal); Duarte, Marisa; Pereira, Jose A. [Interventional Radiology, Saint Louis Hospital (Portugal); Oliveira, Antonio G. [Universidade Nova de Lisboa (UNL), Biostatistics Department, Faculdade de Ciencias Medicas (FCM) (Portugal); O' Neill, Joao [Universidade Nova de Lisboa (UNL), Departamento Universitario de Anatomia, Faculdade de Ciencias Medicas (FCM) (Portugal)

    2013-04-15

    This study was designed to compare baseline data and clinical outcome between patients with prostate enlargement/benign prostatic hyperplasia (PE/BPH) who underwent unilateral and bilateral prostatic arterial embolization (PAE) for the relief of lower urinary tract symptoms (LUTS). This single-center, ambispective cohort study compared 122 consecutive patients (mean age 66.7 years) with unilateral versus bilateral PAE from March 2009 to December 2011. Selective PAE was performed with 100- and 200-{mu}m nonspherical polyvinyl alcohol (PVA) particles by a unilateral femoral approach. Bilateral PAE was performed in 103 (84.4 %) patients (group A). The remaining 19 (15.6 %) patients underwent unilateral PAE (group B). Mean follow-up time was 6.7 months in group A and 7.3 months in group B. Mean prostate volume, PSA, International prostate symptom score/quality of life (IPSS/QoL) and post-void residual volume (PVR) reduction, and peak flow rate (Qmax) improvement were 19.4 mL, 1.68 ng/mL, 11.8/2.0 points, 32.9 mL, and 3.9 mL/s in group A and 11.5 mL, 1.98 ng/mL, 8.9/1.4 points, 53.8 mL, and 4.58 mL/s in group B. Poor clinical outcome was observed in 24.3 % of patients from group A and 47.4 % from group B (p = 0.04). PAE is a safe and effective technique that can induce 48 % improvement in the IPSS score and a prostate volume reduction of 19 %, with good clinical outcome in up to 75 % of treated patients. Bilateral PAE seems to lead to better clinical results; however, up to 50 % of patients after unilateral PAE may have a good clinical outcome.

  4. Adrenal enlargement and failure of suppression of circulating cortisol by dexamethasone in patients with malignancy.

    Science.gov (United States)

    Jenkins, P J; Sohaib, S A; Trainer, P J; Lister, T A; Besser, G M; Reznek, R

    1999-08-01

    The aim of this study was to further elucidate the activity of the hypothalamo-pituitary-adrenal (HPA) axis in patients with malignancy and to correlate this with the size of the adrenal glands. Fourteen patients with a variety of malignancies were studied prior to receiving cytotoxic chemotherapy. During routine staging computerized tomographic (CT) scans, the size of the body, medial and lateral limbs of the adrenal glands were measured and compared with those of a normal group of patients studied previously. Measurements of 09:00 h serum cortisol and plasma adrenocorticotropic hormone (ACTH) levels were made before and after the administration of dexamethasone (0.5 mg 6-hourly for 48 h) in addition to the peak cortisol response to i.v corticotropin releasing hormone (CRH). Overall, patients with malignancy had significantly larger adrenal glands than patients without malignancy; those with non-haematological malignancies had larger glands than patients with haematological malignancies. Following dexamethasone to suppress circulating cortisol levels, nine patients (64%) demonstrated abnormal resistance with cortisol levels > 50 nmol l(-1): mean value 294 nmol l(-1) (range 67-1147). Those patients who failed to suppress after dexamethasone had significantly larger adrenal glands than those that did suppress and tended to have non-haematological malignancies. ACTH levels were undetectable or low in three patients in whom it was measured and who did not suppress with dexamethasone. Following CRH, the cortisol levels were highest (823 and 853 nmol l(-1)) in two of these patients. Malignancy is associated with diffuse enlargement of the adrenal glands and resistance to dexamethasone-induced suppression of the HPA axis, which is not due to ectopic ACTH secretion. This disturbance of the normal control of the HPA axis is unexplained and its functional significance remains uncertain.

  5. Macrocephaly in infancy: benign enlargement of the subarachnoid spaces and subdural collections.

    Science.gov (United States)

    Tucker, Jacqueline; Choudhary, Arabinda Kumar; Piatt, Joseph

    2016-07-01

    OBJECTIVE Benign enlargement of the subarachnoid spaces (BESS) is a common finding on imaging studies indicated by macrocephaly in infancy. This finding has been associated with the presence of subdural fluid collections that are sometimes construed as suggestive of abusive head injury. The prevalence of BESS among infants with macrocephaly and the prevalence of subdural collections among infants with BESS are both poorly defined. The goal of this study was to determine the relative frequencies of BESS, hydrocephalus, and subdural collections in a large consecutive series of imaging studies performed for macrocephaly and to determine the prevalence of subdural fluid collections among patients with BESS. METHODS A text search of radiology requisitions identified studies performed for macrocephaly in patients ≤ 2 years of age. Studies of patients with hydrocephalus or acute trauma were excluded. Studies that demonstrated hydrocephalus or chronic subdural hematoma not previously recognized but responsible for macrocephaly were noted but not investigated further. The remaining studies were reviewed for the presence of incidental subdural collections and for measurement of the depth of the subarachnoid space. A 3-point scale was used to grade BESS: Grade 0, race, sex, or insurance status with subdural collections. Patients with BESS had larger head circumference Z-scores, but there was no association of head circumference or age with subdural collections. Interrater reliability in the diagnosis and grading of BESS was only fair. CONCLUSIONS The current study confirms the association of BESS with incidental subdural collections and suggests that greater depth of the subarachnoid space is associated with increased prevalence of such collections. These observations support the theory that infants with BESS have a predisposition to subdural collections on an anatomical basis. Incidental subdural collections in the setting of BESS are not necessarily indicative of abusive

  6. Decision making in dissection range of temporal bone: refinements to enlarged translabyrinthine approach.

    Science.gov (United States)

    Zhu, Zheng Jie; Zhu, Wei Dong; Chen, Hong Sai; Wang, Zhao Yan; Wu, Hao

    2016-05-01

    The aim of the study was to describe the refinements to the classic enlarged translabyrinthine approach (ETLA) by modifying the bony dissection range of temporal bone and to analyze the main outcomes achieved in a series of vestibular schwannoma (VS) cases submitted to microsurgery by ETLA. This was a retrospective study of 382 patients who underwent VS surgical removal via ETLA between January 2001 and December 2012. Among those cases, 332 were via classic ETLA, while 28 cases were via ETLA with blind sac technique and middle ear eradication and 22 via transotic approach. Total tumor removal was achieved in 368 cases, whereas near total removal in 11 patients and subtotal in 3 patients. In cases of large VS (>3 cm) via classic ETLA, good short-term and long-term facial nerve function (HB I-II) was gained in 27.8 % (32/115) and 42.6 % (49/115) cases, respectively, meanwhile in VS operated via blind sac technique, good short-term (p = 0.048) and long-term (p = 0.044) facial nerve function was reached in 44.0 % (22/50) and 60.0 % (30/50) cases, respectively. Postoperative facial nerve function was proved to be better in modified ETLA group. CSF leakage occurred in 16 (4.2 %) patients via classic ETLA. In 115 cases of large VS (>3 cm), postoperative CSF leakage occurred in 10 (8.7 %) patients. Whereas in 50 cases via blind sac technique, none developed CSF leakage (p = 0.03). The incidence of CSF leakage was lower in modified ETLA group. Our refinements to classic ETLA by changing the temporal bone resection range provide a wide surgical field, well prevention of CSF leakage and preservation of facial nerve function in large VS. PMID:25997899

  7. Lymphocytes from Enlarged Iliac Lymph Nodes as Fusion Partners for the Production of Monoclonal Antibodies after a Single Tail Base Immunization Attempt

    International Nuclear Information System (INIS)

    A novel method of preparing hybridomas producing mouse monoclonal antibodies was established, called “the mouse iliac lymph node method”. Lymphocytes from enlarged iliac lymph nodes from mice injected intramuscularly at the tail base with an emulsion of antigen and Freund’s adjuvant were used for cell fusion. For the most part, lymph node lymphocytes from two mice were used for a single cell fusion attempt. Ovalbumin was used as the antigen and the results of fusion were compared with the results of a previous report (Cell Struct. Funct. 20; 151–156, 1995). Approximately 100 positive wells producing antibody of interest were identified using this method. By comparison, approximately 10 positive wells were identified using the more conventional mouse spleen method after three immunization injections. The relative proportions of hybridomas producing IgM, IgG1, IgG2a, IgG2b, and IgG3, following fusion using iliac lymph node lymphocytes obtained 14 days after injection were 14.0%, 78.7%, 3.2%, 3.5% and 0.5%, respectively. This method demonstrated the following advantages: (1) a single injection of the antigen emulsion was sufficient, (2) the lymph nodes were ready for use 14 days after injection, and (3) a high yield of positive hybridomas was obtained

  8. EU Enlargement: Migration flows from Central and Eastern Europe into the Nordic countries - exploiting a natural experiment

    DEFF Research Database (Denmark)

    Pytlikova, Mariola; Pedersen, Peder J.

    We look at migration flows from 8 Central and Eastern European Countries (CEECs) to 5 Nordic countries over the years 1985 - 2005 and we can exploit a natural experiment that arose from the fact that while Sweden opened its labour market from the day one of the 2004 EU enlargement, the other Nordic...... countries chose a transition period in relation to the "new" EU members. We employ a differences-in-differences estimator in our analysis. The results show that the estimated effect of the opening of Swedish labour market in 2004 on migration is insignificantly different from zero. Further, we are...... interested in the overall effect of the "EU entry" on migration. Therefore we look at migration flows from CEECs during the first round EU enlargement towards CEECs in 2004 and compare them with migration flows from Bulgaria and Romania. We again used a DD estimator in our analysis. The estimated effect is...

  9. Drugs that enlarge the QT interval of the electrocardiogram. Fármacos que prolongan el intervalo QT del electrocardiograma.

    Directory of Open Access Journals (Sweden)

    Antonio L. Moreno Otero

    2006-12-01

    Full Text Available In this article the main causes of the enlargement of the electrocardiogram QT interval are commented, making emphasis in the main cause: drugs. Some of the drugs are mentioned that produce this clinical situation, as well as the possible mechanisms that produce it. Besides, some recommendations, related with the prescription of drugs that enlarge this electrocardiogram interval, are given.
    En este artículo se comentan las principales causas de la prolongación del intervalo QT del electrocardiograma, enfatizando en la principal causa: los medicamentos. Se mencionan algunos de los medicamentos que producen esta situación médica, así como los posibles mecanismos que la producen. Además, se ofrecen algunas recomendaciones relacionadas con la prescripción de fármacos que prolongan este intervalo del electrocardiograma.

  10. Proceedings of the enlargement workshop on Neutron Measurements, Evaluations and Applications, NEMEA-2

    International Nuclear Information System (INIS)

    The Enlargement workshop on Neutron Measurements, Evaluations and Applications, NEMEA-2 was held in Bucharest, Romania on October 20-23, 2004. The workshop was organised by the Neutron Physics Unit of IRMM, in close collaboration with the local organiser and his team from IFIN 'Horia Hulubei' in nearby Magurele. The organisers were assisted by a Program Advisory Committee. The purpose of the workshop was to stimulate exchange of knowledge on recent activities in the field of neutron measurements, evaluations and applications between researchers from new member states, candidate countries, and Western Balkan states with researchers from EU member states and elsewhere, notably Russia. The workshop was opened with an introduction about the status of research in Romania. Following this presentation, the Joint Research Centre and the role of the Institute for Reference Materials and Measurements, situated in Geel, Belgium, was introduced. A further view on the research activities in Romania was offered in four presentations with a relation to the nuclear field. The research activities centered around the separation of tritium in heavy water from the CANDU reactors. An overview was presented of the nuclear power research and development program centered around the dual core 14 MW TRIGA reactor. Dr Rotaru of the Nuclear Electrica Company presented the status and prospects of the CERNAVODA nuclear power plant. The present 700 MWe from unit-1 will be doubled following completion and commissioning of unit-2, scheduled for March 2007. Prof. Zamfir, director of IFIN 'Horia Hulubei', presented the research activities of the insitute. This introduction was complemented by a laboratory visit including the tandem accelerator laboratory, the detector preparation laboratory that is involved in the CERN-based Large Hadron Collider project, the food irradiation facility and the radionuclides laboratory. With forty-three oral and invited contributions and nine posters a wide range of

  11. Enlarged broad band photodetection using Indium doped TiO{sub 2} alloy thin film

    Energy Technology Data Exchange (ETDEWEB)

    Sarkar, Mitra Barun [National Institute of Technology Agartala, Department of Electronics and Communication Engineering, Jirania, Tripura (West) 799055 (India); Mondal, Aniruddha, E-mail: aniruddhamo@gmail.com [National Institute of Technology Agartala, Department of Electronics and Communication Engineering, Jirania, Tripura (West) 799055 (India); Choudhuri, Bijit; Mahajan, Bikram Kishore; Chakrabartty, Shubhro [National Institute of Technology Agartala, Department of Electronics and Communication Engineering, Jirania, Tripura (West) 799055 (India); Ngangbam, Chitralekha [National Institute of Technology Manipur, Department of Electronics and Communication Engineering, Takyelpat, Imphal, Manipur 795001 (India)

    2014-12-05

    Highlights: • An easy technique has been used to dope Indium (instantaneous source) into TiO{sub 2} TF. • An inhomogeneous layer of In{sub x}Ti{sub y}O{sub 2} alloy was formed due to doping. • The lattice constant and optical band gap of TiO{sub 2} has increased after In doping. • Enhanced visible light absorption and detection were recorded for In doped TiO{sub 2} TF. • Almost no delay in photo response for In doped photodetector was observed. - Abstract: An instantaneous source of Indium (In) was used to dope the TiO{sub 2} thin film (TF) on the Si substrate. The X-ray diffraction depicted the presence of rutile phases of TiO{sub 2}, which shifted to the lower value 61.7 from 61.9 (2θ). Secondary ion mass spectrometry (SIMS) reveals that the diffusion of Indium ion yield decreases sharply from the surface, as approached toward the TiO{sub 2} TF–Si substrate interface. The bulk diffusion of In into TiO{sub 2} was observed at a depth of 125–200 nm, up to the edge of TiO{sub 2} TF. An inhomogeneous layer of In{sub x}Ti{sub y}O{sub 2} alloy was formed during annealing process. An average of two fold enhanced photo absorption was recorded for the In doped TiO{sub 2} TF in the 300–350 nm and 450–800 nm regions respectively. The main band gap of In doped TiO{sub 2} was increased to 3.4 eV, whereas the large absorption edge was observed at 3.1 eV. The leakage current (34 nA at −0.5 V) of In doped TiO{sub 2} TF detector was significantly reduced. A maximum 2.5 times (−3.5 V) enlarged photodetection has been observed for In doped TiO{sub 2} TF device under white light illumination. The In doped TiO{sub 2} TF detector shows the broad band photodetection, with an infinitesimal delay in its photo response time as compared to undoped TiO{sub 2} TF.

  12. EU Enlargement, Parallel Trade and Price Competition in Pharmaceuticals - What’s to Blame? Derogation or Perception?

    OpenAIRE

    Granlund, David; Yesim Köksal, Miyase

    2012-01-01

    Given the cost of trade and availability of pharmaceuticals, the driving force for parallel trade is the price difference between the source (exporting) and the destination (importing) country. An increase in the price difference or in the availability of pharmaceuticals for parallel trade should increase price competition in the destination country. Using 2003-2007 data from Sweden we investigated whether EU enlargement in 2004, when new countries with low pharmaceutical prices joined the EU...

  13. Accession incentives for institutional change in post-socialist countries: cross-section and country evidence from NATO enlargement

    OpenAIRE

    Schweickert, Rainer; Melnykovska, Inna; Heitmann, Hanno

    2010-01-01

    This paper analyses the transformative power of NATO accession that gains in importance due to the enlargement fatigue of the EU, the EU’s rather weak neighbourhood incentives and the increasing importance of regional security as an incentive for compliance with the institutional standards of democracy and market economy. Econometric cross-country evidence from a hazard model reveals that the entry into NATO’s accession process is mainly driven by neighbourhood and strategic effects rather th...

  14. Risk identification and risk mitigation during metro station construction by enlarging shield tunnel combined with cut-and-cover method

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    Constructing a metro station by enlarging shield tunnels combined with a mining/cut-and-cover method provides a new method to solve the contradictions of construction time limits of shield tunnels and stations. As a new-style construction method, there are several specific risks involved in the construction process. Based on the test section of Sanyuanqiao station on Beijing metro line 10, and combined with the existing methods of risk identification at present, including a review of world-wide operational ...

  15. Is a Federal European Constitution for an enlarged European Union necessary? Some preliminary suggestions using public choice analysis

    OpenAIRE

    Friedrich G. Schneider

    2009-01-01

    In order to guarantee a further successful functioning of the enlarged European Union a Federal European Constitution is proposed. Six basic elements of a future European federal constitution are developed: the European commission should be turned into an European government and the European legislation should consist of a two chamber system with full responsibility over all federal items. Three further key elements are the subsidiarity principle, federalism and the secession right, which are...

  16. Minimal Apical Enlargement for Penetration of Irrigants to the Apical Third of Root Canal System: A Scanning Electron Microscope Study

    OpenAIRE

    P. Srikanth; Krishna, Amaravadi Gopi; Srinivas, Siva; Reddy, E Sujayeendranatha; Battu, Someshwar; Aravelli, Swathi

    2015-01-01

    Background: The aim of this study was to determine minimal apical enlargement for irrigant penetration into apical third of root canal system using scanning electron microscope (SEM). Materials and Methods: Distobuccal canals of 40 freshly extracted human maxillary first molar teeth were instrumented using crown-down technique. The teeth were divided into four test groups according to size of their master apical file (MAF) (#20, #25, #30, #35 0.06% taper), and two control groups. After final ...

  17. Nest Enlargement in Leaf-Cutting Ants: Relocated Brood and Fungus Trigger the Excavation of New Chambers

    OpenAIRE

    Daniela Römer; Flavio Roces

    2014-01-01

    During colony growth, leaf-cutting ants enlarge their nests by excavating tunnels and chambers housing their fungus gardens and brood. Workers are expected to excavate new nest chambers at locations across the soil profile that offer suitable environmental conditions for brood and fungus rearing. It is an open question whether new chambers are excavated in advance, or will emerge around brood or fungus initially relocated to a suitable site in a previously-excavated tunnel. In the laboratory,...

  18. A novel room temperature-induced chemical etching (RTCE) technique for the enlargement of fission tracks in Lexan polycarbonate SSNTD

    Science.gov (United States)

    Chavan, Vivek; Kalsi, P. C.; Manchanda, V. K.

    2011-02-01

    The chemical or electrochemical etching is an essential step to enlarge the ion-induced latent tracks in solid state nuclear track detectors (SSNTDs). In these methods, above ambient temperatures (˜60 °C) and moderately high concentrations of alkali are required for about 1-2 h to enlarge the latent tracks. Microwave induced chemical etching method is reported to reduce the etching time for alpha tracks from 3 to 4 h to 25 min for CR-39 detector. In the present work, a room temperature-induced chemical etching employing ethanolamine as a new etchant has been investigated for the first time to enlarge the fission tracks in Lexan polycarbonate SSNTD. The tracks developed in the Lexan detectors etched at room temperature using ethanolamine are compared with those etched with routinely used chemical etching (CE) technique in 6 N NaOH at 60 °C. The bulk etch and track etch rates are also reported. The detection efficiency of RTCE method is determined and compared with that of CE method. The RTCE technique is found to be simple, fast and convenient.

  19. A novel room temperature-induced chemical etching (RTCE) technique for the enlargement of fission tracks in Lexan polycarbonate SSNTD

    Energy Technology Data Exchange (ETDEWEB)

    Chavan, Vivek [Radiochemistry Division, Bhabha Atomic Research Centre, Mumbai 400085 (India); Kalsi, P.C., E-mail: pckalsi@barc.gov.i [Radiochemistry Division, Bhabha Atomic Research Centre, Mumbai 400085 (India); Manchanda, V.K. [Radiochemistry Division, Bhabha Atomic Research Centre, Mumbai 400085 (India)

    2011-02-11

    The chemical or electrochemical etching is an essential step to enlarge the ion-induced latent tracks in solid state nuclear track detectors (SSNTDs). In these methods, above ambient temperatures ({approx}60 {sup o}C) and moderately high concentrations of alkali are required for about 1-2 h to enlarge the latent tracks. Microwave induced chemical etching method is reported to reduce the etching time for alpha tracks from 3 to 4 h to 25 min for CR-39 detector. In the present work, a room temperature-induced chemical etching employing ethanolamine as a new etchant has been investigated for the first time to enlarge the fission tracks in Lexan polycarbonate SSNTD. The tracks developed in the Lexan detectors etched at room temperature using ethanolamine are compared with those etched with routinely used chemical etching (CE) technique in 6 N NaOH at 60 {sup o}C. The bulk etch and track etch rates are also reported. The detection efficiency of RTCE method is determined and compared with that of CE method. The RTCE technique is found to be simple, fast and convenient.

  20. Bilateral parotid enlargement due to malnutrition under the influence of the media in an adolescent in Lithuania.

    Science.gov (United States)

    Mieliauskaite, Diana; Venalis, Algirdas; Graziene, Vida; Kirdaite, Gailute

    2007-07-01

    The elimination of censorship for the media in post-communist countries in transition has contributed to increases in the prevalence of several medical problems. Children and adolescents are particularly vulnerable to the messages conveyed through the media, which influence their perceptions and behaviour. We describe a case of bilateral parotid enlargement due to malnutrition under the influence of self-prescribed diet in an adolescent. A 15-year-old girl reported to our institution under suspicion of Sjögren's syndrome for medical advice. Two months ago she developed persistent bilateral parotid enlargement and a dry mouth. Her medical history revealed a weight loss due to "self-prescribed" reduce diet. Social questioning clarified high use of the media and influence on the body concept and self image. On extra oral examination, a diffuse parotid enlargement was seen bilaterally. The examination of the mouth showed a low moisture level of the intraoral mucosa. The unstimulated whole salivary flow rate was 2 ml in 15 min. Laboratory findings evidenced anemia (107 g/l). The serum albumin concentration indicated a reduced level (28 g/l). Search for antinuclear antibodies, anti-SSA antibodies, anti-SSB, -Sm, -RNP and anti-double-stranded DNA antibodies was negative. Evaluation for antibodies against hepatitis C, cytomegalovirus and Epstein-Barr virus infection and HIV rendered negative results. A histopathologic examination of labial salivary gland biopsy revealed a picture of sialoadenosis. From the above investigations, a diagnosis of sialoadenosis due to malnutrition was made. PMID:17198741

  1. CONSIDERATIONS ON THE IMPACT OF THE EU ENLARGEMENT TOWARDS CENTRAL AND EASTERN EUROPE ON THE EUROPEAN SOCIAL MODEL

    Directory of Open Access Journals (Sweden)

    Constantin Viorel MIHAI

    2009-12-01

    Full Text Available While the European Union keeps taking pride in putting forward the existence of a European Social Model, no study or project was carried out in order to foresee the enlargement effects on this model and mainly how the latter could be successfully implemented by the new Member States, having regard to their own characteristics. It is no coincidence that the references to the European Social Model multiplied during the period when the EU was facing its own enlargement. More and more questions were raised concerning the new Member States convergence capacity, as regards Central and Eastern Europe countries in particular, with all the European Union social rules. The trends in the new Member States, as well as their convictions or their lack of conviction, concerning the European Social Model, have major implications on the tomorrow’s social Europe. In which direction is it heading in an enlarged 25 or 27 nations European Union? This study is aimed at answering at this question having regard, in particular, to the economical and social characteristics of the new Member States and to the possible sources that might give rise to blockings in the social field.

  2. Treatment Option Overview (Ovarian Germ Cell Tumors)

    Science.gov (United States)

    ... c) cancer cells are found in the pelvic peritoneum. In stage I , cancer is found in one ... in the abdomen ) or in washings of the peritoneum ( tissue lining the peritoneal cavity). Stage II Enlarge ...

  3. Enlargement of the human spleen in graft-versus-host disease.

    Science.gov (United States)

    Dilly, S A; Sloane, J P

    1988-04-01

    The spleens of 49 patients who had undergone allogeneic bone marrow transplantation for leukemia were compared at autopsy to determine the pathological changes associated with graft-versus-host disease (GVHD). The only significant finding was an increase in weight of about 1.7 times that of spleens from patients without GVHD. This was not explained by differences in the patients' sex, length of survival after transplantation, presence of infection, or liver pathology. On histological examination, there was no detectable increase in congestion, siderosis, or numbers of lymphocytes, macrophages, antigen-presenting cells, blast cells, pyknotic cells, plasma cells, or hemopoietic cells to explain the increase in spleen weight. On the contrary, there was actually a reduction in CD8+ T lymphocytes. No proliferative phase of GVHD could be identified, possibly due to a lack of specimens examined less than 8 days after transplantation and to prophylactic measures undertaken to minimize GVHD. The pathogenesis of splenomegaly in human GVHD is unclear.

  4. Effects of migration flows on the host country labour market following the 2004 EU enlargement

    Directory of Open Access Journals (Sweden)

    Peković Drinka

    2011-01-01

    Full Text Available This paper examines the effects of migration flows on unemployment, employment probabilities and native wages. The analysis contains the evaluation of migration effects of labour from Central and Eastern European countries which became European Union member states in 2004, on old member's labour market. Particular emphasis was placed on evidence of the migration flows impact from the new EU member states on the labour market performances in the United Kingdom and Ireland, the countries which did not restrict the access of new member immigrants to their labour markets. The analysis was realized for the period of 2004 to 2008 when the migration inflow was the largest. The empirical literature suggests that the migration effects on unemployment and employment probabilities of natives are very small. The young and low skilled native workers are more affected by migration flows than other groups of workers. Also, most empirical studies show small negative wage effects of immigration. Although the results of public researches and econometric studies have shown the modest potential labour migration flows from new member states and the small potential effects on EU-15 labour market, twelve out of fifteen old member states decided to apply transitional arrangements. The evidence presented in the report of the European Commission pointed out positive EU labour market impact of modest inflow of immigrants from new member states. Sectoral and skill composition of immigrants from new member states suggests their complementary role on EU labour market. The majority of immigrants from new member states are men, aged between 18 and 34, mediumlevel of education. Most immigrants have been employed in service sector, manufacturing and construction. The high employment rate of immigrants from new member states (78% and low unemployment rate (6% in the post-enlargement period have confirmed positive migration impact on EU labour market performances. The unemployment

  5. Prevention of Alveolar Destruction and Airspace Enlargement in a Mouse Model of Pulmonary Lymphangioleiomyomatosis (LAM)

    OpenAIRE

    Goncharova, Elena A; Goncharov, Dmitry A; Fehrenbach, Melane; Khavin, Irene; Ducka, Blerina; HINO, OKIO; Colby, Thomas V.; Merrilees, Mervyn J; Haczku, Angela; Albelda, Steven M.; Krymskaya, Vera P.

    2012-01-01

    Pulmonary lymphangioleiomyomatosis (LAM) is a rare genetic disease characterized by neoplastic growth of atypical smooth muscle–like LAM cells, destruction of lung parenchyma, obstruction of lymphatics, and formation of lung cysts, leading to spontaneous pneumothoraces (lung rupture and collapse) and progressive loss of pulmonary function. The disease is caused by mutational inactivation of the tumor suppressor gene tuberous sclerosis complex 1 (TSC1) or TSC2. By injecting TSC2-null cells int...

  6. Epithelial cell apoptosis causes acute lung injury masquerading as emphysema.

    Science.gov (United States)

    Mouded, Majd; Egea, Eduardo E; Brown, Matthew J; Hanlon, Shane M; Houghton, A McGarry; Tsai, Larry W; Ingenito, Edward P; Shapiro, Steven D

    2009-10-01

    Theories of emphysema traditionally revolved around proteolytic destruction of extracellular matrix. Models have recently been developed that show airspace enlargement with the induction of pulmonary cell apoptosis. The purpose of this study was to determine the mechanism by which a model of epithelial cell apoptosis caused airspace enlargement. Mice were treated with either intratracheal microcystin (MC) to induce apoptosis, intratracheal porcine pancreatic elastase (PPE), or their respective vehicles. Mice from all groups were inflated and morphometry was measured at various time points. Physiology measurements were performed for airway resistance, tissue elastance, and lung volumes. The groups were further analyzed by air-saline quasistatic measurements, surfactant staining, and surfactant functional studies. Mice treated with MC showed evidence of reversible airspace enlargement. In contrast, PPE-treated mice showed irreversible airspace enlargement. The airspace enlargement in MC-treated mice was associated with an increase in elastic recoil due to an increase in alveolar surface tension. PPE-treated mice showed a loss of lung elastic recoil and normal alveolar surface tension, a pattern more consistent with human emphysema. Airspace enlargement that occurs with the MC model of pulmonary epithelial cell apoptosis displays physiology distinct from human emphysema. Reversibility, restrictive physiology due to changes in surface tension, and alveolar enlargement associated with heterogeneous alveolar collapse are most consistent with a mild acute lung injury. Inflation near total lung capacity gives the appearance of enlarged alveoli as neighboring collapsed alveoli exert tethering forces. PMID:19188661

  7. The Aperture and Layout of the LHC Extraction Septa and TCDS Diluter with an Enlarged MSDC Vacuum Chamber

    CERN Document Server

    Goddard, B

    2003-01-01

    The LHC beam dumping system must safely abort the LHC beams over the whole energy range, under all realistically possible fault conditions. These include normal operation, failure of machine elements and also abnormal performance of subsystems of the beam dumping system itself. To avoid unnecessary irradiation and even equipment damage, the MSD extraction septa must provide sufficient aperture both for the circulating and extracted beams. In order to satisfy this requirement, a modified (enlarged) vacuum chamber design will be used for the limiting MSDC septa. The analysis of the available apertures is presented, with emphasis on the dependence on the local orbit and beam emittance.

  8. A Case of External Compression of Femoral Vein by the Enlarged Iliopsoas Bursa with Long Term Edema.

    Science.gov (United States)

    Natsume, Kayoko; Yamamoto, Kiyohito; Tanaka, Keizo; Hiraiwa, Takane; Tanaka, Kuniyoshi

    2015-01-01

    The iliopsoas bursa is the largest bursa in the region of hip joint. It is unusual that these bursa become symptomatic. However the bursa can compress femoral vein, leading to lower extremity edema. A 58-year-old man was referred to our department for his unilateral leg edema which had been treated as deep vein thrombosis without any favorable response. Magnetic resonance angiography was performed, which demonstrated enlarged iliopsoas bursa compressing his femoral vein. Surgical removal of the bursa was performed. The postoperative course was uneventful, and the patient is free from symptoms with no evidence of recurrence.

  9. An enlarged largest subunit of Plasmodium falciparum RNA polymerase II defines conserved and variable RNA polymerase domains.

    OpenAIRE

    Li, W B; Bzik, D J; Gu, H M; Tanaka, M.; Fox, B.A.; Inselburg, J

    1989-01-01

    We have isolated the gene encoding the largest subunit of RNA polymerase II from Plasmodium falciparum. The RPII gene is expressed in the asexual erythrocytic stages of the parasite as a 9 kb mRNA, and is present as a single copy gene located on chromosome 3. The P. falciparum RPII subunit is the largest (2452 amino acids) eukaryotic RPII subunit, and it contains enlarged variable regions that clearly separate and define five conserved regions of the eukaryotic RPII largest subunits. A distin...

  10. EU Enlargement: Migration flows from Central and Eastern Europe into the Nordic countries - exploiting a natural experiment

    OpenAIRE

    Pedersen, Peder J.; Pytlikova, Mariola

    2008-01-01

    In this paper we look at migration flows from 10 Central and Eastern European Countries (CEEC) to 5 Nordic countries over the years 1985 - 2007. We exploit a natural experiment that arose from the fact that while Sweden opened its labour market from the day one of the 2004 EU enlargement, and Finland and Iceland from year 2006, the other Nordic countries chose a transition period in relation to the "new" EU members. The results based on a differences-in-differences estimator show that the est...

  11. What is the Role of Parental Leave policies in shaping Work and Care in the Enlarged EU?

    DEFF Research Database (Denmark)

    Ejrnæs, Anders

    2008-01-01

    The aim of the article is to examine the role of parental leave in shaping a mother's choice between work and care in the enlarged EU. A central question is how parental leave schemes affect mothers' employment and the occupational consequences for mothers who spend time on full-time caring.......  On the one hand, our findings confirm the hypothesis that long term absence from the labour market due to parental leave has negative consequences for women's occupational careers. On other hand, our findings show that countries with well paid parental leave schemes combined with access to high quality child...

  12. Zhao JiBin emphasizes China Tietong should enlarge private network coverage and make great progress in network regionalization

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    @@ President Zhao Jibin of China Titong goes to Jiangsu to do some surveys and after listening to the working report of Jiangsu Tietong, he inspects the network development in Nanjing, Suzhou, Changzhou and other cities. Zhao JiBin emphasizes China Tietong should be on the way of "enlarge private network coverage and make great progress in network regionalization", make every effort to lay a solid management foundation and improve management level so as to ensure the accurate orientation and implement of the whole development strategy. All members of China Tietong must hold a clear understanding about future development direction.

  13. Association between optic nerve blood flow and objective examinations in glaucoma patients with generalized enlargement disc type

    Directory of Open Access Journals (Sweden)

    Nakazawa T

    2011-10-01

    Full Text Available Naoki Chiba, Kazuko Omodaka, Yu Yokoyama, Naoko Aizawa, Satoru Tsuda, Masayuki Yasuda, Takaaki Otomo, Shunji Yokokura, Nobuo Fuse, Toru Nakazawa Department of Ophthalmology, Tohoku University Graduate School of Medicine, Sendai, Japan Background: The purpose of this study was to investigate the correlations between microcirculation in the optic disc, average peripapillary retinal nerve fiber layer thickness cupping parameters, and visual field defects in glaucoma patients with the generalized enlargement disc type. Methods: A total of 38 eyes from 38 glaucoma patients with the generalized enlargement disc type were included. The microcirculation of the optic nerve head was examined with laser speckle flow graphy, and the mean blur rate in all areas, in vessel area, and in tissue area were calculated using the laser speckle flow graphy analyzer software. Average peripapillary retinal nerve fiber layer thickness was measured using Stratus optical coherence tomography, and cupping parameters were accessed using the Heidelberg retina tomograph. The mean deviation in the Humphrey field analyzer (30-2 SITA standard was analyzed. The correlation between these parameters was evaluated using the Spearman rank correlation coefficient. Results: The correlation coefficient of mean blur rate in all optic disc area to the average peripapillary retinal nerve fiber layer thickness, vertical C/D, and mean deviation were r = 0.7546 (P < 0.0001, r = –0.6208 (P < 0.0001, and r = 0.6010 (P = 0.0001, respectively. The mean blur rate in tissue area of the optic disc showed r = 0.7305 (P < 0.0001, r = –0.6438 (P < 0.0001, and r = 0.6338 (P < 0.0001. Conclusion: We found that the mean blur rate in the optic disc was significantly correlated with the average peripapillary retinal nerve fiber layer thickness, vertical C/D, and mean deviation in patients with the generalized enlargement disc type of glaucoma. In particular, the mean blur rate in tissue area was more

  14. Critical pitfall: varices in cancer patients mimicking lymphadenopathy; differentiation of varicose veins and enlarged lymph nodes in routine staging.

    Science.gov (United States)

    Schubert, Tilman; Pansini, Michele; Bongartz, Georg; Niemann, Tilo

    2011-01-01

    Two patients, each with a history of multiple cancers, were referred to our institution for routine cancer staging. Contrast enhanced multislice-CT showed round and oval shaped inguinal and retroperitoneal masses in one patient and inguinal mass lesions in the other patient. The mass lesions were suspicious of lymphadenopathy related to cancer recurrence. Additional MR-Imaging, however, showed tortuous varicose veins as well as suspicious lymph nodes in one patient and solely venous convolutes in the other patient. Regarding the routine contrast enhanced CT-scan in the portovenous phase, varices showed no significant difference in radiodensity compared to enlarged lymph nodes.

  15. Influence of the benign enlargement of the subarachnoid space on the bridging veins strain during a shaking event: a finite element study.

    Science.gov (United States)

    Raul, Jean-Sébastien; Roth, Sébastien; Ludes, Bertrand; Willinger, Rémy

    2008-07-01

    There is controversy regarding the influence of the benign enlargement of the subarachnoid space on intracranial injuries in the field of the shaken baby syndrome. In the literature, several terminologies exists to define this entity illustrating the lack of unicity on this theme, and often what is "benign" enlargement is mistaken with an old subdural bleeding or with abnormal enlargement due to brain pathology. This certainly led to mistaken conclusions. To investigate the influence of the benign enlargement of the subarachnoid space on child head injury and especially its influence on the bridging veins, we used a finite element model of a 6-month-old child head on which the size of the subarachnoid space was modified. Regarding the bridging veins strain, which is at the origin of the subdural bleeding when shaking an infant, our results show that the enlargement of the subarachnoid space has a damping effect which reduces the relative brain/skull displacement. Our numerical simulations suggest that the benign enlargement of the subarachnoid space may not be considered as a risk factor for subdural bleeding. PMID:18493785

  16. Optimizing CT for the evaluation of vestibular aqueduct enlargement:Inter-rater reproducibility and predictive value of reformatted CT measurements

    Institute of Scientific and Technical Information of China (English)

    Misun Hwang; Ryan Marovich; Samuel S. Shin; David Chi; Barton F. Branstetter IV

    2015-01-01

    Enlarged vestibular aqueduct (EVA), the most frequent identifiable cause of congenital hearing loss, is evaluated with high-definition multi-detector CT in the axial plane. Our purpose was to determine which reformatted CT measurements are most reproducible. Seven multiplanar reformatted images were created for each of the 64 temporal bones in patients with EVA. Intraclass correlation coefficients (ICC) were used to assess inter-observer variability, and both linear regression and ROC analyses were used to compare the measurements with severity of hearing loss, as assessed by pure tone audiometry. All seven measurements had excellent inter-observer variability, with average-measure ICC ranging from 0.92 to 0.98. There was no statistically significant correlation between the radiologic degree of aqueduct enlargement and severity of hearing loss using any of the seven measurements;ROC analyses revealed areas under the curves ranging from 0.57 to 0.73. Optimal accuracy was obtained with a threshold of 1.75 mm as measured at the aqueductal aperture in the P€oschl plane, with sensitivity of 0.75 and specificity of 0.63. Although the radiologic measurement may not serve as a reliable tool for assessing severity of EVA, P€oschl plane reformatting has proven to be better than conventional axial acquisition plane for identifying patients with clinically significant hearing loss.

  17. Spleen enlargement is a common finding in acute Puumala hantavirus infection and it does not associate with thrombocytopenia.

    Science.gov (United States)

    Koskela, Sirpa M; Laine, Outi K; Paakkala, Antti S; Mäkelä, Satu M; Mustonen, Jukka T

    2014-10-01

    The pathogenesis of thrombocytopenia in Puumala hantavirus (PUUV) infection is probably multifactorial. We aimed to evaluate the possible spleen enlargement during acute PUUV infection, and to determine its association with thrombocytopenia and disease severity. Magnetic resonance imaging (MRI) of the spleen was performed in 20 patients with acute PUUV infection. MRI was repeated 5-8 months later. The change in spleen length was compared with markers describing the severity of the disease. In all patients, the spleen length was increased in the acute phase compared with the control phase (median 129 mm vs 111 mm, p < 0.001). The change correlated with maximum C-reactive protein value (r = 0.513, p = 0.021) and inversely with maximum leukocyte count (r = -0.471, p = 0.036), but not with maximum serum creatinine level or minimum platelet count. Enlarged spleen, evaluated by MRI, was shown to be a common finding during acute PUUV infection. However, it does not associate with thrombocytopenia and acute kidney injury. PMID:25119440

  18. Enlarge the training set based on inter-class relationship for face recognition from one image per person.

    Directory of Open Access Journals (Sweden)

    Qin Li

    Full Text Available In some large-scale face recognition task, such as driver license identification and law enforcement, the training set only contains one image per person. This situation is referred to as one sample problem. Because many face recognition techniques implicitly assume that several (at least two images per person are available for training, they cannot deal with the one sample problem. This paper investigates principal component analysis (PCA, Fisher linear discriminant analysis (LDA, and locality preserving projections (LPP and shows why they cannot perform well in one sample problem. After that, this paper presents four reasons that make one sample problem itself difficult: the small sample size problem; the lack of representative samples; the underestimated intra-class variation; and the overestimated inter-class variation. Based on the analysis, this paper proposes to enlarge the training set based on the inter-class relationship. This paper also extends LDA and LPP to extract features from the enlarged training set. The experimental results show the effectiveness of the proposed method.

  19. A challenge of regional integration: the Southern Argentinian pipeline enlargement; Desafio de integracao regional: ampliacao do gasoduto Sul-Argentino

    Energy Technology Data Exchange (ETDEWEB)

    Sardi, Oscar; Sosa, Damian [Transportadora de Gas del Sur S.A., Buenos Aires (Argentina); Duarte Filho, Arno [PETROBRAS, Rio de Janeiro, RJ (Brazil)

    2005-07-01

    The enlargement of the pipelines of Southern Argentina comprised the construction of around 500 km of 30' and 36' loops in the first semester of 2005 and presented many peculiarities. It has been the first enlargement of the argentinian pipeline system since the country's default statement, in 2001, and it has been financed and built by a bi national Brazilian-Argentinian consortium. It has also been the first time that a governmental trusteeship has been used in such an enterprise in Argentina to guarantee the necessary funds. The increasing demand of natural gas to industries and power generation plants brought about by Argentina's recent growth has stated the sense of urgency: the construction must be on duty in June 2005, ready to increase de flow of gas to the Provincia de Buenos Aires and Great Buenos Aires regions. This has represented also a technical challenge, due to the small time to built the loops, the geographical distribution of the construction, which extends from Patagonia to the Great Buenos Aires region and the meteorological conditions of the period of the construction. The article describes the negotiations done to assemble the construction's financial and managerial frameworks, the building and the solutions found to face the challenge and to meet the deadline. (author)

  20. All-digital signal-processing open-loop fiber-optic gyroscope with enlarged dynamic range.

    Science.gov (United States)

    Wang, Qin; Yang, Chuanchuan; Wang, Xinyue; Wang, Ziyu

    2013-12-15

    We propose and realize a new open-loop fiber-optic gyroscope (FOG) with an all-digital signal-processing (DSP) system where an all-digital phase-locked loop is employed for digital demodulation to eliminate the variation of the source intensity and suppress the bias drift. A Sagnac phase-shift tracking method is proposed to enlarge the dynamic range, and, with its aid, a new open-loop FOG, which can achieve a large dynamic range and high sensitivity at the same time, is realized. The experimental results show that compared with the conventional open-loop FOG with the same fiber coil and optical devices, the proposed FOG reduces the bias instability from 0.259 to 0.018 deg/h, and the angle random walk from 0.031 to 0.006 deg/h(1/2), moreover, enlarges the dynamic range to ±360 deg/s, exceeding the maximum dynamic range ±63 deg/s of the conventional open-loop FOG.

  1. Contraindication of ART following a sperm FISH analysis, even though only 12% of the spermatozoa had enlarged heads.

    Science.gov (United States)

    Guthauser, Bruno; Boitrelle, Florence; Albert, Martine; Ketata, Fadoua; Meynant, Celine; Ferfouri, Fatma; Selva, Jacqueline; Vialard, Francois

    2013-08-01

    We report on a couple with a five-year history of idiopathic primary infertility. Two early miscarriages had followed intrauterine insemination (IUI). The man's fertility was then re-evaluated, in order to establish whether or not IUI was the best treatment option. Although the semen parameters were normal (sperm concentration: 89 million/ml; progressive motility: 40%; percentage of typical forms: 20%), a computer-assisted sperm morphology analysis with strict criteria found that 12% of the spermatozoa had enlarged heads. All of the latter had a normal form and none had multiple flagella. Using fluorescence in situ hybridization (FISH) analysis, we found that the proportion of aneuploid and diploid spermatozoa was 78% for the sample as a whole and 68% for normally-shaped spermatozoa with a normal-sized head. Although treatment options are well documented for men with macrocephalic sperm head syndrom, there is no consensus on individuals with a low but non-negligible proportion of spermatozoa with enlarged heads. Here, our FISH results contraindicated the use of assisted reproductive technology with the man's sperm. The couple decided to resort to donor sperm. PMID:23517468

  2. Mutations in the Plasmodium falciparum chloroquine resistance transporter, PfCRT, enlarge the parasite's food vacuole and alter drug sensitivities.

    Science.gov (United States)

    Pulcini, Serena; Staines, Henry M; Lee, Andrew H; Shafik, Sarah H; Bouyer, Guillaume; Moore, Catherine M; Daley, Daniel A; Hoke, Matthew J; Altenhofen, Lindsey M; Painter, Heather J; Mu, Jianbing; Ferguson, David J P; Llinás, Manuel; Martin, Rowena E; Fidock, David A; Cooper, Roland A; Krishna, Sanjeev

    2015-01-01

    Mutations in the Plasmodium falciparum chloroquine resistance transporter, PfCRT, are the major determinant of chloroquine resistance in this lethal human malaria parasite. Here, we describe P. falciparum lines subjected to selection by amantadine or blasticidin that carry PfCRT mutations (C101F or L272F), causing the development of enlarged food vacuoles. These parasites also have increased sensitivity to chloroquine and some other quinoline antimalarials, but exhibit no or minimal change in sensitivity to artemisinins, when compared with parental strains. A transgenic parasite line expressing the L272F variant of PfCRT confirmed this increased chloroquine sensitivity and enlarged food vacuole phenotype. Furthermore, the introduction of the C101F or L272F mutation into a chloroquine-resistant variant of PfCRT reduced the ability of this protein to transport chloroquine by approximately 93 and 82%, respectively, when expressed in Xenopus oocytes. These data provide, at least in part, a mechanistic explanation for the increased sensitivity of the mutant parasite lines to chloroquine. Taken together, these findings provide new insights into PfCRT function and PfCRT-mediated drug resistance, as well as the food vacuole, which is an important target of many antimalarial drugs.

  3. Thymus is enlarged in children with current atopic dermatitis. A cross-sectional study

    DEFF Research Database (Denmark)

    Olesen, Anne Braae; Andersen, G.; Jeppesen, D.L.;

    2005-01-01

    Atopic dermatitis is a common skin disorder of unknown aetiology with peak incidence in early childhood. The disease is associated with peripheral T-cell accumulation in the skin. The thymus is a key organ of the cellular immune response early in life. We hypothesized that atopic dermatitis...... is associated with an unbalanced establishment of the peripheral T-lymphocyte system. This cross-sectional study was performed to compare thymus sizes in patients with atopic dermatitis and healthy controls. Thirty-seven children with current atopic dermatitis were enrolled and compared with 29 healthy controls....... An interview and medical examination were performed by one doctor, an ultrasound scan was performed within 3 days of the examination, and the thymus index, a marker of thymus size, was measured. The thymus index was on average 32% higher (95% CI 3%-67%) in children with active atopic dermatitis compared...

  4. The share of renewable energy in the EU. Country Profiles. Overview of Renewable Energy Sources in the Enlarged European Union

    International Nuclear Information System (INIS)

    The promotion of renewable energy has an important role to play in addressing the growing dependence on energy imports in Europe and in tackling climate change. Since 1997, the Union has been working towards the ambitious target of a 12% share of renewable energy in gross inland consumption by 2010. In 1997, the share of renewable energy was 5.4%; by 2001 it had reached 6%. This Staff Working Document gives an overview of the different situations of renewable energy sources in the European Union. It includes part of the formal report that the Commission is required to make under Article 3 of Directive 2001/77/EC on electricity from renewable energy sources, and it completes the overall picture with information at a country level on the heat produced from renewable energies and biofuels in the transport sector. This Staff Working Document complements the Communication on 'The share of Renewable Energy sources in the EU'. Data is based on different sources. Firstly, on the reports from Member States on national progress in achieving the targets on electricity from renewable energy sources. Secondly, on a study launched by the Commission on the evolution of renewable energy sources. And thirdly, on a variety of sources like the European Barometer of renewable energies, data from the industry, etc. With the enlargement of the European Union, the new Member States are required to adopt the RES-E Directive (renewable energy sources for electricity) by 1 May 2004. In the accession treaty, national indicative targets are set and the overall renewable electricity target for the enlarged Union will therefore be 21% of gross electricity consumption by 2010. The Commission has the legal obligation to report on the degree of achievement of new Member States' targets by 2006. Although it is too early to assess RES-policy in the new Member States due to very recently adopted regulations, this document also includes national information on the States now joining the European Union

  5. Myocardial ischaemia in children with sickle cell disease

    OpenAIRE

    de Montalembert, M.; Maunoury, C; Acar, P; Brousse, V; Sidi, D; Lenoir, G.

    2004-01-01

    Background: The heart may be involved in children affected with sickle cell disease (SCD) via several mechanisms. Principally, chronic anaemia increases cardiac output and may cause left ventricular enlargement and cardiac insufficiency.

  6. Treatment Options By Stage (Ovarian Germ Cell Tumors)

    Science.gov (United States)

    ... c) cancer cells are found in the pelvic peritoneum. In stage I , cancer is found in one ... in the abdomen ) or in washings of the peritoneum ( tissue lining the peritoneal cavity). Stage II Enlarge ...

  7. Gingival Enlargement Induced by Felodipine Resolves with a Conventional Periodontal Treatment and Drug Modification

    Directory of Open Access Journals (Sweden)

    Nabil Khzam

    2016-01-01

    Full Text Available We present a case of a 47-year-old male who suffered from GE around his lower anterior teeth as soon as he started treatment with Felodipine 400 mg. We show that oral hygiene measures, antibiotics, and conventional periodontal treatment (scaling and root planing SRP were all not sufficient to resolve the drug induced GE, which will persist and/or recur provided that systemic effect of the offending medication is still present. The condition immediately resolved after switching to a different medication. The mechanism of GE is complex and not fully understood yet. It is mainly due to overexpression of a number of growth factors due to high concentrations of calcium ions (Ca2+. This affects fibroblasts proliferation and DNA synthesis and leads to a heavy chronic inflammatory cell infiltrate. Our case was managed according to the suggested protocols in previous case studies. The unique features in our case were the immediate onset of the adverse effect after starting the medication and the absence of any underlying medical condition apart from high blood pressure. Improving the oral hygiene together with SRP and cessation of the medication resolves drug induced GE.

  8. Generalised fibrotic gingival enlargement in a psoriatic patient: an association or a coincidence?

    Science.gov (United States)

    Thada, Smitha Rani; Vineetha, Ravindranath; Pai, Keerthilatha M

    2015-01-01

    Gingival fibromatosis is a rare, benign, slow progressive fibrous overgrowth of gingiva, with great genetic and clinical heterogeneity. It can be inherited as an isolated trait (hereditary/idiopathic gingival fibromatosis), and/or as a component of a syndrome. We report a case of a young girl suffering from psoriasis who also presented with an unusual generalised idiopathic gingival fibromatosis. Psoriasis, a chronic inflammatory skin disease, of multifactorial origin, is characterised by keratinocyte hyperproliferation, dedifferentiation, neoangiogenesis and inflammation. T cell-mediated immunity is considered to be the key element in the disease process. The existence of oral mucosal alterations in patients with psoriasis is a controversial topic, as histopathological correlations are not clearly evident, and oral and cutaneous lesions do not follow a parallel course. However, this article highlights a possible association of T-lymphocyte stimulation inducing fibroblasts to undergo epidermal hyperproliferation and increased collagen production in the gingiva, which in turn may be responsible for inducing gingival hyperplasia.

  9. Ameloblastic Fibrodentinoma Presenting as a False Gingival Enlargement in the Maxillary Anterior Region

    Directory of Open Access Journals (Sweden)

    Shiny Joseph

    2015-01-01

    Full Text Available Ameloblastic fibrodentinoma is a rare benign mixed odontogenic neoplasm usually occurring in the first two decades of life. It is more common in males and the most common site of occurrence is in the mandibular premolar molar area. This report presents a case of ameloblastic fibrodentinoma in a 12-year-old boy in the maxillary anterior region, a less common site for the occurrence of ameloblastic fibrodentinoma. A 12-year-old boy presented with a midline diastema in 11 and 21 region and a swelling in the palatal aspect of 11 and 12. Intraoral periapical radiograph showed the presence of rarefaction of bone on the mesial aspect of the cervical and middle third of the root of 11. Excision biopsy was done. The specimen was processed and stained with hematoxylin and eosin. Microscopic examination showed islands, chords and strands of odontogenic epithelium in a primitive ectomesenchyme resembling dental papilla. The odontogenic epithelium exhibited peripheral ameloblast-like and central stellate reticulum-like cells. The presence of dentinoid material was seen adjacent to the odontogenic epithelium in some foci. The lesion was diagnosed as ameloblastic fibrodentinoma.

  10. Note: Autocollimation with ultra-high resolution and stability using telephoto objective together with optical enlargement and beam drift compensation.

    Science.gov (United States)

    Zhu, Fan; Tan, Xinran; Tan, Jiubin; Fan, Zhigang

    2016-08-01

    An autocollimation (AC) setup with ultra-high resolution and stability for micro-angle measurement is presented. The telephoto objective, which is characterized in long focal length at a compact structure size, and the optical enlargement unit, which can magnify the image displacement to improve its measurement resolution and accuracy, are used to obtain an ultra-high measurement resolution of the AC. The common-path beam drift compensation is used to suppress the drift of measurement results, which is evident in the high-resolution AC, thus to obtain a high measurement stability. Experimental results indicate that an effective resolution of better than 0.0005 arc sec (2.42 nrad) over a measurement range of ±30 arc sec and a 2-h stability of 0.0061 arc sec (29.57 nrad) can be achieved. PMID:27587181

  11. A reduced-order modeling for efficient design study of artificial valve in enlarged ventricular outflow tracts.

    Science.gov (United States)

    Caiazzo, A; Guibert, R; Vignon-Clementel, I E

    2016-09-01

    A computational approach is proposed for efficient design study of a reducer stent to be percutaneously implanted in enlarged right ventricular outflow tracts (RVOT). The need for such a device is driven by the absence of bovine or artificial valves which could be implanted in these RVOT to replace the absent or incompetent native valve, as is often the case over time after Tetralogy of Fallot repair. Hemodynamics are simulated in the stented RVOT via a reduce order model based on proper orthogonal decomposition, while the artificial valve is modeled as a thin resistive surface. The reduced order model is obtained from the numerical solution on a reference device configuration, then varying the geometrical parameters (diameter) for design purposes. To validate the approach, forces exerted on the valve and on the reducer are monitored, varying with geometrical parameters, and compared with the results of full CFD simulations. Such an approach could also be useful for uncertainty quantification. PMID:26738807

  12. An enlarged largest subunit of Plasmodium falciparum RNA polymerase II defines conserved and variable RNA polymerase domains.

    Science.gov (United States)

    Li, W B; Bzik, D J; Gu, H M; Tanaka, M; Fox, B A; Inselburg, J

    1989-12-11

    We have isolated the gene encoding the largest subunit of RNA polymerase II from Plasmodium falciparum. The RPII gene is expressed in the asexual erythrocytic stages of the parasite as a 9 kb mRNA, and is present as a single copy gene located on chromosome 3. The P. falciparum RPII subunit is the largest (2452 amino acids) eukaryotic RPII subunit, and it contains enlarged variable regions that clearly separate and define five conserved regions of the eukaryotic RPII largest subunits. A distinctive carboxyl-terminal domain contains a short highly conserved heptapeptide repeat domain which is bounded on its 5' side by a highly diverged heptapeptide repeat domain, and is bounded on its 3' side by a long carboxyl-terminal extension. PMID:2690004

  13. Hearing loss, coloboma and left ventricular enlargement in a boy with an interstitial 10q26 deletion.

    Science.gov (United States)

    Ramos, Maria; Wilkens, Alisha; Krantz, Ian D; Wu, Yaning

    2016-06-01

    Distal deletion of the long arm of chromosome 10 with breakpoints mapped at 10q26 is a well-recognized contiguous genomic disorder. A wide spectrum of clinical findings is seen in affected individuals and the common clinical features include craniofacial dysmorphia, developmental delay, intellectual disability, hypotonia, cardiovascular defects, and urogenital malformations. We report herein on a male patient with a 5.5 Mb interstitial deletion of 10q26.11q2613 and compare his clinical presentation to previously reported cases. Apart from characteristic phenotypes seen in 10q26 deletion syndrome, he presents with colobomas and left ventricle enlargement. These are cardiovascular and ophthalmological findings that have not been described in prior cases. © 2016 Wiley Periodicals, Inc. PMID:27125467

  14. Direct aneurysm sac catheterization and embolization of an enlarging internal iliac aneurysm using cone-beam CT

    Science.gov (United States)

    Merchant, Monish; Shah, Rohan; Resnick, Scott

    2015-01-01

    Since cone-beam computed tomography (CT) has been adapted for use with a C-arm system it has brought volumetric CT capabilities in the interventional suite. Although cone-beam CT image resolution is far inferior to that generated by traditional CT scanners, the system offers the ability to place an access needle into position under tomographic guidance and use the access to immediately begin a fluoroscopic procedure without moving the patient. We describe a case of a “jailed” enlarging internal iliac artery aneurysm secondary to abdominal aortic aneurysm repair, in which direct percutaneous puncture of the internal iliac artery aneurysm sac was performed under cone-beam CT guidance. PMID:25858522

  15. EU Enlargement: Migration flows from Central and Eastern Europe into the Nordic countries - exploiting a natural experiment

    DEFF Research Database (Denmark)

    Pedersen, Peder J.; Pytlikova, Mariola

    In this paper we look at migration flows from 10 Central and Eastern European Countries (CEEC) to 5 Nordic countries over the years 1985 - 2007. We exploit a natural experiment that arose from the fact that while Sweden opened its labour market from the day one of the 2004 EU enlargement, and...... Finland and Iceland from year 2006, the other Nordic countries chose a transition period in relation to the "new" EU members. The results based on a differences-in-differences estimator show that the estimated effect of the opening of the Swedish, Finnish and Icelandic labour markets on migration from the...... CEECs that entered the EU in 2004 is not significantly different from zero. However, the effect of the opening of the Swedish and Finnish labour markets in 2007 on migration from the 2007 EU entrants, Bulgaria and Romania, is significantly positive. Further, we are interested in the overall effect of...

  16. PLMItRNA, a database for tRNAs and tRNA genes in plant mitochondria: enlargement and updating

    Science.gov (United States)

    Volpetti, Vito; Gallerani, Raffaele; De Benedetto, Caterina; Liuni, Sabino; Licciulli, Flavio; Ceci, Luigi R.

    2000-01-01

    The current version of PLMItRNA has been realized to constitute a database for tRNA molecules and genes identified in the mitochondria of all green plants (Viridiplantae). It is the enlargement of a previous database originally restricted to seed plants [Ceci,L.R., Volpicella,M., Liuni,S., Volpetti,V., Licciulli,F. and Gallerani,R. (1999) Nucleic Acids Res., 27, 156–157]. PLMItRNA reports information and multialignments on 254 genes and 16 tRNA molecules detected in 25 higher plants (one bryophyta and 24 vascular plants) and seven green algae. PLMItRNA is accessible via the WWW at http://bio-WWW.ba.cnr.it:8000/srs6/ PMID:10592210

  17. The European Commission in the power relations of the European Union after the 2004–07 enlargement

    Directory of Open Access Journals (Sweden)

    Ekaterina Ostrovskaya

    2014-05-01

    Full Text Available pplying a comparative perspective, this article argues that the current crisis of European Union integration cannot be resolved by member states either transferring additional competences to the EU level or strengthening the intergovernmental dimension of integration. The systemic character of the ongoing process is weakening the institutional structure, which affects both the institutions and their power relations. The European Commission (EC, once a highly independent supranational actor on the eve of the integration process in the 1950s, now faces growing competition from intergovernmental elements in the institutional balance. The theoretical approach of historical neo-institutionalism offers new, useful insights into this research area. The articles uses this theory to analyze the EC’s evolution since the time of its creation in the form of the High Authority of the European Coal and Steel Community, focusing on the links between the gradual changes in its internal structure and its institutional position. Although the phenomenon of “path dependence” was initially present in the EC’s internal systems, the later development of its competences in the institutional balance provoked member states to limit the commission’s activities in the second half of the 1960s. First attempts were made mainly by appointing weak presidents, but the later reform of the EC’s internal structure, undertaken by Neil Kinnock in the beginning of the 21st centry, directed its further structural development as a more technocratic institution. Consequently, the EC was not able to pursue its aims effectively in preparing for its enlargement to include Central and Eastern Europe. The increased heterogeneity of the member states after the 2004–07 enlargement also weakened the EC’s position in the institutional balance, diminishing its traditional function as the “engine of integration.”

  18. Impact of Endobronchial Ultrasound Guided Transbronchial Needle Aspiration on Diagnostic Yield of Bronchoscopy in Patients with Mediastinal Lymph Node Enlargement.

    Science.gov (United States)

    Osinka, K; Zielińska-Krawczyk, M; Korczyński, P; Górnicka, B; Krenke, R

    2016-01-01

    Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) had an enormous impact on the current advancement in diagnostic bronchoscopy. The aims of the present study were: (1) to evaluate the added value of EBUS-TBNA to routine diagnostic bronchoscopy performed in patients with mediastinal lymph node enlargement and (2) to identify factors that affect the diagnostic yield of EBUS-TBNA. We retrospectively analyzed 712 EBUS-TBNA procedures out of the 4081 bronchoscopies performed in the years 2009-2014. The number of EBUS-TBNA procedures increased from 61 (8.8 % of all bronchoscopies) in 2009 to 160 (21.4 %) in 2014. In 625 (87.8 %) patients adequate cytological material was obtained. Based on cytological examination of EBUS-TBNA aspirates, specific diagnosis was made in 367 (51.5 %) patients. The forceps biopsy of endobronchial lesions provided specific diagnosis in only 204 (28.6 %) patients. The percentage of patients with EBUS-TBNA based diagnosis increased steadily from 34.4 % in 2009 to 65.0 % in 2014 (p lymph node diameter in patients with positive EBUS-TBNA findings was 20 (IQR 15-30) mm and was significantly larger than that in patients with negative EBUS-TBNA results (15 (IQR 10-20) mm, p = 0.0001). The highest diagnostic yield (78.5 %) was found in patients with lymph node dimension between 31 mm and 40 mm. We conclude that EBUS-TBNA is a valuable diagnostic method in an unselected group of patients with mediastinal lymph node enlargement. The percentage of positive EBUS-TBNA diagnoses is related to lymph node dimensions. The overall efficacy of EBUS-TBNA improves with increasing years of experience. PMID:26987324

  19. Epithelial Cell Apoptosis Causes Acute Lung Injury Masquerading as Emphysema

    OpenAIRE

    Mouded, Majd; Egea, Eduardo E.; Brown, Matthew J.; Hanlon, Shane M.; Houghton, A. McGarry; Tsai, Larry W; Ingenito, Edward P.; Shapiro, Steven D

    2009-01-01

    Theories of emphysema traditionally revolved around proteolytic destruction of extracellular matrix. Models have recently been developed that show airspace enlargement with the induction of pulmonary cell apoptosis. The purpose of this study was to determine the mechanism by which a model of epithelial cell apoptosis caused airspace enlargement. Mice were treated with either intratracheal microcystin (MC) to induce apoptosis, intratracheal porcine pancreatic elastase (PPE), or their respectiv...

  20. Cell wall proteomics of crops

    OpenAIRE

    Komatsu, Setsuko; Yanagawa, Yuki

    2013-01-01

    Cell wall proteins play key roles in cell structure and metabolism, cell enlargement, signal transduction, responses to environmental stress, and many other physiological events. Agricultural crops are often used for investigating stress tolerance because cultivars with differing degrees of tolerance are available. Abiotic and biotic stress factors markedly influence the geographical distribution and yields of many crop species. Crop cell wall proteomics is of particular importance for improv...

  1. Proposal for regulation and enlargement of Gibina from the point of view of development of tourism in Razkrižje

    OpenAIRE

    Rob, Aleš

    2008-01-01

    Community Razkrižje lies in that side of the Pomurje region, where river Mura flows right next to the boarder with Croatia. Expert basis for enlargement and also the analysis of the current situation are introduced in the theoretical part of this work. Area of the community in a broader sense and the village Gibina are introduced in practical part of this work. It also includes the area of the enlargement of the village Gibina and proposal for further development. The stress is on the connect...

  2. Left upper lobectomy and systematic lymph nodes dissection in enlarged pulmonary hilar lymph nodes in primary lung cancer patient by uniportal video-assisted thoracic surgery.

    Science.gov (United States)

    Fan, Jun-Qiang; Yao, Jie; Chang, Zhi-Bo; Wang, Qi

    2016-08-01

    Uniportal video-assisted thoracic surgery (VATS) anatomical pulmonary resection, with only one small incision for surgery instruments and camera insertion, requires higher operative skills, especially in the cases of the enlarged pulmonary hilar lymph nodes. With improved technology and increased experiences in VATS lobectomy, uniportal VATS lobectomy has been applied in major medical centers recently. A 67-year-old male patient with left upper peripheral lung cancer and enlarged hilar lymph nodes underwent unipotal VATS lobectomy and systemic mediastinal lymph node dissection. The patient recovered uneventfully.

  3. Salivary gland enlargement and sialorrhoea in dogs with spirocercosis: A retrospective and prospective study of 298 cases

    Directory of Open Access Journals (Sweden)

    Liesel L. van der Merwe

    2012-04-01

    Full Text Available This longitudinal cross-sectional clinical study investigated the incidence of sialorrhoea in dogs with spirocercosis and determined whether breed, body weight and the extent of the oesophageal involvement was associated with this presentation. A retrospective analysis was performed on the medical records of 233 dogs and information pertaining to 65 dogs was collected as part of a prospective study. All the animals were client-owned. Patients from the retrospective study underwent thoracic radiography or oesophageal endoscopy to diagnose and characterise the infection and were placed on therapy with a macrocyclic lactone, whereas the patients in the prospective study had both radiography and endoscopy routinely performed and biopsies of the oesophageal nodules collected where possible. Tru-cut biopsies of affected salivary glands were taken in 10 of 13 patients demonstrating clinical signs of sialorrhoea and salivary gland enlargement. The entire salivary gland was sectioned in an additional three dogs with spirocercosis and no sialorrhoea that were presented for post mortem examination. Sialorrhoea was present in 33/298 cases (11%. Fox terrier breeds were over-represented in the patients with sialorrhoea, comprising 36% of cases, whereas they only comprised 1.5% of the patients without sialorrhoea (p < 0.001, chi squared test and 5% of the combined group. Dogs weighing 12 kg or less were significantly over-represented in the sialorrhoea group, 69% versus 19.5% (p < 0.001, chi square test. Age was not significantly different between the two groups (p < 0.08, Mann-Whitney test. The number of oesophageal nodules per case was significantly higher in the non-sialorrhoea cases (p = 0.048, Mann-Whitney test. The prevalence of distal oesophageal and lower oesophageal sphincter involvement, and neoplastic transformation of the nodules were not statistically different between the two groups. None of the fox terriers in either group showed neoplastic

  4. The New Environment of EU Enlargement: The Impact of Economic Crisis on the Western Balkans and their EU Accession Prospects

    Directory of Open Access Journals (Sweden)

    Ritsa Panagiotou

    2014-05-01

    Full Text Available This paper will explore the impact of the economic crisis on the Western Balkan countries, and how the new, unfavorable international environment is affecting their EU accession prospects. The analysis will be presented in three sections: the first part will examine the effect of the “first wave” of the global economic crisis on the economies of the region, specifically the impact on the region’s macroeconomic indicators, foreign direct investment flows, financial sectors, etc. Part two will analyse the repercussions of the “second wave” of the crisis, namely the Greek sovereign debt crisis, which rapidly spilled over into the entire Eurozone. Part three will build on the issues examined in parts one and two and will discuss the repercussions of both waves of the crisis on the region’s enlargement process and prospects. The paper will also propose that although the EU’s role in Southeast Europe remains crucial (not least as a provider of economic assistance its hitherto undisputable symbolic role as an “anchor” of stability and as a goal to be aspired to may be losing its appeal for some of these countries. This paper will explore the impact of the economic crisis on the Western Balkan countries, and how the new, unfavorable international environment is affecting their EU accession prospects. The analysis will be presented in three sections: the first part will examine the effect of the “first wave” of the global economic crisis on the economies of the region, specifically the impact on the region’s macroeconomic indicators, foreign direct investment flows, financial sectors, etc. Part two will analyse the repercussions of the “second wave” of the crisis, namely the Greek sovereign debt crisis, which rapidly spilled over into the entire Eurozone. Part three will build on the issues examined in parts one and two and will discuss the repercussions of both waves of the crisis on the region’s enlargement process and

  5. EUROPEAN UNION ENLARGEMENT AS A CULTURAL SHOCK. THE ROLE OF INTERCULTURAL TEAMS’ MANAGEMENT IN INCREASING EUROPEAN COHESION

    Directory of Open Access Journals (Sweden)

    Bibu Nicolae

    2013-07-01

    Full Text Available The European Union is challenged nowadays by a dramatic multilevel process of integration. The Europe 2020 strategy promoting smart, sustainable and inclusive growth is defined by a set of ambitious objectives to be reached by 2020. On the other hand, the turbulent times of the economic crisis put even more pressure on the integration process. The success of this complex endeavor is heavily depending on the dimension of the cohesion specific to each of levels of the process. The cohesion of the European Union (EU is stronger at macro (societal level with regard to institutional, political, and economical dimensions. The cohesion of the European Union is less strong at micro level, the level of people, of the common individual, of the citizen. In other words, EU system has less cohesion at the level of individual and social fabric. An interesting hypothesis about EU enlargement is that every new “wave” of countries is a collective cultural shock for the European citizens. In conclusion, considering the history of the European Union, their citizens were subject to a constant flow of “cultural shocks”, following each new EU enlargement though admission of new member states: the big lot of 10 new countries in 2004, Romania and Bulgaria in 2007. In this respect, immigrations waves from new member countries have preceded their country accession, and to various extents, have made a first impact on the host countries culture. This paper is discussing the issue of increasing European cohesion based on a management approach. It describes the positioning of Romania on the European map of cultures, in order to identify the convergence and divergence of its societal culture with various European cultural clusters. We are arguing that: a European organizations have a major role to play in the process of increasing cohesion within the European Union (EU; b Organizational Management and leadership are paramount to their success and to society welfare; c

  6. Board of Governors enlarged

    International Nuclear Information System (INIS)

    Professor Carlo Salvetti, of Italy, was elected Chairman by the Board of Governors of the International Atomic Energy Agency for 1963-64, when the new Board met for the first time on 2 October 1963. Professor Salvetti is Head of the Department of Nuclear Physics, University of Milan. He is also a member of the Executive Board of the Italian National Committee for Nuclear Energy (CNEN), President of the OECD Study Group on High Flux Reactors, and Italian Representative of the Working Group of the European Nuclear Energy Society. Formerly he was Director of the IAEA Division of Research. The election of seven new members at the seventh session of the General Conference in October 1963 increased the membership of the Board of Governors from 23 to 25. This resulted from a decision of the General Conference in 1961, designed to provide more equitable representation for Africa and the Middle East. The necessary amendment to the Agency's Statute came into force in January 1963, when the requisite number of instruments of acceptance had been deposited.

  7. Enlarged prostate - after care

    Science.gov (United States)

    ... self-care; Benign prostatic hypertrophy - self-care; Benign prostatic hyperplasia - self-care ... Kaplan SA. Benign prostatic hyperplasia and prostatis. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine . 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap ...

  8. A Case of Adenomatous Goiter Involving Diffuse, Acute, and Painful Thyroid Enlargement after Fine-Needle Aspiration Cytology

    Directory of Open Access Journals (Sweden)

    Toshiro Shimo

    2014-01-01

    Full Text Available The patient was a 44-year-old woman who exhibited a diffuse goiter during health screening. Her medical history did not include any significant medication-based treatment. An echographic examination detected a solid cystic tumor, which measured 21 × 14 × 10 mm, in her right thyroid lobe; however, she displayed normal thyroid function. After fine-needle aspiration cytology had been performed with a 22 G injection needle, the patient immediately complained of compression and pain extending from the front of her neck to her lower chin, which was not accompanied by dyspnea. A second echographic examination revealed diffuse and edematous enlargement and increased internal blood flow in the bilateral thyroid lobes as well as a thyroid nodule. We immediately iced the patient’s neck and administered 125 mg methylprednisolone via an intravenous infusion. Within one hour, her symptoms had markedly improved, but acute pain remained. Thus, we continued the steroid (prednisone treatment, but the dose was gradually reduced from 10 mg/day to 5 mg/day at 1 week after the patient’s symptoms disappeared. The mechanism responsible for the patient’s condition remains unclear.

  9. 5-Alpha reductase inhibitors in men with an enlarged prostate: an evaluation of outcomes and therapeutic alternatives.

    Science.gov (United States)

    Naslund, Michael; Regan, Timothy S; Ong, Christine; Hogue, Susan L

    2008-05-01

    This article presents background information and highlights key findings from a managed care perspective related to enlarged prostate (EP) in Medicare-eligible patients. This article does not provide a comprehensive review of EP but instead attempts to increase the current understanding of EP through discussion of its prevalence in men aged > or =65 years, its associated economic burden, and some available treatment options. This supplement includes 3 additional articles, all of which present data from a naturalistic, managed care setting. The article by Fenter et al assesses differences in outcomes between elderly EP patients treated with finasteride and those treated with dutasteride in relation to the risks of acute urinary retention and prostate-related surgery. Issa et al conduct a comparative analysis of the combined use of alpha-blockers and 5-alpha reductase inhibitors to treat EP. The final article compares medical costs incurred within the first year of initiating treatment for EP patients receiving finasteride versus dutasteride. This supplement is intended to assist managed care formulary decision makers in evaluating key clinical and economic data that differentiate dutasteride and finasteride within the Medicare-aged population. Although the information presented is not designed to illustrate the superiority of one product over the other, it answers important questions in relation to treating EP in elderly men and raises substantial issues beyond medication costs. PMID:18611088

  10. A new method to enlarge a range of continuously perceived depth in DFD (depth-fused 3D) display

    Science.gov (United States)

    Tsunakawa, Atsuhiro; Soumiya, Tomoki; Horikawa, Yuta; Yamamoto, Hirotsugu; Suyama, Shiro

    2013-03-01

    We can successfully solve the problem in DFD display that the maximum depth difference of front and rear planes is limited because depth fusing from front and rear images to one 3-D image becomes impossible. The range of continuously perceived depth was estimated as depth difference of front and rear planes increases. When the distance was large enough, perceived depth was near front plane at 0~40 % of rear luminance and near rear plane at 60~100 % of rear luminance. This maximum depth range can be successfully enlarged by spatial-frequency modulation of front and rear images. The change of perceived depth dependence was evaluated when high frequency component of front and rear images is cut off using Fourier Transformation at the distance between front and rear plane of 5 and 10 cm (4.9 and 9.4 minute of arc). When high frequency component does not cut off enough at the distance of 5 cm, perceived depth was separated to near front plane and near rear plane. However, when the images are blurred enough by cutting high frequency component, the perceived depth has a linear dependency on luminance ratio. When the images are not blurred at the distance of 10 cm, perceived depth is separated to near front plane at 0~30% of rear luminance, near rear plane at 80~100 % and near midpoint at 40~70 %. However, when the images are blurred enough, perceived depth successfully has a linear dependency on luminance ratio.

  11. SLC26A4 gene copy number variations in Chinese patients with non-syndromic enlarged vestibular aqueduct

    Directory of Open Access Journals (Sweden)

    Zhao Jiandong

    2012-05-01

    Full Text Available Abstract Background Many patients with enlarged vestibular aqueduct (EVA have either only one allelic mutant of the SLC26A4 gene or lack any detectable mutation. In this study, multiplex ligation-dependent probe amplification (MLPA was used to screen for copy number variations (CNVs of SLC26A4 and to reveal the pathogenic mechanisms of non-syndromic EVA (NSEVA. Methods Between January 2003 and March 2010, 923 Chinese patients (481 males, 442 females with NSEVA were recruited. Among these, 68 patients (7.4% were found to carry only one mutant allele of SLC26A4 and 39 patients (4.2% lacked any detectable mutation in SLC26A4; these 107 patients without double mutant alleles were assigned to the patient group. Possible copy number variations in SLC26A4 were detected by SALSA MLPA. Results Using GeneMapper, no significant difference was observed between the groups, as compared with the standard probe provided in the assay. The results of the capillary electrophoresis showed no significant difference between the patients and controls. Conclusion Our results suggest that CNVs and the exon deletion in SLC26A4 are not important factors in NSEVA. However, it would be premature to conclude that CNVs have no role in EVA. Genome-wide studies to explore CNVs within non-coding regions of the SLC26A4 gene and neighboring regions are warranted, to elucidate their roles in NSEVA etiology.

  12. Relationship of left atrial enlargement to persistence or development of ECG left ventricular hypertrophy in hypertensive patients: implications for the development of new atrial fibrillation

    DEFF Research Database (Denmark)

    Okin, Peter M; Gerdts, Eva; Wachtell, Kristian;

    2010-01-01

    Persistence and development of ECG left ventricular hypertrophy (LVH) by Cornell product criteria are associated with an increased risk of atrial fibrillation compared with regression or continued absence of LVH. We postulated that this association might be in part mediated via greater left atrial...... enlargement (LAE) in patients with new and persistent ECG LVH....

  13. DETACHED EDDY SIMULATION OF HYDRAULIC CHARACTERISTICS ALONG THE SIDE-WALL AFTER A NEW ARRANGEMENT-SCHEME OF THE SUDDEN LATERAL ENLARGEMENT AND THE VERTICAL DROP

    Institute of Scientific and Technical Information of China (English)

    LI Guo-jing; DAI Guang-qing; YANG Qing; MA Xu-dong

    2011-01-01

    In order to study the cavitation damage in a side-wall when a sudden lateral enlargement and a vertical drop are imposed at the radial gate,a new arrangement-scheme is proposed,where the sudden lateral enlargement and the vertical drop can be imposed at the outlet of the gate chamber.The hydraulic characteristics along the side-wall are simulated by the detached eddy simulation and the Volume Of Fluid (VOF) method.The numerical results agree well with those of experiment.The experimental and numerical results show that the flow condition is smooth with only a weak water-wing appearing behind the lateral cavity,and the length of the lateral cavity becomes longer and is mainly affected by the size of the lateral enlargement and the zone of negative pressure after the water impacts the side-wall would disappear.The hydraulic characteristics of the new arrangement-scheme are beneficial to the prevention of the cavitation damage in the side-wall and the Detached Eddy Simulation (DES) with the VOF method can well predict the hydraulic characteristics after the new arrangement-scheme of the sudden lateral enlargement and the vertical drop.

  14. Asymptomatic leukemic-cell infiltration of the pancreas: US findings.

    Science.gov (United States)

    Collado, Laura; Dardanelli, Esteban; Sierre, Sergio; Moguillansky, Silvia; Lipsich, José

    2011-06-01

    Pancreatic infiltration of leukemic cells is a very rare manifestation at the onset of acute lymphoblastic leukemia (ALL) in childhood. Pancreatic enlargement in this situation is unusual and pancreatic involvement is often associated with biliary obstruction, cholestasis and pancreatitis. We report a 3-month-old girl who presented with asymptomatic leukemic infiltration of the pancreas, demonstrated by US with heterogeneous pancreatic enlargement associated with multiple hypoechogenic lesions, without cholestasis. Although these manifestations are rare, ALL should be considered a cause of pancreatic enlargement.

  15. Penile Cancer Initially Presented with Enlarged Inguinal Lymph Nodes(Report of 6 Cases)%以腹股沟肿大淋巴结为首发表现的阴茎癌6例报告

    Institute of Scientific and Technical Information of China (English)

    朱耀; 叶定伟; 姚旭东; 张世林; 戴波; 张海梁; 沈益君

    2011-01-01

    目的:探讨以腹股沟肿大淋巴结为首发表现的阴茎痛的I临床特点及诊治方法.方法:本组患者6例,均因为肿大的腹股沟淋巴结初诊于外院,在我院经细胞穿刺学证实为鳞癌转移.全部患者均有包茎或包皮过长病史,在成年后接受过包皮环切手术.4例患者在阴茎包皮环切瘢痕处有小灶肿块或溃疡,广切后病理显示为阴茎鳞癌,2例患者既往环切术标本经病理复片后诊断为阴茎鳞癌.结果:阴茎癌原发灶病理分析显示4例为T1期病变,2例为T2期病变,临床病灶均较小,直径为5~10 mm.腹股沟肿大淋巴结直径最小4 cm.最大达9 cm且伴破溃.6例患者中4例先接受了手术治疗,2例接受了新辅助化疗后再次手术.术后淋巴结病理送检证实腹股沟淋巴结鳞癌累及,且均有淋巴结外癌侵犯.6例患者中有5例复发,仅1例无病存活26个月.结论:以腹股沟肿大淋巴结为首发表现的阴茎癌并不多见,但是初诊时往往被误诊为其他疾病而延误了及时治疗.提高此类患者治疗效果的关键在于早期准确诊断,需要进行腹股沟淋巴结的穿刺病理检查,细致的寻找原发病灶.%Objective:To evaluate the characteristics and outcome of penile cancer initially presented with enlarged inguinal lymph nodes. Methods:A total of 6 patients who were initially referred to other hospital with enlarged inguinal nodes were confirmed to have squamous cell carcinoma metastases in our center. All of them had a history of phimosis and underwent circumcision in adult. Four patients had small lesions in the scar of previous circumcision. Wide local excision showed squamous cell carcinoma in these patients. Two patients were diagnosed as penile cancer after pathological review of circumcision specimens. Results: The penile lesions were staged as T1 in 4 cases and T2 in 2 patient. The diameter of the primary tumor ranged from 5 to 10 mm, and the size of enlarged inguinal mass ranged

  16. Nest enlargement in leaf-cutting ants: relocated brood and fungus trigger the excavation of new chambers.

    Directory of Open Access Journals (Sweden)

    Daniela Römer

    Full Text Available During colony growth, leaf-cutting ants enlarge their nests by excavating tunnels and chambers housing their fungus gardens and brood. Workers are expected to excavate new nest chambers at locations across the soil profile that offer suitable environmental conditions for brood and fungus rearing. It is an open question whether new chambers are excavated in advance, or will emerge around brood or fungus initially relocated to a suitable site in a previously-excavated tunnel. In the laboratory, we investigated the mechanisms underlying the excavation of new nest chambers in the leaf-cutting ant Acromyrmex lundi. Specifically, we asked whether workers relocate brood and fungus to suitable nest locations, and to what extent the relocated items trigger the excavation of a nest chamber and influence its shape. When brood and fungus were exposed to unfavorable environmental conditions, either low temperatures or low humidity, both were relocated, but ants clearly preferred to relocate the brood first. Workers relocated fungus to places containing brood, demonstrating that subsequent fungus relocation spatially follows the brood deposition. In addition, more ants aggregated at sites containing brood. When presented with a choice between two otherwise identical digging sites, but one containing brood, ants' excavation activity was higher at this site, and the shape of the excavated cavity was more rounded and chamber-like. The presence of fungus also led to the excavation of rounder shapes, with higher excavation activity at the site that also contained brood. We argue that during colony growth, workers preferentially relocate brood to suitable locations along a tunnel, and that relocated brood spatially guides fungus relocation and leads to increased digging activity around them. We suggest that nest chambers are not excavated in advance, but emerge through a self-organized process resulting from the aggregation of workers and their density

  17. Goserelin acetate before transurethral resection of moderately enlarged benign prostatic hyperplasia: Prospective randomised-controlled clinical trial

    Science.gov (United States)

    Abo El-Enen, Mohamed; Tawfik, Ahmed; El-Abd, Ahmed S.; Ragab, Maged; El-Abd, Sherin; Elrashidy, Mohamed; Elmashad, Nehal; Rasheed, Mohamed; El-Abd, Shawky

    2015-01-01

    Objective To evaluate the impact of a luteinising hormone-releasing hormone (LHRH) agonist, goserelin acetate (GA), on surgical blood loss during transurethral resection of the prostate (TURP), as well as its histopathological effect on prostatic microvessel density (MVD). Patients and methods Patients who underwent TURP due to benign prostatic enlargement (60–100 mL) were randomly subdivided into two equal groups according to whether they received preoperative GA administration (3.6 mg; group A) or not (group B). Evaluation parameters were operative time, weight of resected prostatic tissue, perioperative haematocrit (HCT) changes, estimation of intraoperative blood loss, and suburethral and stromal prostatic MVD. Effects of GA on prostate weight and any possible side-effects were also monitored. Results In all, 35 and 33 patients were included in groups A and B, respectively. Operative time and HCT values’ changes were significantly less in group A (P < 0.05). Also, operative blood loss (both total and adjusted per weight of resected tissue) was lower in group A, at a mean (SD) of 178.13 (77.71) mL and 3.74 (1.52) mL/g vs 371.75 (91.09) mL and 8.59 (2.42) mL/g (P < 0.001). The median MVD in both suburethral [8 vs 11 vessels/high-power field (HPF)] and stromal tissues (9 vs 17 vessels/HPF) were significantly lower in group A (P < 0.001). Side-effects were minimal. Conclusion A single dose of GA, a LHRH agonist, before TURP is safe and effective in reducing surgical blood loss. It significantly reduced MVD in both suburethral and stromal nodular prostatic tissues without regional discrepancy. PMID:26966595

  18. Comparison of the Relationship between Cerebral White Matter and Grey Matter in Normal Dogs and Dogs with Lateral Ventricular Enlargement.

    Directory of Open Access Journals (Sweden)

    Martin J Schmidt

    Full Text Available Large cerebral ventricles are a frequent finding in brains of dogs with brachycephalic skull conformation, in comparison with mesaticephalic dogs. It remains unclear whether oversized ventricles represent a normal variant or a pathological condition in brachycephalic dogs. There is a distinct relationship between white matter and grey matter in the cerebrum of all eutherian mammals. The aim of this study was to determine if this physiological proportion between white matter and grey matter of the forebrain still exists in brachycephalic dogs with oversized ventricles. The relative cerebral grey matter, white matter and cerebrospinal fluid volume in dogs were determined based on magnetic-resonance-imaging datasets using graphical software. In an analysis of covariance (ANCOVA using body mass as the covariate, the adjusted means of the brain tissue volumes of two groups of dogs were compared. Group 1 included 37 mesaticephalic dogs of different sizes with no apparent changes in brain morphology, and subjectively normal ventricle size. Group 2 included 35 brachycephalic dogs in which subjectively enlarged cerebral ventricles were noted as an incidental finding in their magnetic-resonance-imaging examination. Whereas no significant different adjusted means of the grey matter could be determined, the group of brachycephalic dogs had significantly larger adjusted means of lateral cerebral ventricles and significantly less adjusted means of relative white matter volume. This indicates that brachycephalic dogs with subjective ventriculomegaly have less white matter, as expected based on their body weight and cerebral volume. Our study suggests that ventriculomegaly in brachycephalic dogs is not a normal variant of ventricular volume. Based on the changes in the relative proportion of WM and CSF volume, and the unchanged GM proportions in dogs with ventriculomegaly, we rather suggest that distension of the lateral ventricles might be the underlying cause

  19. The Student with Sickle Cell Anemia.

    Science.gov (United States)

    Tetrault, Sylvia M.

    1981-01-01

    Sickle cell anemia is the most common and severe of inherited chronic blood disorders. In the United States, sickle cell anemia is most common among the Black population. Among the most commonly occurring symptoms are: an enlarged spleen, episodes of severe pain, easily contracted infections, skin ulcers, and frequent urination. (JN)

  20. 小児睾丸Leydig cell tumorの1例

    OpenAIRE

    西野, 昭夫; 高島, 三洋; 中嶋, 和喜; 大川, 光央; 久住, 治男; 橋本, 浩之; 宮川, 和彦; 佐藤, 保; 野々村, 昭孝

    1989-01-01

    A 7-year-old boy was admitted to the department of pediatrics in our hospital with the complaint of sexual precocity manifested by a growth spurt, penile enlargement and pubic hair development. He was referred to our department because of the enlarged left testis. The diagnosis of Leydig cell tumor of the left testis was suggested by hormonal laboratory data and testicular ultrasonographic investigation. Left orchiectomy was performed. The histological examination revealed the characteristics...

  1. Bütünleşme Kuramlarının Avrupa Birliği Genişlemesine Bakışı(The View of Integration Theories on European Union Enlargement

    Directory of Open Access Journals (Sweden)

    Hüseyin Kutay AYTUĞ

    2008-01-01

    Full Text Available Enlargement, which is on the agenda of European Union since Rome Treaty, is one of the most important political agents. Enlargements, each of which has been carefully devised, canvassed and implemented within the historical process, have been analysed by theories and approaches which try to explain European integration. The Union, on the one hand enlarges, on the other hand attempts to deepen. The theories and approaches which try to explain that process have been developed and diversified with the Union’s evolution. Though such theories are sometimes seen as they compete with each other, actually they complement each other and partly overlap. The aim of this study is to assess views of the following theories and approaches on enlargement: federalism, neo-functionalism, liberal intergovernmentalism, multi level governance, new institutionalism, social constructivism and to display Central and Eastern Europe enlargement from viewpoints of different theories.

  2. Cavity as a source of conformational fluctuation and high-energy state: High-pressure NMR study of a cavity-enlarged mutant of T4 lysozyme

    CERN Document Server

    Maeno, Akihiro; Hirata, Fumio; Otten, Renee; Dahlquist, Frederick W; Yokoyama, Shigeyuki; Akasaka, Kazuyuki; Mulder, Frans A A; Kitahara, Ryo

    2014-01-01

    Although the structure, function, conformational dynamics, and controlled thermodynamics of proteins are manifested by their corresponding amino acid sequences, the natural rules for molecular design and their corresponding interplay remain obscure. In this study, we focused on the role of internal cavities of proteins in conformational dynamics. We investigated the pressure-induced responses from the cavity-enlarged L99A mutant of T4 lysozyme, using high-pressure NMR spectroscopy. The signal intensities of the methyl groups in the 1H/13C HSQC spectra, particularly those around the enlarged cavity, decreased with the increasing pressure, and disappeared at 200 MPa, without the appearance of new resonances, thus indicating the presence of heterogeneous conformations around the cavity within the ground state ensemble. Above 200 MPa, the signal intensities of more than 20 methyl groups gradually decreased with the increasing pressure, without the appearance of new resonances. Interestingly, these residues closel...

  3. A case report on the relationship between treatment-resistant childhood-onset schizophrenia and an abnormally enlarged cavum septum pellucidum combined with cavum vergae

    Institute of Scientific and Technical Information of China (English)

    LIAO Zheng-luan; HU Shao-hua; XU Yi

    2012-01-01

    The treatment of refractory schizophrenia has been a clinical challenge for most psychiatrists; the possible reasons include diagnostic errors,medical conditions and brain dysgenesis.Here,we described a patient with childhood-onset schizophrenia who had severe psychiatric symptoms such as auditory hallucinations and persecutory delusions,and etc.We reexamined all his possible medical conditions and found that the patient had an abnormally enlarged cavus septum pellucidum (CSP) combined with cavum vergae (CV) (maximum length >30 mm).Some reports suggested that abnormal CSP (length >6 mm) has a significant association with schizophrenia.However,abnormally large CSP or CSP/CV and related prognosis were reported rarely.This case suggested that abnormally enlarged CSP or CSP/CV may worsen the prognosis.

  4. Research on Enlarge Design of Mixing Settler%稀土萃取混合澄清槽的放大设计研究

    Institute of Scientific and Technical Information of China (English)

    吴富姬; 周雄军

    2014-01-01

    应用Fluent软件模拟稀土萃取混合澄清槽中液体混合状态,得出示踪剂浓度与分布随混合时间的变化关系,推导出设备放大对搅拌功率和混合时间的影响。研究结果可供混合搅拌设备的放大与设计参考。%By simulating mixing state of liquids in mixing settler using Fluent software ,the tracer agent concentration and distribution in mixing process are determined .T he effect of mixing settler enlarge on stirring power and mixing time were infered .The results has a certain reference value for enlarge and design of mixing equipment .

  5. Lack of significant association between mutations of KCNJ10 or FOXI1 and SLC26A4 mutations in pendred syndrome/enlarged vestibular aqueducts

    OpenAIRE

    Landa, P. (Přemysl); Differ, A. M.; Rajput, K.; Jenkins, L; Bitner-Glindzicz, M

    2013-01-01

    Background Pendred syndrome is a common autosomal recessive disorder causing deafness. Features include sensorineural hearing impairment, goitre, enlarged vestibular aqueducts (EVA) and occasionally Mondini dysplasia. Hearing impairment and EVA may occur in the absence of goitre or thyroid dyshormonogensis in a condition known as non-syndromic EVA. A significant number of patients with Pendred syndrome and non-syndromic EVA show only one mutation in SLC26A4. Two genes, KCNJ10, encoding an inw...

  6. Pneumocystis murina Infection and Cigarette Smoke Exposure Interact To Cause Increased Organism Burden, Development of Airspace Enlargement, and Pulmonary Inflammation in Mice▿

    OpenAIRE

    Christensen, Paul J.; Preston, Angela M.; Ling, Tony; Du, Ming; Fields, W. Bradley; Curtis, Jeffrey L; Beck, James M.

    2008-01-01

    Chronic obstructive pulmonary disease (COPD) is characterized by the presence of airflow obstruction and lung destruction with airspace enlargement. In addition to cigarette smoking, respiratory pathogens play a role in pathogenesis, but specific organisms are not always identified. Recent reports demonstrate associations between the detection of Pneumocystis jirovecii DNA in lung specimens or respiratory secretions and the presence of emphysema in COPD patients. Additionally, human immunodef...

  7. Danger zone analysis using cone beam computed tomography after apical enlargement with K3 and K3XF in a manikin model

    Science.gov (United States)

    Olivier, Juan-Gonzalo; García-Font, Marc; Gonzalez-Sanchez, Jose-Antonio; Roig-Cayon, Miguel

    2016-01-01

    Background The objective of the study was to evaluate and compare how apical enlargement with K3 and K3XF nickel-titanium (NiTi) rotary instruments reduces the root thickness in the danger zone and affects canal transportation and centering ability in mandibular molar mesial canals in a manikin extracted tooth model. Material and Methods Seventy-two mesial root canals of first mandibular molars were instrumented. Initial and post-instrumentation Cone Beam Computed Tomography scans were performed after root canal preparation up to size 25, 30, 35 and 40 files. Canal transportation, canal centering and remaining root dentin thickness toward the danger zone were calculated in sections 1, 2 and 3 mm under the furcation level. Data were analyzed using non-parametric Kruskal-Wallis analysis of variance at a significance level of P 0.05). Conclusions Under the conditions of this study K3 removed a significant amount of dentin at the furcation level compared with the R-Phase K3XF rotary system in curved root canals. Enlargement to a 35-40/04 file removed significantly more dentin with both systems. Key words:K3, K3XF, R-phase, center ability, canal transportation, dentin thickness, increased apical enlargement, danger zone, dentin thickness. PMID:27703602

  8. Study on Anatomical Structure Characteristics of Zizyphus Jujuba'Jingzao39' in the Stage of Fruit Enlargement%'京枣39'果实膨大期解剖结构特性研究

    Institute of Scientific and Technical Information of China (English)

    潘青华; 李海龙; 张玉平

    2011-01-01

    为探讨枣果的裂果机理,笔者采用显微法对'京枣39'新品种不同位置果实处于膨大期时的角质层、表皮、亚表皮、中果皮、维管束和空腔等解剖结构及其变化规律进行了研究.结果表明:随着果实的逐渐发育成熟,枣果体积逐渐增大,角质层厚度、表皮厚度、亚表皮细胞大小、中果皮细胞大小和维管束粗细的变化趋势一致,均呈现出逐渐增大的趋势,空腔大小的变化趋势略有差异,呈现出"低-高-低"单峰变化.%To investigate the cracking mechanism of jujube fruit, the changes and the anatomical structures of Zizyphus Jujuba ' Jingzao39' fruit and the stage of enlargement in different locations including cuticle, epidermis, sub-epidermal cell, mesocarp cells, the vascular thickness and the size of cavity were studied by microscopy in this text.The results showed that jujube fruit increased in volume with the gradual development of mature fruit, the changing trends of the cuticle thickness, the epidermal thickness, the size of sub-epidermal cell,the size of mesocarp cell and the vascular thickness were consistent, showed a gradually increasing trend.The changing trends of the size of cavity was different, showed 'low-high-low' single-peak curve.

  9. Expression of the stem cell marker ALDH1 in BRCA1 related breast cancer

    NARCIS (Netherlands)

    Heerma van Voss, Marise R.; van der Groep, Petra; Bart, Joost; van der Wall, Elsken; van Diest, Paul J.

    2011-01-01

    Introduction The BRCA1 protein makes mammary stem cells differentiate into mature luminal and myoepithelial cells. If a BRCA1 mutation results in a differentiation block, an enlarged stem cell component might be present in the benign tissue of BRCA1 mutation carriers, and these mammary stem cells co

  10. Diagnostic value of EBUS-TBNA for lung cancer with non-enlarged lymph nodes: a study in a tuberculosis-endemic country.

    Directory of Open Access Journals (Sweden)

    Chih-Hsi Kuo

    Full Text Available BACKGROUND: In tuberculosis (TB-endemic areas, contrast-enhanced computed tomography (CT and positron emission tomography (PET findings of lung cancer patients with non-enlarged lymph nodes are frequently discrepant. Endobronchial ultrasound-guided transbronchial aspiration (EBUS-TBNA enables real-time nodal sampling, and thereby improves nodal diagnosis accuracy. This study aimed to compare the accuracy of nodal diagnosis by using EBUS-TBNA, and PET. METHODS: We studied 43 lung cancer patients with CT-defined non-enlarged mediastinal and hilar lymph nodes and examined 78 lymph nodes using EBUS-TBNA. RESULTS: The sensitivity, specificity, positive predictive value, and negative predictive value of EBUS-TBNA were 80.6%, 100%, 100%, and 85.7%, respectively. PET had low specificity (18.9% and a low positive predictive value (44.4%. The diagnostic accuracy of EBUS-TBNA was higher than that of PET (91% vs. 47.4%; p<0.001. Compared to CT-based nodal assessment, PET yielded a positive diagnostic impact in 36.9% nodes, a negative diagnostic impact in 46.2% nodes, and no diagnostic impact in 16.9% nodes. Patients with lymph nodes showing negative PET diagnostic impact had a high incidence of previous pulmonary TB. Multivariate analysis indicated that detection of hilar nodes on PET was an independent predictor of negative diagnostic impact of PET. CONCLUSION: In a TB-endemic area with a condition of CT-defined non-enlarged lymph node, the negative diagnostic impact of PET limits its clinical usefulness for nodal staging; therefore, EBUS-TBNA, which facilitates direct diagnosis, is preferred.

  11. Hacking the genetic code of mammalian cells.

    Science.gov (United States)

    Schwarzer, Dirk

    2009-07-01

    A genetic shuttle: The highlighted article, which was recently published by Schultz, Geierstanger and co-workers, describes a straightforward scheme for enlarging the genetic code of mammalian cells. An orthogonal tRNA/aminoacyl-tRNA synthetase pair specific for a new amino acid can be evolved in E. coli and subsequently transferred into mammalian cells. The feasibility of this approach was demonstrated by adding a photocaged lysine derivative to the genetic repertoire of a human cell line.

  12. Single-cell analysis of insulin-regulated fatty acid uptake in adipocytes

    OpenAIRE

    Varlamov, Oleg; Somwar, Romel; Cornea, Anda; Kievit, Paul; Grove, Kevin L.; Roberts, Charles T.

    2010-01-01

    Increased body fat correlates with the enlargement of average fat cell size and reduced adipose tissue insulin sensitivity. It is currently unclear whether adipocytes, as they accumulate more triglycerides and grow in size, gradually become less insulin sensitive or whether obesity-related factors independently cause both the enlargement of adipocyte size and reduced adipose tissue insulin sensitivity. In the first instance, large and small adipocytes in the same tissue would exhibit differen...

  13. Gingival enlargement as an early diagnostic indicator in therapy-related acute myeloid leukemia: A rare case report and review of literature

    Directory of Open Access Journals (Sweden)

    Triveni M Gowda

    2013-01-01

    Full Text Available Treatment for Hodgkin′s lymphoma (HL has resulted in excellent survival rates but is associated with increased risks of secondary therapy-related acute myeloid leukemia (t-AML. Gingival enlargement associated with bleeding and ulceration is the most common rapidly appearing oral manifestations of leukemic involvement. An 8 months pregnant patient reported with generalized gingival enlargement, with localized cyanotic and necrotic papillary areas. Co-relating the hematological report with the oral lesions and her past medical history of HL, a diagnosis of t-AML secondary to treatment for HL was made by the oncologist. As oral lesions are one of the initial manifestations of acute leukemia, they may serve as a significant diagnostic indicator for the dental surgeons and their important role in diagnosing and treating such cases. Furthermore, this case report highlights the serious complication of t-AML subsequent to HL treatment and the important role that a general and oral health care professional may play in diagnosing and treating such cases.

  14. Planning Method of Eco-environment Restoration Based on Enlarging Terrace and De-farming in Loess Hilly Region——A Case Study of Yangou Catchment

    Institute of Scientific and Technical Information of China (English)

    Lijuan; DANG; Yong; XU

    2013-01-01

    After expatiating the guiding ideology,contents,standards and principles of eco-environment restoration based on enlarging terrace and de-farming,this paper discussed the planning method and technical flow of enlarging terrace and garden plot in a small catchment of loess hilly region by means of GIS spatial analysis technology,and then the planning method was applied in Yangou catchment.The result showed that it is practicabl,and the areas of newly-built terrace and garden plot in Yangou catchment are at least 295.06 and 4.61 hm2,so that the areas of basic farmland and garden plot reach 359.23 and 622.69 hm2.After the land use structure is regulated,the forest coverage is 48.87%,and the permanent vegetation coverage is about 75% in Yangou catchment,while sediment reduction benefit is above 80% in slope land.In agricultural development,Yangou catchment can yield 1 645.13 tons of food supplies,above 9 340 tons of apples,and can feed 7 500 sheep every year.

  15. Daughter cells of Saccharomyces cerevisiae from old mothers display a reduced life span

    OpenAIRE

    1994-01-01

    The yeast Saccharomyces cerevisiae typically divides asymmetrically to give a large mother cell and a smaller daughter cell. As mother cells become old, they enlarge and produce daughter cells that are larger than daughters derived from young mother cells. We found that occasional daughter cells were indistinguishable in size from their mothers, giving rise to a symmetric division. The frequency of symmetric divisions became greater as mother cells aged and reached a maximum occurrence of 30%...

  16. Endolymphatic Sac Enlargement in a Girl with a Novel Mutation for Distal Renal Tubular Acidosis and Severe Deafness

    OpenAIRE

    Rink Nikki; Bitzan Martin; O'Gorman Gus; Nagel Mato; Torban Elena; Goodyer Paul

    2012-01-01

    Hereditary distal renal tubular acidosis (dRTA) is caused by mutations of genes encoding subunits of the H+-ATPase (ATP6V0A4 and ATP6V1B1) expressed in α -intercalated cells of the distal renal tubule and in the cochlea. We report on a 2-year-old girl with distal RTA and profound speech delay which was initially misdiagnosed as autism. Genetic analysis showed compound heterozygous mutations with one known and one novel mutation of the ATP6V1B1 gene; cerebral magnetic resonance imaging (MRI) r...

  17. Overexpression of a New Putative Membrane Protein Gene AtMRB1 Results in Organ Size Enlargement in Arabidopsis

    Institute of Scientific and Technical Information of China (English)

    Hua Guan; Dingming Kang; Min Fan; Zhangliang Chen; LiJia Qu

    2009-01-01

    Arabidopsis AtMRB1 is predicted to encode a novel protein of 432 amino acid residues in length, with four putative trans-membrane domains. In the present study, characterization of AtMRB1 is conducted. Green fluorescent protein (GFP) fusion protein assay showed that AtMRB1 was located in the plasma membrane. Transgenic lines overexprsssing AtMRB1 driven by a CaMV 35S promoter were generated. Statistic analysis showed that, during the seedling stage, the organ sizes of the transgenic lines including hypocotyl length, root length and root weight were significantly larger than those of the wild type plants under both light and dark conditions. In the adult plant stage, the AtMRB1 overexpressor plants were found to have larger organ sizes in terms of leaf length and width, and increased number of cauline leaves and branches when bolting. Further observation indicated that the larger leaf size phenotype was due to a larger number of mesophyll cells, the size of which was not altered. Quantitative real-time polymerase chain reaction analysis showed that the transcription of ANT, ROT3 and GRF5 were upregulated in the AtMRB1-overexpressor plants. These data suggest that AtMRB1 is possibly a positive regulator of organ size development in Arabidopsis, mainly through cell number control.

  18. Megalophallus as a sequela of priapism in sickle cell anemia: use of blood oxygen level-dependent magnetic resonance imaging.

    Science.gov (United States)

    Kassim, A A; Umans, H; Nagel, R L; Fabry, M E

    2000-09-01

    Priapism is a common complication of sickle cell anemia. We report a little known sequela of priapism: painless megalophallus, with significant penile enlargement. The patient had had an intense episode of priapism 9 years previously and his penis remained enlarged. Blood oxygen level-dependent magnetic resonance imaging revealed enlarged, hypoxic corpora cavernosa. Megalophallus probably resulted from permanent loss of elasticity of the tunica albuginea due to severe engorgement during the episode of priapism. This sequela needs to be recognized by physicians because no intervention is necessary and sexual function seems to remain intact. PMID:10962334

  19. 高中英语词汇扩充策略探究%The Strategy of Enlarge the Vocabulary of Senior High School Student

    Institute of Scientific and Technical Information of China (English)

    马明珍

    2014-01-01

    高中英语词汇教学是教学环节中的重要一环,教师要不断创新,探索词汇教学的新路子、新方法。切实提高教学效率,拓展学生英语的词汇量,为高中英语的教育学打下坚实的基础。%The teaching of senior high school English vocabulary is one of the most important parts of the language teaching. Teachers must be creative,try to find the new ways of vocabulary teaching.And improve the result of teaching,enlarge the amount of vocabulary,make a firm foundation of the English teaching.

  20. Increasing the effective aperture of a detector and enlarging the receiving field of view in a 3D imaging lidar system through hexagonal prism beam splitting.

    Science.gov (United States)

    Lee, Xiaobao; Wang, Xiaoyi; Cui, Tianxiang; Wang, Chunhui; Li, Yunxi; Li, Hailong; Wang, Qi

    2016-07-11

    The detector in a highly accurate and high-definition scanning 3D imaging lidar system requires high frequency bandwidth and sufficient photosensitive area. To solve the problem of small photosensitive area of an existing indium gallium arsenide detector with a certain frequency bandwidth, this study proposes a method for increasing the receiving field of view (FOV) and enlarging the effective photosensitive aperture of such detector through hexagonal prism beam splitting. The principle and construction of hexagonal prism beam splitting is also discussed in this research. Accordingly, a receiving optical system with two hexagonal prisms is provided and the splitting beam effect of the simulation experiment is analyzed. Using this novel method, the receiving optical system's FOV can be improved effectively up to ±5°, and the effective photosensitive aperture of the detector is increased from 0.5 mm to 1.5 mm. PMID:27410800

  1. Analysis of the orbital diseases manifested bilateral lacrimal gland enlargement on CT%CT显示双侧泪腺肿大的眼眶病分析

    Institute of Scientific and Technical Information of China (English)

    高占国; 刘立民; 庄成明; 高宇

    2012-01-01

    Objective To analyze and study the disease that caused bilateral lacrimal gland enlargement,so as to provide evidence for clinical diagnosis and treatment. Methods Retrospective case analysis.The patients whose lcarimal gland enlargements on CT were collected,clinical manifest and image were analyzed.Results There were 82 cases of patients were collected.According to the prevalence rate,the sequencing was lacrimal gland inflammatory pseudo tumor,thyroid associated ophthalmology (TAO),dislocation of lacrimal gland accompanied enlargement,non-Hodgkin disease,benign lymphoepithelial lesion (BLEL),tuberculosis of lacrimal gland,metastatic malign tumor of lcarimal gland,leukemia,sarcoidosis of lacrimal gland.Each disease had its own character in clinical and imaging features. Conclusions The majority of diseases that cause bilateral lacrimal gland enlargement are inflammatory diseases or autoimmune diseases,while few primary or metastatic malignant tumors.Expect TAO has characteristic eye sign and imagine that easy to be diagnosed,the other orbit diseases need combines with clinical history,symptom and imagine feature to be differential diagnosed%目的 分析和探讨不同疾病所致双侧泪腺肿大的临床表现和影像特征,为临床诊断和治疗提供依据.方法 回顾性分析在治疗的伴有双侧泪腺肿大的眼眶病患者的临床资料,对其不同眼眶疾病所表现的双侧泪腺肿大进行临床和影像分析.结果 共收治82例双侧泪腺肿大病例,依患病率高低依次为泪腺炎性假瘤,甲状腺相关眼病,泪腺脱垂伴肿大,非霍奇金淋巴瘤,良性淋巴上皮性病变,泪腺结核,转移性泪腺恶性肿瘤和白血病,泪腺结节病.不同疾病所致的双侧泪腺肿大各有其不同的临床表现和影像特征.结论 导致双侧泪腺肿大的疾病主要为泪腺炎症性或自身免疫相关性疾病,少数为原发性或转移性恶性肿瘤,除甲状腺相关眼病具有特征性眼征和影像学特

  2. Chronic Treatment With an Erythropoietin Receptor Ligand Prevents Chronic Kidney Disease-Induced Enlargement of Myocardial Infarct Size.

    Science.gov (United States)

    Nishizawa, Keitaro; Yano, Toshiyuki; Tanno, Masaya; Miki, Takayuki; Kuno, Atsushi; Tobisawa, Toshiyuki; Ogasawara, Makoto; Muratsubaki, Shingo; Ohno, Kouhei; Ishikawa, Satoko; Miura, Tetsuji

    2016-09-01

    Chronic kidney disease (CKD) is known to increase myocardial infarct size after ischemia/reperfusion. However, a strategy to prevent the CKD-induced myocardial susceptibility to ischemia/reperfusion injury has not been developed. Here, we examined whether epoetin β pegol, a continuous erythropoietin receptor activator (CERA), normalizes myocardial susceptibility to ischemia/reperfusion injury by its effects on protective signaling and metabolomes in CKD. CKD was induced by 5/6 nephrectomy in rats (subtotal nephrectomy, SNx), whereas sham-operated rats served controls (Sham). Infarct size as percentage of area at risk after 20-minutes coronary occlusion/2-hour reperfusion was larger in SNx than in Sham: 60.0±4.0% versus 43.9±2.2%. Administration of CERA (0.6 μg/kg SC every 7 days) for 4 weeks reduced infarct size in SNx (infarct size as percentage of area at risk=36.9±3.9%), although a protective effect was not detected for the acute injection of CERA. Immunoblot analyses revealed that myocardial phospho-Akt-Ser473 levels under baseline conditions and on reperfusion were lower in SNx than in Sham, and CERA restored the Akt phosphorylation on reperfusion. Metabolomic analyses showed that glucose 6-phosphate and glucose 1-phosphate were reduced and malate:aspartate ratio was 1.6-fold higher in SNx than in Sham, suggesting disturbed flux of malate-aspartate shuttle by CKD. The CERA improved the malate:aspartate ratio in SNx to the control level. In H9c2 cells, mitochondrial Akt phosphorylation by insulin-like growth factor-1 was attenuated by malate-aspartate shuttle inhibition. In conclusion, the results suggest that a CERA prevents CKD-induced susceptibility of the myocardium to ischemia/reperfusion injury by restoration of Akt-mediated signaling possibly via normalized malate-aspartate shuttle flux. PMID:27456523

  3. An analysis of related diseases with enlargement of mean corpusccular volume in children%儿童平均红细胞体积增大的相关疾病分析

    Institute of Scientific and Technical Information of China (English)

    顾教伟; 王勇; 王大斌

    2011-01-01

    目的 探讨儿童平均红细胞体积>96fL的相关疾病.方法 在881例确诊的贫血患儿中共发现平均红细胞体积增大患儿96例,对该群患儿的平均红细胞体积和红细胞分布宽度等指数进行分析.结果 96例平均红细胞体积增大患儿中,营养性巨幼细胞性贫血2例(2.1%),非营养性巨幼细胞性贫血94例(97.9%),其中甲状腺功能减低症2例,化疗药物所致者4例,骨髓增生异常综合征(MDS)11例,自身免疫性溶血性贫血(AIHA)21例,再生障碍性贫血(AA)31例,白血病25例.营养性巨幼细胞性贫血、大部分MDS、AA、白血病和AIHA表现为红细胞大小不均一性贫血.以各种疾病间的发生率比较存在显著差异(χ2=60.862,P=0.000).结论 研究中发现收治的儿童大红细胞性贫血常见的疾病是MDS、白血病、AIHA、AA;营养性巨幼细胞性贫血所占比例较少.%To explore the diseases related to mean corpuscular volume ( MCV ) > 96fLin children. Methods 96 of 881 children were diagnosed with enlargement of MCV, and indexes such as MCV and red cell distribution width ( RDW ) of macrocytic anemia children were analyzed. Results Among 96 cases of enlargement of MCV,2 cases ( 2.1% ) were nutrious megaloblastic anemia. The rest were nonnutrious megaloblastic anemia (97.9%), including 2 cases of hypothyroidism, 4 cases with complications of chemotherapy, 11 cases of myelodysplastic syndrome ( MDS ), 21 cases of autoimmune hemolytic anemia ( AIHA ), 31 cases of aplastic anemia ( AA ), and 25 cases of leukemia. Heterogeneity in red blood cell volume was shown in nutrious megaloblastic anemia, most of MDS, AA, leukemia and AIHA. The incidence rates of different diseases were significantly different (X2= 60. 862,P= 0. 000 ). Conclusion Children macrocytic anemia is common in MDS, leukemia, AIHA, and AA. The proportion of nutrious megaloblastic anemia is relatively small in children macrocytic anemia.

  4. Cavitary lung cancer lined with normal bronchial epithelium and cancer cells.

    Science.gov (United States)

    Goto, Taichiro; Maeshima, Arafumi; Oyamada, Yoshitaka; Kato, Ryoichi

    2011-01-01

    Reports of cavitary lung cancer are not uncommon, and the cavity generally contains either dilated bronchi or cancer cells. Recently, we encountered a surgical case of cavitary lung cancer whose cavity tended to enlarge during long-term follow-up, and was found to be lined with normal bronchial epithelium and adenocarcinoma cells. PMID:21980325

  5. Cavitary Lung Cancer Lined with Normal Bronchial Epithelium and Cancer Cells

    OpenAIRE

    Goto, Taichiro; Maeshima, Arafumi; Oyamada, Yoshitaka; Kato, Ryoichi

    2011-01-01

    Reports of cavitary lung cancer are not uncommon, and the cavity generally contains either dilated bronchi or cancer cells. Recently, we encountered a surgical case of cavitary lung cancer whose cavity tended to enlarge during long-term follow-up, and was found to be lined with normal bronchial epithelium and adenocarcinoma cells.

  6. Cavitary Lung Cancer Lined with Normal Bronchial Epithelium and Cancer Cells

    Directory of Open Access Journals (Sweden)

    Taichiro Goto, Arafumi Maeshima, Yoshitaka Oyamada, Ryoichi Kato

    2011-01-01

    Full Text Available Reports of cavitary lung cancer are not uncommon, and the cavity generally contains either dilated bronchi or cancer cells. Recently, we encountered a surgical case of cavitary lung cancer whose cavity tended to enlarge during long-term follow-up, and was found to be lined with normal bronchial epithelium and adenocarcinoma cells.

  7. How to Enlarge Productive Vocabulary

    Institute of Scientific and Technical Information of China (English)

    刘菁

    2015-01-01

    Haycraft defined receptive vocabulary as "words that the student recognizes and understands when they occur in a text, but which he cannot produce correctly", while productive vocabulary is "words which the student understands can pronounce correctly and use constructively in speaking and writing" (1978:44).In English language teaching practice, students' productive vocabulary size lags far behind there ceptive vocabulary size. Based on the SLA theories, many reasons caused this problem and some solutions will be discussed.

  8. Essays on euro area enlargement

    OpenAIRE

    Henriksson, Marketta

    2006-01-01

    This dissertation examines issues related to the adoption of the euro by the new Central and Eastern European EU Member States. The first essay studies the interaction between fiscal policy and the price level in different exchange rate regimes. The theoretical framework is based on the Fiscal Theory of the Price Level (FTPL). The results show that a credibly fixed exchange rate is inconsistent with fiscal irresponsibility, which implies that fiscal discipline is a prerequisite for succes...

  9. Economic elites in enlarged Europe

    OpenAIRE

    Bluhm, Katharina; Trappmann, Vera

    2008-01-01

    The introduction to the Special Issue on economic elites in Central Eastern Europe establishes a common understanding of elite research and the development of capitalism in Central Eastern Europe as developed during the 1990s. Since then, the composition of elites has been lost sight of by research. The article identifies areas which future research should look into and situates the German case in the broader debate.

  10. Enlarged Vestibular Aqueduct Syndrome (EVAS)

    Science.gov (United States)

    ... referred to as EVA syndrome (EVA). CAUSES During fetal development, the vestibular aqueduct starts out as a wide ... in early gestation, or EVA results from aberrant development later in fetal and postnatal life. It is believed that an ...

  11. The Analysis of the Whole-scale "Well-off" Society and Enlarging the Capacity of Employment of the Tertial Industry%全面小康社会与扩大第三产业就业容量研究

    Institute of Scientific and Technical Information of China (English)

    李美云

    2003-01-01

    Building up a well-off society of a higher standard in an all-round way need enlarging the tertiary industry' s employment capacity, but how to enlarge its employment capacity ? Based on the present situation of China's employment, the problem in the tertiary industry's employment and the relationship between the output value and employment of the tertiary industry were analyzed, then some countermeasures about enlarging the tertiary industry's employment capacity in China were put forward in this paper.

  12. Patient mobility in the context of austerity and an enlarged EU: The European Court of Justice's ruling in the Petru Case.

    Science.gov (United States)

    Frischhut, Markus; Levaggi, Rosella

    2015-10-01

    Since 1998, the European Court of Justice (EUCJ) has established a set of principles concerning patient mobility across Member States. At present, these principles are challenged against a new background, i.e., an enlarged EU and austerity-driven measures in the field of healthcare. This is even more relevant in view of the significant differences between countries and between services on healthcare access. In the Petru case, a Romanian woman sought healthcare in Germany due to an alleged lack of basic infrastructure in her local Romanian hospital. A crucial question arises in this context of whether the patient's interests (i.e., right to cross-border healthcare) or the Member State's interests (i.e., financial stability of the healthcare system) prevail. We analyse this case and its implications for future patient mobility. From the point of view of patients, the EUCJ's decision implies that also a lack of medication and basic medical supplies can be claimed as "undue delay", however for Member States it is sufficient to provide quality treatments in at least one hospital. Although the Court has provided a solution for the Petru case, we argue that major challenges remain, such as the definition of the international state-of-the-art or other limitations to reductions of the health basket. PMID:26208965

  13. Reform the income allocation system and enlarge residents consumption demand%改革收入分配制度扩大居民消费需求

    Institute of Scientific and Technical Information of China (English)

    朱长明

    2012-01-01

    当前,我国经济发展中面临的最重要的问题是居民消费需求不足,这主要是由于收入分配制度不合理造成的。应通过逐步提高居民收入在国民收入分配中的比重、增强财政的收入分配功能、完善社会保障体系等措施改革收入分配制度,扩大我国居民消费需求。%At present, Chinab economic development is facing the most important issue that is the residents'consumption demand is insufficient; this is mainly due to the unreasonable income distribution system. The residents'consumption de- mand can be enlarged if we reform the income allocation system by increasing the proportion of residents income in the na- tional income, enhancing the financial income distribution function and perfecting social security system.

  14. Omnidirectional photonic band gap enlarged by one-dimensional ternary unmagnetized plasma photonic crystals based on a new Fibonacci quasiperiodic structure

    Energy Technology Data Exchange (ETDEWEB)

    Zhang Haifeng [College of Electronic and Information Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing 210016 (China); Nanjing Artillery Academy, Nanjing 211132 (China); Liu Shaobin [College of Electronic and Information Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing 210016 (China); State Key Laboratory of Millimeter Waves of Southeast University, Nanjing Jiangsu 210096 (China); Kong Xiangkun; Bian Borui; Dai Yi [College of Electronic and Information Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing 210016 (China)

    2012-11-15

    In this paper, an omnidirectional photonic band gap realized by one-dimensional ternary unmagnetized plasma photonic crystals based on a new Fibonacci quasiperiodic structure, which is composed of homogeneous unmagnetized plasma and two kinds of isotropic dielectric, is theoretically studied by the transfer matrix method. It has been shown that such an omnidirectional photonic band gap originates from Bragg gap in contrast to zero-n gap or single negative (negative permittivity or negative permeability) gap, and it is insensitive to the incidence angle and the polarization of electromagnetic wave. From the numerical results, the frequency range and central frequency of omnidirectional photonic band gap can be tuned by the thickness and density of the plasma but cease to change with increasing Fibonacci order. The bandwidth of omnidirectional photonic band gap can be notably enlarged. Moreover, the plasma collision frequency has no effect on the bandwidth of omnidirectional photonic band gap. It is shown that such new structure Fibonacci quasiperiodic one-dimensional ternary plasma photonic crystals have a superior feature in the enhancement of frequency range of omnidirectional photonic band gap compared with the conventional ternary and conventional Fibonacci quasiperiodic ternary plasma photonic crystals.

  15. Application of Stepped Enlarging Section Method in Railway Bridge Pier Reinforcement%阶梯式增大截面积法在铁路桥墩加固中的应用研究

    Institute of Scientific and Technical Information of China (English)

    路文尚

    2013-01-01

    The existing lines pier reinforcement usually increases piers lateral and longitudinal stiffness according to the enlarging section area method. The calculation and comparison results show that among the enlarging section area methods, the growth rate of foundation load of laddered enlarging section area method is the smallest, and the program is more economical, effective and operable. Through the field test of the Xianaohai Donggou Bridge in the Datong-Zhungeer railway and the practice of stepped enlarging section method, combined with the reinforcement design theory analysis and actual test results after reinforcement, it is concluded that the stepped enlarging section method is effective for lateral reinforcement of railway bridge piers, and it is easy to operate and worth learning and promotion.%  既有线桥墩加固通常通过增大截面积法,增加桥墩横向和纵向刚度。诸多增大截面方法中,通过计算对比,阶梯式增大截面积法基础负载提高率较小,方案较为经济、有效,可操作性强。通过大准线上的下脑亥东沟大桥的检测、阶梯式增大截面法加固的实践,结合加固设计理论分析和加固后实际测试结果,证明阶梯式增大截面法,对铁路桥梁横向振幅过大病害的加固效果较好,操作方便快捷,值得借鉴和推广。

  16. Does ploidy level directly control cell size? Counterevidence from Arabidopsis genetics.

    Directory of Open Access Journals (Sweden)

    Hirokazu Tsukaya

    Full Text Available Ploidy level affects cell size in many organisms, and ploidy-dependent cell enlargement has been used to breed many useful organisms. However, how polyploidy affects cell size remains unknown. Previous studies have explored changes in transcriptome data caused by polyploidy, but have not been successful. The most naïve theory explaining ploidy-dependent cell enlargement is that increases in gene copy number increase the amount of protein, which in turn increases the cell volume. This hypothesis can be evaluated by examining whether any strains, mutants, or transgenics show the same cell size before and after a tetraploidization event. I performed this experiment by tetraploidizing various mutants and transgenics of Arabidopsis thaliana, which show a wide range in cell size, and found that the ploidy-dependent increase in cell volume is genetically regulated. This result is not in agreement with the theory described above.

  17. An unusual clinical presentation of plasma cell gingivitis related to "Acacia" containing herbal toothpaste

    Directory of Open Access Journals (Sweden)

    Anjali Makkar

    2013-01-01

    Full Text Available A 17-year-old female patient presented with unusual enlargement of the gingiva with generalized alveolar bone loss. In spite of periodontal therapy, including plaque control, scaling, root planning and surgical treatment, recurrence with the same degree of the gingival enlargement and further loss of attachment level occurred. Biopsy revealed dense infiltration of normal plasma cells separated by collagenous stroma. Discontinuation of herbal toothpaste resulted in remarkable remission of the gingival enlargement within 2 weeks. Enzyme-linked immunosorbent assay of toothpaste components disclosed " Acacia" as an etiologic antigenic agent and confirmed the diagnosis of plasma cell gingivitis (PCG. Usually, PCG is not associated with the loss of attachment. This case report appears to be the first publication to document an atypical presentation of PCG with generalized aggressive periodontitis related to the use of herbal toothpaste containing " Acacia" extract from the tree "Acacia Arabica."

  18. An unusual clinical presentation of plasma cell gingivitis related to "Acacia" containing herbal toothpaste.

    Science.gov (United States)

    Makkar, Anjali; Tewari, Shikha; Kishor, Kamal; Kataria, Santprakash

    2013-07-01

    A 17-year-old female patient presented with unusual enlargement of the gingiva with generalized alveolar bone loss. In spite of periodontal therapy, including plaque control, scaling, root planning and surgical treatment, recurrence with the same degree of the gingival enlargement and further loss of attachment level occurred. Biopsy revealed dense infiltration of normal plasma cells separated by collagenous stroma. Discontinuation of herbal toothpaste resulted in remarkable remission of the gingival enlargement within 2 weeks. Enzyme-linked immunosorbent assay of toothpaste components disclosed "Acacia" as an etiologic antigenic agent and confirmed the diagnosis of plasma cell gingivitis (PCG). Usually, PCG is not associated with the loss of attachment. This case report appears to be the first publication to document an atypical presentation of PCG with generalized aggressive periodontitis related to the use of herbal toothpaste containing "Acacia" extract from the tree "Acacia Arabica." PMID:24174738

  19. 通过天线波束扫描扩大SAR区域成像范围%ENLARGING SAR PATCH-MAPPIN GAREA BY ANTENNA BEAM SCAN

    Institute of Scientific and Technical Information of China (English)

    朱岱寅; 朱兆达; 叶少华

    2003-01-01

    研究通过天线波束扫描扩大SAR区域成像范围的方法,以适应较大区域中等分辨率成像的要求.推导了天线扫描角速度、角度范围与所需成像范围和方位分辨率的关系. 选择天线扫描角速度,使得在一个合成孔径时间内,波束恰好扫过3分贝波束宽度,而合成孔径长度由要求的方位分辨率、波长、斜距和斜视角决定.天线扫描角度范围由要求的成像区方位宽度、斜距、斜视角、载机速度和波束方位宽度决定.最后,介绍了某机载SAR试飞得到的成像结果.在运动补偿之后,采用线性距离多普勒算法成像.%The approach for enlargement of SAR patch mapping area by antenna beam scan is investigated, which serves for moderate fine-resolution mapping of medium-sized terrain patches. The scanning angular velocity and the scanning angular scope are determined respectively. The angular velocity of the scanning antenna is controlled to scan over just one azimuth 3 dB beam width in the time interval during which the radar platform moves over one synthetic aperture length determined from the desired cross-range resolution, radar wavelength, nominal slant range, and squint angle. The scanning angular scope is mainly determined by the azimuth width of the terrain patch, nominal slant range, squint angle, platform velocity, and azimuth beam width. Finally, the related experimental results of an airborne SAR are presented. The linear range-Doppler algorithm is employed in image formation after motion compensation is conducted to remove the effect of transnational motion of the radar platform relative to the map center.

  20. "Enlarge the Temple": An Interview with Charles Altieri%"扩展庙宇"——查尔斯·阿尔提艾瑞教授访谈

    Institute of Scientific and Technical Information of China (English)

    张跃军

    2007-01-01

    Charles Altieri is at present Professor of English and Rachel Stageberg Anderson Chair at the University of California, Berkeley, and member of American Academy of Arts and Sciences. He is on the Editorial Board of MLQ and Contemporary Literature, and the Advisory Board of Epoche and Comparative Literature Studies. His articles could be found in various journals and collections. Among his books are Enlarging the Temple: New Directions in American Poetry of the 1960's, Act and Quality: A Theory of Literary Meaning, Self and Sensibility in Contemporary American Poetry, Painterly Abstraction in Modernist American Poetry: The Contemporaneity of Modernism, Canons and Consequences, Subjective Agency: A Theory of First-Person Expressivity and Its Social Implications, Postmodernism Now: Essays on Contemporaneity in the Arts, The Particulars of Rapture: An Aesthetics of the Affects and The Art of Modern American Poetry. This interview covers a wide range of topics concerning modern Anglo-American poetry, as well as literary and critical theories. Different issues in American poetry are discussed, such as the so-called "exile modernism" and "patriot modernism," its determinacy and indeterminacy modes, etc. A variety of topics including deconstruction, phenomenology, cultural studies and postmodernism are involved in the talk which also touches on the style of Prof. Altieri as an influential scholar and critic.%阿尔提艾瑞为加州大学伯克利分校英文系教授,是现代诗歌和文学理论领域的著名学者.他著述甚丰,并长期担任一些重要学术杂志的编委和顾问.该访谈涉及关于现代英美诗歌以及文学理论与批评方面的诸多议题,如所谓"流亡的"和"爱国的"美国现代主义,美国诗歌的确定性和不确定性模式,以及解构主义、现象学、文学研究、后现代主义等广泛的话题.

  1. Reduced Field-of-View Diffusion-Weighted Imaging of the Lumbosacral Enlargement: A Pilot In Vivo Study of the Healthy Spinal Cord at 3T

    Science.gov (United States)

    Grussu, Francesco; Louka, Polymnia; Prados, Ferran; Samson, Rebecca S.; Battiston, Marco; Altmann, Daniel R.; Ourselin, Sebastien; Miller, David H.; Gandini Wheeler-Kingshott, Claudia A. M.

    2016-01-01

    Diffusion tensor imaging (DTI) has recently started to be adopted into clinical investigations of spinal cord (SC) diseases. However, DTI applications to the lower SC are limited due to a number of technical challenges, related mainly to the even smaller size of the SC structure at this level, its position relative to the receiver coil elements and the effects of motion during data acquisition. Developing methods to overcome these problems would offer new means to gain further insights into microstructural changes of neurological conditions involving the lower SC, and in turn could help explain symptoms such as bladder and sexual dysfunction. In this work, the feasibility of obtaining grey and white matter (GM/WM) DTI indices such as axial/radial/mean diffusivity (AD/RD/MD) and fractional anisotropy (FA) within the lumbosacral enlargement (LSE) was investigated using a reduced field-of-view (rFOV) single-shot echo-planar imaging (ss-EPI) acquisition in 14 healthy participants using a clinical 3T MR system. The scan-rescan reproducibility of the measurements was assessed by calculating the percentage coefficient of variation (%COV). Mean FA was higher in WM compared to GM (0.58 and 0.4 in WM and GM respectively), AD and MD were higher in WM compared to GM (1.66 μm2ms-1 and 0.94 μm2ms-1 in WM and 1.2 μm2ms-1 and 0.82 μm2ms-1 in GM for AD and MD respectively) and RD was lower in WM compared to GM (0.58 μm2ms-1 and 0.63 μm2ms-1 respectively). The scan-rescan %COV was lower than 10% in all cases with the highest values observed for FA and the lowest for MD. This pilot study demonstrates that it is possible to obtain reliable tissue-specific estimation of DTI indices within the LSE using a rFOV ss-EPI acquisition. The DTI acquisition and analysis protocol presented here is clinically feasible and may be used in future investigations of neurological conditions implicating the lower SC. PMID:27741303

  2. The use of the lumbosacral enlargement as an intrinsic imaging biomarker: feasibility of grey matter and white matter cross-sectional area measurements using MRI at 3T.

    Directory of Open Access Journals (Sweden)

    Marios C Yiannakas

    Full Text Available Histopathological studies have demonstrated the involvement of spinal cord grey matter (GM and white matter (WM in several diseases and recent research has suggested the use of magnetic resonance imaging (MRI as a promising tool for in vivo assessment of the upper spinal cord. However, many neurological conditions would benefit from quantitative assessment of tissue integrity at different levels and relatively little work has been done, mainly due to technical challenges associated with imaging the lower spinal cord. In this study, the value of the lumbosacral enlargement (LSE as an intrinsic imaging biomarker was determined by exploring the feasibility of obtaining within it reliable GM and WM cross-sectional area (CSA measurements by means of a commercially available MRI system at 3 tesla (T. 10 healthy volunteers (mean age 27.5 years, 6 female gave written informed consent and high resolution images of the LSE were acquired and analysed using an optimised MRI acquisition and analysis protocol. GM and WM mean CSA measurements were obtained from a 15 mm section at the level of the LSE and the reproducibility of the measurements was determined by means of scan-rescan, intra- and inter-observer assessments. Mean (±SD LSE cross-sectional area (LSE-CSA was 62.3 (±4.1 mm2 and mean (±SD LSE grey matter cross-sectional area (LSE-GM-CSA was 19.8 (±3.3 mm2. The mean scan-rescan, intra- and inter-observer % coefficient of variation (COV for measuring the LSE-CSA were 2%, 2% and 2.5%, respectively and for measuring the LSE-GM-CSA were 7.8%, 8% and 8.6%, respectively. This study has shown that the LSE can be used reliably as an intrinsic imaging biomarker. The method presented here can be potentially extended to study the LSE in the diseased state and could provide a solid foundation for subsequent multi-parametric MRI investigations.

  3. Standardised packaging and new enlarged graphic health warnings for tobacco products in Australia—legislative requirements and implementation of the Tobacco Plain Packaging Act 2011 and the Competition and Consumer (Tobacco) Information Standard, 2011

    OpenAIRE

    Scollo, Michelle; Lindorff, Kylie; Coomber, Kerri; Bayly, Megan; Wakefield, Melanie

    2015-01-01

    This paper describes the development, content and implementation of two pieces of Australian tobacco control legislation: one to standardise the packaging of tobacco products and the other to introduce new, enlarged graphic health warnings. It describes the process of legislative drafting, public consultation and parliamentary consideration. It summarises exactly how tobacco products have been required to look since late 2012. Finally, it describes implementation, most particularly, the exten...

  4. The Role of Pretreatment FDG-PET in Treating Cervical Cancer Patients With Enlarged Pelvic Lymph Node(s) Shown on MRI: A Phase 3 Randomized Trial With Long-Term Follow-Up

    Energy Technology Data Exchange (ETDEWEB)

    Lin, Shinn-Yn [Department of Radiation Oncology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan (China); Department of Medical Imaging and Radiological Sciences, College of Medicine, Chang Gung University, Taiwan (China); Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taiwan (China); Tsai, Chien-Sheng [Department of Medical Imaging and Radiological Sciences, College of Medicine, Chang Gung University, Taiwan (China); Department of Radiation Oncology, Chang Gung Memorial Hospital, Keelung, Taiwan (China); Chang, Yu-Chen [Department of Medical Imaging and Radiological Sciences, College of Medicine, Chang Gung University, Taiwan (China); Molecular Imaging Center and Department of Nuclear Medicine, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan (China); Ng, Koon-Kwan [Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Keelung, Taiwan (China); Chang, Ting-Chang [Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan (China); Kao, Wei-Heng [Department of Radiation Oncology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan (China); Lai, Chyong-Huey [Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan (China); Hong, Ji-Hong, E-mail: jihong@adm.cgmh.org.tw [Department of Radiation Oncology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan (China); Department of Medical Imaging and Radiological Sciences, College of Medicine, Chang Gung University, Taiwan (China); Institute for Radiological Research, Chang Gung University and Chang Gung Memorial Hospital, Taiwan (China)

    2015-07-01

    Purpose: This report is the second analysis of a prospective randomized trial to investigate the impact of {sup 18}F-fluorodeoxyglucose positron emission tomography (FDG-PET) on cervical cancer patients with enlarged pelvic lymph nodes identified by magnetic resonance imaging. Methods and Materials: Patients with newly diagnosed cervical cancer with enlarged pelvic lymph nodes but free of enlarged para-aortic lymph nodes (PALN) were eligible. Patients were randomized to receive either pretreatment FDG-PET (PET arm) or not (control arm). The whole pelvis was the standard irradiation field for all patients except those with FDG-avid extrapelvic findings. Results: In all, 129 patients were enrolled. Pretreatment PET detected extrapelvic metastases in 7 patients. No new patient experienced treatment failure during the additional 4-year follow-up period. There were no significant differences between the PET arm and the control arm regarding overall survival, disease-free survival, and freedom from extrapelvic metastasis. In the control arm, 8 of 10 patients with PALN relapse had limited extrapelvic nodal failures; their 5-year disease-specific survival was 34.3%. By contrast, only 1 of 5 patients with PALN relapse in the PET arm experienced such limited failures; their 5-year survival rate was 0%. Conclusions: Although the pretreatment detection of PALN did not translate into survival benefit, it indeed decreased the need for extended-field concurrent chemoradiation therapy.

  5. Association between gingival bleeding and gingival enlargement and oral health-related quality of life (OHRQoL of subjects under fixed orthodontic treatment: a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Zanatta Fabricio Batistin

    2012-11-01

    Full Text Available Abstract Background There are scarce evidences that evaluated the impact of periodontal disease on oral health-related quality of life (OHRQoL taking marginal gingival alterations into consideration. Thus, this study aimed to verify the association between OHRQoL and gingival enlargement and gingival bleeding in subjects under fixed orthodontic treatment (FOT. Methods 330 participants under FOT for at least 6 months were examined by a single, calibrated examiner for periodontal variables and dental aesthetic index. Socio-economic background, body mass index, time with orthodontic appliances, and use of dental floss were assessed by oral interviews. OHRQoL was evaluated using the oral health impact profile (OHIP-14 questionnaire. The assessment of associations used unadjusted and adjusted Poisson regression models. Results Higher impacts on the OHIP-14 overall were observed in subjects who presented higher levels of anterior gingival enlargement (RR 2.83; 95% CI 2.60-3.09, were non-whites (RR 1.29; 95% CI 1.15-1.45, had household income lower than five national minimum wages (RR 1.85; 95% CI 1.30-2.61, presented body mass index > 25 (RR 1.14; 95% CI 1.01-1.29, and showed a dental aesthetic index > 30 (RR 1.32; 95% CI 1.20-1.46. Conclusions Anterior gingival enlargement seems to influence the OHRQoL in subjects receiving orthodontic treatment.

  6. 正畸治疗中牙龈增生的致病因素分析%Analysis of the pathogenesis of gingival enlargement in orthodontic treatment

    Institute of Scientific and Technical Information of China (English)

    陆静; 龚逸明; 丁小军

    2010-01-01

    目的 探讨正畸治疗中牙龈增生的相关致病因素.方法 12例因接受固定正畸治疗而出现牙龈增生的患者纳入牙龈增生组,对照组为12例牙龈健康者.分别于基线时采集两组研究对象的牙周检查指标、龈下菌斑标本和龈沟液标本,采用实时PCR技术对龈下菌斑内的牙龈卟啉单孢菌(Pg)、伴放线放线杆菌(Aa)、中间普氏菌(Pi)、齿密螺旋体(Td)和福赛氏类杆菌(Tf)进行定量检测,使用ELISA法测量龈沟液中白介素-1β的含量,比较牙龈增生组和对照组各项指标间的差异.对牙龈增生组患者实施牙周基础治疗,并于4周后重新采样比较牙周治疗前后上述指标间的差异.结果 基线时,牙龈增生组中龈下菌斑内五种牙周可疑微生物的检出率均显著高于对照组(P<0.05),龈沟液内白介素-1β的含量显著高于对照组(P<0.05).牙周基础治疗后4周时,牙龈增生患者的各项牙周检查指标均明显下降,同时Pg、Aa和Td的检出率、细菌数量以及龈沟液内白介素-1β的含量均显著减少(P<0.05).结论 Pg、Aa和Td等牙周病原菌和白介素-1β与正畸治疗中牙龈增生的发生和发展密切相关.%Objective To investigate the pathogenesis of gingival enlargement (GE) in orthodontic treatment. Methods The study sample included 12 patients with GE undergoing fixed orthodontic treatment and 12 periodontally healthy controls. At baseline, periodontal variables,subgingival plaque samples and gingival cervical fluid (GCF) samples were taken from two pre-selected sites in both the GE group and control group. The levels of Porphyromonas gingivalis (Pg),Aggregatibacter actinomycetemcomitans (Aa), Prevotella intermedia (Pi), Treponema denticola (Td) and Tannerella forsythensis (Tf) were determined by real-time PCR. GCF interleukin (IL)-1β were detected by ELISA. Periodontal therapy was administered to the patients in the GE group and all the parameters were reassessed after 4

  7. Surgical treatment of unicentric plasma cell histological type Castleman's disease

    Directory of Open Access Journals (Sweden)

    Marić Nebojša

    2011-01-01

    Full Text Available Introduction. Castleman’s disease or angiofollicular lymph hyperplasia is a rare disease with two identified clinical forms. Unicentric or localized form is characterized by isolated growth of lymph nodes, most often in mediastinum, and multicentric form is expressed as systemic disease with spread lymphadenopathy, organomegaly and presence of general symptoms of the disease. Histological types are hyalovascular, plasma-cell and transitive (mixed cell. Case report. This case report shows a woman, 59 years old, with unicentric form of plasma-cell type of Castleman’s disease. Unicentric form is usually shown as hyalovascular histological type, extremely rare as plasma-cell type, and transitive (mixed cell type was never described in literature as localized clinical form. The disease was manifested with chest pain, loss of body weight, exhaustion and weakness of legs. Further diagnostic procedures found the presence of enlarged lymph nodes paratracheally right, in a close contact with vena cava superior. The disease was confirmed by histopathological analysis of bioptated mediastinal lymph node after mediastinoscopy. Surgical treatment included extirpation of enlarged lymph nodes. After the regular postoperative condition, a full therapy effect was confirmed. Conclusion. Unicentric form of Castleman’s disease is expressed with enlarged lymph nodes on predilected places, usually in mediastinum. Surgical treatment is best method for the management of the disease and brings a full recovery of patient.

  8. Efficient Purification and Release of Circulating Tumor Cells by Synergistic Effect of Biomarker and SiO2 @Gel-Microbead-Based Size Difference Amplification.

    Science.gov (United States)

    Huang, Qinqin; Cai, Bo; Chen, Bolei; Rao, Lang; He, Zhaobo; He, Rongxiang; Guo, Feng; Zhao, Libo; Kondamareddy, Kiran Kumar; Liu, Wei; Guo, Shishang; Zhao, Xing-Zhong

    2016-07-01

    Microfluidics-based circulating tumor cell (CTC) isolation is achieved by using gelatin-coated silica microbeads conjugated to CTC-specific antibodies. Bead-binding selectively enlarges target cell size, providing efficient high-purity capture. CTCs captured can be further released non-invasively. This stratagem enables high-performance CTC isolation for subsequent studies. PMID:27028055

  9. Mouth floor enlargements related to the sublingual glands in edentulous or partially edentulous patients: a microscopic study Tumefações do soalho bucal relacionadas às glândulas sublinguais em pacientes edêntulos ou parcialmente edêntulos: estudo microscópico

    OpenAIRE

    Liogi Iwaki Filho; José Humberto Damante; Alberto Consolaro; Wellington Cardoso Bonachela; Carla Andreotti Damante

    2006-01-01

    Mouth floor enlargements (MFE) are observed in edentulous and partially edentulous patients, impairing denture fitting, and have recently been described in the literature as hyperplasias of the sublingual glands. OBJECTIVE: This study aims at describing the microscopic aspects of MFE that contribute to their final diagnosis. METHODS: Twenty-four specimens were surgically removed from the enlarged mouth floor of 19 patients (15 females and 4 males). Patient age ranged from 48 to 74 years, with...

  10. Peripheral giant cell fibroma: A rare type of gingival overgrowth

    OpenAIRE

    Shah, Monali; Rathod, Chaitali V.; Shah, Vandana

    2012-01-01

    This case report describes a rare benign tumor in a 21-year-old female was referred to the department of Periodontics, regarding areas of gingival enlargement affecting both the maxilla and mandible on the right side. She was not having any systemic and family history. Surgical excision of the lesions was carried out under local anesthetic. Histopathological examination confirmed the diagnosis of giant cell fibroma. The condition responded to surgical excision and appears to have limited grow...

  11. Ultrasonic observation on enlarged fetal cavum veli interpositi and its impact on prognosis%超声观察胎儿帆间池增大及其对预后的影响

    Institute of Scientific and Technical Information of China (English)

    李谊; 丛淑珍; 钱隽; 郭玉萍; 李妙珊; 王满立; 刘彦英

    2012-01-01

    Objective The observe the ultrasonic characteristics of cavum veli interpositi (CVI) , as well as the prognosis of fetuses with enlarged CVI. Methods Totally 7440 pregnant women underwent prenatal ultrasonography. For all fetuses diagnosed with enlarged CVI, careful scans were performed to rule out further malformations, and period scans were also performed to observe the changes of CVI. The ultrasonographic characteristics were analyzed, and postnatal assessment was performed on nervous system and growth condition. Results Totally 8 fetuses were detected with enlarged CVI. In-terhemispheric cystlike structure was the only finding in all fetuses, except 1 associated with bilateral borderline ventriculo-megaly (10 mm). The enlarged CVI was a cystlike structure located at the brain midline, inferior to the fornix and cavum septi pellucidi, superior to the thalamus and internal cerebral veins. The shape of most cystlike structures was oval in the midsagittal view, triangular with the apex directed anteriorly in the axial view. Postnatal follow-up showed all normal development after delivery. Conclusion It is important to know the anatomic location of CVI and surrounding structures. Normal physical growth and neurological development after birth are observed in these 8 cases of enlarged CVI during fetal period.%目的 探讨胎儿帆间池增大的超声特点及其对预后的影响.方法 7440名单胎妊娠孕妇于我院接受常规超声检查,对产前超声诊断帆间池增大的胎儿,仔细检查是否合并其他部位异常,分析帆间池增大的超声特征并定期复查.胎儿出生后,对其进行神经系统发育及身体发育评估.结果 共检出8胎胎儿帆间池增大.除1胎合并双侧脑室宽度临界高值10 mm外,其余7胎均未发现合并其他部位异常.帆间池增大的超声特点:脑中线上的囊性结构,位于丘脑及大脑肉静脉上方,透明隔腔及穹隆下方;多数矢状面及冠状面均呈椭圆形,横

  12. Dupla ampliação anterior e posterior do anel aórtico para substituição valvar Anterior and posterior enlargement of the aortic annulus for valve replacement

    Directory of Open Access Journals (Sweden)

    João Ricardo SANT´ANNA

    2002-03-01

    Full Text Available OBJETIVO: Apresentar técnica de dupla ampliação anterior e posterior do anel aórtico, que difere das previamente descritas por utilizar enxertos distintos, para implante de prótese valvar e avaliar os resultados obtidos em 26 pacientes. MÉTODO: O procedimento é realizado com circulação extracorpórea convencional. Para substituição de valva nativa ou prótese aórtica estenótica, ampliação anelar posterior decorre da incisão no ponto médio do seio não coronário, que é estendida ao folheto mitral anterior; ampliação anterior resulta de incisão no anel aórtico anterior, estendida por 2 cm no septo interventricular, não transfixado. Reconstrução aórtica (e ampliação anelar é realizada mediante enxertos de pericárdio bovino distintos, sendo um triangular para incisão anterior e outro elíptico para incisão posterior. Após a fixação da prótese (mecânica ou biológica, a aorta ascendente é suturada com auxílio destes enxertos. Defeitos cardíacos associados são corrigidos. RESULTADOS: A operação aumentou o diâmetro do anel aórtico de 18,0 + 2,6 mmHg para 24,5 + 2,1 mmHg (pOBJECTIVES: To present a technique for anterior and posterior enlargement of the aortic anulus using individual patches and results in 26 patients. METHOD: Aortic valve surgery is performed with conventional cardiopulmonary bypass. For posterior enlargement, the longitudinal aortotomy is extended inferiorly and posteriosly in the mean portion of the noncoronary sinus, until the anterior mitral leaflet. Anterior enlargement results from incision between the two coronary ostium, extended in the left side of the ventricular septum for 2 cm. Two patches of bovine pericardium are sutured in the distal portion of the anterior and posterior incisions and the aortic prosthesis is fixed. Aorta is reconstructed with the patchs. Combined cardiac defects are corrected. RESULTS: Procedure resulted in increase of the annulus diameter from 18.0 + 2.6 mm

  13. Positional differentiation of abscission zones during the development of leaves of Sambucus nigra and the response of the cells to auxin and ethylene

    Energy Technology Data Exchange (ETDEWEB)

    Osborne, D.J.; Sargent, J.A.

    1976-01-01

    Abscission in the leaf rachis of Sambucus nigra L. is preceded by a positional differentiation of zone cells that enlarge and separate in response to ethylene but not to auxin. These cells are absent from youngest leaves, and such leaves do not abscind even in ethylene; other cells of the immature rachii will enlarge in response to auxin. These two classes of target cells are always recognizable by their opposing responses to auxin and ethylene. Prior to separation zone cells exposed to ethylene show considerable activation of the cytoplasm, many polysomes, elongate endoplasmic reticulum and highly dilated dictyosomes with many associated vesicles. Treatment with auxin precludes these changes, and abscission is always retarded: high levels of ethylene must be added to overcome the auxin inhibition. The differentiation of zone cells and their ethylene-stimulated growth and activation are prerequisites for rachis abscission in Sambucus. Such cell development may be of general occurrence prior to organ abscission in plants.

  14. Plant Cell Wall Proteins: A Large Body of Data, but What about Runaways?

    OpenAIRE

    Cécile Albenne; Hervé Canut; Laurent Hoffmann; Elisabeth Jamet

    2014-01-01

    Plant cell wall proteomics has been a very dynamic field of research for about fifteen years. A full range of strategies has been proposed to increase the number of identified proteins and to characterize their post-translational modifications. The protocols are still improving to enlarge the coverage of cell wall proteomes. Comparisons between these proteomes have been done based on various working strategies or different physiological stages. In this review, two points are highlighted. The ...

  15. Diffuse large B-cell lymphoma in patient after treatment of angioimmunoblastic T-cell lymphoma.

    Science.gov (United States)

    Skugor, Nives Dzeko; Perić, Zinaida; Vrhovac, Radovan; Radić-Kristo, Delfa; Kardum-Skelin, Ika; Jaksić, Branimir

    2010-03-01

    Relatively few cases of Epstein-Barr (EBV)-positive B-cell lymphomas arising in patients with angioimmunoblastic T-cell lymphoma (AITL) have been reported. We report a case of AITL in which diffuse large B-cell lymphoma arose 13 months after the initial diagnosis of AITL. In a 36-year-old female patient, evaluated for moderate leukocytosis, peripheral and abdominal lymphadenopathy AITL was diagnosed in March 2008, based on results of fine-needle aspiration cytology (FNAC) of the enlarged cervical and supraclavicular lymph nodes. The diagnosis was also confirmed by immunophenotyping and histopathology of the cervical lymph nodes. The patient initially recieved FED chemotherapy (fludarabine, cyclophosphamide, dexamethasone) followed by elective autologous hematopoietic stem cell transplantation. In April 2009 the patient was hospitalized because of fever, pancytopenia, hyperbilirubinemia and peripheral lymphadenopathy. The FNAC of the enlarged cervical lymph nodes was performed again, but this time the smears were composed of polymorphous population of lymphocytes with the predomination of large cells, CD20+ on immunocytochemical stains. The immunophenotyping confirmed a predomination of monoclonal mature B-cells. Patient had high number of EBV DNA copies in plasma and serologic testing revealed increased titers of EBV VCA IgG and EBV EBNA IgG. CHOP-R chemotherapy (cyclophosphamide, doxorubicin, vincristine, prednisone and rituximab) was then administered, resulting in good partial response of the disease. Reduced intensity allogeneic stem cell transplantation performed thereafter, resulted in complete remission of the disease. AITL is a rare lymphoproliferative disorder in which the neoplastic T-cells represent the minority of the lymph node cell population and almost all cases harbor EBV-infected B-cells. Various authors postulated that immunodeficiency in AITL patients together with immunosuppressive effects of cytotoxic drugs, may be responsible for EBV

  16. 前庭导水管扩大致突发性耳聋的临床治疗体会%Clinical experience in treatment of sudden deafness caused by enlargement of vestibular aqueduct

    Institute of Scientific and Technical Information of China (English)

    郝剑萍; 师天祥; 闫文斐; 折萍

    2012-01-01

    Objective To investigate the treatment option and efficacy of sudden deafness caused by enlargement of vestibular aqueduct. Methods 7 children with sudden deafness caused by enlargement of vestibular aqueduct from Jan 2011 to Dec 2011 in our department were enrolled in this study. The patients were divided into two groups according to the level of hearing loss before admission , and received different treatment. Ginkgo biloba extracts and glucocorticoids were applied to patients with mild or moderate hearing loss; gangliosides GMI and glucocorticoids to those with severe or profound hearing loss. The efficacy was observed. Results There was no significant difference between the effects of the two kinds of treatment when the level of hearing loss was mild or moderate. However, as for children with severe and profound hearing loss, the hearing was significantly improved when using Gangliosides GMI and glucocorticoids. Conclusion Gangliosides GMI and glucocorticoids have obvious significant efficacy especially in the treatment of severe and profound sudden deafness caused by enlargement of vestibular aqueduct.%目的 探讨前庭导水管扩大致突发性耳聋的治疗方案及疗效.方法 分析2011年1月~2011年12月住院治疗的7例因前庭导水管扩大致突发性耳聋患儿的临床资料.根据入院前听力损失程度的不同分为两组,分别采用不同的治疗方案.对轻、中度突聋患儿采用银杏叶提取物加泼尼松治疗;对重度、极重度突聋患儿采用单唾液酸四己糖神经苷脂加泼尼松治疗,观察其疗效.结果 在听力损伤为轻、中度时,两种治疗方案没有显著差别;但听力损伤为重度、极重度时,用单唾液酸四己糖神经节苷脂加糖皮质激素治疗,听力改善效果比较明显.结论 采用单唾液酸四己糖神经节苷脂加糖皮质激素治疗因前庭导水管扩大导致突发性耳聋特别是重度、极重度聋效果明显.

  17. {gamma}-irradiation deregulates cell cycle control and apoptosis in nevoid basal cell carcinomas syndrome-derived cells

    Energy Technology Data Exchange (ETDEWEB)

    Fujii, Katsunori; Miyashita, Toshiyuki; Yamada, Masao [National Children' s Medical Research Center, Tokyo (Japan); Takanashi, Jun-ichi; Sugita, Katsuo; Kohno, Yoichi; Nishie, Haruko; Yasumoto, Shin-ichiro; Furue, Masutaka

    1999-12-01

    The nevoid basal cell carcinoma syndrome (NBCCS) is an autosomal dominant disorder characterized by nevi, palmar and plantar pits, falx calcification, vertebrate anomalies and basal cell carcinomas. It is well known in NBCCS that {gamma}-irradiation to the skin induces basal cell carcinomas or causes an enlargement of the tumor size, although the details of the mechanism remain unknown. We have established lymphoblastoid cell lines from three NBCCS patients, and we present here the first evidence of abnormal cell cycle and apoptosis regulations. A novel mutation (single nucleotide deletion) in the coding region of the human patched gene, PTCH, was identified in two sibling patients, but no apparent abnormalities were detected in the gene of the remaining patient. Nevertheless, the three established cell lines showed similar features in the following analyses. Flow cytometric analyses revealed that the NBCCS-derived cells were accumulated in the G{sub 2}M phase after {gamma}-irradiation, whereas normal cells showed cell cycle arrest both in the G{sub 0}G{sub 1} and G{sub 2}M phases. The fraction of apoptotic cells after {gamma}-irradiation was smaller in the NBCCS cells. The level of p27 expression markedly decreased after {gamma}-irradiation in the NBCCS cells, although the effects of the irradiation on the expression profiles for p53, p21 and Rb did not differ in normal and NBCCS cells. These findings may provide a clue to the molecular mechanisms of tumorigenesis in NBCCS. (author)

  18. Avaliação da pressão inspiratória em crianças com aumento do volume de tonsilas Evaluation of inspiratory pressure in children with enlarged tonsils and adenoids

    Directory of Open Access Journals (Sweden)

    Melissa Guerato Pires

    2005-10-01

    Full Text Available Crianças com aumento do volume de tonsilas palatina e faríngea freqüentemente apresentam anormalidades respiratórias tais como ronco, respiração oral e apnéia do sono. Sabe-se que a obstrução de vias aéreas superiores e conseqüentemente a respiração oral podem resultar em problemas pulmonares. OBJETIVO: Avaliar a pressão inspiratória em crianças com obstrução de vias aéreas superiores devido ao aumento do volume de tonsilas. FORMA DE ESTUDO: clínico com coorte transversal. MATERIAL E MÉTODO: Nós avaliamos 37 crianças (4-13 anos, ambos os sexos com aumento do volume de tonsilas que seriam submetidas à cirurgia de Adenoamigdalectomia na Divisão de Otorrinolaringologia da Universidade de São Paulo no mesmo período. O grupo controle foi composto de 28 crianças sem aumento de volume tonsilar que foram submetidas aos mesmos testes. A pressão Inspiratória foi obtida pelo uso do manovacuômetro. RESULTADOS: Observamos uma menor pressão inspiratória no grupo com aumento do volume de tonsilas. A média do grupo com aumento do volume das tonsilas foi 14,607 cm/H2O e do grupo normal foi de 27,580 cm/H2O (PChildren with enlarged tonsils and adenoids usually present breathing abnormalities such as snoring, mouth breathing and sleep apnea. It is known that upper airway obstruction and consequent mouth breathing may result in pulmonary diseases. AIM: The goal of this preliminary study was to evaluate the inspiratory pressure in children with upper airway obstruction due to enlarged tonsils. STUDY DESIGN: clinical with transversal cohort. MATERIAL AND METHOD: We evaluated 37 children (4 -13 years old, female/male with enlarged tonsils who would be submitted to a T&A surgery in the Department of Otolaryngology, Medical School, University of Sao Paulo, from October 2002 to March 2003. The control group comprised 28 children without tonsillar disease submitted to the same tests. Inspiratory pressure was obtained using a manometer and

  19. Effect of Enlargement Treatment on Phenolic Content and Antioxidant Activities of Red Globe Grape%膨大处理对红地球葡萄酚类物质及抗氧化活性的影响

    Institute of Scientific and Technical Information of China (English)

    刘金串; 孟江飞; 郭志君; 耿万刚; 乔玲; 张昂; 张振文; 房玉林

    2012-01-01

    以红地球葡萄为研究对象,对葡萄进行膨大处理后,定期采样,测定处理组和对照组的总酚、总黄酮、总黄烷醇以及铜离子还原力、铁氰化钾还原力、DPPH自由基清除率、金属螯合力、羟自由基(·OH)清除率,用DPS软件对处理组和对照组之间的差异及酚类物质与抗氧化活性之间的相关性进行分析。结果表明:膨大处理可增加红地球葡萄酚类物质含量并增强其抗氧化活性;膨大处理对红地球葡萄总酚、总黄酮、总黄烷醇、铜离子还原力、铁氰化钾还原力的影响较大,对DPPH自由基清除率、金属螯合力、·OH清除率的影响较小。铜离子还原力、铁氰化钾还原力与酚类物质(总酚、总黄酮、总黄烷醇)含量均呈极显著正相关;金属螯合力、DPPH自由基清除率与酚类物质含量均无显著相关性,·OH清除率与酚类物质含量呈极显著负相关。铜离子还原力与铁氰化钾还原力呈极显著正相关;与DPPH自由基清除率呈显著正相关。铜离子还原力与·OH清除率、铁氰化钾还原力与·OH清除率呈极显著负相关。%The effect of enlargement treatment on total phenols and antioxidant activities of red globe grapes were determined in this study. The phenolic compounds and antioxidant activities were investigated during the berry growth and maturation after enlargement treatments. The difference between the treatment and the control, the correlation coefficients between phenolic compositions and antioxidant capacity, as well as the correlation coefficients among different methods for quantifying antioxi- dant capacity were analyzed based on DPS. The results showed that the content of total phenols and antioxidant activities of red globe grapes could be increased by enlargement treatments. The effect of enlargement treatment on total polyphenols, total flavonoids, total flavanols, cupric reducing power, potassium ferricyanide

  20. 《八思巴字与元代汉语》增订本评介%Book Review: Phagspa Script and the Chinese Language in the Yuan Period in Revised and Enlarged Edition

    Institute of Scientific and Technical Information of China (English)

    尚朴斋

    2005-01-01

    Among the handed-down and archaeologically discovered documents, there are lots of Phagspa-script historical sources translated from Chinese, which provide a great amount of valuable information for studying the history of the Yuan Dynasty. As this script was abandoned and became unknown long ago, the use of these literal data calls, first of all, for its correct decipherment. The Phagspa Script and the Chinese Language in the Yuan Period, first published in 1958, is the fundamental work in this field. Its revised and enlarged edition coming out in 2004 supplements a large amount of new content, collects firsthand referential documents and previous phonological research results, and furnishes a retrievable glossary. Its accomplishments have important value to historical, philological and archaeological studies.

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

    Science.gov (United States)

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

    2015-01-01

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

  2. 脑出血患者血肿扩大的危险因素分析%Analysis of Risk Factors of Hematoma Enlargement in the Early Intracerebral Hemorrhage

    Institute of Scientific and Technical Information of China (English)

    胡涛; 万国端; 张俊波; 凌三国

    2015-01-01

    目的:探讨影响脑出血早期血肿扩大的危险因素,为临床防治提供依据。方法纳入2011年1月~2014年1月在神经内科住院治疗的158例幕上脑出血患者。结果脑出血患者入院时间在0~3 h复查血肿扩大的检出率高于入院时间在3~6 h的患者,但差异无统计学意义( P>0.05)。结论患者幕上脑出血早期血肿扩大,主要是因为血糖影响,入院时收缩压的影响和患者的长期饮酒史。%Objective To discuss the risk factors for the early hematom a enlargement after intracerebral hemor-rhage, and provide the basis for clinical therapy.Methods Retrospective analysis the identified 158 cases supratentori-al intracerebral hemorrhage patients from January 2011 to January 2014.Results Cerebral hemorrhage patients in the detection of admission time to expand the 0~3 h review hematoma is higher than the rate of hospitalization time in 3~6 h of the patients, but the difference wasn′t statistically significant ( P>0.05).Conclusions Blood glucose, systolic blood pressure, long-term drinking history for supratentorial intracerebral hemorrhage were independent risk factors of early enlargement of hematoma.

  3. Ultrastructure of modified root-tip cells in Ficus carica, induced by the ectoparasitic nematode Xiphinema index.

    Science.gov (United States)

    Wyss, U; Lehmann, H; Jank-Ladwig, R

    1980-02-01

    The migratory ectoparasitic root nematode Xiphinema index, added to Ficus carica seedlings in sterile agar culture, fed exclusively on the tips of the roots. As a response the tips started to swell and became transformed into terminal galls as long as feeding was continued. When the cytology of swollen root-tips was examined 24 h after the first nematode attack, necrotic cells, scattered singly or in small groups within the root apex, were found in ultrathin sections. These cells, whose protoplasts showed features of a hypersensitive reaction, were most probably those fed upon by nematodes. Each necrotic cell was surrounded by several enlarged, mostly binucleate cells with dense cytoplasm. One day later the binucleate cells were multinucleate, containing 4 or even 8 nuclei. The clear-cut demarcation between necrotic and modified cells indicated that only the stimulus for the induction of modified cells but not the stimulus for cell necrosis passed into neighbouring cells. Root-tip galls that provided the appropriate food for egg production in nematodes contained greatly enlarged multinucleate cells between necrotic cells. The modified cells showed features of high metabolic activities, expressed in nuclear and nucleolar hypertrophy, invagination of the nuclear envelope, increased cytoplasmic density, abundance of mitochondria, plastids and rough endoplasmic reticulum. Wall ingrowths, typical of transfer cells, were rare and if present occurred only adjacent to necrotic cells. In older modified cells new cell plates, surrounded by phragmoplasts, were formed.

  4. Spatial organization of mesenchymal stem cells in vitro--results from a new individual cell-based model with podia.

    Directory of Open Access Journals (Sweden)

    Martin Hoffmann

    Full Text Available Therapeutic application of mesenchymal stem cells (MSC requires their extensive in vitro expansion. MSC in culture typically grow to confluence within a few weeks. They show spindle-shaped fibroblastoid morphology and align to each other in characteristic spatial patterns at high cell density. We present an individual cell-based model (IBM that is able to quantitatively describe the spatio-temporal organization of MSC in culture. Our model substantially improves on previous models by explicitly representing cell podia and their dynamics. It employs podia-generated forces for cell movement and adjusts cell behavior in response to cell density. At the same time, it is simple enough to simulate thousands of cells with reasonable computational effort. Experimental sheep MSC cultures were monitored under standard conditions. Automated image analysis was used to determine the location and orientation of individual cells. Our simulations quantitatively reproduced the observed growth dynamics and cell-cell alignment assuming cell density-dependent proliferation, migration, and morphology. In addition to cell growth on plain substrates our model captured cell alignment on micro-structured surfaces. We propose a specific surface micro-structure that according to our simulations can substantially enlarge cell culture harvest. The 'tool box' of cell migratory behavior newly introduced in this study significantly enhances the bandwidth of IBM. Our approach is capable of accommodating individual cell behavior and collective cell dynamics of a variety of cell types and tissues in computational systems biology.

  5. Expression of Functional Sphingosine-1 Phosphate Receptor-1 Is Reduced by B Cell Receptor Signaling and Increased by Inhibition of PI3 Kinase δ but Not SYK or BTK in Chronic Lymphocytic Leukemia Cells

    OpenAIRE

    Till, Kathleen J.; Andrew R Pettitt; Slupsky, Joseph R.

    2015-01-01

    BCR signaling pathway inhibitors such as ibrutinib, idelalisib, and fostamatinib (respective inhibitors of Bruton’s tyrosine kinase, PI3Kδ, and spleen tyrosine kinase) represent a significant therapeutic advance in B cell malignancies, including chronic lymphocytic leukemia (CLL). These drugs are distinctive in increasing blood lymphocytes while simultaneously shrinking enlarged lymph nodes, suggesting anatomical redistribution of CLL cells from lymph nodes into the blood. However, the mechan...

  6. Application of EBUS-TBNA and PET/CT in diagnosing enlarged mediastinal lymph nodes caused by unknown reasons%EBUS-TBNA与PET/CT在不明原因纵隔淋巴结肿大诊断中的价值

    Institute of Scientific and Technical Information of China (English)

    杨震; 田庆; 王慧霜; 安杨; 刘星辰; 陈良安

    2012-01-01

    Objective To compare the values of endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) and positron-emission tomography and computed tomography (PET/CT) in diagnosis of enlarged mediastinal lymph nodes caused by unknown reasons, and to study the diagnostic value of the combination of EBUS-TBNA and PET/CT. Methods A retrospective study was carried out in our hospital. From December 2010 to August 2011, a total of 45 patients with enlarged mediastinal lymph nodes received EBUS-TBNA following PET/CT examination. Conventional bronchoscopy was performed before EBUS-TBNA. The patients with endobronchial lesions were excluded from this study. Patients with negative EBUS-TBNA results underwent surgical biopsies or a minimum of 6 months' clinical and radiological follow-up. Results Sensitivities of EBUS-TBNA and PET/CT in diagnosis of enlarged mediastinal lymph nodes were 81. 48% (22/27) and 92. 59% (25/27), the specificities were 100% (18/18) and 55. 56% (10/18), the positive predictive values (PPV) were 100% (22/22) and 75. 76% (25/33), the negative predictive values (NPV) were 78. 26% (18/23) and 83. 33% (10/12), the accuracies were 88. 89% (40/45) and 77. 78% (34/45), respectively. EBUS-TBNA had a significantly better specificity (P= 0. 003) and PPV (P = 0. 016) than PET/CT for diagnosis of enlarge mediastinal lymph nodes. Conclusion EBUS-TBNA is valuable for diagnosing enlarged mediastinal lymph nodes caused by unknown reasons. EBUS-TBNA combined with PET/CT can reduce the false negative results in diagnosis of malignant mediastinal lymph nodes.%目的 比较支气管超声引导针吸活检术(endobronchial ultrasound guided transbronchial needle aspiration,EBUS-TBNA)和电子发射断层显像/X线计算机体层成像(positron-emission tomography and computed tomography,PET/CT)用于不明原因纵隔淋巴结肿大诊断的价值,并探讨EBUS-TBNA和PET/CT联合应用的意义.方法 回顾性分析解放军总医院呼吸科自2010年12

  7. PRIMARY TRANSITIONAL CELL CARCINOMA OF THE OVARY: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Anju

    2016-05-01

    Full Text Available A 38-year-old female presented with a history of progressively enlarging abdominal mass. Abdominal computed tomography showed a pelvic mass involving both the ovaries and omentum. CA-125 was normal. Staging surgery was performed and the histopathological diagnosis of Transitional Cell Carcinoma was made and later confirmed by immuno-histochemistry. Transitional cell carcinoma of the ovary is a rare subtype of epithelial ovarian cancer. Surgical resection is the primary therapeutic approach, and patient’s outcomes after chemotherapy are better than for other types of ovarian cancers.

  8. Giant Cell Tumor within the Proximal Tibia after ACL Reconstruction.

    Science.gov (United States)

    Takahashi, Takashi; MacCormick, Lauren; Ellermann, Jutta; Clohisy, Denis; Marette, Shelly

    2016-01-01

    26-year-old female with prior anterior cruciate ligament reconstruction developed an enlarging lytic bone lesion around the tibial screw with sequential imaging over the course of one year demonstrating progression of this finding, which was confirmed histologically to be a giant cell tumor of bone. The lesion originated around the postoperative bed, making the diagnosis challenging during the early course of the presentation. The case demonstrates giant cell tumor which originated in the metaphysis and subsequently grew to involve the epiphysis; therefore, early course of the disease not involving the epiphysis should not exclude this diagnosis. PMID:26981302

  9. Giant Cell Tumor within the Proximal Tibia after ACL Reconstruction

    Directory of Open Access Journals (Sweden)

    Takashi Takahashi

    2016-01-01

    Full Text Available 26-year-old female with prior anterior cruciate ligament reconstruction developed an enlarging lytic bone lesion around the tibial screw with sequential imaging over the course of one year demonstrating progression of this finding, which was confirmed histologically to be a giant cell tumor of bone. The lesion originated around the postoperative bed, making the diagnosis challenging during the early course of the presentation. The case demonstrates giant cell tumor which originated in the metaphysis and subsequently grew to involve the epiphysis; therefore, early course of the disease not involving the epiphysis should not exclude this diagnosis.

  10. Fungal cell gigantism during mammalian infection.

    Science.gov (United States)

    Zaragoza, Oscar; García-Rodas, Rocío; Nosanchuk, Joshua D; Cuenca-Estrella, Manuel; Rodríguez-Tudela, Juan Luis; Casadevall, Arturo

    2010-01-01

    The interaction between fungal pathogens with the host frequently results in morphological changes, such as hyphae formation. The encapsulated pathogenic fungus Cryptococcus neoformans is not considered a dimorphic fungus, and is predominantly found in host tissues as round yeast cells. However, there is a specific morphological change associated with cryptococcal infection that involves an increase in capsule volume. We now report another morphological change whereby gigantic cells are formed in tissue. The paper reports the phenotypic characterization of giant cells isolated from infected mice and the cellular changes associated with giant cell formation. C. neoformans infection in mice resulted in the appearance of giant cells with cell bodies up to 30 microm in diameter and capsules resistant to stripping with gamma-radiation and organic solvents. The proportion of giant cells ranged from 10 to 80% of the total lung fungal burden, depending on infection time, individual mice, and correlated with the type of immune response. When placed on agar, giant cells budded to produce small daughter cells that traversed the capsule of the mother cell at the speed of 20-50 m/h. Giant cells with dimensions that approximated those in vivo were observed in vitro after prolonged culture in minimal media, and were the oldest in the culture, suggesting that giant cell formation is an aging-dependent phenomenon. Giant cells recovered from mice displayed polyploidy, suggesting a mechanism by which gigantism results from cell cycle progression without cell fission. Giant cell formation was dependent on cAMP, but not on Ras1. Real-time imaging showed that giant cells were engaged, but not engulfed by phagocytic cells. We describe a remarkable new strategy for C. neoformans to evade the immune response by enlarging cell size, and suggest that gigantism results from replication without fission, a phenomenon that may also occur with other fungal pathogens.

  11. Fungal cell gigantism during mammalian infection.

    Directory of Open Access Journals (Sweden)

    Oscar Zaragoza

    Full Text Available The interaction between fungal pathogens with the host frequently results in morphological changes, such as hyphae formation. The encapsulated pathogenic fungus Cryptococcus neoformans is not considered a dimorphic fungus, and is predominantly found in host tissues as round yeast cells. However, there is a specific morphological change associated with cryptococcal infection that involves an increase in capsule volume. We now report another morphological change whereby gigantic cells are formed in tissue. The paper reports the phenotypic characterization of giant cells isolated from infected mice and the cellular changes associated with giant cell formation. C. neoformans infection in mice resulted in the appearance of giant cells with cell bodies up to 30 microm in diameter and capsules resistant to stripping with gamma-radiation and organic solvents. The proportion of giant cells ranged from 10 to 80% of the total lung fungal burden, depending on infection time, individual mice, and correlated with the type of immune response. When placed on agar, giant cells budded to produce small daughter cells that traversed the capsule of the mother cell at the speed of 20-50 m/h. Giant cells with dimensions that approximated those in vivo were observed in vitro after prolonged culture in minimal media, and were the oldest in the culture, suggesting that giant cell formation is an aging-dependent phenomenon. Giant cells recovered from mice displayed polyploidy, suggesting a mechanism by which gigantism results from cell cycle progression without cell fission. Giant cell formation was dependent on cAMP, but not on Ras1. Real-time imaging showed that giant cells were engaged, but not engulfed by phagocytic cells. We describe a remarkable new strategy for C. neoformans to evade the immune response by enlarging cell size, and suggest that gigantism results from replication without fission, a phenomenon that may also occur with other fungal pathogens.

  12. Immuno and affinity cytochemical analysis of cell wall composition in the moss Physcomitrella patens

    Directory of Open Access Journals (Sweden)

    Elizabeth A. Berry

    2016-03-01

    Full Text Available In contrast to homeohydric vascular plants, mosses employ a poikilohydric strategy for surviving in the dry aerial environment. A detailed understanding of the structure, composition, and development of moss cell walls can contribute to our understanding of not only the evolution of overall cell wall complexity, but also the differences that have evolved in response to selection for different survival strategies. The model moss species Physcomitrella patens has a predominantly haploid lifecycle consisting of protonemal filaments that regenerate from protoplasts and enlarge by tip growth, and leafy gametophores composed of cells that enlarge by diffuse growth and differentiate into several different types. Advantages for genetic studies include methods for efficient targeted gene modification and extensive genomic resources. Immuno and affinity cytochemical labeling were used to examine the distribution of polysaccharides and proteins in regenerated protoplasts, protonemal filaments, rhizoids, and sectioned gametophores of P. patens. The cell wall composition of regenerated protoplasts was also characterized by flow cytometry. Crystalline cellulose was abundant in the cell walls of regenerating protoplasts and protonemal cells that developed on media of high osmolarity, whereas homogalacturonan was detected in the walls of protonemal cells that developed on low osmolarity media and not in regenerating protoplasts. Mannan was the major hemicellulose detected in all tissues tested. Arabinogalactan proteins were detected in different cell types by different probes, consistent with structural heterogeneity. The results reveal developmental and cell type specific differences in cell wall composition and provide a basis for analyzing cell wall phenotypes in knockout mutants.

  13. Immuno and Affinity Cytochemical Analysis of Cell Wall Composition in the Moss Physcomitrella patens.

    Science.gov (United States)

    Berry, Elizabeth A; Tran, Mai L; Dimos, Christos S; Budziszek, Michael J; Scavuzzo-Duggan, Tess R; Roberts, Alison W

    2016-01-01

    In contrast to homeohydric vascular plants, mosses employ a poikilohydric strategy for surviving in the dry aerial environment. A detailed understanding of the structure, composition, and development of moss cell walls can contribute to our understanding of not only the evolution of overall cell wall complexity, but also the differences that have evolved in response to selection for different survival strategies. The model moss species Physcomitrella patens has a predominantly haploid lifecycle consisting of protonemal filaments that regenerate from protoplasts and enlarge by tip growth, and leafy gametophores composed of cells that enlarge by diffuse growth and differentiate into several different types. Advantages for genetic studies include methods for efficient targeted gene modification and extensive genomic resources. Immuno and affinity cytochemical labeling were used to examine the distribution of polysaccharides and proteins in regenerated protoplasts, protonemal filaments, rhizoids, and sectioned gametophores of P. patens. The cell wall composition of regenerated protoplasts was also characterized by flow cytometry. Crystalline cellulose was abundant in the cell walls of regenerating protoplasts and protonemal cells that developed on media of high osmolarity, whereas homogalactuonan was detected in the walls of protonemal cells that developed on low osmolarity media and not in regenerating protoplasts. Mannan was the major hemicellulose detected in all tissues tested. Arabinogalactan proteins were detected in different cell types by different probes, consistent with structural heterogneity. The results reveal developmental and cell type specific differences in cell wall composition and provide a basis for analyzing cell wall phenotypes in knockout mutants. PMID:27014284

  14. Immuno and Affinity Cytochemical Analysis of Cell Wall Composition in the Moss Physcomitrella patens.

    Science.gov (United States)

    Berry, Elizabeth A; Tran, Mai L; Dimos, Christos S; Budziszek, Michael J; Scavuzzo-Duggan, Tess R; Roberts, Alison W

    2016-01-01

    In contrast to homeohydric vascular plants, mosses employ a poikilohydric strategy for surviving in the dry aerial environment. A detailed understanding of the structure, composition, and development of moss cell walls can contribute to our understanding of not only the evolution of overall cell wall complexity, but also the differences that have evolved in response to selection for different survival strategies. The model moss species Physcomitrella patens has a predominantly haploid lifecycle consisting of protonemal filaments that regenerate from protoplasts and enlarge by tip growth, and leafy gametophores composed of cells that enlarge by diffuse growth and differentiate into several different types. Advantages for genetic studies include methods for efficient targeted gene modification and extensive genomic resources. Immuno and affinity cytochemical labeling were used to examine the distribution of polysaccharides and proteins in regenerated protoplasts, protonemal filaments, rhizoids, and sectioned gametophores of P. patens. The cell wall composition of regenerated protoplasts was also characterized by flow cytometry. Crystalline cellulose was abundant in the cell walls of regenerating protoplasts and protonemal cells that developed on media of high osmolarity, whereas homogalactuonan was detected in the walls of protonemal cells that developed on low osmolarity media and not in regenerating protoplasts. Mannan was the major hemicellulose detected in all tissues tested. Arabinogalactan proteins were detected in different cell types by different probes, consistent with structural heterogneity. The results reveal developmental and cell type specific differences in cell wall composition and provide a basis for analyzing cell wall phenotypes in knockout mutants.

  15. Enlarged Halden programme group meeting on man-machine systems research and high burn-up fuel performance, safety and reliability and degradation of in-core materials and water chemistry effects. Volume I

    International Nuclear Information System (INIS)

    An Enlarged Halden Programme Group Meeting on Fuel Performance and Materials Testing and Man-Machine Research was held at Loen, Norway 24 to 29 May, 1999. The papers presented covered work performed at the OECD Halden Reactor Project during the years up to April 1999 as well as studies conducted within organisations participating in the Halden Project. The Halden Boiling Water Reactor, HBWR, was built in the years 1955 - 1958 by the Norwegian Institutt for Atomenergi, and has since 1958 been operated internationally as one of the joint undertakings of the OECD Nuclear Energy Agency. The experimental operation of the Halden Boiling Water Reactor and associated programmes are sponsored through an international agreement by Institute for energy technology, Norway, the Belgian Nuclear Research Centre SCK/CEN, acting also on behalf of other public or private organisations in Belgium, the Risoe National Laboratory in Denmark, the Finnish Ministry of Trade and Industry, the Electricite de France, the Gesellschaft fur Anlagen- und Reaktorsicherheit (GRS) mbH, representing a German group of companies working in agreement with the German Federal Ministry for Education, Science, Research and Technology, the Italian Ente per le Nouve Tecnologie, L'Energia e l'Ambiente, the Japan Atomic Energy Research Institute, the Korean Atomic Energy Research Institute, the Spanish Centre de Investigaciones Energeticas, Medioambientales y Tecnologias, representing a group of national and industry organisations in Spain, the Swedish Nuclear Power Inspectorate, the Swiss Federal Nuclear Safety Inspectorate, representing also the Swiss nuclear utilities and the Paul Scherrer Institute, the Nuclear Electric pic, representing a group of nuclear research and industry organisations in the United Kingdom, and the United States Nuclear Regulatory Commission, and as associated parties: the Brazilian Comissao Nacional de Energia Nuclear (CNEN), the Czech Nuclear Research Institute, the Hungarian

  16. Enlarged Halden programme group meeting on high burn-up fuel performance, safety and reliability and degradation of in-core materials and water chemistry effects and man-machine systems research. Volume I

    International Nuclear Information System (INIS)

    An Enlarged Halden Programme Group Meeting on Fuel Performance and Materials Testing and Man-Machine Research was held at Loen, Norway 24 to 29 May, 1999. The papers presented covered work performed at the OECD Halden Reactor Project during the years up to April 1999 as well as studies conducted within organisations participating in the Halden Project. The Halden Boiling Water Reactor, HBWR, was built in the years 1955 - 1958 by the Norwegian Institutt for Atomenergi, and has since 1958 been operated internationally as one of the joint undertakings of the OECD Nuclear Energy Agency. The experimental operation of the Halden Boiling Water Reactor and associated programmes are sponsored through an international agreement by Institute for energy technology, Norway, the Belgian Nuclear Research Centre SCK/CEN, acting also on behalf of other public or private organisations in Belgium, the Risoe National Laboratory in Denmark, the Finnish Ministry of Trade and Industry, the Electricite de France, the Gesellschaft fur Anlagen- und Reaktorsicherheit (GRS) mbH, representing a German group of companies working in agreement with the German Federal Ministry for Education, Science, Research and Technology, the Italian Ente per le Nouve Tecnologie, l'Energia e l'Ambiente, the Japan Atomic Energy Research Institute, the Korean Atomic Energy Research Institute, the Spanish Centre de Investigaciones Energeticas, Medioambientales y Tecnologias, representing a group of national and industry organisations in Spain, the Swedish Nuclear Power Inspectorate, the Swiss Federal Nuclear Safety Inspectorate, representing also the Swiss nuclear utilities and the Paul Scherrer Institute, the Nuclear Electric pic, representing a group of nuclear research and industry organisations in the United Kingdom, and the United States Nuclear Regulatory Commission, and as associated parties: the Brazilian Comissao Nacional de Energia Nuclear (CNEN), the Czech Nuclear Research Institute, the Hungarian

  17. [Results of mammalian cell culture exposure on artificial earth satellites].

    Science.gov (United States)

    Sushkov, F V; Portugalov, V V; Rudneva, S V; Bobkova, N N; Iordanishvili, E K

    1976-01-01

    The paper presents the results of an exposure of cells of the Syrian hamster strain VNK-21 to space flight effects. In contrast to the cell culture kept in a thermostat at 29 degrees C, the cell culture that was maintained in thermally uncontrolled conditions developed noticeable structural and physiological changes induced by suboptimal temperatures. It was concluded that a 6-day exposure to weightlessness exerted no adverse effect on mammalian cells in vitro and produced no stable structural or physiological changes. Some changes that were detected in the cell culture--faster ageing, stable tendency to an increase of the number of cells with enlarged nuclei, an increase of the mitotic index at an early stage of cultivation--need further investigation.

  18. 流动家庭婚姻圈扩展、性别强势与未婚先孕%Enlargement of the Marital Circle, Gender and Premarital Pregnancy in Migrants Families

    Institute of Scientific and Technical Information of China (English)

    齐嘉楠; 杨华

    2015-01-01

    本文利用2013年全国流动人口动态监测调查数据,对当前我国流动人口未婚先孕情况进行研究,试图分析婚姻圈的扩展以及性别的强势会如何影响未婚先孕的结果。本文有以下一些发现:流动人口核心家庭未婚先孕的比例较高;婚姻圈的扩展增加了未婚先孕的几率;流动人口的性别在年龄、教育和户籍方面的强势并未显著影响未婚先孕的发生;各省间未婚先孕的水平存在着较大差异。本文通过采用多水平分析方法,定量描述了当前的未婚先孕水平存在省际差异,为实现流动人口公共服务的均等化,提出了相应的政策建议。%Based on the data of the national migrants survey in 2013 , this paper demonstrates how the enlargement of marital circle and gender affect the premarital pregnancy among the floating population. The findings are: the floating core families boast of a higher proportion of the premarital pregnancy , the enlargement of the marital circle increase of the risk of premarital pregnancy. The gender effects in age,education and hukou have no significance to the occurrence of premarital pregnancy. the inter-provincial difference of the premarital pregnancy is analyzed by using multi-level model to provide a policy reference for the equalized public services for the migrants.

  19. 改良耳道皮瓣耳道口扩大成形的研究%Research of modified skin flap of external canal in auditory canal shaping to enlarge

    Institute of Scientific and Technical Information of China (English)

    王东; 李同丽; 陈煜; 李欣

    2012-01-01

    Objective:To investigate the new method of modified skin flap of external canal in auditory canal shaping to enlarge at radical mastoidectomy in endaural incision. MethodsFrom 1999 to 2009,412 patients with 428 ears in operation were randomly divided into two groups. Patients underwent open mastoidectomy and some patients were performed concurrent tympanoplasty. A group (control group)were operated in traditional skin flap of external canal,B group is modified group. Bleed and effusion from the wound surface,the time of dry ear and the change of diameter of extermal acoustic meatus after one year were observed after the surgeries and deal the results with SPSS. Resell: The difference had statistical significance in bleed and effusion from the wound surf ace, the time of dry ear and the shrink of external acoustic meatus in 12 months among two groups. Conclnsion; Modified skin flap of external canal in auditory canal shaping to enlarge can help to make a no-wound dehiscence by wiping out the raw surface of external acoustic meatus. It is better than traditional skin flap of external canal.%目的:探索耳内切口乳突根治术时行改良耳道皮瓣法扩大耳道口的新方法.方法:1999-2009年我科选择行开放式乳突根治术或同期行鼓室成形术的病例421例(428耳),随机分为A、B组.A组为对照组,行传统耳道皮瓣法;B组为改良组,行改良的耳道皮瓣法.所有病例观察术后的出血、渗出情况,干耳时间及1年后耳道口的变化情况.结果:统计学分析表明,改良组较对照组在术后出血、渗出、干耳时间及耳道口缩小方面均差异有统计学意义.结论:改良耳道皮瓣法扩大耳道口成形后,消灭了外耳道的创面,形成了无创面的耳道口,比传统皮瓣法有较多优点.

  20. Cell Therapy in Chagas Disease

    Directory of Open Access Journals (Sweden)

    Antonio C. Campos de Carvalho

    2009-01-01

    Full Text Available Chagas disease which is caused by the parasite Trypanosoma cruzi is an important cause of cardiomyopathy in Latin America. In later stages chagasic cardiomyopathy is associated with congestive heart failure which is often refractory to medical therapy. In these individuals heart transplantation has been attempted. However, this procedure is fraught with many problems attributable to the surgery and the postsurgical administration of immunosuppressive drugs. Studies in mice suggest that the transplantation of bone-marrow-derived cells ameliorates the inflammation and fibrosis in the heart associated with this infection. Cardiac magnetic resonance imaging reveals that bone marrow transplantation ameliorates the infection induced right ventricular enlargement. On the basis of these animal studies the safety of autologous bone marrow transplantation has been assessed in patients with chagasic end-stage heart disease. The initial results are encouraging and more studies need to be performed.

  1. Plasmoacanthoma of oral cavity and plasma cell cheilitis: two sides of same disorder “oral plasma cell mucositis” ?

    Directory of Open Access Journals (Sweden)

    Gayatri Khatri

    2014-04-01

    Full Text Available Plasmoacanthoma and plasma cell cheilitis are rare disorders of obscure etiology characterized by a plasma cell infiltrate an 80-year-old woman presented with a verrucous, fleshy, skin colored plaque over lips, gingiva, and the palate and painful swallowing for over a period of 6 months. Histopathology of the lesion showed dense infiltrate of plasma cells. The lesions resolved completely after intralesional triamcinolone acetonide. Another 52-year-old male had progressively enlarging, erosive lesion over vermilion border of lower lip for 6months resembling actinic cheilitis. Histology was diagnostic of plasma cell cheilitis. Treatment with topical clobetasol propionate was effective. Plasma cell cheilitis and plasmoacanthoma perhaps represent a spectrum of oral ”plasma cell mucositis” with plasmoacanthoma being an advanced version of the former.

  2. Time to Enlarge Sino-Russian Cooperation

    Institute of Scientific and Technical Information of China (English)

    Guo Yan

    2008-01-01

    @@ China and Russia have passed through different phases of development and growth in a variety of fields such as politics, economy, culture and many other areas since they first established a bilateral strategic partnership in 1996. In 1996 and again in 2007, China and Russian inaugurated the Russian and Chinese-themed national year activities, which have greatly improved the mutual understanding between the two nations and the people.

  3. An Unusual Reason for Generalized Cardiac Enlargement

    Institute of Scientific and Technical Information of China (English)

    Gui-zhou MA; Hong TAN

    2009-01-01

    @@ CASE REPORT A 43-year-old Chinese male farmer presented to the hospital with complaints of exertional palpitation and dyspnea for 2 months. He had his discomforts often together with dry cough, and gradually appeared paroxysmal nocturnal dyspnea, but no chest pain. He had been diagnosed as dilated cardiomyopathy in other hospitals. However, the therapeutic effect was poor. There was no history of hypertension and diabetes mellitus, and no family history of heart diseases. He had smoked cigarettes for 20 years but did not drink alcohol.

  4. Protecting and Enlarging the Digital Republic

    Directory of Open Access Journals (Sweden)

    David Bollier

    2009-12-01

    Full Text Available The Internet and various digital technologies are enabling the rise of the "Digital Republic," a new trans-national global culture that is based on principles of openness, participation, and decentralised control. A sprawling federation of digital tribes, from hackers and Wikipedians to artists using Creative Commons licenses and academics managing their own open-access journals, is creating their own "sharing economy" based on self-organized virtual commons. If the Digital Republic is going to survive the opposition of large telecommunications and content industries, many of which oppose open platforms, collaborative production and less stringent copyright laws, then the "commoners" will need to pursue an agenda that enables them to 1 study and fortify the commons as a means of value-creation; 2 secure government support for the commons just as it already supports the market; 3 explore open business models that work in tandem with the commons; 4 consolidate the diverse tribes of the Digital Republic into a more coordinated political movement; and 5 change the neoliberal discourse by introducing a new language of the commons.

  5. Protecting and Enlarging the Digital Republic

    OpenAIRE

    David Bollier

    2009-01-01

    The Internet and various digital technologies are enabling the rise of the "Digital Republic," a new trans-national global culture that is based on principles of openness, participation, and decentralised control. A sprawling federation of digital tribes, from hackers and Wikipedians to artists using Creative Commons licenses and academics managing their own open-access journals, is creating their own "sharing economy" based on self-organized virtual commons. If the Digital Republic is going ...

  6. Enlargement of the Rolling Hills Reservoir

    Energy Technology Data Exchange (ETDEWEB)

    Sobkowicz, J.; Moore, T. [Thurber Engineering Ltd., Calgary, AB (Canada); Miller, D.; Miller, D. [UMA Engineering Ltd., Lethbridge, AB (Canada)

    2004-09-01

    Located south of Brooks, Alberta, the Rolling Hills Reservoir is a key storage facility in the Eastern Irrigation District's (EID) water management system, supplying water for irrigation, industrial, municipal and recreational users. The EID hired UMA Engineering and Thurber Engineering in 2001 to design and construct a project that would increase the usable storage of the Rolling Hills Reservoir, requiring replacement of an old, ailing dam and the construction of two major dams and six dykes. The foundation conditions of the main dam were challenging and obtaining sufficient seepage control in the permeable soils and providing good foundations for both the main dam and the reinforced concrete control structures were just as difficult. Another significant challenge was the non-ideal materials available for dam construction. The challenging geotechnical conditions at the site are presented and the design and construction measures implemented to meet these challenges are discussed. Design details and construction innovations are also presented. Redesigned as construction continued, the project was completed on time and at a significantly lower unit cost for storage than anticipated. 15 figs.

  7. GGVS. 7. rev. and enlarged ed.

    International Nuclear Information System (INIS)

    The brochure contains the following texts: (1) Ordinance on road transport of hazardous materials (GGVS), including the European agreement on international road transport of hazardous materials (ADR), as of 1991: Skeleton ordinance, annexes A and B, reasons given for the first version, and for the first amendment in 1988, execution guidelines - RS 002 (guidelines for executing the ordinance on road transport of hazardous materials, with catalogue of penalties), guidelines for drawing up written instructions for the event of accidents - RS 006, guiding principles for the training of vehicle conductors; (2) ordinance regarding exceptions from the ordinance on road transport of hazardous materials; (3) ordinance regarding exceptions from the ordinance on rail transport of hazardous materials; (4) selected guidelines: Technical guidelines TR IBC K 001, TR IBL 002 - TRS 003, - TRS 004, - TRS 005, - TRS 006; (5) listing of materials and objects governed by the ordinance on hazardous materials transport; (6) catalogue of penalties relative to road transport of hazardous materials. (orig.)

  8. Environmental law. 6. rev. and enlarged ed.

    International Nuclear Information System (INIS)

    This pocketbook contains major federal regulation on environmental protection. They serve to protect and cultivate mankind's natural foundations of life, to preserve the environment. The environments law is devided as follows: Constitutional law on the environment. Common administative law on the environment, special administrative law on the environment including conservation of nature and preservation of rural amenities, protection of waters waste management, protection against nuisances, nuclear energy are radiation protection, energy conservation, protection against dangerous substances, private law relating to the environment, criminal law relating to the environment. The transitional provisons required for estaslishing the unified Germany are given in an annex. (orig.)

  9. Prostate Enlargement: Benign Prostatic Hyperplasia (BPH)

    Science.gov (United States)

    ... specially trained technician performs the procedure in a health care provider’s office, an outpatient center, or a hospital, and a radiologist—a doctor who specializes in medical imaging—interprets ...

  10. Intra-EU Direct Investment and Enlargement

    Directory of Open Access Journals (Sweden)

    Festa Andrea

    2015-03-01

    Full Text Available This paper examines the determinants of the intra-EU direct investment (IDI into the New Member States (NMS using a panel dataset of bilateral capital flows for the period 1993-2013. It is found out by using a simple gravity model that EU membership is the most important determinant. Unlike previous studies including non-EU countries, the distance is insignificant, which is caused by proximity of these countries to one another. A separate analysis focused on subgroups of accession countries gives some evidence that even when size of their economy, distance, institutional quality and EU accession are taken into account, Central European countries receive more IDI than the Baltic and the Balkan states. On the contrary to that, the analysis restricted to the Balkan countries which have joined the EU shows the inexistence of a negative Balkans effect in attracting foreign investment. This finding is relevant because previous studies demonstrate a persistent negative Balkans effect for non-EU Balkan countries and suggests a crucial impact of the EU accession in determining the intra-EU capital flows.

  11. How to Enlarge Our English Vocabulary

    Institute of Scientific and Technical Information of China (English)

    杨淑秀

    2010-01-01

    Mastering abundant vocabulary is the base for us to learn English well. Therefore we should do regular intensive reading and extensive reading. We should use the dictionary effectively; We should also have a good command of Lexicology.

  12. Enlargement of the External Mobility Programme

    CERN Multimedia

    HR Department

    2008-01-01

    The External Mobility Programme was launched at the end of September 2007. Initially, the programme was aimed at staff members on limited-duration contracts, having received formal notification of the termination of their employment contract at CERN, to help them towards their next employment. The programme provides a privileged, fast-track entry into the recruitment process of partner companies. Despite the short time since its inception, the programme has already delivered some encouraging and concrete results in terms of interviews granted to participating staff. The Programme has raised considerable interest from both CERN personnel as well as from several major European companies. CERN Management has decided to broaden the scope of the External Mobility Programme. The Programme is now open to: All staff members whose limited duration contract will end in less than one year, as well as all those with indefinite contracts. All fellows who have been employed by CERN fo...

  13. Enlargement of the External Mobility Programme

    CERN Multimedia

    HR Department

    2008-01-01

    The External Mobility Programme was launched at the end of September 2007. Initially, the programme was aimed at staff members on limited-duration contracts having received formal notification of the termination of their employment contract at CERN, to help them towards their next employment. The programme provides a privileged, fast-track entry into the recruitment process of partner companies. Despite the short time since its inception, the programme has already delivered some encouraging and concrete results in terms of interviews granted to participating staff. The Programme has attracted considerable interest from both CERN personnel as well as from several major European companies. The CERN Management has decided to broaden the scope of the External Mobility Programme. The Programme is now open to: All staff members whose limited duration contract will end in less than one year, as well as all those with indefinite contracts. All fellows who have been employed by CE...

  14. National responsibility in an enlarged European Union?

    International Nuclear Information System (INIS)

    The principle of national responsibility has two sides: One about how Sweden takes responsibility for the wastes that arise in the country from nuclear power generation. The other side about the rights Sweden considers itself to have to prevent that spent nuclear fuel from other countries are disposed or stored in Sweden. The last aspect of the principle has been regulated in an explicit law against final waste disposal and intermediate storage of foreign spent nuclear fuel in Sweden. The question about how Sweden will take responsibility for the spent nuclear fuel that arises within the country is not regulated in law in a corresponding way. It can be argued that such a discrepancy in interpretation of the principle does not favour its legal strength. On the multilateral level, the question is regulated through the Non-proliferation treaty from 1970 and the convention about the safety in handling spent nuclear fuel and radioactive wastes that were added within the framework of IAEA 1997. Non-proliferation confirms the right of all States to develop a national civilian nuclear power industry and within the framework of this right lies also the competence to decide about the policy for the back end of the nuclear fuel cycle. That is to say, the States have, according to the agreement, the freedom to apply a principle about exclusive national responsibility for managing the spent nuclear fuel and the radioactive wastes, as is clearly confirmed in the IAEA-convention. It should however be noted that the IAEA, since the beginning of the 1990s, has initiated several studies concerning the legal, political and the physical conditions for establishing multinational plants for intermediate storage or final waste disposal of spent nuclear fuel or high-level nuclear wastes. In reports a series arguments been presented which speaks for such a development. At the core of these arguments is the interest of winning economic and technological scale advantages, and the non-proliferation aspects. The political decision to take part in such international cooperation lies however without any doubt within the national competence. In the European Union the question about responsibility for spent nuclear fuel is not directly regulated. Common legislation initiatives from the commission concerning methods for disposal and storage of spent nuclear fuel has been blocked by member states. The EURATOM-treaty and the EU treaty have a potential reach to national regulation about handling of nuclear wastes and spent nuclear fuel. It should also be noted that there is no binding community legislation where the principle of national responsibility comes to expressions, although the the national legislation competence in the area is expressed in miscellaneous political documents. There exists a hypothetical possibility that the question about the member states' right to maintain a principle of national responsibility can be examined of the EU Court of Justice

  15. Nuclear medicine. 2. rev. and enlarged ed.

    International Nuclear Information System (INIS)

    This second edition of the textbook on nuclear medicine is intended as a comprehensive and explanatory source of current theoretical and practical knowledge required for practical application of nuclear medicine techniques for diagnostics and therapy. The first part of the book deals with general aspects such as physical principles, the labelling and quality control of radiopharmaceuticals, and specific kinetics of some preparations, scanning techniques and the relevant equipment including aspects such as equipment handling, functional monitoring, error sources, patent positioning, as well as radiation protection and the handling of radioactive substances at the place of work. This part also explains the organisational framework of a nuclear medicine practice or department and the professional training and tasks of a radiographer in nuclear medicine. The second part is devoted to specific tasks and techniques for diagnostic assessment of the different body organs, illustrated by examples and summarised in tables given at the end of each chapter. Examples of clinical experience explain the criteria for selection of suitable diagnostic technique. (orig.) With 207 figs., 14 tabs

  16. EU enlargement: towards an uncertain future

    NARCIS (Netherlands)

    Boekestijn, A.J.

    2004-01-01

    Never before has the EU been expanded with so many countries at the same time (10), never before was the economic gap between the existing and acceding countries so large, and never before have the existing countries (EU Fifteen) been playing the role of mister Scrooge so convincingly, and never be

  17. EU Enlargement and Latvian Citizenship Policy

    Directory of Open Access Journals (Sweden)

    Helen M. Morris

    2003-04-01

    Full Text Available This article examines whether its desire to join the European Union exerted any influence upon Latvian nationality policy. The author concludes that external pressure upon Latvian policymakers during the accession process led to a significantly more liberal and inclusive citizenship law than might have otherwise been adopted. The analysis includes an assessment of current concerns in nationality and minority policy in Latvia including the large number and status of non-citizens, the application of language legislation, and the reform of the education system. EU membership is expected to make Latvian citizenship more attractive for non-citizens and the country will continue to be required to meet its international obligations regarding treatment of the non-citizen population and minorities. However, there is a risk that the completion of accession negotiations and accompanying reduction in European Commission influence coupled with intense pressure on limited economic and administrative resources in the new member states will sideline respect for and protection of minority rights.

  18. NATO's security agenda after enlargement / Knut Kirste

    Index Scriptorium Estoniae

    Kirste, Knut

    2004-01-01

    NATO tegevusest julgeoleku ja stabiilsuse tagamiseks Afganistanis, Balkanil, Iraagis. Autori arvates sõltub laienenud NATO tulevik poliitiliste ja sõjaliste reformide läbiviimisest ning partnerluse ja koostöö arendamisest rahvusvaheliste organisatsioonidega, sh Euroopa Liiduga

  19. 8-year survival in a patient with several recurrences of renal cell carcinoma after radical nephrectomy

    OpenAIRE

    Joshi, Shivam; Eldefrawy, Ahmed; Ciancio, Gaetano

    2012-01-01

    We describe the case of a patient with a large renal cell carcinoma (RCC) who underwent cytoreductive nephrectomy utilizing liver mobilization techniques similar to those used in transplantation. Despite recurrent metastases, our patient continues to survive eight years later with several metastasectomies and adjuvant chemotherapy. We report the case of a 48-year-old Hispanic American man who presented with a 4-month history of an enlarging right upper quadrant abdominal mass and hematuria. C...

  20. Sustained axon-glial signaling induces Schwann cell hyperproliferation, Remak bundle myelination, and tumorigenesis

    OpenAIRE

    Gómez-Sánchez, José A.; López de Armentia, Mikel; Luján, Rafael; Kessaris, Nicoletta; Richardson, William D.; Cabedo, Hugo

    2009-01-01

    Type III neuregulins exposed on axon surfaces control myelination of the peripheral nervous system. It has been shown, for example, that threshold levels of type IIIβ1a neuregulin dictate not only the myelination fate of axons but also myelin thickness. Here we show that another neuregulin isoform, type III-β3, plays a distinct role in myelination. Neuronal overexpression of this isoform in mice stimulates Schwann cell proliferation and dramatically enlarges peripheral nerves and ganglia -whi...

  1. Ovarian Malignant Mixed Germ Cell Tumor: A Case of Unusual Presentation as Molar Pregnancy

    OpenAIRE

    Aminimoghaddam, Soheila; Mohseni, Iman; Afzalzadeh, Azadeh; Esmaeeli, Shooka

    2016-01-01

    Background: This research was conducted to introduce a patient with rare ovarian mixed germ cell tumor, presented as molar pregnancy. Case Presentation: The patient was a 16 year old woman admitted with diagnosis of molar pregnancy. Abdominal enlargement was the only complaint. She had a large pelvic mass in physical examination. The first diagnosis was molar pregnancy due to previous ultrasonic reports and positive βeta HCG. Urine pregnancy test was positive. As suction curettage was perform...

  2. Autologous peripheral blood stem cell transplantation in children and adolescents with non-Hodgkin lymphoma

    OpenAIRE

    Gui, Wei; Su, Liping; He, Jianxia; WANG, LIEYANG; Guan, Tao

    2015-01-01

    The aim of this study was to evaluate the effect and safety of autologous peripheral blood stem cell transplantation (APBSCT) in children and adolescents with non-Hodgkin lymphoma (NHL). Ten patients with NHL were analyzed retrospectively. In all the patients, lymph node enlargement was most frequently detected. Patients with a mediastinal mass presented with a cough, palpitation and shortness of breath. Extranodal patients presented with abdominal pain, inability to walk and vaginal bleeding...

  3. Morphological and ultrastructural changes in vegetative cells and heterocysts of Anabaena variabilis grown with fructose.

    OpenAIRE

    Lang, N. J.; Krupp, J M; Koller, A L

    1987-01-01

    The morphology and ultrastructure of Anabaena variabilis grown in medium with and without 40 mM fructose were compared. Vegetative cells and young heterocysts in fructose-supplemented medium were significantly larger, were filled with glycogen granules, and had fewer thylakoids. Developing heterocysts contained large numbers of glycogen granules well into mature stages, and envelope formation was precocious. As heterocysts enlarged in fructose medium, their shape became more broadly oblong co...

  4. Urethral metastasis from non-seminomatous germ cell tumor: a case report

    OpenAIRE

    Joffe Johnathan; Chilka Sameer; Wah Tze; Agarwal Vijay; Stark Dan

    2011-01-01

    Abstract Introduction We present a case of nonseminomatous germ cell tumor of the testes with acute urinary retention secondary to urethral metastasis. This presentation, and similar cases of urethral metastasis from this tumor, have not been reported previously. Case presentation A 35-year-old Caucasian man presented to hospital with a history of acute urinary retention. On examination he was found to have right testicular enlargement with raised β-human chorionic gonadotrophin, serum α-feto...

  5. FY 1997 report on the survey of potential impacts of enlarging ASEAN on political and economic systems in South East Asia; 1997 nendo chosa hokokusho (ASEAN kakudai no Higashi Asia no seiji keizai chitsujo eno eikyo chosa)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-03-01

    This report surveys potential impacts of ASEAN (Association of South East Asian Nations) on inter-ASEAN affairs and its external relations when ASEAN will enlarge its members to include all nations in South East Asia, and thus fully represent the region. For this purpose, the survey was conducted on Vietnam, Myanmar, Laos and Cambodia, which joined in 1995, from the viewpoint of their economic and political system, and their relations with other member countries. The nature of ASEAN has gradually transformed, in which all the countries in the region have increased and internal economic issues have been tackled. It has an aim to stimulate inter-ASEAN trade and induce foreign direct investment into ASEAN as a whole by reducing import duties on intra-ASEAN trade. Underlying in these, new development is a concern about growing economic and military power of China. ASEAN solidarity will work an leverage against China should change toward worse, and ASEAN will function as a regional stabilization factor. ASEAN is needed for the stability of both in economic and political order in East Asia. Japan has to further promote its cooperation with ASEAN to help its solidarity as an association. 24 refs., 21 figs., 25 tabs.

  6. Construção e aplicação de uma cela espectrofotométrica de camada delgada para análises em fluxo Construction and application of a thin layer spectrophotometric cell for flow analysis

    Directory of Open Access Journals (Sweden)

    Paulo C. C. de Oliveira

    2001-06-01

    Full Text Available A low cost spectrophotometric cell for use in flow analysis was manufactured in acrylic and adapted to a commercial spectrophotometer. The application of this cell was performed in the determination of chromium (VI in steel samples using the reaction with the alkaloid brucine in presence of oxalic acid and 0.6 mol L-1 sulfuric acid. The cell allows an enlarged analytical range, diminishing the extension of dilutions, which is useful for on-line monitoring of industrial processes.

  7. [Continuous perfusion culture hybridoma cells for production of monoclonal antibody].

    Science.gov (United States)

    Mi, Li; Li, Ling; Feng, Qiang; Yu, Xiao-Ling; Chen, Zhi-Nan

    2002-05-01

    Hybridoma cells were cultured by continuous perfusion in Fibra-Cel of 5L packed-bed bioreactor for 22 days in low serum or serum-free media. The corresponded amino acids were fed and serum concentration was decreased by analyzing glucose concentration, oxygen uptake rate, secretary antibody amount and amino acids concentration in culture supernatant. Comparing with continuous perfusion culture that amino acids were not fed, antibody amount of production was increased about 2-3 times. The inoculated cell density was 2.5 x 10(5) cells/mL, while the final cell density was 8.79 x 10(8) cells/mL. Antibody production was reached 295 mg/L/d at average level, and the highest level was reached 532 mg/L/d. These results provided a primary mode of enlarge culture for monoclonal antibody industralization. PMID:12192875

  8. Disseminated T-cell lymphoma in a Brazilian porcupine (Coendou prehensilis).

    Science.gov (United States)

    de Araújo, Marina Rios; Luppi, Marcela Miranda; Malta, Marcelo de Campos Cordeiro; Assumpção, Anna Luiza Facchetti Vinhaes; Langohr, Ingeborg Maria; Ecco, Roselene

    2011-01-01

    The current study describes the clinical, gross, histopathologic, and immunohistochemical findings of a T-cell lymphoma in a captive porcupine (Coendou prehensilis), a species typically seen in the tropical forests of Brazil. At necropsy, extensive neoplastic involvement was observed in the cervical lymph nodes, with extension into the salivary gland. The spleen was mildly enlarged, and neoplastic nodules were grossly evident in the liver and right kidney. Histologically, sheets of large and markedly pleomorphic round cells were observed in the cervical lymph nodes, lung, liver, spleen, and kidney. The neoplastic cells were positive for cluster of differentiation (CD)3 and negative for CD79a by immunohistochemistry.

  9. Effects of antigliomatin from the scorpion venom of Buthus martensii Karsch on chloride channels on C6 glioma cells

    Institute of Scientific and Technical Information of China (English)

    Zan Wang; Mingxian Li; Hongmei Meng; Min Huang; Weihong Lin; Li Cui; Shao Wang

    2011-01-01

    Using whole-cell patch-clamp recordings, the effects of antigliomatin were observed on chloride channels on C6 glioma cells cultured in vitro. Antigliomatin was extracted from the venom of the scorpion Buthus martensii Karsch. Chloride channels are closed under normal osmotic pressure. When osmotic pressure was reduced to 120, 110 and 100 mV, the cell volume enlarged, chloride channels opened, and the chloride channel current increased. Three minutes after antigliomatin treatment, the chloride channel current decreased in a dose-dependent manner. These results show that antigliomatin extracted from the venom of the scorpion Buthus martensii Karsch diminishes chloride channel currents on C6 glioma cells.

  10. Histological Study on in vitro Co-cultivation of the Myocardium Tissue and Cells with Mouse Embryonic Fibroblasts

    Institute of Scientific and Technical Information of China (English)

    ZHANG Gui-xue; LIU Yan; HU Peng-fei

    2004-01-01

    The histological observation was experimentally conducted on in vitro cultured mouse embryonic myocardium cells and myocardiumoid cell mass. The mouse embryo tissue were cultured and regular pulsatile myocardiumoid tissue could be found. During in vitro culture, the myofilament bundles in the cell were gradually increasing and strongly connectted each other with embryonic age and there were loose muscle fibers initially and intercalated discs were close to each other. The lose myofilament bundles were developed in muscle fibers with age and the distance between intercalated discs was enlarged. There were myofilamentoid structure in inactive cells and filament peripherily.

  11. Síndrome do aqueduto vestibular alargado: relato de 3 casos e revisão bibliográfica Enlarged vestibular aqueduct syndrome: report of 3 cases and literature review

    Directory of Open Access Journals (Sweden)

    José A. Pinto

    2005-06-01

    Full Text Available A Síndrome do Aqueduto Vestibular Alargado (SAVA é caracterizada por um alargamento do aqueduto vestibular associado a uma perda auditiva neurossensorial, algumas vezes mista, que pode ser congênita ou adquirida na infância. A disacusia pode ser dividida em leve, moderada ou profunda, associada com períodos de melhora ou de piora súbita. O alargamento do aqueduto vestibular é a anomalia da orelha interna mais comum. A SAVA é admitida como resultado de uma anormalidade genética no desenvolvimento do aqueduto vestibular anterior à quinta semana de gestação. A incidência de SAVA está entre 1% e 1,3%, podendo chegar a 7% dependendo da população examinada. O objetivo deste estudo é relatar 3 casos de SAVA atendidos no Núcleo de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço de São Paulo e no serviço de Radiologia do Hospital São Camilo - São Paulo, sendo que dois pacientes são irmãos somente por parte materna. Dois pacientes eram do sexo feminino, um do sexo masculino e a idade variou de 9 a 30 anos. O método diagnóstico de eleição é a TC de osso temporais. A conduta para os casos foi o tratamento conservador com ressalva a cuidados como traumatismos cranianos, barotraumas e, quando necessário, uso de próteses auditivas.Enlarged Vestibular Aqueduct Syndrome is characterized by a widening of the vestibular aqueduct, associated with sensorineural hearing loss, or sometimes with mixed hearing loss, which may be congenital or acquired during childhood. The sensorineural hearing loss may be classified into mild, moderate and severe, associated with sudden periods of improvement or aggravation. The enlargement of the vestibular aqueduct is the most common inner ear anomaly. This syndrome is admitted as a result of a genetic abnormality of the vestibular aqueduct development, previous to the fifth week of gestation. The incidence of this syndrome ranges from 1% to 1.3%, with the possibility of getting up to 7

  12. 肺动脉干扩张压迫左主干致心肌缺血的诊断及治疗%The Diagnosis and Treatment of Left Main Coronary Artery Compression from Pulmonary Artery Enlargement

    Institute of Scientific and Technical Information of China (English)

    王园园; 申磊

    2012-01-01

    Coronary atherosclerosis is the main reason for myocardial ischemia. In addition, coronary hypoperfusion, cardiomyopathy, and man)' others are also included. According to recent research, left main coronary artery ( LM ) compression from pulmonary artery enlargement due to pulmonary hypertension may lead to myocardial ischemia. It has been usually described in the setting of congenital heart disease and/or associated with primary pulmonary hypertension, and more frequently, isolated with atrial septal defect. So, early diagnosis and treatment is important. Through the understanding of the pathophysiology, mechanism and imaging of the disease, we may be able to choose appropriate treatment. This article describes the compression of LM based on anatomic details, pathophysiology, clinical manifestations, and several imaging modalities including cardiac computed tomography angiograply, cardiac magnetic resonance imaging, intravascular ultrasound, coronary angiograply. Though the optimal treatment for LM is debatable, percutaneous coronary intervention appears to be a feasible, safe, and effective treatment option for patients with extrinsic compression of the LM from pulmonary artery enlargement.%心肌缺血最常见的原因是冠状动脉粥样硬化.另外,冠状动脉灌注不足、心肌本身病变等也是导致心肌缺血的常见原因.近年来,有报道发现肺动脉高压致肺动脉干扩张压迫冠状动脉左主干也可致心绞痛、心肌梗死等心肌缺血事件发生.可见,肺动脉干扩张压迫左主干也是导致心肌缺血的一个少见病因.据报道,肺动脉干扩张压迫左主干常常合并先天性心脏病或/和原发性肺动脉高压,其病死率较高.因此,认识本病的病理生理学机制及影像学征象,并选择适宜的治疗方法尤为重要.现从其发生的解剖基础、病理生理学机制及临床表现等几个方面对其进行描述,并阐述了多种影像学检查方法在诊断此病中的价

  13. 经扩大的三角肌入路手术治疗肱骨近端骨折%Surgical treatment of proximal humeral fractures through enlarged tricepts-split approach

    Institute of Scientific and Technical Information of China (English)

    姜传强; 王丹; 曲文庆; 陈文韬

    2012-01-01

    Objective To investigate the methods and clinical outcomes of the proximal humeral fracture treated surgically through the enlarged transdeltoid approach. Methods All of 27 patients with proximal humeral fractures were treated surgically through enlarged tansdeltoid approach between January 2008 and October 2010, while 22 fractures had integral materials. The longitudinal incision (range, 8-10cm) went on midhumeral line besides the shoulder joint (from the acromion to attachment of deltoid). Deltoid and its attachment were split bluntly, then axillary nerve was protected 5cm below the acromion, in order to expose the proximal humerus. Anatomy plate was used to fix the fracture after reduction. Results During an average of 18 months follow up ( range 8~34 months), all got anatomical reduction and healed in 16.1 weeks on average. According to Neer Score, 10 fracture were excellent, 7 good, 3 fair, 2 bad. The excellent and good rate was 77.27 percent. There was no injured axillary nerve. Conclusion The proximal humerus can be exposed through the transdeltoid approach, the axillary nerve is then freed and protected. The approach makes the operation simple. The fractures get satisfactory outcomes during follow up after surgery. The transdeltoid approach is recommendable.%目的 探讨经扩大的三角肌入路手术治疗肱骨近端骨折的方法及临床疗效.方法 自2008年1月~2010年10月采用经扩大的三角肌入路手术治疗肱骨近端骨折27例,其中22例资料完整.自肩峰向下,于肩关节外侧正中作8~10 cm的纵形切口(自肩峰至三角肌附丽点),钝性劈开三角肌至三角肌肱骨止点,在肩峰下5 cm处显露并保护腋神经,显露肱骨近端,骨折复位后采用解剖型接骨板固定.结果 本组平均随访18个月(8 ~34个月),均达到或接近解剖复位,骨折均愈合,平均愈合时间16.1周.疗效评定按Neer评分:优10例,良7例,可3例,差2例,优良率77.27%.无腋

  14. Evolution of enlarged body size of coal tits Parus ater in geographic isolation from two larger competitors, the crested tit Parus cristatus and the willow tit Parus montanus, on six Scandinavian islands

    Directory of Open Access Journals (Sweden)

    R. Åke Norberg

    2015-11-01

    Full Text Available Here, we report that on six widely separated Scandinavian islands, the coal tit Parus ater has evolved morphologically in the direction of two absent competitors, the crested tit P. cristatus and the willow tit P. montanus, to the effect that it is up to 10% larger in linear dimensions than conspecifics on the adjacent Swedish mainland, where all three species coexist. The large size is genetically determined, as ascertained by clutch exchange experiments between island and mainland nests. We conclude that the increased size of P. ater in places where it is geographically isolated from its larger congeners is the result of evolutionary adaptation, due ultimately to relaxed interspecific competition. On the islands, P. ater has evolved into a medium-sized generalist, with selection pressures likely governed by the following causal relationships. When competitors are lacking, P. ater takes over the foraging space of the absentees. The enlarged food base allows higher population densities, which intensifies intraspecific interference competition. This, in turn, selects for increased body size. When P. ater coexists with its larger congeners, it occupies peripheral foraging sites in trees, which requires excellent manoeuvrability and energy-expensive locomotion modes. Reduction of body size increases locomotor capacity for mechanical and aerodynamic reasons and lowers energy consumption, so small size is favoured in sympatry. But in geographic isolation, P. ater exploits the tree periphery less and the inner tree regions more, and it also adopts the easier locomotion modes of the absent species. Therefore, selection for manoeuvrability and a small body size is relaxed. The new selection regime shifts the balance between opposing selection forces towards a larger body size. We were able to test 11 alternative hypotheses and available evidence conclusively eliminates them all. As a result, here, evolution could be predicted regarding both direction

  15. Evolution of enlarged body size of coal tits Parus ater in geographic isolation from two larger competitors, the crested tit Parus cristatus and the willow tit Parus montanus, on six Scandinavian islands.

    Science.gov (United States)

    Norberg, R Åke; Lindhe Norberg, Ulla M

    2015-10-21

    Here, we report that on six widely separated Scandinavian islands, the coal tit Parus ater has evolved morphologically in the direction of two absent competitors, the crested tit P. cristatus and the willow tit P. montanus, to the effect that it is up to 10% larger in linear dimensions than conspecifics on the adjacent Swedish mainland, where all three species coexist. The large size is genetically determined, as ascertained by clutch exchange experiments between island and mainland nests. We conclude that the increased size of P. ater in places where it is geographically isolated from its larger congeners is the result of evolutionary adaptation, due ultimately to relaxed interspecific competition. On the islands, P. ater has evolved into a medium-sized generalist, with selection pressures likely governed by the following causal relationships. When competitors are lacking, P. ater takes over the foraging space of the absentees. The enlarged food base allows higher population densities, which intensifies intraspecific interference competition. This, in turn, selects for increased body size. When P. ater coexists with its larger congeners, it occupies peripheral foraging sites in trees, which requires excellent manoeuvrability and energy-expensive locomotion modes. Reduction of body size increases locomotor capacity for mechanical and aerodynamic reasons and lowers energy consumption, so small size is favoured in sympatry. But in geographic isolation, P. ater exploits the tree periphery less and the inner tree regions more, and it also adopts the easier locomotion modes of the absent species. Therefore, selection for manoeuvrability and a small body size is relaxed. The new selection regime shifts the balance between opposing selection forces towards a larger body size. We were able to test 11 alternative hypotheses and available evidence conclusively eliminates them all. As a result, here, evolution could be predicted regarding both direction and amount of change.

  16. Effect of pore enlarged of USY catalysts in hydrocracking of low-temperature coal tar%USY分子筛扩孔对低温煤焦油加氢裂化的影响

    Institute of Scientific and Technical Information of China (English)

    钱广伟; 吴倩; 徐登华; 余兆祥

    2013-01-01

    以NH4F溶液、NH4F和HF混合液处理USY分子筛,制备加氢裂化催化剂.通过BET、XRD表征催化剂的比表面积、孔容孔径及晶体结构,在340℃,5.0 MPa,空速3.0h-1以及氢油体积比为600条件下,使用改性后催化剂对低温煤焦油进行加氢裂化反应,评价催化剂的催化效果.结果表明,处理后的载体制备的催化剂不但没有完全破坏分子筛固有结构,而且平均孔径有很大的提高,出现二次孔,在催化剂效果评价中,以NH4F和HF混合液处理得到的催化剂由于维持了催化剂的酸性,其催化效果远好于空白USY系列和NH4F溶液系列催化剂.%In the research,USY molecular sieve was modified by NH4F solution and NH4F solution with some HF acid added and made into catalysts loaded different contents Ni.These catalysts were characterized by XRD and BET and then used into hydrocracking of low-temperature coal tar.The result showed the pore was enlarged and total pore volume improved.In reaction,catalysts which were modified by NH4F solution with some HF acid added show higher catalytic activity than another two series catalysts.

  17. Enlarged Cross-section of The Stone Arch Bridge Strengthened by Technology Application%增大截面法加固石拱桥的技术应用

    Institute of Scientific and Technical Information of China (English)

    吴跃梓; 章劲松

    2012-01-01

    石拱桥是极具中华民族气息与特色的桥型,该桥型结构实用、美观.然而随着时代的变迁及交通运输业的发展,大量的石拱桥出现了各种各样的病害,很多桥甚至已发展成危桥.为改善交通状况,消除安全隐患,结合当前经济状况,加固利用旧危石拱桥是合理的.石拱桥加固的方法很多,结合工程实例重点阐述增大截面加固法加固石拱桥的基本原理、方法和步骤.%Stone arch bridge is a Chinese national flavor and characteristics of the bridge, the bridge type structure, beautiful and practical. However, with the change of times and the development of transportation industry, large stone arch bridges the emergence of a variety of diseases, many bridges has developed the deserted bridge. In order to improve traffic conditions, to eliminate potential safety problems, combined with the current economic situation, strengthening the old stone arch bridge is reasonable. Stone arch bridge reinforcement method, this paper focuses on the section- enlarging reinforcing method for reinforcing stone arch bridge, the basic principle of the method and steps.

  18. The vasculature of nurse cells infected with non-encapsulated Trichinella species.

    Science.gov (United States)

    Khositharattanakool, Pathamet; Morakote, Nimit; Uparanukraw, Pichart

    2013-07-01

    The vasculature surrounding the nurse cells of encapsulated Trichinella spiralis has been described previously. It has been postulated the function of these vessels is to support the growth of the parasite. We describe here for the first time the vasculature surrounding the nurse cells of non-encapsulated T. pseudospiralis and T. papuae. Similar to the vasculature of uninfected muscle cells, the vessels surrounding non-encapsulated Trichinella nurse cells are dense and branched longitudinally along the long axis of the muscle cells; they also appear to be similar in diameter. The netting pattern of enlarged vessels found around T. spiralis (encapsulated) nurse cells is not present in non-encapsulated Trichinella infections. The vessels surrounding non-encapsulated Trichinella nurse cells seem to exist prior to parasite invasion of the muscle cell. PMID:24050088

  19. Clonogenic colony-forming ability of hepatic stem cells in the spleens of mice

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    To confirm the existence of hepatic stem cells (HSCs), fetal liver cells isolated from mice on embryonic day 13 (ED13) were long-term cultured in vitro. Growth of the cells was observed intensively and characteristics were identified by immunocytochemistry. The results showed that some of the cells grew as colonies, in which some cells expressed AFP, CD34 and Albumin. Then the cells were transplanted intravenously into irradiated syngeneic mice. At day 12 a number of small hyperplasia nodules were seen in the apparently enlarged spleens of recipient mice. Moreover, some nodules were positive for AFP and CD34 and consisted of various types of cells, suggesting the very existence of hepatic stem cells in the mouse fetal liver.

  20. Plasma Cell Gingivitis: An Occasional Case Report.

    Science.gov (United States)

    Mishra, M B; Sharma, Swati; Sharma, Alok

    2015-01-01

    Plasma cell gingivitis, an infrequently observed oral condition, has been clinically characterized by diffuse gingival enlargement, erythema and sometimes desquamation. These lesions are usually asymptomatic, but invariably the patient will complain of a burning sensation in the gingiva and bleeding from the mouth. The diagnosis requires hematological screening in addition to clinical and histopathological examinations. This case report outlines one such case of plasma cell gingivitis in a 15-year-old female caused by use of an herbal, homemade toothpowder. The case presented here highlights the adverse effects and irrational use of herbal agents in dentifrices. At the same time, it emphasizes the need for comprehensive history taking, careful clinical examination and appropriate diagnostic tests in order to arrive at a definitive diagnosis and treatment plan for gingival conditions that are refractory to conventional therapy and to exclude certain malignancies and oral manifestations of systemic diseases.