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  1. Churg Strauss syndrome; Sindrome de Churg Strauss

    Energy Technology Data Exchange (ETDEWEB)

    Lopez Rengifo, Diana Milena; Contreras Zuniga, Eduardo; Osio, Luis Fernando

    2007-07-01

    The Churg-Strauss syndrome, also called allergic granulomatosis and angiitis, is a multisystem disorder characterized by allergic rhinitis, asthma, and prominent peripheral blood eosinophilia. The most common organ involved is the lung, followed by the skin. The Churg-Strauss syndrome, however, can affect any organ system, including the cardiovascular, gastrointestinal, renal, and central nervous systems.

  2. Churg Strauss syndrome

    International Nuclear Information System (INIS)

    Lopez Rengifo, Diana Milena; Contreras Zuniga, Eduardo; Osio, Luis Fernando

    2007-01-01

    The Churg-Strauss syndrome, also called allergic granulomatosis and angiitis, is a multisystem disorder characterized by allergic rhinitis, asthma, and prominent peripheral blood eosinophilia. The most common organ involved is the lung, followed by the skin. The Churg-Strauss syndrome, however, can affect any organ system, including the cardiovascular, gastrointestinal, renal, and central nervous systems

  3. Churg-Strauss syndrome

    International Nuclear Information System (INIS)

    Ayala, Jose Javier; Velasquez, Juan Carlos

    2005-01-01

    Churg-Strauss Syndrome was described in 1951 and it is characterized by asthma, fever, hypereosinophilia and vasculitis. In 1990, following the discussion of several proposals for its classification, the American College of Rheumatology established its diagnostic criteria. A 55 year-old female patient was seen recently at the Military Hospital in Bogota, Colombia, with leucocytoclastic vasculitis, wheezing, pulmonary infiltrates and hypereosinophilia, who met all the criteria to be classified as a Churg-Strauss patient

  4. Syndrome of Churg Strauss

    International Nuclear Information System (INIS)

    Sanchez Morales, Edgar Alberto; Saavedra Rodriguez, Alfredo; Henao Riveros, Sandra

    2002-01-01

    The Churg-Strauss syndrome denominated allergic granulomatosis and angeitis is characterized by a systemic vasculitis of small glasses, extravascular granulomas and hypereosinophilia. Initially described by Jacob Churg and Lotte Strauss, two pathologists who in 1951 they published the description of 13 patient postmortem with tisular infiltration for eosinophils, necrotizant vasculitis and extravascular granulomas. The paper includes nomenclature, classification approaches, pathogenesis, pathology, and clinical aspects and diagnostic

  5. Churg-strauss syndrome

    Directory of Open Access Journals (Sweden)

    Brar B

    2009-01-01

    Full Text Available We report a case of 29-year-old man who presented with cutaneous vasculitis and was subsequently diagnosed as a case of Churg-Strauss syndrome. The patient fulfilled five out of the six criteria of the syndrome developed by American College of Rheumatology.

  6. Churg-Strauss syndrome; Sindrome de Churg Strauss

    Energy Technology Data Exchange (ETDEWEB)

    Ayala, Jose Javier; Velasquez, Juan Carlos

    2005-07-01

    Churg-Strauss Syndrome was described in 1951 and it is characterized by asthma, fever, hypereosinophilia and vasculitis. In 1990, following the discussion of several proposals for its classification, the American College of Rheumatology established its diagnostic criteria. A 55 year-old female patient was seen recently at the Military Hospital in Bogota, Colombia, with leucocytoclastic vasculitis, wheezing, pulmonary infiltrates and hypereosinophilia, who met all the criteria to be classified as a Churg-Strauss patient.

  7. Syndrome of Churg Strauss; Sindrome de Churg Strauss

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez Morales, Edgar Alberto; Saavedra Rodriguez, Alfredo; Henao Riveros, Sandra

    2002-09-01

    The Churg-Strauss syndrome denominated allergic granulomatosis and angeitis is characterized by a systemic vasculitis of small glasses, extravascular granulomas and hypereosinophilia. Initially described by Jacob Churg and Lotte Strauss, two pathologists who in 1951 they published the description of 13 patient postmortem with tisular infiltration for eosinophils, necrotizant vasculitis and extravascular granulomas. The paper includes nomenclature, classification approaches, pathogenesis, pathology, and clinical aspects and diagnostic.

  8. Churg-strauss syndrome

    Directory of Open Access Journals (Sweden)

    Subhasish Ghosh

    2011-01-01

    Full Text Available Churg-Strauss syndrome (CSS is a rare granulomatous necrotizing small vessel vasculitis characterized by the presence of asthma, sinusitis, and hypereosinophilia. The cause of this allergic angiitis and granulomatosis is unknown. Other common manifestations are pulmonary infiltrates, skin, gastrointestinal, and cardiovascular involvement. No data have been reported regarding the role of immune complexes or cell mediated mechanisms in this disease, although autoimmunity is evident with the presence hypergammaglobulinemia, increased levels of IgE and Antineutrophil cytoplasmic antibody (positive in 40%. We report the case of a 27-year-old lady presenting with painful swelling of predominantly lower limbs with extensive vesicles and ecchymotic patches and fever shortly after stopping systemic steroids taken for a prolonged duration (2002--2010. The aim of this case report is to point to the possibility of CSS in patients presenting with extensive skin lesions masquerading as Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis Syndrome (SJS/TENS.

  9. Churg-Strauss syndrome

    Directory of Open Access Journals (Sweden)

    Ilić Tatjana

    2002-01-01

    Full Text Available Churg-Strauss syndrome (CSS is medium blood vessels vasculitis with predilection for lungs in patients with bronchial asthma, chronic eosinophilic pneumonia and positive ANCA in the sera in 55-67%. This is a case report of a 60 years old female patient with bronchial asthma, peripheral pulmonary infiltrations, blood eosinophilia, xerophtalmia, tachycardia, chronic rhino sinusitis, polyneuropathia and negative immunological tests: CIC (PEG, CRYO, ANA (IIF, RF (agglutination and ANCA (IIF: pANCA and cANCA; ELISA: proteinase 3, lactoferrin, myeloperoxidase, elastase, cathepsin G. Eosinophilic infiltrates in the tissues tested by skin and salivary gland biopsies were not found. The patient had fulfilled five clinical diagnostic criteria and responded well to immunosuppressive therapy, so this case could be classified as the ANCA negative angiitis and granulomatous of CSS type.

  10. Eosinophilic Granulomatosis with Polyangiitis, formerly Churg-Strauss Syndrome (EGPA)

    Science.gov (United States)

    ... Strauss Syndrome (EGPA) Eosinophilic Granulomatosis with Polyangiitis, formerly Churg-Strauss Syndrome (EGPA) First Description Who gets EGPA (the “ ... granulomatosis with polyangiitis (EGP), formerly known as the Churg-Strauss Syndrome , is a systemic vasculitis. This disease was ...

  11. Heart transplantation for Churg-Strauss syndrome.

    Science.gov (United States)

    Thomson, D; Chamsi-Pasha, H; Hasleton, P

    1989-01-01

    A patient with heart failure caused by Churg-Strauss syndrome was successfully treated with transplantation. The case was unusual because there was little evidence of Churg-Strauss syndrome in the lung. The patient remains well on standard transplant immunotherapy. Images Figure PMID:2590597

  12. Levi-Strauss, Claude (1908-2009)

    DEFF Research Database (Denmark)

    Bouchet, Dominique

    2015-01-01

    Before Lévi-Strauss, anthropology was merely empirical and mostly interested in identifying different cultures’ contextual framework. Lévi-Strauss is not just interested in understanding and explaining different cultures from within. He wants to figure out how humans think fundamentally and from...... there to understand cultural diversity. Lévi-Strauss is the first anthropologist to connect cultural diversity with the unity of humans, that is to say, with human nature. All humans do not think the same, neither do they unite in the same way, but they compose in the same way. They have the same propensity to create...

  13. [Update Churg-Strauss syndrome].

    Science.gov (United States)

    Moosig, F; Hellmich, B

    2012-11-01

    The Churg-Strauss syndrome (CSS) is the rarest subtype of the so-called anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) and has the lowest frequency of ANCA-positivity (around 30%). In addition to asthma and blood eosinophilia, CSS is characterized by end-organ damage, which can be caused by either vasculitis and/or tissue infiltration of eosinophilic granulocytes. The CSS shares many etiological and clinical features of other hypereosinophilic syndromes. Recently, a distinct genetic background could be demonstrated for both the ANCA-positive and ANCA-negative subtypes of CSS as compared to the other two forms of AAV. Among other cytokines, interleukin-5 (IL-5) could be identified as a key mediator of eosinophilia. Therefore, recent clinical trials in CSS aimed to target IL-5. Outside of clinical trials, treatment of CSS is adapted to disease stage and activity, as recommended for other types of AAV.

  14. Strauss: Der Rosenkavalier - Suite / Michael Kennedy

    Index Scriptorium Estoniae

    Kennedy, Michael

    1990-01-01

    Uuest heliplaadist "Strauss: Der Rosenkavalier - Suite, Salome-Dance of the seven veils, Capriccio-Prelude, Intermezzo, Morgen Mittag um elf! Felicity Lott, Scottish National Orchestra, Neeme Järvi" Chandos ABRD 1397. ABTD 1397. CHAN 8758

  15. Churg-strauss syndrome: an update.

    Science.gov (United States)

    Abril, Andy

    2011-12-01

    Churg-Strauss syndrome is an uncommon disease of unknown cause described initially by Churg and Strauss in 1951. Even though it was initially thought to be a variant of polyarteritis nodosa, its pathological, clinical, and laboratory features show that it is related to the small vessel vasculitides, and it is now classified as an antineutrophil cytoplasmic antibody-associated vasculitis. The presence of asthma, usually of adult onset, along with other allergic symptoms, peripheral and tissue eosinophilia, is specific to this disease. These features usually help clinicians distinguish it from other types of small vessel vasculitis and should alert clinicians about its presence. Two different clinical subtypes defined by the presence of antineutrophil cytoplasmic antibodies recently have been recognized. Recent advances in the treatment and pathophysiology of Churg-Strauss syndrome are reviewed in this article.

  16. Síndrome de Churg Strauss

    Directory of Open Access Journals (Sweden)

    Édgar Alberto Sánchez Morales

    2002-07-01

    Full Text Available El Síndrome de Churg-Strauss denominado Granulomatosis alérgica y angeitis está caracterizado por una vasculitis sistémica de pequeños vasos, granulo mas extravasculares e hipereosinofilia. Inicialmente descrito por Jacob Churg y Lotte Strauss, dos patólogos quienes en 1951 publicaron la descripción de 13 pacientes postmortem con infiltración tisular por eosinófilos, vasculitis necrotizante y granulomas extravasculares (3; los casos descritos tenían clínicamente asma severa, fiebre, hipereosinofilia y evidencia de anormalidades vasculares en varios órganos y sistemas.

  17. Síndrome de Churg-Strauss Churg-Strauss syndrome

    Directory of Open Access Journals (Sweden)

    Juliana Monteiro de Barros

    2005-07-01

    Full Text Available A síndrome de Churg-Strauss caracteriza-se por asma, eosinofilia e graus variados de vasculite sistêmica. As formas mais graves com acometimento cardíaco, gastrintestinal, sistema nervoso central e renal requerem ciclofosfamida para seu tratamento.Churg-Strauss syndrome is characterized by asthma, eosinophilia and various degrees of systemic vasculitis. The most severe forms of the disease, presenting cardiac, gastrointestinal, central nervous system and renal involvement, require cyclophosphamide therapy.

  18. Churg-strauss syndrome: a case report.

    Science.gov (United States)

    Zhdan, Vyacheslav М; Kitura, Yevdokiia М; Kitura, Oksana Ye; Babanina, Maryna Yu; Tkachenko, Maksym V; Lebid, Volodymyr G

    A clinical case of Churg-Strauss syndrome has been reported on the 53-year-old female patient Ts. with bronchial asthma and allergic rhinitis. The main clinical signs and syndromes depending on the stage of the disease are presented, as well as therapeutic treatment of patients with this disease.

  19. Churg-Strauss syndrome: a case report*

    Science.gov (United States)

    Fernandes, Gabriel Lacerda; Teixeira, Arivaldo Araújo; Antón, Ana Graziela Santana; Reis, Alan Timóteo Rodrigues; de Freitas, Ana Carolina Rezende; Basílio, Dunya Bachour

    2014-01-01

    Churg-Strauss syndrome is a rare systemic disease primarily characterized by hypereosinophilia, asthma and vasculitis. The lung is the organ most frequently involved. In the present report, the authors describe a relatively rare finding in this disease - the presence of a pulmonary nodule -, while recalling the main radiological findings and the most relevant differential diagnoses. PMID:25741095

  20. Churg-Strauss syndrome: a case report

    Energy Technology Data Exchange (ETDEWEB)

    Fernandes, Gabriel Lacerda; Reis, Alan Timoteo Rodrigues; Freitas, Ana Carolina Rezende de; Basilio, Dunya Bachour, E-mail: lacerdagabriel@hotmail.com [Hospital de Base do Distrito Federal (HBDF), Brasilia, DF (Brazil); Teixeira, Arivaldo Araujo [Diagnostico das Americas (DASA/Exame-Pasteur), Brasilia, DF (Brazil); Anton, Ana Graziela Santana [Hospital Brasilia, Brasilia, DF (Brazil)

    2014-07-15

    Churg-Strauss syndrome is a rare systemic disease primarily characterized by hypereosinophilia, asthma and vasculitis. The lung is the organ most frequently involved. In the present report, the authors describe a relatively rare finding in this disease - the presence of a pulmonary nodule -, while recalling the main radiological findings and the most relevant differential diagnoses. (author)

  1. [Parotid involvement in Churg-Strauss syndrome].

    Science.gov (United States)

    Bonnet, R; Bertin, H; Delemazure, A S; Clairand, R; Mercier, J; Corre, P

    2014-06-01

    Churg-Strauss syndrome is a rare systemic vascularitis. This disease causes eosinophilic tissue infiltration. The most frequent manifestations are cortico-dependent asthma, mono- or polyneuropathy, paranasal sinus polyposis, and digestive and renal dysfunction. Salivary glands are very rarely involved. We describe a case of CSS in a patient presenting with bilateral parotid swelling. The morphological study of salivary glands revealed an unusual thickening of the salivary duct walls. Salivary gland involvement in Churg and Strauss syndrome can be difficult to demonstrate histologically; it does not usually present in the clinical foreground of the disease, and can be a source of misdiagnosis. The biopsy should be performed in the symptomatic gland, away from any previous corticoid treatment. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  2. Levi-Strauss and the Opera

    Directory of Open Access Journals (Sweden)

    Vlado Kotnik

    2016-02-01

    Full Text Available This paper is dedicated to Claude Levi-Strauss and his structural reading of opera as metaphorical ‘composing’ of an anthropological grand opera, materialized in the four-volume study of Mythologiques, which refers to Wagner’s tetralogy of The Ring. He created a type of comparative view of the function and structure of myth schemes in Amerindian culture and the orchestral scores of Wagner’s operas, and implicitly signalled that European music, with its eminent representation – opera – has had the same value or similar symbolic position in the mind and life of a contemporary European that myth has had in ‘the savage mind’. Through this, he can lead us to the understanding of opera as myth and metaphor. However, the paper extends the discussion on Levi-Strauss to a broader historical picture of the relationship between opera and mythology as two symbolic systems of European culture.

  3. Levi-Strauss : UNESCO = anthropology : politics

    Directory of Open Access Journals (Sweden)

    Ljiljana Gavrilović

    2016-02-01

    Full Text Available This paper discusses Levi-Strauss engagement in UNESCO activities. On the one hand, Levi-Strauss engagement in Pakistan had an important impact on his later work, as well as on his overall view about the world and culture( s; while on the other, Levi-Strauss’s definitions of the relationship between race/nation and culture had an important influence on the ways in which UNESCO dealt with the ideas about culture and on the ways these ideas were implemented in its global strategies of action in/towards culture. On the one hand, this engagement included a delivery of the European world view (as a superior one to everyone who does not have it; while on the other, it also meant a protection of material remains of different cultures world-wide and protection of non-material heritage and/as entire "Othern-ness", whenever it is located, and (at least in theory however it looks like. In that sense, Levi- Strauss public engagement had an important impact not only on anthropology, as a discipline that he dedicated his life to, but also to the formation of contemporary understanding of politically correct relationship towards the "Other".

  4. [Mastitis revealing Churg-Strauss syndrome].

    Science.gov (United States)

    Dannepond, C; Le Fourn, E; de Muret, A; Ouldamer, L; Carmier, D; Machet, L

    2014-01-01

    Churg-Strauss syndrome often involves the skin, and this may sometimes reveal the disease. A 25-year-old woman was referred to a gynaecologist for inflammation of the right breast with breast discharge. Cytological analysis of the liquid showed numerous inflammatory cells, particularly polymorphonuclear eosinophils and neutrophils. Ultrasound examination of the breast was consistent with galactophoritis. CRP was normal, and hypereosinophilia was seen. The patient was subsequently referred to a dermatology unit. Skin examination revealed inflammation of the entire breast, which was painful, warm and erythematous; the border was oedematous with blisters. Necrotic lesions were also present on the thumbs and knees. Skin biopsy of the breast showed a dermal infiltrate with abundant infiltrate of polymorphonuclear eosinophils, including patchy necrosis and intraepidermal vesicles. Histological examination of a biopsy sample from a thumb revealed eosinophilic granuloma and leukocytoclastic vasculitis. The patient was also presenting asthma, pulmonary infiltrates and mononeuropathy at L3, consistent with Churg-Strauss syndrome. Breast involvement in Churg-Strauss syndrome is very rare (only one other case has been reported). This is the first case in which the breast condition revealed the disease. Cutaneous involvement of the breast is, however, also compatible with Wells' cellulitis. The lesions quickly disappeared with 1mg/kg/d oral prednisolone. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  5. Churg-Strauss syndrome in childhood: a case report.

    Science.gov (United States)

    Albahri, Ziad; Minxová, Lenka; Lukeš, Antonín; Mawiri, Abdul Al; Štefáčková, Šárka

    2014-10-01

    Churg-Strauss syndrome is a rare form of small-vessel vasculitis. In the current report, we describe the case of a 17-year-old Czech girl predominantly characterized by peripheral neuropathy, the presence of cardiac and pulmonary involvement, hypereosinophilia, asthma, and sinusitis that led to the diagnosis of Churg-Strauss syndrome. © The Author(s) 2013.

  6. Asma e síndrome de Churg-Strauss Asthma and Churg-Strauss syndrome

    Directory of Open Access Journals (Sweden)

    Soloni Afra Pires Levy

    2006-08-01

    Full Text Available Relata-se o caso de uma mulher de 25 anos com síndrome de Churg-Strauss, cujos sintomas surgiram aos dezesseis anos, logo após o início do uso de contraceptivo oral. O quadro clínico evoluiu rapidamente com asma persistente grave, polipose nasal, rinite perene obstrutiva, eosinofilia periférica e tecidual, e mononeurite. A síndrome de Churg-Strauss é uma doença que exige suspeita precoce, diagnóstico preciso, tratamento agressivo e monitoramento periódico, devendo ser considerada no diagnóstico diferencial de asma persistente moderada e grave. O caso relatado chama a atenção para possível participação hormonal e surgimento em idade precoce.We report the case of a 25-year-old woman with Churg-Strauss syndrome, the symptoms of which had first appeared soon after she began taking oral contraceptive at the age of sixteen. The clinical profile evolved rapidly to severe persistent asthma, nasal polyposis, perennial obstructive rhinitis, eosinophilia (peripheral/tissue and mononeuritis. Churg-Strauss syndrome is the type of disease that demands early detection, accurate diagnosis, aggressive treatment and periodic monitoring. It should be considered in the differential diagnosis of moderate and severe persistent asthma. The case reported calls attention to possibility that there is a hormonal component and that the disease can present early onset.

  7. Síndrome de Churg-Strauss: relato de caso = Churg-Strauss Syndrome: case report

    Directory of Open Access Journals (Sweden)

    Haggsträm, Fábio Maraschin

    2008-01-01

    Conclusão: apesar de infreqüente, a síndrome de Churg-Strauss deve sempre fazer parte do diagnóstico diferencial da asma de difícil controle, em razão do seu prognóstico desfavorável e da boa resposta ao tratamento

  8. Louis Althusser, Leo Strauss, and Democratic Leadership

    OpenAIRE

    Tamulis, Bron Cohen

    2014-01-01

    In taking up the topic of political leadership, I seek to analyze the legacy of social science in light of the sobering political events of the twentieth century. This dissertation is a composite study of the work of two philosophers, and, specifically, what they endeavored to accomplish by thinking and writing on the subject of politics. I concentrated on the post-War landscape, and the philosophers Louis Althusser and Leo Strauss, in order to analyze the way in which the figure of Machiav...

  9. Innovatsioon = Innovation

    Index Scriptorium Estoniae

    2008-01-01

    TÜ teadlased töötavad välja Philipsi tellimusel uut tomograafi; prof. Marika Mikelsaar pälvis bakteri ME-3 kasutamise eest Euroopa Liidu innovaatori auhinna; toruluude murdude fragmentide ühendamiseks koostatud leiutisele said patendi Aleks Lenzner ja Tiit Haviko TÜ-st ning Vladimir Andrianov EMÜ-st

  10. ANCA-negative Churg-Strauss Syndrome

    Directory of Open Access Journals (Sweden)

    Syed Jamil Abdal

    2016-08-01

    Full Text Available A rare and a disease of unknown etiology, Churg-Strauss syndrome (CSS is a granulomatous necrotizing small vessel vasculitis characterized by the presence of asthma, sinusitis, and hypereosinophilia, which is initially described by Churg and Strauss in 1951. Because of its clinical and pathological features that overlap with those of the other anti-neutrophil antibody (ANCA-associated systemic vasculitides (AASVs and now the disease is classified as AASVs. The ANCA status may dictate the clinical phenotype. ANCA-positive patients are significantly more likely to have disease manifesta­tions associated with small-vessel vasculitis, including oecrotising glomemlonephritis, mononeuritis and purpura, whereas ANCA-negative cases predominantly likely to have cardiac and lung involvement. The objective of this case report is to point out the possibility of vasculitic rash in ANCA-negative CSS in a 35-year-old man and the disease rarely occurs in Bangladeshi population. We analyze the history, clinical examinations and relevant investigations related to the patient to establish the diagnosis in our department. The clinical scenario and biopsy help us to attain the diagnosis. But due to unavailability of patients' cohort we have limitations of comparison of ANCA status in Bangladeshi populations. Though ANCA-positive and ANCA-negative CSS differ phenotypically, primary therapy for both the conditions is systemic glucocorticoids. Additional immunosuppressive agents like cyclophosphamide, mycophenolate mofetil, azathioprine, rituxin1ab are occasionally added in patients with more advanced or refractory disease.

  11. Reassessing Jacob Strauss and the Mosaic Code

    Directory of Open Access Journals (Sweden)

    Joel McDurmon

    2012-01-01

    Full Text Available This article reviewed claims made by modern scholars Ford Lewis Battles, G.H. Williams, and Theodore Tappert concerning the views of Jacob Strauss (1480–1530, court preacher at Eisenach, particularly in regard to the imposition of Mosaic Law upon the civil realm. Most pointedly, Battles claims Strauss proposed to replace European civil law completely with the ‘entire Mosaic code’. This study examined Strauss’s relevant writings to determine his position on Mosaic Law and civil law and demonstrated that the claims of Battles, Williams, and Tappert were not supported by the primary source evidence. Selections from Strauss’ 51 theses on usury are translated into English for the first time. To a much lesser degree, this study addressed the issue in regard to the Weimar court preacher Wolfgang Stein, against whom the same claims were made. A paucity of evidence rendered those claims dubious in his case. In the end we were left only with unsubstantiated second-hand claims against these men.

  12. Theory, Practice, and Modernity: Leo Strauss on Rousseau's Epicureanism.

    Science.gov (United States)

    Holley, Jared

    2017-01-01

    This article reconstructs Leo Strauss's reading of Rousseau's Epicureanism to argue that his work is unified by an abiding concern with the problem of theory and practice. Strauss sought to clarify the distinction between theory and practice he considered a fundamental precondition of any properly philosophical reflection on political life, and he explained the pernicious obscuring of that distinction through a narrative tracing the modern modifications of classical Epicureanism. Strauss's critical history of modern political thought is thus part of his attempt to restore the classical distinction between theory and practice to the status of a philosophical problem in modernity.

  13. Churg-Strauss syndrome associated with montelukast therapy

    Science.gov (United States)

    Tuggey, J; Hosker, H

    2000-01-01

    Churg-Strauss syndrome is a rare form of eosinophilic vasculitis associated with asthma. There have been several recent case reports of the condition in association with leukotriene antagonists and it has been speculated that the Churg-Strauss syndrome was unmasked when oral corticosteroids were withdrawn. We report a case of Churg-Strauss syndrome associated with montelukast therapy in an asthmatic patient in whom there had been no recent oral corticosteroid use. We believe that this is the first such reported case and would suggest that clinicians need to be vigilant in all patients who develop systemic symptoms when starting treatment with leukotriene antagonists.

 PMID:10950903

  14. Churg-Strauss syndrome: a case with unusual manifestations

    International Nuclear Information System (INIS)

    Restrepo, Mauricio; Gonzalez, Luis Alonso; Vasquez, Gloria

    2008-01-01

    Churg-Strauss syndrome, a necrotizing systemic vasculitis which involves the small and (more rarely) the medium-sized vessels, is a primary vasculitis strongly associated with anti neutrophil cytoplasm antibodies (ANCA). It is characterized by the presence of asthma, eosinophilia and extravascular eosinophilic granulomas. Herein, we report a 36-year-old woman with a history of late onset asthma and allergic rhinitis who developed central nervous system involvement, peripheral neuropathy, leucocytoclastic vasculitis and eosinophilia. Interestingly, unusual clinical manifestations of Churg-Strauss syndrome such as mesenteric micro aneurysms and jaw claudication were present in this particular patient. A brief review of the literature of Churg-Strauss syndrome is presented.

  15. Churg-Strauss Syndrome following PTU Treatment

    Directory of Open Access Journals (Sweden)

    R. A. M. Quax

    2009-01-01

    Full Text Available Propylthiouracil (PTU is a frequently prescribed drug in the treatment of hyperthyroidism. The use of PTU is, however, accompanied by numerous potentially serious side effects including vasculitis. PTU-related vasculitides can present as haematuria, pulmonary haemorrhage, or cutaneous lesion together with aspecific symptoms such as fever, myalgia, arthralgia, and fatigue. Cerebral involvement is seldom observed. We present a 49-year-old female with Graves' disease and asthma, who developed paresis of the proximal extremities, eosinophilia, pulmonary, and cutaneous lesions following treatment with PTU. A cerebral vasculitis consistent with Churg-Strauss syndrome (CSS was suspected. Although cerebral involvement is seldom observed with PTU treatment, cerebral vasculitis should be considered in patients developing CNS symptoms.

  16. Churg-Strauss syndrome and hemorragic vasculitis

    Directory of Open Access Journals (Sweden)

    Rui Moreira Marques

    2011-12-01

    Full Text Available Churg-Strauss syndrome (CSS is a rare syndrome characterized by sinusitis, asthma and peripheral eosinophilia. This vasculitic syndrome affects medium and small-sized vessels, the lung being the most commonly affected organ, followed by the skin. The authors report a case of a 59-year-old male with a past history of asthma and allergic rhinitis. He presented necrohemorragic lesions in the distal phalanx of the 2nd, 3rd and 4th fingers of the lefthand and petechial lesions in the plant of both feet, accompanied by asthenia, anorexia and weight loss. The analytical study revealed leukocytosis with eosinophilia, elevated inflammatory parameters and p-ANCA positive antibodies. The diagnosis of CSS was established based on clinical and histopathological data. Cutaneous manifestations of hemorragic vasculitis are rare in CSS syndrome but can be the first manifestation of the disease. The recognition of this presentation is important for the early diagnosis and treatment of this syndrome.

  17. Churg-Strauss syndrome and hemorrhagic vasculitis

    Science.gov (United States)

    Marques, Rui Moreira; Cabral, Ana Rita; Monteiro, Antonio; Henriques, Pedro

    2011-01-01

    Churg-Strauss syndrome (CSS) is a rare syndrome characterized by sinusitis, asthma and peripheral eosinophilia. This vasculitic syndrome affects medium and small-sized vessels, the lung being the most commonly affected organ, followed by the skin. The authors report a case of a 59-year-old male with a past history of asthma and allergic rhinitis. He presented necrohemorragic lesions in the distal phalanx of the 2nd, 3rd and 4th fingers of the left-hand and petechial lesions in the plant of both feet, accompanied by asthenia, anorexia and weight loss. The analytical study revealed leukocytosis with eosinophilia, elevated inflammatory parameters and p-ANCA positive antibodies. The diagnosis of CSS was established based on clinical and histopathological data. Cutaneous manifestations of hemorragic vasculitis are rare in CSS syndrome but can be the first manifestation of the disease. The recognition of this presentation is important for the early diagnosis and treatment of this syndrome. PMID:25386301

  18. R. Strauss: Symphonia domestica, Op. 53 / David Nice

    Index Scriptorium Estoniae

    Nice, David

    1994-01-01

    Uuest heliplaadist "R. Strauss: Symphonia domestica, Op. 53. National Youth Orchestra of Great Britain / Christopher Seaman. Pickwick IMP Classics CD PCD 1080; Selected comparisons: SNO, Järvi (3/88) Chandos CHAN 8572"

  19. Strauss: Metamorphosen for 23 solo strings / Michael Kennedy

    Index Scriptorium Estoniae

    Kennedy, Michael

    1990-01-01

    Uuest heliplaadist "Strauss: Metamorphosen for 23 solo strings, Tod und Verklärung, Op. 24, Drei Hymnen, Op.71. Felicity Lott (sop.), Scottish National Orchestra, Neeme Järvi" Chandos ABRD 1374. ABTD 1374. CHAN 8734

  20. Wells syndrome and its relationship to Churg-Strauss syndrome.

    Science.gov (United States)

    Ratzinger, Gudrun; Zankl, Julia; Zelger, Bernhard

    2013-08-01

      Wells syndrome has been described as an inflammatory disorder based on typical clinical appearance combined with the histopathological presence of eosinophilic infiltrates and flame figures in the absence of vasculitis. Churg-Strauss syndrome, on the other hand, is primarily a diffuse, necrotizing vasculitis but is also typically displaying eosinophils and flame figures. Despite several parallels, the present understanding of these two diseases excludes any pathogenetic relationship.   We describe the clinical course and histopathological appearance of three patients who had initially been diagnosed with Wells syndrome that developed into Churg-Strauss syndrome during the course of their disease.   The clinical presentation of all three patients led to the diagnosis of Wells syndrome by independent specialists. Histopathology showed an eosinophilic infiltrate and flame figures next to features of leukocytoclastic vasculitis. Detailed examination revealed asthma bronchiale and additional symptoms indicating Churg-Strauss syndrome. The initial diagnosis of Wells syndrome had to be revised to Churg-Strauss syndrome.   We conclude that Wells syndrome could be the starting point of a pathogenetic process that might reach its maximum in Churg-Strauss syndrome. As a clinical consequence, patients with Wells syndrome should be evaluated and followed for Churg-Strauss syndrome. © 2013 The International Society of Dermatology.

  1. Churg-Strauss syndrome: A case report

    Directory of Open Access Journals (Sweden)

    Dinić Miroslav Ž.

    2013-01-01

    Full Text Available Introduction. Churg-Strauss syndrome (CSS is an allergic granulomatous angiitis, a rare disease of small and medium arteries and veins, associated with the presence of perinuclear antineutrophil cytoplasmic antibodies (p-ANCA. According to the American College of Rheumatology (ACR, there are four or more criteria out of six for the diagnosis: asthma, eosinophilia (> 10% in peripheral blood, paranasal sinusitis, pulmonary infiltrates, histological evidence of vasculitis with extravascular eosinophils, and mononeuritis multiplex or polyneuropathy. Case report. We reported a female patient, aged 80 years, with asthma for many decades and repeatedly verified eosinophilia in peripheral blood, in which CSS was suspected only after the occurrence of skin changes in the form of vesicles, vesiculopustule, purpuric macula, papule and petechiae. Further tests verified pulmonary infiltrates, paranasal sinusitis, extravascular eosinophils on histopathologic sample of skin tissue, and polyneuropathy. The treatment started with methylprednisolone (60 mg/d, with decreasing doses, and continued with pulse doses of cyclophosphamide (800 mg once monthly, also corticosteroid ointment for skin lesions. Conclusion. Despite long-standing pulmonary symptoms and laboratory findings of eosinophilia, the appearance of skin changes raised suspicion of possible CSS. Skin changes resolved and the patient was reffered to rheumatologist.

  2. Coronary involvement in Churg-Strauss syndrome.

    Science.gov (United States)

    Dendramis, Gregory; Paleologo, Claudia; Piraino, Davide; Arrotti, Salvatore; Assennato, Pasquale

    2015-01-01

    Systemic autoimmune diseases are themselves a relevant and independent risk factor for atherosclerosis and coronary ectasia. We describe a case of a 58-year-old Caucasian man who was admitted to our department for unstable angina. History of asthma, paranasal sinus abnormality, and peripheral eosinophilia given a high suspicion of Churg-Strauss syndrome (CSS). Diagnosis was performed with 5 of the 6 American College of Rheumatology criteria. The knowledge that CSS is often associated with significant coronary artery involvement and the persistence of chest pain led us to performing immediately a coronary angiography. Coronary angiography showed diffuse ectasic lesions, chronic occlusion of left anterior descending artery with homocoronary collateral circulation from left circumflex artery and subocclusive stenosis in the proximal tract of posterior descending artery. The early recognition of CSS, an aggressive invasive diagnostic approach, and an early appropriate therapy are important to prevent the progressive and permanent cardiac damage in these patients. In the setting of a multidisciplinary approach, careful cardiac assessment is an essential step in CSS, even in mildly symptomatic patients. Copyright © 2015 Cardiological Society of India. Published by Elsevier B.V. All rights reserved.

  3. Cases of Churg-Strauss syndrome in patients receiving montelukast

    Directory of Open Access Journals (Sweden)

    Petrović Jelena

    2012-01-01

    Full Text Available Churg-Strauss syndrome is a rare disorder, but in patients with asthma it may develop as an adverse effect of the administered drugs. The aim of this study was to investigate possible causal relationship between montelukast and the occurrence of Churg-Strauss syndrome. Medical literature was reviewed by searching the databases 'Medline' and 'Googlescholar', in order to detect published cases of Churg-Strauss syndrome associated with use of montelukast. In this article is included 13 publications which contain the following keywords: montelukast, Churg-Strauss syndrome and side effects. Relationship between use of montelukast and development of Churg-Strauss syndrome was not clearly causal, although montelukast was associated with development and relapse of the syndrome. This fact supports the hypothesis that leukotriene antagonists are involved in the pathogenesis of this serious disease. Special attention should be paid to appearance of new symptoms in an asthmatic patient, already treated with corticosteroids, who start receiving leukotriene antagonists, especially if the dose of corticosteroids is reduced. Definitive confirmation or rejection of the hypothesis that leukotriene antagonists are directly involved in the development of this syndrome require further investigations.

  4. Churg–Strauss Syndrome Presenting with Endobronchial Masses

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    Veli Çetinsu

    2015-12-01

    Full Text Available Churg–Strauss syndrome is a condition with unknown etiology and asthma, allergic rhinitis, eosinophilic infiltration of blood and tissues, and transient infiltration of the lungs. It occurs mostly in the 3rd–4th decades of life with an incidence of 2.4/1000000. Presentation frequently involves nodular lung infiltrations, infiltrations with cavity, ground-glass appearance, and alveolar opacity. However, endobronchial mass is an unexpected presentation. In the current case report, we present a 45-year-old male patient who was receiving asthma therapy for 5 years. In the last follow-up visit, we identified a mass in the right hilum on X-ray radiography and performed fiberoptic bronchoscopy. Pathologic examination of biopsy material verified the diagnosis of Churg–Strauss syndrome. Bronchial mass is an unexpected presentation of Churg–Strauss syndrome and pathologic examination is essential to distinguish it from pulmonary malignancies

  5. Major disruptions, inverse cascades, and the Strauss equations

    International Nuclear Information System (INIS)

    Montgomery, D.

    1982-01-01

    Current-carrying plasmas in a strong dc magnetic field are subject to violent disruptions above certain thresholds. At present difficult to verify, explanations are typically sought in terms of tearing modes. An alternative explanation is in terms of inverse magnetic helicity cascades, generated from a variety of possible sources of small-scale MHD turbulence. Strongly anisotropic MHD plasmas may be described by the Strauss equations. Indications of turbulent inverse cascade behavior for the Strauss equations are sought, in parallel with earlier examples from MHD and fluid mechanics

  6. Churg-Strauss Syndrome associated with montelukast: Three Case Reports

    Directory of Open Access Journals (Sweden)

    Fatih Yildiz

    2014-04-01

    Full Text Available Churg-Strauss syndrome (new name Eosinophilic granulomatosis and polyangiitis; asthma, fever, peripheral blood eosinophilia, eosinophilic tissue infiltration, small and medium sized arteries characterized by necrotizing granulomatous inflammation is a multisystemic disorder. Classified in ANCA associated vasculitis. The drugs such as leukotriene receptor antagonists (montelukast, zafirlukast, pranlukast, inhaled glucocorticoids, omalizumab, cocaine and clarithromycin is thought to be associated with Churg-Strauss Syndrome cases have been reported. Herein we presented a rare three CSS cases associated with montelukast. [Cukurova Med J 2014; 39(2.000: 347-352

  7. Clinical presentation of Churg-Strauss syndrome in children: A 12-year-old-boy with ANCA-negative Churg-Strauss syndrome.

    Science.gov (United States)

    Razenberg, Femke G E M; Heynens, Jan W C M; Jan de Vries, Geeuwke; Duijts, Liesbeth; de Jongste, Johan C; de Blic, Jacques; Rosias, Philippe P R

    2012-01-01

    Churg-Strauss syndrome is an uncommon multisystem disorder characterized by asthma, eosinophilia and vasculitis. We report on a 12-year-old boy with asthma and deterioration of his general condition, who was eventually diagnosed with an ANCA-negative Churg-Strauss syndrome. The propositus included, 50 cases of childhood Churg-Strauss syndrome have been reported. The patient characteristics and clinical characteristics of these children are summarized. The respiratory tract is most frequently involved with pulmonary infiltrates, asthma and sinusitis. Early recognition of childhood Churg-Strauss syndrome is important as delayed diagnosis can lead to severe organ involvement, and possible fatal outcome.

  8. [Cardiac involvement in Churg-Strauss syndrome].

    Science.gov (United States)

    Brucato, Antonio; Maestroni, Silvia; Masciocco, Gabriella; Ammirati, Enrico; Bonacina, Edgardo; Pedrotti, Patrizia

    2015-09-01

    Churg-Strauss syndrome, recently renamed eosinophilic granulomatosis with polyangiitis (EGPA), is a rare form of systemic vasculitis, characterized by disseminated necrotizing vasculitis with extravascular granulomas occurring among patients with asthma and tissue eosinophilia. EGPA is classified as a small and medium-sized vessel vasculitis associated with antineutrophil cytoplasmic antibodies (ANCA) and the hypereosinophilic syndrome. Typical clinical features include asthma, sinusitis, transient pulmonary infiltrates and neuropathy. Blood eosinophils are often >1500/µl or more than 10% on the differential leukocyte count. Blood eosinophils should always be tested in unexplained cardiac disorders, and may normalize even after low doses of corticosteroids. ANCA are positive in 40-60% of cases, mainly anti-myeloperoxidase. Heart involvement occurs in approximately 15-60% of EGPA patients, especially those who are ANCA negative. Any cardiac structure can be involved, and patients present with myocarditis, heart failure, pericarditis, arrhythmia, coronary arteritis, valvulopathy, intracavitary cardiac thrombosis. Although cardiovascular involvement is usually an early manifestation, it can also occur later in the course of the disease. A significant proportion of patients with cardiac involvement is asymptomatic. In the absence of symptoms and major ECG abnormalities, cardiac involvement may be detected in nearly 40% of the patients. All patients with EGPA should be studied not only with a detailed history of cardiac symptoms and ECG, but also with echocardiography; if abnormalities are detected, a cardiac magnetic resonance study should be performed. Coronary angiography and endomyocardial biopsy should be reserved to selected cases. Heart involvement carries a poor prognosis and causes 50% of the deaths of these patients. It is often insidious and underestimated. Optimal therapy is therefore important and based on high-dose corticosteroids plus immunosuppressive

  9. Churg-Strauss syndrome associated with AA amyloidosis: a case ...

    African Journals Online (AJOL)

    Churg Strauss syndrome is a rare systemic and pulmonary vasculitis exceptionally associated with AA amyloidosis. We report the case of a 65-year old woman with past medical history of asthma. She developed polyarthralgia, headache and purpura. A laboratory workout found hypereosinophilia (1150/μL), positive ...

  10. Churg Strauss Syndrome: a Review | Borke | Nigerian Journal of ...

    African Journals Online (AJOL)

    Churg Strauss syndrome is a medical condition of unknown aetiology characterized by asthma, eosinophilia and finally vasculitis involving small vessels in the limbs and nasal sinuses and the lungs. The purpose of this review is to highlight the natural history of this condition, the pathogenesis, clinical features and ...

  11. Normativity II – Towards an Integral Perspective | Strauss | South ...

    African Journals Online (AJOL)

    This is a follow-up article of Strauss 2011. In order to transcend the shortcomings present in the dialectical legacy regarding normativity, this article further explores key elements within the dialectical tradition focused on the basic motive of nature and freedom and the effect it had on modern social contract theories which ...

  12. Giant coronary aneurysm in Churg-Strauss syndrome

    NARCIS (Netherlands)

    Hartmann, M.; Hartmann, M.; Wajon, E.M.; van Houwelingen, G.K.; Stoel, M.G.; von Birgelen, Clemens

    2012-01-01

    A 64-year-old male with Churg-Strauss syndrome (CSS) presented with worsening dyspnoea without chest pain besides having long-standing asthma. There were no cardiovascular risk factors. The electrocardiogram showed signs of prior anterior infarction. Echocardiography demonstrated severely depressed

  13. [Cardiac tamponade and myocarditis in Churg-Strauss syndrome].

    Science.gov (United States)

    Baili, L; Aydi, Z; Soussi, G; Ben Dhaou B, B; Zidi, A; Berraies, A; Boussema, F; Kammoun, S; Hamzaoui, A; Kraiem, S; Ben Miled M'rad, K; Rokbani, L

    2014-09-01

    The successive occurrence of pericardial tamponade and myocarditis during a Churg-Strauss syndrome is exceptionally described. We report a patient in whom pericardial tamponade and myocarditis were the presenting manifestation of a Churg-Strauss syndrome. A 58-year-old woman was admitted because of alteration of the clinical status with eosinophilia. One month ago, she was hospitalized for a pericardial tamponade treated by pericardial drainage. Acute myocarditis was diagnosed on chest pain during the second hospitalization. The etiologic inquiry ended in the diagnosis of Churg-Strauss complicated with a double cardiac involvement. A good response of clinical and biological anomalies was obtained after corticosteroid and immunosuppressive treatment. Isolated or multiple involvements of cardiac tunics should lead to make diagnosis of systemic vasculitis. A complete initial assessment and a close observation of the patients followed for Churg-Strauss syndrome is imperative to detect a cardiac achievement and set up an early treatment. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  14. As duas naturezas de Lévi-Strauss

    Directory of Open Access Journals (Sweden)

    Philippe Descola

    2011-11-01

    Full Text Available Aborda-se aqui a complexidade do status do par conceitual natureza e cultura no pensamento de Lévi-Strauss. Ao mesmo tempo ferramenta de análise, cena filosófica dos primórdios e antinomia a superar, revisita-se os diferentes usos e significados na obra de Lévi-Strauss do conceito de natureza e sua relação com o de cultura. Mostra-se como é possível reconhecer na obra de Lévi-Strauss dois conceitos de natureza: por um lado, uma natureza que se opõe à cultura num programa científico formulado em termos classicamente dualistas e, por outro, uma teoria do conhecimento decididamente monista que considera o espírito como parte e produto desse mesmo mundo. Argumenta-se que se o dualismo entre cultura e natureza fundou o pensamento estruturalista de Lévi-Strauss, é na própria obra deste que encontramos os argumentos e meios de superá-lo. A vocação do estruturalismo na antropologia de hoje, no entanto, é de ir mais longe neste caminho do que foi o próprio fundador.

  15. Levi-Strauss's "Bricolage" and Theorizing Teachers' Work.

    Science.gov (United States)

    Hatton, Elizabeth

    1989-01-01

    A teacher's work is compared to Claude Levi-Strauss's concept of "bricolage." A "bricoleur" is a professional do-it-yourself person, falling somewhere between an odd-job person and a craftsperson. The concept helps to explain pedagogical inadequacy by linking inherent limiting features of teachers' work and some causal…

  16. Arvustused / Aleks Lange

    Index Scriptorium Estoniae

    Lange, Aleks

    2000-01-01

    Uute heliplaatide Nils Petter Molvaer "Solid Ether", Leona Naess "Comatised", Naivity in Black II "A Tribute to Black Sabbath", Papa Roach "Infest", A Perfect Circle "Mer de Noms", Queens of the Stone Age "Rated R", "Road Trip" (soundtrack) tutvustused

  17. Plaadid / Aleks Lange

    Index Scriptorium Estoniae

    Lange, Aleks

    2003-01-01

    Uutest plaatidest Ricky Martin "Almas del Silencio", Paul McCartney "Back In Th e World", The Ultimate "Diva Collection", Girls Aloud "Sound Of The Underground", Blacky "Kui me päikeseloojangut ootama peaks", Christoph Poppen, Münchner Kammerorchester, The Hilliard Ensemble, Cerys Matthews "Cockahoop", Radiohead "Hail to the Thief"

  18. Clinical presentation of Churg-Strauss syndrome in children. : A 12-year-old-boy with ANCA-negative Churg-Strauss syndrome.

    NARCIS (Netherlands)

    F.G.E.M. Razenberg (Femke); J.W.C.M. Heynens (Jan); G. Jan de Vries (Geeuwke); L. Duijts (Liesbeth); J.C. de Jongste (Johan); J. de Blic (Jacques); P.P.R. Rosias (Philippe)

    2012-01-01

    textabstractChurg-Strauss syndrome is an uncommon multisystem disorder characterized by asthma, eosinophilia and vasculitis. We report on a 12-year-old boy with asthma and deterioration of his general condition, who was eventually diagnosed with an ANCA-negative Churg-Strauss syndrome. The

  19. Small bowel involvement documented by capsule endoscopy in Churg-Strauss syndrome.

    Science.gov (United States)

    Beye, Birane; Lesur, Gilles; Claude, Pierre; Martzolf, Lionel; Kieffer, Pierre; Sondag, Daniel

    2015-01-01

    Churg-Strauss syndrome is a small and medium vessel vasculitis and is also known as allergic granulomatous angiitis. Gastrointestinal involvement is common in patients with Churg-Strauss syndrome (20-50%). The most common symptoms are abdominal pain, diarrhoea and occasionally gastrointestinal bleeding and perforation. We present a case of Churg-Strauss syndrome with small bowel lesions documented by video capsule endoscopy.

  20. Acute coronary syndrome associated with Churg-Strauss syndrome

    Directory of Open Access Journals (Sweden)

    Annette Doris Wagner

    2007-11-01

    Full Text Available Annette Doris Wagner1, Gerd Peter Meyer2, Markus Rihl3, Anke Rathmann2, Ulrike Wittkop1, Henning Zeidler4, Hermann Haller1, Joachim Lotz51Department Internal Medicine, Division of Nephrology; 2Division of Cardiology; 3Division of Rheumatology; 4Rheumatologikum Hannover; 5Department of Diagnostic Radiology; Hannover Medical School, Carl-Neuberg-Strasse 1, 30625 Hannover, GermanyAbstract: A 41-year old female patient was admitted with acute onset of dyspnea and chest pain. Previous history revealed asthma, chronic sinusitis and eosinophilic proctitis. Electrocardiogram showed anterior ST-segment elevations and inferior ST-segment depression. Immediate heart catheterization revealed a distally occluded left anterior descending coronary artery, the occlusion being reversible after nitroglycerine. Cardiac magnetic resonance imaging was consistent with perimyocarditis. Hypereosinophilia and IgE elevation were present and Churg-strauss syndrome was diagnosed.Keywords: Churg-Strauss syndrome (CSS, carditis, cardiac MRI

  1. Churg-Strauss syndrome from an orthopaedic perspective.

    Science.gov (United States)

    Kung, K L; Yee, P K

    2015-12-01

    Churg-Strauss syndrome, which has been frequently described by physicians in the literature, is a small and medium-sized vessel systemic vasculitis typically associated with asthma, lung infiltrates, and hypereosinophilia. We report a case of Churg-Strauss syndrome with presenting symptoms of bilateral lower limb weakness and numbness only. The patient was admitted to an orthopaedic ward for management and a final diagnosis was reached following sural nerve biopsy. The patient's symptoms responded promptly to steroid treatment and she was able to walk with a stick 3 weeks following admission. This report emphasises the need to be aware of this syndrome when managing patients with neurological deficit in order to achieve prompt diagnosis and treatment.

  2. An Abdominal Presentation of Churg-Strauss Syndrome

    Science.gov (United States)

    Rees, J. R. E.; Burgess, P.

    2010-01-01

    Churg-Strauss syndrome is a small and medium vessel vasculitis that is also known as allergic granulomatous angiitis. It most commonly presents with an asthma like symptoms. It was first described in Mount Siani Hospital, New York in 1951 by Jacob Churg and Lotte Stauss and was recognised after the study of a series of 13 patients who had asthma, eosinophilia, granulomatous inflammation necrotising systemic vasculitis and necrotising glomerulonephritis. We describe a case of Churg-Strauss syndrome presenting with abdominal pain and later during the hospital admission a mono-neuritis multiplex syndrome affecting the lower limbs. The patient presented in such an atypical fashion with abdominal signs and symptoms that they required laparotomy and the diagnosis was made after histological examination of tissue taken at the time of surgery. Treatment with immunosuppression and aggressive rehabilitation achieved a progressive recovery which continued on discharge from hospital. PMID:20814555

  3. Anosmia and hypogeusia in Churg-Strauss syndrome.

    Science.gov (United States)

    Tallab, Hussam F; Doty, Richard L

    2014-05-13

    Churg-Strauss syndrome is a rare disorder that is often misdiagnosed. In this report we describe a 57-year-old man with Churg-Strauss syndrome who presented with symptoms of lessened smell and taste function that occurred approximately 3 months before the onset of his neurological symptoms. Psychophysical testing using a battery of well-validated smell and taste tests revealed that the patient had total anosmia and marked hypogeusia. While one anecdotal report exists in the Spanish literature that alludes to the presence of anosmia in a single case of this syndrome, no further confirmation of such dysfunction has appeared in the literature. These findings support the concept that smell and taste loss may be an early sign of this disorder. 2014 BMJ Publishing Group Ltd.

  4. Batik Kreatif Amri Yahya dalam Perspektif Strukturalisme Levi-Strauss

    Directory of Open Access Journals (Sweden)

    Irfa'ina Rohana Salma

    2016-04-01

    Full Text Available ABSTRAKPada saat ini sebagaian besar pengembangan motif batik mengacu pada ragam hias tradisional, sehingga hasilnya cenderung monoton. Perlu penyegaran visual dan diversifikasi gagasan untuk menghasilkan motif batik modern yang baru, unik, kreatif, dan inovatif. Tujuan kajian ini adalah menginspirasi para seniman, perajin, desainer untuk menciptakan motif kreatif sebagai diversifikasi produk yang semakin memperkaya khasanah batik Indonesia, dengan mengkaji batik kreatif karya Amri Yahya. Batik kreatif Amri Yahya telah mendapat pengakuan internasional sebagai batik modern. Metode yang digunakan yaitu deskriptif analitis untuk mendeskripsikan dan menganalisis objek seni yaitu batik karya Amri Yahya dengan perspektif Strukturalisme Levi-Strauss. Dari kajian ini dapat disimpulkan bahwa batik kreatif karya Amri Yahya dihasilkan dari keberanian dan kebebasan berekspresi serta konsistensi dalam berkarya seni.Kata kunci: batik, kreatif, Amri Yahya, strukturalisme Levi-StraussABSTRACTAt this time almost all of the batik motive bulk development refers to the traditional decoration, so the results tend to be monotonous. It needs a visual refreshment and diversity idea to produce a modern motive that is new, unique, creative, and innovative. The purpose of this study was to inspire the artists, craft men, designers to create the creative motifs as the diversified products to enrichIndonesian batik, reviewing creative batik of Amri Yahya. These Amri Yahya creative batik hasreceived international recognition as a modern batik. The method used is descriptive analysis todescribe artwork object that is Amri Yahya batik with Levi -Strauss's Structuralism perspective. From this study it can be concluded that the creative work of Amri Yahya batik produced from the encouragement and independecy of expression, as well as consistency in the artwork.Keywords: batik, creative, Amri Yahya, levi - strauss structuralis

  5. Grounded Theory and Pragmatism: The Curious Case of Anselm Strauss

    Directory of Open Access Journals (Sweden)

    Antony Bryant

    2009-07-01

    Full Text Available Sir Arthur CONAN DOYLE's stories featuring Sherlock Holmes are justly famous the world over. In The Memoirs of Sherlock Holmes (1993 one story entitled Silver Blaze contains an exchange between Holmes and a Scotland Yard detective as follows: Gregory (Scotland Yard detective: "Is there any other point to which you would wish to draw my attention?" Holmes: "To the curious incident of the dog in the night-time." Gregory: "The dog did nothing in the night-time." Holmes: "That was the curious incident." In similar fashion I wish to draw attention to the curious case of Anselm STRAUSS: There is already a good deal of work pointing to the continuities between the Grounded Theory Method (GTM and the Pragmatism of John DEWEY and Charles PEIRCE. This has usually focused on Anselm STRAUSS with his Chicago-influenced Pragmatist background, although STRAUSS himself never articulated the way in which Pragmatism informed or could be brought to bear on the method as it evolved from the 1960s onwards. This paper argues that many of the contentious issues surrounding GTM can be resolved if they are understood against the context of some of the core tenets of Pragmatism, particularly the ways in which some of the more recent Pragmatists such as Richard RORTY have brought them back as a focus of attention. In so doing is raises the question of why, given his intellectual background and formation, Anselm STRAUSS did so little to bring Pragmatist ideas into GTM in its later embodiments and extended statements. That is the "curious incident" to which specific attention is drawn at several points in what follows; it remains a perplexing one, with perhaps no convincing solution, unlike the Sherlock Holmes mystery alluded to above. URN: urn:nbn:de:0114-fqs090325

  6. Cutaneous manifestations of Churg-Strauss syndrome: key to diagnosis.

    Science.gov (United States)

    Marques, Camila Carneiro; Fernandes, Elizabeth Leocadia; Miquelin, Gabriela Momente; Colferai, Mariana Morais Tavares

    2017-01-01

    Churg-Strauss syndrome is a rare systemic vasculitis characterized by asthma and other allergy symptoms as well as eosinophilia and necrotizing vasculitis involving small and medium-sized vessels. Its prevalence in the general population ranges from 1-3 cases per million a year, varying according to the population studied. The authors describe a case of a female patient affected by the disease with important systemic manifestations and not very florid skin lesions.

  7. Churg-Strauss syndrome masquerading as an acute coronary syndrome.

    Science.gov (United States)

    Triantafyllis, Andreas S; Sakadakis, Eleftherios A; Papafilippaki, Argyro; Katsimbri, Pelagia; Panou, Fotios; Anastasiou-Nana, Maria; Lekakis, Ioannis

    2015-02-01

    Churg-Strauss Syndrome (CSS) is a rare vasculitis with multiorgan involvement. Cardiac manifestations are common causing serious complications. We report a case of CSS masquerading as a non-ST elevation myocardial infarction with heart failure. CSS should be considered in the differential diagnosis of an acute coronary syndrome(ACS)with normal coronary arteries when history of asthma, peripheral eosinophilia and multisystemic involvement is present.

  8. Cutaneous manifestations of Churg-Strauss syndrome: key to diagnosis*

    Science.gov (United States)

    Marques, Camila Carneiro; Fernandes, Elizabeth Leocadia; Miquelin, Gabriela Momente; Colferai, Mariana Morais Tavares

    2017-01-01

    Churg-Strauss syndrome is a rare systemic vasculitis characterized by asthma and other allergy symptoms as well as eosinophilia and necrotizing vasculitis involving small and medium-sized vessels. Its prevalence in the general population ranges from 1-3 cases per million a year, varying according to the population studied. The authors describe a case of a female patient affected by the disease with important systemic manifestations and not very florid skin lesions. PMID:29267447

  9. Usefulness of cardiac resonance imaging in Churg-Strauss syndrome.

    Science.gov (United States)

    Nadeau, Pierre L; Kumar, Andreas; O'Connor, Kim; Couture, Christian Y; Bourgault, Christine; Dubois, Michelle; Sénéchal, Mario

    2016-12-01

    : Churg-Strauss syndrome (CSS) is a rare entity that is characterized by widespread vasculitis, which affects both small and medium-sized blood vessels of nearly all organs. More than 50% of these cases have cardiac involvement, which is the major cause of morbidity and mortality. We describe a case of a patient with cardiac biopsy proven CSS, and we discuss the usefulness of cardiovascular MRI for its diagnosis.

  10. The Churg-Strauss syndrome: An unusual presentation

    Directory of Open Access Journals (Sweden)

    G K Manu

    2013-01-01

    Full Text Available The Churg-strauss syndrome (CSS, also referred to as allergic angiitis and granulomatosis is characterized by asthma, peripheral and tissue eosinophilia, extravascular granuloma formation, and vasculitis of multiple organ systems. It is an uncommon disease with an estimated annual incidence of 1-3 per million. Here, we report a case of CSS with glomerulocentric granulomatous reaction with interstitial eosinophils and involvement of retinal vessels.

  11. Churg-Strauss syndrome presenting with conjunctival and eyelid masses: a case report.

    Science.gov (United States)

    Ameli, F; Phang, K S; Masir, N

    2011-12-01

    Churg-Strauss syndrome, a small and medium vessel vasculitis, was first described by Churg and Strauss in 1951. It is characterised by the presence of asthma, prominent tissue and blood eosinophilia, systemic vasculitis, and pulmonary and systemic necrotising allergic granulomas. Involvement of the skin, heart and gastrointestinal tract is well documented, but ocular presentation is unusual. We describe a 40-year-old lady who presented with recurrent upper eyelid swelling due to conjunctival lesions. Although she has chronic asthma, Churg-Strauss syndrome was never suspected. The diagnosis of Churg-Strauss syndrome was only made following histological examination of the conjunctival lesions.

  12. Lévi-Strauss, Caduveo Body Painting and the Readymade

    DEFF Research Database (Denmark)

    Wiseman, Boris Nicholas Daniel

    2008-01-01

    The aim of this article is to explore some convergences between aesthetics and the anthropology of art, two disciplines often thought of as incompatible or mutually exclusive. Its impetus is the conviction that we have much to gain by a more systematic and concerted attempt at constituting an eth...... that is implicit in Lévi-Strauss's works but not articulated as such, is a boundary marking processes, one that is central to the way in which we create an order of the world around us.......-aesthetics, i.e. a decentred aesthetics enriched by the dynamic of cross-cultural comparison. I will take as my starting point Lévi-Strauss's classic studies of Caduveo body painting and try to show how, beyond the clichés often repeated about structuralism, they provide valuable insights for an understanding...... will argue here that Lévi-Strauss's own theorisation of the relations between nature, culture and art enables us to see them, in at least one of their dimensions, as prime examples of the fulfilling of the mytho-poetic function. What I will place, here, at the core of mytho-poetic function, following a view...

  13. Churg-Strauss syndrome: a case with unusual manifestations; Sindrome de Churg-Strauss: a proposito de un caso con manifestaciones poco usuales

    Energy Technology Data Exchange (ETDEWEB)

    Restrepo, Mauricio; Gonzalez, Luis Alonso; Vasquez, Gloria

    2008-07-01

    Churg-Strauss syndrome, a necrotizing systemic vasculitis which involves the small and (more rarely) the medium-sized vessels, is a primary vasculitis strongly associated with anti neutrophil cytoplasm antibodies (ANCA). It is characterized by the presence of asthma, eosinophilia and extravascular eosinophilic granulomas. Herein, we report a 36-year-old woman with a history of late onset asthma and allergic rhinitis who developed central nervous system involvement, peripheral neuropathy, leucocytoclastic vasculitis and eosinophilia. Interestingly, unusual clinical manifestations of Churg-Strauss syndrome such as mesenteric micro aneurysms and jaw claudication were present in this particular patient. A brief review of the literature of Churg-Strauss syndrome is presented.

  14. Complete remission of coronary vasculitis in Churg-Strauss Syndrome by prednisone and cyclophosphamide.

    Science.gov (United States)

    Riksen, Niels P; Gehlmann, Helmut; Brouwer, Annemarie E; van Deuren, Marcel

    2013-03-01

    The heart is involved in up to 50% of all patients with Churg-Strauss syndrome, but vasculitis of the coronary arteries has only been rarely documented. We present a young patient with severe coronary aneurysms and stenotic lesions due to a Churg-Strauss vasculitis. Prompt therapy with prednisone and cyclophosphamide resulted in the complete resolution of all lesions.

  15. Churg-Strauss syndrome involving the breast: a rare cause of eosinophilic mastitis

    Energy Technology Data Exchange (ETDEWEB)

    Villalba-Nuno, Virtudes [Department of Radiology, C.A.P. II Sant Feliu, Marquesa de Castellbell, Sant Feliu de Llobregat (Spain); Sabate, Josep M; Gomez, Antonio; Torrubia, Sofia [Department of Radiology, Hospital de Sant Pau, Barcelona (Spain); Vidaller, Antonio [Department of Internal Medicine, Hospital de Bellvitge, L' Hospitalet de Llobregat (Spain); Catala, Isabel [Department of Pathology, Hospital de Bellvitge, L' Hospitalet de Llobregat (Spain); Escobedo, Agustin [Department of Oncology, Hospital Duran i Reynals, L' Hospitalet de Llobregat (Spain)

    2002-03-01

    Churg-Strauss syndrome is a rare immunoallergic disorder that usually affects lungs, skin and nervous system. The clinical and radiological findings of Churg-Strauss disease involving the breast are reported and attention is drawn to the fact that, although uncommonly, the breast can be involved by immunological diseases. (orig.)

  16. Churg-Strauss syndrome involving the breast: a rare cause of eosinophilic mastitis

    International Nuclear Information System (INIS)

    Villalba-Nuno, Virtudes; Sabate, Josep M.; Gomez, Antonio; Torrubia, Sofia; Vidaller, Antonio; Catala, Isabel; Escobedo, Agustin

    2002-01-01

    Churg-Strauss syndrome is a rare immunoallergic disorder that usually affects lungs, skin and nervous system. The clinical and radiological findings of Churg-Strauss disease involving the breast are reported and attention is drawn to the fact that, although uncommonly, the breast can be involved by immunological diseases. (orig.)

  17. Complete remission of coronary vasculitis in Churg-Strauss Syndrome by prednisone and cyclophosphamide

    NARCIS (Netherlands)

    Riksen, N.P.; Gehlmann, H.R.; Brouwer, A.E.; Deuren, M. van

    2013-01-01

    The heart is involved in up to 50% of all patients with Churg-Strauss syndrome, but vasculitis of the coronary arteries has only been rarely documented. We present a young patient with severe coronary aneurysms and stenotic lesions due to a Churg-Strauss vasculitis. Prompt therapy with prednisone

  18. Churg–Strauss syndrome: Case series

    Directory of Open Access Journals (Sweden)

    T.M. Alfaro

    2012-03-01

    Full Text Available Churg–Strauss syndrome (CSS is a systemic necrotizing vasculitis of the small and medium vessels, associated with extravascular eosinophilic granulomas, peripheral eosinophilia and asthma.This is a rare syndrome of unknown etiology, affecting both genders and all age groups.CSS patients usually respond well to steroid treatment, although relapses are common after it ends. Timely diagnosis and treatment generally lead to a good prognosis with a 90% survival rate at one year.A brief review of CSS is presented, with particular attention to diagnosis, therapy and recent developments in this area.The authors then report and discuss the clinical, laboratory and imaging characteristics of four patients admitted to an Internal Medicine Department with this diagnosis. The treatment, response and follow-up of the cases are also described. Resumo: A síndrome de Churg-Strauss (SCS é uma vasculite sistémica necrotizante, que afeta os vasos de pequeno e médio calibre e se associa a granulomas eosinofílicos extravasculares, eosinofilia periférica e asma.É uma síndrome rara, de etiologia desconhecida e que afeta ambos os géneros e todos os grupos etários.Os doentes com SCS geralmente apresentam boa resposta à terapêutica com glucocorticoides, embora as recidivas sejam frequentes após a sua suspensão. O diagnóstico e terapêutica atempada levam geralmente a um bom prognóstico, com uma sobrevivência de 90% um ano após o diagnóstico.Neste artigo é apresentada uma breve revisão da SCS, com particular atenção ao diagnóstico, terapêutica e progressos recentes nesta área.De seguida, os autores apresentam e discutem as características clínicas, laboratoriais e imagiológicas de quatro doentes internados num Serviço de Medicina Interna com este diagnóstico. O tratamento instituído, as respostas observadas e o seguimento dos casos são também descritos. Keywords

  19. Familial Churg-Strauss Syndrome in a Sister and Brother.

    Science.gov (United States)

    Alyasin, Soheyla; Khoshkhui, Maryam; Amin, Reza

    2015-06-01

    Churg-Strauss syndrome (CSS) is a granulomatous small vessel vasculitis. It is characterized by asthma, allergic granulomatosis and vasculitis. This syndrome is rare in children. A 5 years old boy was admitted with cough, fever and dyspnea for 2 weeks. On the basis of laboratory data (peripheral eosinophilia), associated with skin biopsy, and history of CSS in his sister, this disease was eventually diagnosed. The patient had good response to corticosteroid. In every asthmatic patient with prolonged fever, eosinophilia and multisystemic involvment, CSS should be considered.

  20. A laryngeal presentation of Churg-Strauss syndrome in childhood

    International Nuclear Information System (INIS)

    AlAmmar, Ahmed Y; Yasin, Subhan S; AlMuhsen, Saleh Zaid; AlSaadi Muslim M; AlSohaibanic, Mohammad O

    2009-01-01

    A 10- year-old female, known to have bronchial asthma, presented with an unusual laryngeal lesion, eventually diagnosed as Churg-Strauss syndrome (CSS). She was referred to our hospital with history of recurrent stridor. On endoscopyhe, the larynx showed signs similar to recurrent respiratory papillomatosis (RRP). CSS is a systemic disorder and is now defined as one of the ANCA (antineutrophil cytoplasmic antibodies) - associated vasculitides. CSS is a systemic disease that may involve unusual sites like the laryynx. Such an unusual presenatation of CSS should be kept in mind, especially in patients with history of asthma. (author)

  1. Churg-Strauss syndrome: A rare cause of pleural effusion

    Directory of Open Access Journals (Sweden)

    Govind Singh Rajawat

    2016-01-01

    Full Text Available Churg-Strauss syndrome (CSS is a rare, small-vessel vasculitis associated with a prominent allergic component, asthma, and blood or tissue eosinophilia. Granulomas, eosinophils, and palisading histiocytes in extravascular tissues are hallmarks of this disorder. The presence of asthma or allergy as well as more than 10% of eosinophils in blood is 95% sensitive and 99% specific, respectively, in distinguishing CSS among a subgroup of patients with well-documented systemic vasculitis. We present a case of pleural effusion which was finally diagnosed as CSS. Considering its rarity, this case is reported.

  2. An Abdominal Presentation of Churg-Strauss Syndrome

    Directory of Open Access Journals (Sweden)

    J. R. E. Rees

    2010-01-01

    inflammation necrotising systemic vasculitis and necrotising glomerulonephritis. We describe a case of Churg-Strauss syndrome presenting with abdominal pain and later during the hospital admission a mono-neuritis multiplex syndrome affecting the lower limbs. The patient presented in such an atypical fashion with abdominal signs and symptoms that they required laparotomy and the diagnosis was made after histological examination of tissue taken at the time of surgery. Treatment with immunosuppression and aggressive rehabilitation achieved a progressive recovery which continued on discharge from hospital.

  3. A laryngeal presentation of Churg-Strauss syndrome in childhood

    Energy Technology Data Exchange (ETDEWEB)

    AlAmmar, Ahmed Y; Yasin, Subhan S; AlMuhsen, Saleh Zaid [Dept. of Otolaryngology, Head and Neck Surgery, King Abdulaziz Univ. Hospital, Riyadh (Saudi Arabia); M, AlSaadi Muslim [Dept. of Pediatrics, King Abdulaziz Univ. Hospital, Riyadh (Saudi Arabia); AlSohaibanic, Mohammad O [Dept. of Pathology, King Abdulaziz Univ. Hospital, Riyadh (Saudi Arabia)

    2009-07-01

    A 10- year-old female, known to have bronchial asthma, presented with an unusual laryngeal lesion, eventually diagnosed as Churg-Strauss syndrome (CSS). She was referred to our hospital with history of recurrent stridor. On endoscopyhe, the larynx showed signs similar to recurrent respiratory papillomatosis (RRP). CSS is a systemic disorder and is now defined as one of the ANCA (antineutrophil cytoplasmic antibodies) - associated vasculitides. CSS is a systemic disease that may involve unusual sites like the laryynx. Such an unusual presenatation of CSS should be kept in mind, especially in patients with history of asthma. (author)

  4. Síndrome de Churg Strauss: uma vasculite rara Churg strauss Syndrome: a rare vasculitis

    Directory of Open Access Journals (Sweden)

    Luciana Calvo Mardegan

    2004-04-01

    Full Text Available O objetivo deste trabalho é avaliar as características demográficas, clínicas, laboratoriais e histopatológica de pacientes com diagnóstico de síndrome de Churg Strauss (SCS acompanhados no ambulatório de vasculites do Hospital das Clínicas da Universidade Estadual de Campinas (HC/Unicamp. Foi realizado estudo retrospectivo dos prontuários dos pacientes com vasculite primária, classificados como SCS pelos critérios do American College of Rheumathology (ACR. Foram observados cinco pacientes com diagnóstico de SCS (M/F:3/2, caucasóides. A média de idade do início da doença foi 46 anos (40-55. A média de tempo de seguimento foi de 2,37 anos (0,25-6. Sintomas sistêmicos, asma, neuropatia periférica e lesão cutânea foram observados em todos os pacientes. Envolvimento cardiovascular, renal e de trato gastrintestinal estiveram presentes cada qual em um paciente. Todos os pacientes apresentaram eosinofilia (>10%,e o p-ANCA foi positivo nos três casos investigados. A radiografia de tórax revelou infiltrado pulmonar intersticial em dois casos; em um, associado à derrame pleural. Na histopatologia, evidências de eosinófilos extravascular foram encontradas nas biópsias cutâneas de 3/4 pacientes. Todos os pacientes foram tratados com prednisona. Em 3, houve a necessidade de associar-se imunossupressor. Nenhum paciente evoluiu a óbito. A SCS é uma patologia rara, com acometimento sistêmico, sendo a asma uma das principais e mais precoce manifestação. Todos os pacientes apresentaram sintomas sistêmicos, acometimento de pele e sistema nervoso periférico. Envolvimento renal, cardíaco e gastrointestinal foi observado, cada qual em um único paciente, diferindo de outras séries nas quais esses acometimentos são mais freqüentes. Embora seja uma patologia grave e de prognóstico reservado, observamos evolução favorável com tratamento.The aim of this report is to verify the demographic, clinical, laboratorial and

  5. Crescentic glomerulonephritis in non-asthmatic Churg-Strauss syndrome

    Directory of Open Access Journals (Sweden)

    Anupma Kaul

    2014-01-01

    Full Text Available A 58-year-old male presented with sensory motor polyneuropathy and rapidly progressive renal failure. Investigations revealed marked peripheral eosinophilia and elevated perinuclear antineutrophil cytoplasmic antibody titers. Renal biopsy showed pauci-immune cre-scentic glomerulonephritis with interstitial eosinophil infiltrates. He had no history of asthma. Computed tomography of the chest and X-ray of the paranasal sinuses were normal. On Day 1, the patient developed ileal perforation. Resected ileal segments showed small vessel vasculitis with extravascular eosinophils. A diagnosis of non-asthmatic variant of Churg-Strauss syndrome was made. Renal recovery was achieved in 12 weeks with a combination therapy of corticosteroid and cyclophosphamide. The patient has been relapse-free for 12 months on oral prednisolone therapy.

  6. Churg-strauss syndrome without respiratory symptoms in a child

    Directory of Open Access Journals (Sweden)

    R B Basak

    2011-01-01

    Full Text Available Churg-Strauss Syndrome (CSS is rare in children. It consists of a small- and medium-sized vessel vasculitis, with skin and peripheral nerve involvement. It is characterized by eosinophilia, extravascular necrotizing granuloma, and eosinophilic infiltration of multiple organs particularly the lungs, but may also involve the gastrointestinal tract, the heart, and the kidneys. The condition is usually associated with a preceding history of asthma or allergic sinusitis. It has rarely been reported in children, where most of the cases had pre-existing asthma, allergic rhinitis, or atopic disease. We report a 10-year-old Arab girl proven to have CSS, with no history of asthma or allergic rhinitis, who presented with tender cutaneous nodules of lower extremities, foot drop, and peripheral eosinophilia, without any clinical respiratory symptoms or signs.

  7. [Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome)].

    Science.gov (United States)

    Guillevin, Loïc

    2012-10-01

    Eosinophilic granulomatosis with polyangiitis (EGPA) (Churg-Strauss), is a rare necrotizing vasculitis of small-sized vessels, associated to antimyeloperoxydase ANCA in 40% of patients. EGPA occurs in patients with asthma. Asthma is sever, associated with eosinophilia and extrapulmonary symptoms. Among them, mononeuritis multiplex is the most frequent symptom. When cardiac involvement is present, prognosis is poor. Despite a good overall prognosis, deaths are caused by vasculitis activity, gastrointestinal and cardiac involvement. Treatment is well codified based on steroids, which are quickly effective. Immunosuppressants combined with corticosteroids are compulsory to treat the most sever forms, mainly when cardiac and gastrointestinal or renal symptoms are present. Copyright © 2012. Published by Elsevier Masson SAS.

  8. Cutting edge issues in the Churg-Strauss syndrome.

    Science.gov (United States)

    Szczeklik, Wojciech; Jakieła, Bogdan; Adamek, Dariusz; Musiał, Jacek

    2013-02-01

    Churg-Strauss syndrome (CSS) is a rare systemic small-vessel vasculitis that develops in the background of bronchial asthma, which is characterized by eosinophilia and eosinophilic infiltration of various tissues. It belongs to the group of antineutrophil cytoplasmic autoantibody (ANCA)-associated vasculitides. The triggering factors and pathogenesis of CSS are still unknown. The possible role of eotaxin-3 and CCR4-related chemokines in selective recruitment of eosinophils to the target tissues in CSS has been recently suggested, but the role of eosinophilic inflammation in the development of vasculitic lesions is not completely understood. From the clinical view, two distinct phenotypes of the disease are slowly emerging depending on the ANCA-positivity status. Glucocorticoids are still the mainstay of treatment; however, data are accumulating regarding the beneficial role of novel immunosuppressants and biologic compounds, especially in patients with poorer prognosis.

  9. Crescentic glomerulonephritis in non-asthmatic Churg-Strauss syndrome.

    Science.gov (United States)

    Kaul, Anupma; Sharma, Raj Kumar; Jaisuresh, Krishna Swamy; Agrawal, Vinita

    2014-03-01

    A 58-year-old male presented with sensory motor polyneuropathy and rapidly progressive renal failure. Investigations revealed marked peripheral eosinophilia and elevated perinuclear antineutrophil cytoplasmic antibody titers. Renal biopsy showed pauci-immune cre-scentic glomerulonephritis with interstitial eosinophil infiltrates. He had no history of asthma. Computed tomography of the chest and X-ray of the paranasal sinuses were normal. On Day 1, the patient developed ileal perforation. Resected ileal segments showed small vessel vasculitis with extravascular eosinophils. A diagnosis of non-asthmatic variant of Churg-Strauss syndrome was made. Renal recovery was achieved in 12 weeks with a combination therapy of corticosteroid and cyclophosphamide. The patient has been relapse-free for 12 months on oral prednisolone therapy.

  10. Strauss, R.: Symphony in F minor, Op. 12... Tokyo Metropolitan Symphony Orchestra / David Nice

    Index Scriptorium Estoniae

    Nice, David

    1994-01-01

    Uuest heliplaadist "Strauss, R.: Symphony in F minor, Op. 12... Tokyo Metropolitan Symphony Orchestra / Hiroshi Wakasugi. Denon CD CO-75 860 (54 minutes); Symphony - comparative version: SNO, Järvi" (8/93)(CHAN) CHAN 9166

  11. A Case of Churg-Strauss Syndrome Associated with Antiphospholipid Antibodies

    Science.gov (United States)

    Ferenczi, Katalin; Chang, Timothy; Camouse, Melissa; Han, Rujing; Stern, Robert; Willis, Joseph; Cooper, Kevin D.; Gilliam, Anita C.

    2008-01-01

    BACKGROUND Churg-Strauss syndrome (CSS) is a systemic vasculitis affecting small and medium-sized blood vessels, almost invariably affecting the lung and frequently associated with cutaneous involvement. Microvascular vaso-occlusion leading to digital gangrene is not a feature of CSS. OBSERVATIONS We report an unusual case of a patient with Churg Strauss Syndrome with antiphospholipid antibodies who developed severe digital gangrene in addition to cutaneous vasculitis. CONCLUSION The presence of antiphospholipid antibodies is not a feature usually seen in association with Churg-Strauss syndrome. While the full clinical spectrum of Churg Strauss Syndrome is still being defined, identification of additional features associated with this syndrome might help to better understand the pathogenesis of the disease and to have an impact on management and prognosis. PMID:17175066

  12. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss) (EGPA) Consensus Task Force recommendations for evaluation and management

    NARCIS (Netherlands)

    Groh, Matthieu; Pagnoux, Christian; Baldini, Chiara; Bel, Elisabeth; Bottero, Paolo; Cottin, Vincent; Dalhoff, Klaus; Dunogué, Bertrand; Gross, Wolfgang; Holle, Julia; Humbert, Marc; Jayne, David; Jennette, J. Charles; Lazor, Romain; Mahr, Alfred; Merkel, Peter A.; Mouthon, Luc; Sinico, Renato Alberto; Specks, Ulrich; Vaglio, Augusto; Wechsler, Michael E.; Cordier, Jean-François; Guillevin, Loïc

    2015-01-01

    To develop disease-specific recommendations for the diagnosis and management of eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) (EGPA). The EGPA Consensus Task Force experts comprised 8 pulmonologists, 6 internists, 4 rheumatologists, 3 nephrologists, 1 pathologist and 1

  13. Congestive cardiomyopathy and endobronchial granulomas as manifestations of Churg-Strauss syndrome.

    Science.gov (United States)

    Alvarez-Sala, R.; Prados, C.; Armada, E.; Del Arco, A.; Villamor, J.

    1995-01-01

    Churg-Strauss syndrome is a systemic vasculitis. Its most frequent complications are heart diseases and asthma. Usually, cardiological manifestations are pericarditis, cardiac failure and myocardial infarction. Endobronchial granulomas identified by bronchoscopy are unusual. We present the case of a man with congestive cardiomyopathy and endobronchial granulomas macroscopically visible at bronchoscopy. After a review of medical literature, we found one case of congestive cardiomyopathy and no cases of endobronchial granulomas observed by bronchoscopy associated with Churg-Strauss syndrome. Images Figure PMID:7644400

  14. “Peripheral Neuropathy Crippling Bronchial Asthma”: Two Rare Case Reports of Churg-Strauss Syndrome

    Directory of Open Access Journals (Sweden)

    Kamal Kishore Pandita

    2014-01-01

    Full Text Available Churg-Strauss syndrome (CSS is a rare cause of vasculitic neuropathy. Although rare and potentially fatal, Churg-Strauss syndrome (CSS is easily diagnosable and treatable. The presence of bronchial asthma with peripheral neuropathy in a patient alerts a physician to this diagnosis. This is vividly illustrated by the presented two cases who had neuropathy associated with bronchial asthma, eosinophilia, sinusitis, and positive perinuclear antineutrophil cytoplasmic antibodies (p-ANCA test, which improved with administration of steroids.

  15. Leukocytoclastic vasculitis: A window to systemic Churg Strauss syndrome

    Directory of Open Access Journals (Sweden)

    Sudhir V Medhekar

    2012-01-01

    Full Text Available A twenty year old male presented with purpuric lesions with chronic painful ulcers over the lower extremities and a recurrent pruritic rash on the trunk for 10 years. He was diagnosed as idiopathic leukocytoclastic vasculitis (LCV after investigations failed to reveal a systemic association. He was treated with immunosuppressants at each visit with partial remission. In 2004, he was diagnosed with bronchial asthma and allergic rhinitis. In his recent admission, he showed necrotic ulcers on legs and extensive shiny, truncal micropapules. Examination revealed maxillary sinus tenderness and loss of sensation on the medial aspect of the left lower limb. Biopsy of ulcer and the micropapules showed the presence of extravascular eosinophils, while hematological investigations showed peripheral eosinophilia of 18%, raised serum Immunoglobulin E (IgE, Anti nuclear antibody (ANA positivity and negative antineutrophil cytoplasmic antibody (ANCA. Radiography confirmed maxillary sinusitis, nerve conduction studies revealed mononeuritis of the anterior tibial nerve and pulmonary function tests (PFT were normal. Clinical examination and investigations pointed towards the diagnosis of Churg-Strauss syndrome (CSS. This report highlights the development of full-blown CSS over a period of 12 years in a patient initially diagnosed as idiopathic LCV, emphasizing the need for regular follow-up of resistant and recurrent cases of LCV.

  16. [A case of Churg-Strauss syndrome with subarachnoid hemorrhage].

    Science.gov (United States)

    Ito, Miiko; Kato, Naoki; Su, Ching-Chan; Kayama, Takamasa

    2014-03-01

    Churg-Strauss syndrome (CSS) is a vasculitis syndromes and is only rarely complicated by subarachnoid hemorrhage. In the current report, we describe a case of CSS with subarachnoid hemorrhage, which showed a favorable outcome following conservative treatment. A 68-year-old man with CSS on maintenance steroid therapy underwent MRI/A during tinnitus aggravation, and showed dilation of the left middle cerebral artery and stenosis of the peripheral area of the right vertebral artery. After 2 months, he presented sudden pain in the occipitocervical area, and CT revealed subarachnoid hemorrhage. Intracranial 3D CT-A and MRI/A showed the development of a protrusion at the base of the left anterior cerebral artery. Although both findings suggested cerebral artery dissection, the source of hemorrhage could not be identified. The 2009 Japanese Guidelines for the Management of Stroke recommends early diagnosis and treatment of hemorrhagic cerebral artery dissection because of the high risk of re-bleeding. However, considering the risks of vasculitis aggravation, development of systemic complications, and recurrence, conservative treatment was selected. In addition, owing to the risk of complications associated with the frequent use of iodinated contrast agents and angiography procedures, patient was followed up using MRI. His course was favorable, and he was discharged despite mild right abducens paralysis. When patients with hemorrhagic cerebral artery dissection have a history of allergic diseases, CCS should be considered; conservative treatment consisting of rest, strict blood pressure control, and steroid therapy may be the most appropriate option for certain patients.

  17. Experience in managing patients with Churg-Strauss syndrome.

    Directory of Open Access Journals (Sweden)

    A. A. Khanyukov

    2018-04-01

    Full Text Available Our goal was to analyze the possibilities of impro­ving the diagnostics of CSS and to improve the effectiveness of treatment according to the existing literature and our own experience of long-term care for patients with eosinophilic granulomatosis with polyangiitis or Churg-Strauss syndrome (CSS. The medical histories of three female patients aged 26 to 46-years and a 20-year-old male patient were considered. The duration of the disease before the established diagnosis was 5-17 years. Anamnesis and medical documents analysis showed a typical CSS debut in the form of allergic rhinitis, nasal polyps, which were recurrent after polypectomy, and respiratory disorders, which were regarded as bronchitis or bronchial asthma – corresponding to the first phase, also called the prodromal or allergic stage of CSS. The prodromal period lasts up to 10 years or more and is characterized by various allergic manifestations, more often –  pollinosis or bronchial asthma, that is difficult to control. But CSS can be suspected because of low effectiveness of the therapy with inhaled steroids, lack of effect of antibiotics and eosinophilia more than 10% that occurs periodically. Even in the third stage of CSS in systemic manifestations of vasculitis and severe secondary lesions of organs and tissues with functional impairment, constant intake of maintenance doses of corticosteroids and cytostatics allows to achieve stabilization of the process in patients with CSS.

  18. Clinical features and prognostic factors of Churg-Strauss syndrome.

    Science.gov (United States)

    Kim, Mi-Yeong; Sohn, Kyoung-Hee; Song, Woo-Jung; Park, Heung-Woo; Cho, Sang-Heon; Min, Kyung-Up; Kang, Hye-Ryun

    2014-01-01

    Churg-Strauss syndrome (CSS) is a rare systemic necrotizing small-vessel vasculitis, with accompanying bronchial asthma, eosinophilia, and eosinophilic infiltration of various tissues. The purposes of our study were to characterize the clinical features of CSS and to identify factors associated with CSS prognosis in Koreans. Medical records were reviewed retrospectively for all physician-diagnosed CSS patients in the Seoul National University Hospital between January 1990 and March 2011. Data from 52 CSS patients were analyzed. The respiratory tract was the most commonly involved organ (90.4%). Renal involvement was less frequent in antineutrophilic cytoplasmic antibody (ANCA)(-) patients than in ANCA(+) patients (p = 0.048). Clinical remission occurred in 95.3% of patients, but 16.3% of them relapsed. Patients who maintained remission for more than 6 months were relatively older (median, 51 years) at diagnosis (p = 0.004), had been diagnosed in earlier stages (p = 0.027), showed more frequent respiratory involvement (p = 0.024) and generalized symptoms (p = 0.039), and showed less frequent cutaneous involvement (p = 0.030) than those who did not achieve persistent (> 6 months) remission. Patients who achieved persistent remission also showed higher C-reactive protein (CRP) levels (p = 0.031) than those who did not. ANCA(-) CSS patients showed less frequent renal involvement. Characteristics of good responders were older age, diagnosis at earlier stages, less cutaneous involvement, more respiratory involvement, high CRP values, and more generalized symptoms.

  19. Eosinophilic leukocytoclastic vasculitis - a spectrum ranging from Wells' syndrome to Churg-Strauss syndrome?

    Science.gov (United States)

    Ratzinger, Gudrun; Zankl, Julia; Eisendle, Klaus; Zelger, Bernhard

    2014-01-01

    Wells' syndrome is defined as an inflammatory disorder with the histopathological presence of eosinophilic infiltrates and flame figures in the absence of vasculitis. Eosinophilic leukocytoclastic vasculitis shows eosinophilic infiltrates in combination with vasculitic changes. And Churg Strauss Syndrome comprises all three characteristics - eosinophilic infiltrates, vasculitis and flame figures. To determine whether these three diseases are distinct entities or different manifestations of a similar clinicopathologic process. Histopathological samples and clinical courses of 17 patients with eosinophilic infiltrates, flame figures and clinical features of Wells' syndrome were re-evaluated. Histopathologically, we focused on the presence or absence of vasculitic features. Clinically, we included only patients who were diagnosed with Wells' syndrome at least once in the course of their disease. 4 patients were finally diagnosed with Wells' syndrome, 5 with eosinophilic leukocytoclastic vasculitis and 6 with Churg Strauss syndrome. Further, we had one case of an overlap between Wells' syndrome and eosinophilic vasculitis and one case of Wegener granulomatosis. Vasculitic features were found in the samples of all patients. Histologically, we find vasculitic features in typical presentations of Wells' syndrome. Clinically, we find typical features of Wells' syndrome in patients finally diagnosed with eosinophilic leukocytoclastic vasculitis or Churg Strauss syndrome. Furthermore, we have observed and formerly reported 3 patients with progression from Wells' syndrome to Churg Strauss syndrome. Thus, we assume that eosinophilic leukocytoclastic vasculitis might form a bridge between Wells' syndrome and Churg Strauss syndrome.

  20. Central retinal artery occlusion in a patient with ANCA-negative Churg-Strauss syndrome

    Science.gov (United States)

    Kumano, Yuji; Yoshida, Noriko; Fukuyama, Satoru; Miyazaki, Masanori; Enaida, Hiroshi; Matsui, Takaaki

    2012-01-01

    Ocular involvement in Churg-Strauss syndrome is infrequent. We describe the case of a 54-year-old woman with eosinophilia and involvement of the respiratory tract, skin, and peripheral nervous system, fulfilling the American College of Rheumatology criteria for Churg-Strauss syndrome. The patient presented with acute, painless vision loss in her right eye. Central retinal artery occlusion (CRAO) without accompanying retinal vasculitis was diagnosed by angiographic findings and funduscopic findings of retinal whitening with a cherry-red spot. Although her antineutrophil cytoplasmic antibody (ANCA) status was negative, CRAO was thought to be an ocular manifestation of Churg-Strauss syndrome, and appropriate treatment was planned. She was treated with high-dose corticosteroids and anticoagulant therapy. Her macular edema improved, but visual recovery was poor. Specific therapy to alter inflammation, blood coagulation, and rheology reportedly plays an important role in ANCA-positive patients with Churg-Strauss syndrome who develop CRAO. Regardless of ANCA status, high-dose corticosteroids should be considered for CRAO in patients with Churg-Strauss syndrome, as discussed in this case. PMID:22927731

  1. From Leo Strauss to Collapse Theory: Considering the Neoconservative Attack on Modernity and the Work of Education

    Science.gov (United States)

    Smith, David Geoffrey

    2008-01-01

    This paper locates the work of Leo Strauss within the broader conservative assault on modernity and especially its roots in liberalism. Four themes from Strauss's work are identified, then hermeneutically engaged for their relevance to educational practice in global times. The four themes are: (1) the liberal/modern concept of an open society is…

  2. Combined central retinal artery and vein occlusion in Churg-Strauss syndrome

    DEFF Research Database (Denmark)

    Hamann, Steffen; Johansen, Sven; Hamann, Steffen Ellitsgaard

    2006-01-01

    PURPOSE: To describe a rare case of Churg-Strauss syndrome presenting with severe visual loss due to a combined central retinal vein and artery occlusion. METHODS: A 42-year old man with a medical history of asthma and blood hypereosinophilia developed a sudden loss of vision in his right eye. We...... and dilated and tortuous veins. The diagnosis was confirmed by a fluorescein angiogram showing absence of retinal filling and normal choroidal filling. Churg-Strauss syndrome was diagnosed based on the necessary presence of four of six criteria for the disease proposed by the American College of Rheumatology...... the vascular occlusion and experienced no visual improvement. CONCLUSION: Combined central retinal artery and vein occlusion can occur in Churg-Strauss syndrome. We suggest that regional vasculitis may be the pathological mechanism underlying the vascular occlusions observed in our case. The condition carries...

  3. A case of undeclared debt? Claude Lévi-Strauss' ambiguities and paradoxes toward analytical psychology.

    Science.gov (United States)

    Serina, Florent

    2018-06-09

    If his relationship to Sigmund Freud's psychoanalysis has been widely acknowledged, Claude Lévi-Strauss' rapport with C.G. Jung's analytical psychology remains quite obscure. While secondary commentary has been abundant, its approach has above all been intertextual, to the detriment of a rigorously historical reading. Even if certain arguments put forward by supporters of so-called "influence" deserve to be taken into account, especially because they highlight Lévi-Strauss ambiguities and paradoxes toward Jung, this paper provides proof that a precise reading of the texts, with the help of recent studies on the intellectual genesis of Lévi-Strauss, lead to reject the thesis of an unstated debt owed by the French anthropologist to the Zurich psychologist. © 2018 Wiley Periodicals, Inc.

  4. M. CEBOTARI AND R. STRAUSS: CHRONICLE OF PROFESSIONAL AND PERSONAL CONTACTS (1942–1949

    Directory of Open Access Journals (Sweden)

    PILIPEȚCHII SERGHEI

    2017-06-01

    Full Text Available The article presents information organized in chronological order on the professional and personal contacts of M. Cebotari with R. Strauss in the last seven years of their lives (1942–1949. The development of military events during the war, as well as the advanced age of the maestro partially stopped relations between the two musicians. This period shows the fact that M. Cebotari not only maintained her interest in Straus`s vocal music, but also began to perform in new roles, adding to her repertoire the dramatic soprano parts. The article is well supported with quotes of the contemporaries, and with reviews from the newspapers of that time.

  5. A case of Churg-Strauss syndrome: tissue diagnosis established by sigmoidoscopic rectal biopsy.

    Science.gov (United States)

    Leen, E J; Rees, P J; Sanderson, J D; Wilkinson, M L; Filipe, M I

    1996-01-01

    A case is presented of Churg-Strauss syndrome in a young man in whom the definitive diagnostic procedure was a full thickness sigmoidoscopic rectal biopsy, with submucosal sampling. Gastrointestinal changes in Churg-Strauss syndrome, a rare systemic illness characterised by asthma, blood and tissue eosinophilia, vasculitis, and granulomatous inflammation are common but poorly reported. The endoscopic and histopathological features of a case are described and emphasise the potential value of a limited sigmoidoscopy in establishing the diagnosis, when lower gastrointestinal symptoms are present. Images Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 PMID:8801216

  6. Churg-Strauss syndrome associated with AA amyloidosis: a case report.

    Science.gov (United States)

    Maamar, Mouna; Tazi-Mezalek, Zoubida; Harmouche, Hicham; El Hamany, Zitouna; Adnaoui, Mohammed; Aouni, Mohammed

    2012-01-01

    Churg Strauss syndrome is a rare systemic and pulmonary vasculitis exceptionally associated with AA amyloidosis. We report the case of a 65-year old woman with past medical history of asthma. She developed polyarthralgia, headache and purpura. A laboratory workout found hypereosinophilia (1150/µL), positive p-ANCA, microscopic haematuria and proteinuria at 2g/day. A diagnosis of Churg-Strauss syndrome was established based on five criteria of the American College of Rheumatology (ACR). Renal biopsy showed an important type AA amyloid deposit. The patient was treated with steroids with a good response of the vasculitis and amyloidosis with disappearance of the proteinuria.

  7. A Case of Loeffler's Endocarditis Associated with Churg-Strauss Syndrome

    Science.gov (United States)

    Seo, Jeong-Sook; Kim, Dae-Hee; Kang, Duk-Hyun; Song, Jae-Kwan

    2010-01-01

    Loeffler's endocarditis is generally caused by hypereosinophilic syndrome. It is a restrictive cardiomyopathy characterized with eosinophilia and eosionophilic penetration leading to the fibrous thickening of endocardium of both ventricles, apical obliteration and heart failure. We report a case of a 23-year-old male with Loeffler's endocarditis caused by Churg-Strauss syndrome. The echocardiogram showed that biventricular failure with large thrombus in left ventricle. His symptoms and typical echocardiographic findings markedly improved within 2 months after treatment for Churg-Strauss syndrome. PMID:20661332

  8. A Presentation of Massive Hemoptysis in a Patient with Churg-Strauss Syndrome

    Directory of Open Access Journals (Sweden)

    Fadi Hikmat

    2014-01-01

    Full Text Available Given that Churg-Strauss syndrome is a systemic small-vessel vasculitis, it is not usually considered in patients who present with massive hemoptysis, which is typically caused by bronchiectasis, cancer or, in some cases, aberrant bronchial arteries. This article, however, describes a novel case involving a 50-year-old Churg-Strauss patient who presented with sudden-onset massive hemoptysis. Details of the physical examination, laboratory investigations and several imaging studies, including computed tomography, bronchoscopy and three-dimensional imaging, are presented.

  9. Chronic calcific constrictive pericarditis complicating Churg-Strauss syndrome: first reported case.

    Science.gov (United States)

    Aboukhoudir, Falah; Pansieri, Michel; Rekik, Sofiene

    2014-10-01

    Churg-Strauss syndrome is a necrotizing systemic vasculitis characterized by extravascular granulomas and eosinophilic infiltrates of small vessels. Although cardiac complications are considered to be relatively common, no case of constrictive calcified pericarditis has ever been previously described in this setting. In this report, we present the case of a 46-year-old man with Churg-Strauss syndrome, in whom we were able to document the development of symptomatic calcific constrictive pericarditis during a 10-year period despite long-term corticosteroid therapy. Georg Thieme Verlag KG Stuttgart · New York.

  10. The Strauss and Carpenter Prognostic Scale in subjects clinically at high risk of psychosis

    NARCIS (Netherlands)

    Nieman, D. H.; Velthorst, E.; Becker, H. E.; de Haan, L.; Dingemans, P. M.; Linszen, D. H.; Birchwood, M.; Patterson, P.; Salokangas, R. K. R.; Heinimaa, M.; Heinz, A.; Juckel, G.; von Reventlow, H. G.; Morrison, A.; Schultze-Lutter, F.; Klosterkötter, J.; Ruhrmann, S.; McGorry, Patrick D.; McGlashan, Thomas H.; Knapp, Martin; van de Fliert, Reinaud; Klaassen, Rianne; Picker, Heinz; Neumann, Meike; Brockhaus-Dumke, Anke; Pukrop, Ralf; Svirskis, Tanja; Huttunen, Jukka; Laine, Tiina; Ilonen, Tuula; Ristkari, Terja; Hietala, Jarmo; Skeate, Amanda; Gudlowski, Yehonala; Ozgürdal, Seza; French, Paul; Stevens, Helen

    2013-01-01

    To investigate the predictive value of the Strauss and Carpenter Prognostic Scale (SCPS) for transition to a first psychotic episode in subjects clinically at high risk (CHR) of psychosis. Two hundred and forty-four CHR subjects participating in the European Prediction of Psychosis Study were

  11. Churg-Strauss syndrome concomitant with chronic symmetrical dacryoadenitis suggesting Mikulicz's disease.

    Science.gov (United States)

    Hanioka, Yusuke; Yamagami, Keiko; Yoshioka, Katsunobu; Nakamura, Tomomi; Kishida, Masatsugu; Nakamura, Tomoyuki; Yamaguchi, Toshimasa; Koshimo, Naomi; Inoue, Takeshi; Imanishi, Masahito

    2012-01-01

    A case of Churg-Strauss syndrome complicated by chronic symmetrical dacryoadenitis suggestive of Mikulicz's disease is herein presented. A 72-year-old Japanese man, who had been previously diagnosed with asthma, presented with weakness of the left leg and purpura on the lower extremities. A neurological examination showed multiple mononeuropathies and a laboratory examination revealed elevated eosinophil counts, IgE levels and the presence of Myeloperoxidase-antineutrophil cytoplasmic antibody (MPO-ANCAs). Churg-Strauss syndrome was diagnosed, although the patient also exhibited bilateral swelling of the lachrymal glands. Furthermore, elevated serum IgG4 levels, an infiltration of a relatively large number of IgG4-positive plasmacytes in the nasal mucosa and hypocomplementemia were also observed. These findings were consistent with a diagnosis of Mikulicz's disease (MD). Oral prednisolone (30 mg) was administered and the swelling of the lachrymal glands resolved. Churg-Strauss syndrome may be accompanied by Mikulicz's disease (an IgG4-related disease), and common pathogeneses between Churg-Strauss syndrome and IgG4-related disease may exist.

  12. Eosinophilic granulomatosis with polyangitis (Churg-Strauss syndrome: a diagnostic rarity with an atypical presentation

    Directory of Open Access Journals (Sweden)

    Sujeet Raina

    2014-01-01

    Full Text Available We report a case of a 33-year-old woman who presented to us with symptoms of bronchial asthma and peripheral neuropathy. After investigations, the diagnosis of eosinophilic granulomatosis and polyangitis (Churg-Strauss syndrome was made.

  13. Bullous eosinophilic cellulitis (Wells' syndrome) associated with Churg-Strauss syndrome

    NARCIS (Netherlands)

    Schuttelaar, M L A; Jonkman, M F

    We report a patient with Churg-Strauss syndrome (CSS) with asthma, eosinophilia, nasal polyposis and ANCA-associated multisystem vasculitis, who's skin eruption started with erythematous urticarial-plaques followed by haemorrhagic bullae. Histology of the plaques revealed 'flame figures' in the

  14. Unusual finding in pediatric Churg-Strauss: renal lesions on CT

    International Nuclear Information System (INIS)

    Oldan, Jorge; McCauley, Roy; Pilichowska, Monica; Milner, Lawrence; Lopez-Benitez, Jorge M.

    2011-01-01

    After a 19-year-old female experienced several weeks of unrelieved fevers, an abdominal CT revealed multiple low-attenuation renal lesions. As the differential included lymphoma, infections and infarcts, a core biopsy of the kidney was performed, which revealed changes consistent with Churg-Strauss syndrome. (orig.)

  15. Unusual finding in pediatric Churg-Strauss: renal lesions on CT

    Energy Technology Data Exchange (ETDEWEB)

    Oldan, Jorge; McCauley, Roy [Tufts Medical Center, Department of Radiology, Boston, MA (United States); Pilichowska, Monica [Tufts Medical Center, Department of Pathology, Boston, MA (United States); Milner, Lawrence [Tufts Medical Center, Department of Nephrology, Boston, MA (United States); Lopez-Benitez, Jorge M [Tufts Medical Center, Department of Rheumatology, Boston, MA (United States)

    2011-08-15

    After a 19-year-old female experienced several weeks of unrelieved fevers, an abdominal CT revealed multiple low-attenuation renal lesions. As the differential included lymphoma, infections and infarcts, a core biopsy of the kidney was performed, which revealed changes consistent with Churg-Strauss syndrome. (orig.)

  16. Strauss, Richard. Ariane a Naxos: opera seulement, integrale. Miliza Korjus / Michel Parouty

    Index Scriptorium Estoniae

    Parouty, Michel

    1995-01-01

    Uuest heliplaadist "Strauss, Richard. Ariane a Naxos: opera seulement, integrale. Miliza Korjus (Najade). Orchestre de l'Opea l'Efat de Vienne" Arlecchino ARL 14-16, distribution Dante (3 CD: 390 F). 1935, 1944. TT: 3h 46'17"

  17. The paradigm of description in ethnographic translation: the translator Levi-Strauss in Tristes Tropiques

    Directory of Open Access Journals (Sweden)

    Alice Maria de Araújo Ferreira

    2014-11-01

    Full Text Available Published in 1955, Tristes Tropiques by Claude Levi-Strauss is an account of the journey that the author and ethnographer made on the American continent, especially in Brazil, in 1930. With a free poetic style not restricted by the austerity of scientific work, Levi-Strauss introduced a reflection that established a crucial rupture in ethnographic studies and in the humanities in general, or rather, the rupture of the gaze. His aim is not precisely the culture of the indigenous people in Brazil, but Levi-Strauss himself as the subject of the gaze. How may one grasp an object that changes as one gazes at it? How does the gaze affect the object while gazing, observing, analyzing, describing, and translating it? Current essay discusses what the translator does to the speech of the other when translating it. Different translation strategies from Portuguese into French proposed by Levi-Strauss in Tristes Tropiques are discussed. Conceiving ethnographic translation from the description paradigm and as an encounter of cultures (but not as replacement, the author analyzes the process performed within the gap between the gaze experience and the production of speech of such gaze to understand the value produced at the end of the axis corresponding to the ethnographic translation-description.

  18. Kas tõesti võib Strauss-Kahn puhta nahaga pääseda? / Heiki Suurkask

    Index Scriptorium Estoniae

    Suurkask, Heiki, 1972-

    2011-01-01

    IMF-i endine juht ja võimalik Prantsuse presidendikandidaat Dominique Strauss-Kahn, keda süüdistatakse vägistamiskatses, on nüüdseks koduarestist vabastatud. DNA-proov on selgelt kinnitanud seksuaalset läbikäimist Strauss-Kahni ja hotelli toateenija vahel, kuid ei kinnita veel, kas tegemist oli vabatahtliku või pealesurutuga

  19. Lévi-Strauss en el pensamiento filosófico latinoamericano. : Claude Lévi-Strauss: El pensamiento de un siglo. "Psicoanalisis y Antropologia hoy"

    OpenAIRE

    Gonzalez , Patricia; de Pablo , Elisabeth; Winkler , Lisette; Borie , Cesar

    2008-01-01

    Corpus "ASA-SHS"; Nacido en 1908, Claude LEVI-STRAUSS, es considerado el fundador de la antropología estructural e introductor a las ciencias sociales del enfoque estructuralista basado en la lingüistica estructural de Saussure. Por la influencia de su obra, dentro y fuera de la antropología, es considerado uno de los intelectuales más influyentes del siglo XX. Con motivo del aniversario del antropólogo, el Coloquio internacional "Claude Lévi-Srauss: el pensamiento de un siglo “psicoanalisis ...

  20. Churg-Strauss syndrome following cessation of allergic desensitization vaccination: a case report

    Directory of Open Access Journals (Sweden)

    Mokri Bahareh

    2010-06-01

    Full Text Available Abstract Introduction Churg-Strauss syndrome is a vasculitis of medium to small sized vessels. Diagnosis is mainly clinical with findings of asthma, eosinophilia, rhinosinusitis and signs of vasculitis in major organs. Case presentation We present a case of a 19-year-old Persian male who developed signs and symptoms of this syndrome related to hyposensitization treatments for allergy control. Conclusions No unifying etiology for the disease can be presented as it is found associated with environmental factors, medications, infections and is even considered a variant of asthma with predisposition to vasculitic involvement. Therefore, it is important to recognize this disease and be aware of underdiagnosis because of emphasis on pathologic evidence. Here, we present a case of allergic desensitization causing Churg-Strauss syndrome in the absence of other known factors.

  1. Anterior ischemic optic neuropathy in a patient with Churg-Strauss syndrome.

    Science.gov (United States)

    Lee, Ji Eun; Lee, Seung Uk; Kim, Soo Young; Jang, Tae Won; Lee, Sang Joon

    2012-12-01

    We describe a patient with Churg-Strauss syndrome who developed unilateral anterior ischemic optic neuropathy. A 54-year-old man with a history of bronchial asthma, allergic rhinitis, and sinusitis presented with sudden decreased visual acuity in his right eye that had begun 2 weeks previously. The visual acuity of his right eye was 20 / 50. Ophthalmoscopic examination revealed a diffusely swollen right optic disc and splinter hemorrhages at its margin. Goldmann perimetry showed central scotomas in the right eye and fluorescein angiography showed remarkable hyperfluorescence of the right optic nerve head. Marked peripheral eosinphilia, extravascular eosinophils in a bronchial biopsy specimen, and an increased sedimentation rate supported the diagnosis of Churg-Strauss syndrome. Therapy with methylprednisolone corrected the laboratory abnormalities, improved clinical features, and preserved vision, except for the right central visual field defect. Early recognition of this systemic disease by ophthalmologists may help in preventing severe ocular complications.

  2. Churg-Strauss Syndrome as an Unusual Cause of Dysphagia: Case Report.

    Science.gov (United States)

    Park, Jihye; Im, Sun; Moon, Su-Jin; Park, Geun-Young; Jang, Yongjun; Kim, Yeonjin

    2015-06-01

    Systemic vasculitis is a rare disease, and the diagnosis is very difficult when patient shows atypical symptoms. We experienced an unusual case of dysphagia caused by Churg-Strauss syndrome with lower cranial nerve involvement. A 74-year-old man, with a past history of sinusitis, asthma, and hearing deficiency, was admitted to our department for evaluation of dysphagia. He also complained of recurrent bleeding of nasal cavities and esophagus. Brain magnetic resonance imaging did not show definite abnormality, and electrophysiologic findings were suggestive of mononeuritis multiplex. Dysphagia had not improved after conventional therapy. Biopsy of the nasal cavity showed extravascular eosinophilic infiltration. All these findings suggested a rare form of Churg-Strauss syndrome involving multiple lower cranial nerves. Dysphagia improved after steroid therapy.

  3. Oculomotor Nerve Palsy following Cardiac Tamponade with Churg-Strauss Syndrome: A Case Report

    Directory of Open Access Journals (Sweden)

    Kazuki Suganuma

    2011-10-01

    Full Text Available A 57-year-old man with a history of more than 10 years of bronchial asthma and chronic sinusitis complained of double vision which developed 18 days after cardiac tamponade with eosinophil-rich fluid (eosinophils 30%. He had oculomotor nerve palsy, and a blood test revealed eosinophilia (12,700/mm3 and elevation of both C-reactive protein and rheumatoid factor. He was diagnosed as having Churg-Strauss syndrome. His symptoms were relieved by corticosteroid therapy. Our case and previous cases in the literature revealed that oculomotor nerve palsy in Churg-Strauss syndrome is associated with pupil involvement and may be relieved by corticosteroid treatment.

  4. [A case of hemorrhagic cholecystitis associated with Churg-Strauss syndrome].

    Science.gov (United States)

    Koizumi, Satomi; Kamisawa, Terumi; Kuruma, Sawako; Chiba, Kazuro; Tabata, Taku; Koizumi, Koichi; Kurata, Masanao; Horiguchi, Shinichiro; Hishima, Tsunekazu

    2016-01-01

    A woman in her 70s with Churg-Strauss syndrome presented with epigastric pain. She was being treated with steroids at the time of admission. Computed tomography showed swelling of the gallbladder, and percutaneous transhepatic cholangiography revealed bloody secretion. On duodenoscopy, bleeding was observed from the orifice of the major duodenal papilla. Emergency cholecystectomy was performed under a diagnosis of hemorrhagic cholecystitis;intraoperatively, extensive hematoma was detected in the thickened wall of the gallbladder. Subsequent histopathological examination revealed mucosal ulceration with infiltration of inflammatory cells, torn small vessels, and extensive transmural bleeding and abscess formation in the thickened wall of the gallbladder. We considered that the hemorrhagic cholecystitis was induced by either vasculitis or corticosteroid therapy. To the best of our knowledge, this is the first report of hemorrhagic cholecystitis associated with Churg-Strauss syndrome.

  5. Churg-Strauss Syndrome and pregnancy Successful treatment with intravenous immunoglobulin - Reply

    Directory of Open Access Journals (Sweden)

    M. Galeazzi

    2011-09-01

    Full Text Available La sindrome di Churg-Strauss è una malattia estremamente rara e ancora più raro è riscontrarla in una paziente in stato di gravidanza. Il trattamento iniziale della malattia consiste nella somministrazione di alte dosi di corticosteroidi. I pazienti più gravi o che rispondono poco o insoddisfacientemente ai corticosteroidi vengono solitamente trattati con farmaci citotossici. Le immunoglobuline somministrate per via endovenosa (IgEV stanno dimostrando di essere efficaci nel trattamento di questa patologia, tuttavia non esiste un consenso universale sulla loro effettiva utilità nelle vasculiti sistemiche. Noi presentiamo il caso di una donna con sindrome di Churg-Strauss resistente al trattamento con corticosteroidi e ciclofosfamide. Allorché si riscontrò che la paziente era al 3° mese di gravidanza fu iniziata una terapia con alte dosi di IgEV con ottimi risultati. Questo caso conferma l’utilità del trattamento con IgEV della sindrome di Churg-Strauss e ne dimostra l’efficacia anche in stato di gravidanza.

  6. In memoriam. La obra de Claude Lévi–Strauss (1908–2009. Unidad humana y diferencia cultural

    Directory of Open Access Journals (Sweden)

    Álvaro Pazos

    2010-11-01

    Full Text Available Uno de los temas fundamentales de la obra del antropólogo francés Claude Lévi–Strauss, recientemente fallecido, es el de la relación entre unidad humana y diferencia cultural. De diversas maneras, tanto en sus trabajos teóricos como en sus intervenciones públicas, Lévi– Strauss adoptó una particular forma de relativismo cultural. En este artículo se repasa lo que esta posición debe a los presupuestos básicos del estructuralismo; se refl exiona asimismo sobre las diversas nociones de Lévi–Strauss respecto de la unidad humana; y se introduce una crítica del relativismo estructuralista y una defensa de un universalismo de lo social.

  7. Eosinophilic myocarditis due to Churg-Strauss syndrome with markedly elevated eosinophil cationic protein.

    Science.gov (United States)

    Hara, Tomoya; Yamaguchi, Koji; Iwase, Takashi; Kadota, Muneyuki; Bando, Mika; Ogasawara, Kozue; Bando, Sachiko; Ise, Takayuki; Niki, Toshiyuki; Ueda, Yuka; Tomita, Noriko; Taketani, Yoshio; Yamada, Hirotsugu; Soeki, Takeshi; Wakatsuki, Tetsuzo; Sata, Masataka

    2013-01-01

    A 67-year-old woman with asthma visited our hospital with increasing dyspnea and new-onset paresthesia and purpura in her legs. Physical examination showed a wheeze, pretibial edema, and surrounding purpura. Chest X-rays showed cardiac decompensation and an electrocardiogram revealed a new ST-T change. Laboratory data showed leukocytosis, hypereosinophilia (10,450/μL), troponin T(+), elevated BNP, and markedly elevated eosinophil cationic protein (ECP) (> 150 ng/mL). Echocardiography revealed diffuse left ventricular hypokinesis (ejection fraction 30%) with increased wall thickness. Coronary angiography was normal. Cardiac magnetic resonance imaging implied diffuse myocardial edema and subendocardial late gadolinium enhancement. Skin biopsy of purpura showed superfi cial perivascular dermatitis with remarkable eosinophilic infiltrations. No evidence of drug allergies, parasitic infection, or myeloproliferative disorder was detected. Based on these findings, a diagnosis of eosinophilic myocarditis due to Churg-Strauss syndrome was considered. She was administered prednisolone at a dose of 1 mg/kg, cyclophosphamide, and diuretics. Several markers of eosinophilic myocarditis and heart failure gradually improved, including ECP. She was discharged 30 days later with no cardiac event. Eosinophilic myocarditis is characterized by predominantly eosinophilic infi ltration. Eosinophilic granule proteins, such as ECP and major basic protein, play important roles in the pathogenesis of eosinophilic myocarditis. We experienced a rare case of eosinophilic myocarditis due to Churg-Strauss syndrome. Markedly elevated ECP played an important role in the early diagnosis and subsequent reduction in ECP served as a marker of monitoring. In an asthmatic patient with dyspnea, hypereosinophilia, and vasculitis, Churg-Strauss syndrome with eosinophilic myocarditis should be considered.

  8. Subarachnoid and Intracerebral Hemorrhage in Patients with Churg-Strauss Syndrome: Two Case Reports

    Science.gov (United States)

    Go, Myeong Hoon; Park, Jeong Un; Kang, Jae Gyu

    2012-01-01

    Churg-Strauss syndrome (CSS) is a systemic necrotizing vasculitis of the small and medium vessels, associated with extravascular eosinophilic granulomas, peripheral eosinophilia, and asthma. The exact etiology of CSS is unknown. This syndrome commonly affects the lungs, peripheral nerves, skin, heart, and gastrointestinal tract, but rarely the central nervous system. Subarachnoid and intracerebral hemorrhage in CSS patients is extremely rare; however, clinicians should consider that CSS may be a cause of intracranial hemorrhage and its high rate of mortality and morbidity. The authors report on two cases of subarachnoid and intracerebral hemorrhage with CSS and discuss a brief review of CSS. PMID:23210058

  9. Churg-Strauss syndrome presenting as polymiositis: report of a case

    Directory of Open Access Journals (Sweden)

    E. Presotto

    2011-06-01

    Full Text Available We reported the case of a male patient with Churg-Strauss syndrome (CSS heralding as symptoms typical of polymiositis. During high-dose cortisone therapy (1.5 mg/kg/day, he developed a severe multiplex mononeuritis, poorly responsive to immunoglobulins and methotrexate administration. After 6 months he developed a partial deficiency of the right sciatic popliteus and the radial nerves. Sural nerve biopsy showed a characteristic necrotizing vasculitis of the epineural vessels with granulocyte and eosinophil infiltrates. In the course of CSS, peripheral nervous system involvement is frequent and can lead to disability. For this reason, it must be promptly recognized and properly treated.

  10. Churg-Strauss syndrome and leukotriene antagonist use: a respiratory perspective.

    LENUS (Irish Health Repository)

    Nathani, N

    2008-10-01

    Churg-Strauss syndrome (CSS) is a rare granulomatous small vessel vasculitis that occurs against a background of longstanding asthma. Leukotriene antagonists (LTAs) are used in the management of asthma and may facilitate a reduction in steroid dosage. Reports of the development of CSS in patients with asthma following the initiation of LTA therapy suggest either a causal association or an unmasking of latent CSS as steroid doses fall. We have undertaken a systematic review to establish whether evidence of a drug induced syndrome exists.

  11. Síndrome de Churg-Strauss: casuística

    Directory of Open Access Journals (Sweden)

    T.M. Alfaro

    2012-03-01

    Full Text Available Resumo: A síndrome de Churg-Strauss (SCS é uma vasculite sistémica necrotizante, que afeta os vasos de pequeno e médio calibre e se associa a granulomas eosinofílicos extravasculares, eosinofilia periférica e asma.É uma síndrome rara, de etiologia desconhecida e que afeta ambos os géneros e todos os grupos etários.Os doentes com SCS geralmente apresentam boa resposta à terapêutica com glucocorticoides, embora as recidivas sejam frequentes após a sua suspensão. O diagnóstico e terapêutica atempada levam geralmente a um bom prognóstico, com uma sobrevivência de 90% um ano após o diagnóstico.Neste artigo é apresentada uma breve revisão da SCS, com particular atenção ao diagnóstico, terapêutica e progressos recentes nesta área.De seguida, os autores apresentam e discutem as características clínicas, laboratoriais e imagiológicas de quatro doentes internados num Serviço de Medicina Interna com este diagnóstico. O tratamento instituído, as respostas observadas e o seguimento dos casos são também descritos. Abstract: Churg-Strauss syndrome (CSS is a systemic necrotizing vasculitis of the small and medium vessels, associated with extravascular eosinophilic granulomas, peripheral eosinophilia and asthma.This is a rare syndrome of unknown etiology, affecting both genders and all age groups.CSS patients usually respond well to steroid treatment, although relapses are common after it ends. Timely diagnosis and treatment generally lead to a good prognosis with a 90% survival rate at one year.A brief review of CSS is presented, with particular attention to diagnosis, therapy and recent developments in this area.The authors then report and discuss the clinical, laboratory and imaging characteristics of four patients admitted to an Internal Medicine Department with this diagnosis. The treatment, response and follow-up of the cases are also described. Palavras-chave: Síndrome de Churg-Strauss, Vasculite, Revisão, Casu

  12. Churg-Strauss syndrome associated with antiphospholipid antibodies in a patient with retinal vasculitis.

    Science.gov (United States)

    Sánchez-Vicente, J L; Gálvez-Carvajal, S; Medina-Tapia, A; Rueda, T; González-García, L; Szewc, M; Muñoz-Morales, A

    2016-11-01

    We present the case of a 69-year-old woman with unilateral retinal vasculitis. Investigations showed asthma, rhinosinusitis, nasal polyposis, peripheral blood eosinophilia, increased sedimentation rate, proteinuria, and antiphospholipid antibodies. Anti-neutrophil cytoplasmic antibodies (ANCA) were negative. Although her anti-neutrophil cytoplasmatic antibody (ANCA) status was negative, taking into account the other clinical and laboratory features, retinal vasculitis was thought to be an ocular manifestation of Churg-Strauss syndrome. Treatment was started with high-dose corticosteroids and anticoagulant therapy. Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. Claude Lévi-Strauss: El pensamiento de un siglo. "Psicoanalisis y Antropologia hoy"

    Directory of Open Access Journals (Sweden)

    2009-12-01

    Full Text Available Presentación (en español Nacido en 1908, Claude lévi-Strauss es considerado como el fundador de la antropología estructural e introductor a las ciencias sociales del enfoque estructuralista basado en la linguística estructural de Saussure. Por la influencia de su obra, dentro y fuera de la antropología, es uno de los intelectuales más influyentes del siglo XX. Con motivo del aniversario del antropólogo, el Coloquio internacional "Claude Lévi-Srauss: el pensamiento de un siglo “psicoanalisis ...

  14. Geertz versus Levi-Strauss: latent structural dispositions in Geertz "theory of culture"?

    Directory of Open Access Journals (Sweden)

    Gordana Gorunović

    2016-02-01

    Full Text Available These are two authors, in Foucauldian terms that certainly belong to the most influential individuals in socio-cultural anthropology, as well as in the social sciences and interdisciplinary research more broadly. Claude Levi- Strauss became some kind of an "intellectual hero" during the domination of structuralism in the mid-twentieth century and during the 1960s, while Clifford Geertz was an ‘icon and ambassador’ of anthropology in the second half of the twentieth century. They are both one of the founders of the discourse theory. They not only established a distinct theoretical approaches and methods – structural (Levi-Strauss and interpretative anthropology (Clifford Geertz, but through their intellectual authority they also inspired paradigms and intellectual movements making structuralism and "interpretation of culture" more than some passing episodes in the history of social though (in terms of "trendy ideas". My aim is to make some parallels between these two authors, who despite all the differences that are evident in their epistemological discourses, theoretical approaches and methods (as well as in their ethnographic and anthropological writings itself still have some similarities in their theorisation and interpretation of culture, which I would like to stress in this paper.

  15. INDIAN CUISINE AS A PASSING LINK FROM "CULTURE" TO "NATURE": INVERTING LÉVI-STRAUSS

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    Mártin César Tempass

    2011-06-01

    Full Text Available According to Claude Lévi-Strauss, the cuisine constitutes a passing link from stage of nature to stage of culture. Based on ethnographic research among the Mbyá-Guarani, this article analyzes this assertion under the light of the Amerindian cosmology. However, the dichotomy between nature and culture does not apply to indigenous groups, since for these nature and culture constitute a hybrid. To this hybridism might also be added the domain of supernatural. In terms of analysis this hybrid configuration does not allow any kind of transition from one domain to another. Yet the transition is possible among the three possible conditions of life in cosmos – animality, humanity and divinity. Human beings may perform the transition to animality as well as the transition to divinity. But no matter the course of the transition, although in different conditions in cosmos, from humanity one will always achieve animality. As conceptualized by Lévi-Strauss, from culture always occurs the trasition to nature. However, in one direction ex-humans will control nature beings, in another one, they will be controlled by nature. This isn’t just about a peculiarity of indigenous groups, it may also be found in societies so-called “modern”, however under others shapes.

  16. Heart transplantation in patients with eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome).

    Science.gov (United States)

    Groh, Matthieu; Masciocco, Gabriella; Kirchner, Elizabeth; Kristen, Arnt; Pellegrini, Carlo; Varnous, Shaïda; Bortman, Guillermo; Rosenberg, Mark; Brucato, Antonio; Waterworth, Paul; Bonacina, Edgardo; Facchetti, Fabio; Calabrese, Leonard; Gregorini, Gina; Scali, Juan Jose; Starling, Randall; Frigerio, Maria; D'Armini, Andrea Maria; Guillevin, Loïc

    2014-08-01

    Heart involvement is the leading cause of death of patients with eosinophilic granulomatosis with polyangiitis (EGPA; formerly Churg-Strauss syndrome) and is more frequent in anti-neutrophil cytoplasm antibody (ANCA)-negative patients. Post-transplant outcome has only been reported once. We conducted a retrospective international multicenter study. Patients satisfying the criteria of the American College of Rheumatology and/or revised Chapel Hill Consensus Conference Nomenclature were identified by collaborating vasculitis and transplant specialists, and the help of the Churg-Strauss Syndrome Association. Nine ANCA(-) patients who received transplants between October 1987 and December 2009 were identified. The vasculitis and cardiomyopathy diagnoses were concomitant for 5 patients and separated by 12 to 288 months for the remaining 4 patients. Despite ongoing immunosuppression, histologic examination of 7 (78%) patients' explanted hearts showed histologic patterns suggestive of active vasculitis. The overall 5-year survival rate was low (57%), but rose to 80% when considering only the 6 patients transplanted during the last decade. After survival lasting 3 to 60 months, 4 (44%) patients died sudden deaths. The search for EGPA-related cardiomyopathy is mandatory early in the course of this type of vasculitis. Indeed, prompt treatment with corticosteroids and cyclophosphamide may achieve restore cardiac function. Most patients in this series were undertreated. For patients with refractory EGPA, heart transplantation should be performed, which carries a fair prognosis. No optimal immunosuppressive strategy has yet been identified. Copyright © 2014 International Society for Heart and Lung Transplantation. All rights reserved.

  17. [Acute coronary syndrome as a first manifestation of Churg-Strauss syndrome].

    Science.gov (United States)

    Asdonk, T; Pabst, S; Clauberg, R; Schaefer, C; Skowasch, D; Nickenig, G; Tiyerili, V

    2012-03-01

    A 53-year-old woman was admitted to our chest pain unit because of an acute coronary syndrome (non ST-elevation myocardial infarction). She complained of asthma, chronic sinusitis and involuntary weight loss, occasional fever and night sweats over the past six months. Coronary angiography did not show any signs of macroscopic coronary artery disease, while echocardiography demonstrated a hemodynamically not significant pericardial effusion. Magnetic resonance imaging of the heart revealed a subendocardial scar, extension and localization pointing to a vascular genesis. Thoracic computed tomography revealed pulmonary opacities and blood tests showed an eosinophilia, leading to the clinical diagnosis of Churg-Strauss syndome. The patient responded quickly to oral steroids, and blood parameters returned to normal. Acute coronary syndrome in youngish patients without classical cardiovascular risk factors is suggestive for myocarditis but also for vasculitis. Churg-Strauss syndrome usually responds quickly to immunosuppressive therapy, associated with a rather good prognosis without high mortality. © Georg Thieme Verlag KG Stuttgart · New York.

  18. A pseudoleukemic blood differentiation in a 13-year-old child: an extraordinary presentation of Churg-Strauss syndrome

    NARCIS (Netherlands)

    Mutsaers, E. R.; Witteveen, R.; van den Bosch-Ruis, W.; Kuijpers, T. W.; van Houten, M. A.; van den Berg, J. M.

    2013-01-01

    Churg-Strauss syndrome (CSS) is a rare systemic vasculitis of the small-and medium-size vessels. It is mostly seen in elderly patients presenting as de novo asthma, eosinophilia, and vasculitic organ involvement. In childhood, CSS is extremely rare. The course of pediatric CSS is usually severe and

  19. Entre Carl Schmitt y Thomas Hobbes . Un es tudio del liberalismo moderno a partir del pensamiento de Leo Strauss

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    José Daniel Parra Quintero

    2010-01-01

    Full Text Available El presente ensayo es una lectura sobre el liberalismo moderno desde el pensamiento de Leo Strauss. A partir de su análisis del Concepto de lo político de Carl Schmitt y su crítica de la "despolitización y neutralización" liberal, Strauss responde con una afirmación del problema del derecho natural, para lo cual es fundamental como primer paso estudiar la filosofía política de Thomas Hobbes. Desde allí Strauss se plantea un punto de contraste hacia una consideración clásica del derecho natural que pueda hacer frente al nihilismo político o cosmopolitanismo apolítico en la modernidad tardía, resultado ambos tanto del histori-cismo radical como del positivismo metodológico. Strauss antepone a la afirmación de la voluntad del poder soberano la búsqueda del derecho natural como representación de la idea de la justicia.

  20. Churg-Strauss Syndrome with Cardiac Involvement: A Case Report with CT and MRI Findings

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Seong Joo; Cho, Young Jun; Kim, Keum; Hwang, Cheol Mok; Kim, Dae Ho [Dept. of Radiology, Konyang University College of Medicine, Daegu (Korea, Republic of); Choi, Eu Gene [Dept. of Internal Medicine, Konyang University College of Medicine, Daegu (Korea, Republic of)

    2012-02-15

    This is a case report of Churg-Strauss Syndrome (CSS) associated with cardiac involvement which is demonstrated in chest CT and cardiac MRI (CMR) without specific cardiac symptoms. A 32-year-old woman had a 3-year history of bronchial asthma, chronic sinusitis, and otitis media. The patient had various typical findings of CSS. The patient had no specific cardiac symptoms or signs such as chest pain, palpitations, syncope, or murmur, but she had diffuse low attenuation lesions in the inner wall of the left ventricle (LV) in contrast-enhanced CT. This corresponded to the area of subendocardial hyperenhancement in delayed contrast-enhanced CMR images. She was treated with steroids for 2 months. Follow-up delayed contrast-enhanced CMR of the LV showed a decrease in the size of the subendocardial enhancement area, and she had no symptoms. Therefore, the radiologist and clinician both should pay careful attention to observe possible cardiac involvement in case of CSS.

  1. Eosinophilic myocarditis due to Churg-Strauss syndrome mimicking reversible dilated cardiomyopathy.

    Science.gov (United States)

    Chen, Ming-xian; Yu, Bi-lian; Peng, Dao-quan; Zhou, Sheng-hua

    2014-01-01

    A 41-year-old woman with a history of asthma arrived at the emergency room of our hospital with dyspnea. The electrocardiogram showed no specific results. Echocardiography defects revealed an obvious decrease in the left ventricular systolic function and enlargement of the left chamber. We initially considered her condition to be dilated cardiomyopathy. However, she had eosinophilia in the peripheral blood and elevated cardiac enzymes. The coronary angiography showed normal coronary arteries. Single photon emission computed tomography (SPECT) showed infiltrative myocardial disease. She was then diagnosed with eosinophil infiltrations. Combined with peripheral nerve injury and lung involvement, she was diagnosed as having Churg-Strauss syndrome. After initiating prednisone treatment, her eosinophilia and rising cardiac enzymes recovered to normal, and both her echocardiographic abnormalities and symptoms noticeably improved. Copyright © 2014 Elsevier Inc. All rights reserved.

  2. Churg-Strauss syndrome associated with rapid deterioration of left ventricular diastolic dysfunction and conduction disturbance.

    Science.gov (United States)

    Chin, Jung Yeon; Yi, Jeong Eun; Youn, Ho-Joong

    2013-10-01

    Cardiac involvement in Churg-Strauss syndrome (CSS) is a major cause of mortality. Here we report a case of a 75-year-old woman with eosinophilic endomyocarditis due to CSS. An electrocardiogram showed intraventricular conduction delay, and echocardiography showed an impaired relaxation pattern and biventricular apical thickening. Magnetic resonance imaging revealed subendocardial delayed enhancement with biventricular apical thrombi. Endomyocardial biopsy showed perivascular eosinophilic infiltration. Despite resolution of the hypereosinophilia after steroid therapy, her left ventricular (LV) diastolic function worsened into a restrictive pattern and she died with a ventricular escape rhythm on her 14th day in the hospital. This case is unusual in that there was rapid progression of the LV diastolic dysfunction and conduction disturbance due to CSS. © 2013, Wiley Periodicals, Inc.

  3. Sequential rituximab and omalizumab for the treatment of eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome).

    Science.gov (United States)

    Aguirre-Valencia, David; Posso-Osorio, Iván; Bravo, Juan-Carlos; Bonilla-Abadía, Fabio; Tobón, Gabriel J; Cañas, Carlos A

    2017-09-01

    Eosinophilic granulomatosis with polyangiitis (EGPA), formerly known as Churg-Strauss syndrome (CSS), is a small vessel vasculitis associated with eosinophilia and asthma. Clinical manifestations commonly seen in patients presenting with EGPA range from upper airway and lung involvement to neurological, cardiac, cutaneous, and renal manifestations. Treatment for severe presentations includes steroids, cyclophosphamide, plasmapheresis, and recently, rituximab. Rituximab is associated with a good response in the treatment of vasculitis, but a variable response for the control of allergic symptoms. Here, we report a 16-year-old female patient with severe EGPA (gastrointestinal and cutaneous vasculitis, rhinitis and asthma) refractory to conventional treatment. She was treated with rituximab, which enabled rapid control of the vasculitis component of the disease, but there was no response to rhinitis and asthma. Additionally, she developed severe bronchospasm during rituximab infusion. Sequential rituximab and omalizumab were initiated, leading to remission of all manifestations of vasculitis, rhinitis, and asthma, in addition to bronchospasm related to rituximab infusion.

  4. Combined Churg-Strauss syndrome and allergic bronchopulmonary aspergillosis - case report and review of the literature.

    Science.gov (United States)

    Ren, Shaohua

    2013-01-01

    A rare case of combined Churg-Strauss syndrome (CSS) and allergic bronchopulmonary aspergillosis (ABPA) was presented. A 41-year-old woman was diagnosed with CSS based upon asthma, eosinophilia (23%), chest radiographic findings, paranasal sinusitis, peripheral neuropathy and positive p- anti-neutrophil cytoplasmic antibodies (pANCA). The diagnosis of ABPA was established on the pathological findings of allegic mucin impaction and fungal hyphae on lung biopsy. It was further proved by positive serum IgE and IgG antibodies specific to afumigatus. The clinical investigation features were reviewed in the patients with combined CSS and ABPA. All patients had the time sequence of the development of CSS after ABPA uniformly, suggesting immunopathogenesis involving the emergence of CSS. The role of lung biopsy in the diagnosis of the condition was emphasized. © 2012 Blackwell Publishing Ltd.

  5. Churg-Strauss syndrome with concomitant occurrence of ischemic stroke and relapsing purpura.

    Science.gov (United States)

    Tanaka, Koji; Koga, Masatoshi; Ishibashi-Ueda, Hatsue; Matsumoto, Chiho; Toyoda, Kazunori

    2012-11-01

    A 77-year-old woman suffering from chronic bronchial asthma and chronic atrial fibrillation who had had a previous ischemic stroke presented to our emergency unit with gait disturbance. She had new-onset truncal ataxia, right hemiparesis, and right sensory disturbance related to the previous stroke. Her lower legs were slightly swollen and had a reddened appearance. Her medical history included mitral valve replacement because of severe mitral valve regurgitation. Her white blood cell count was 8600/μL, mainly consisting of eosinophils (4480/μL; 52.1%). Serum nonspecific immunoglobulin E was elevated to 1600 IU/mL (normal range Churg-Strauss syndrome (CSS). Skin lesions and eosinophilia disappeared after oral corticosteroid therapy. In this case, cerebellar infarction occurred with purpuric rash despite well-controlled anticoagulation. Patients with CSS may suffer from ischemic stroke when the condition of CSS deteriorates. Copyright © 2012 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  6. Echocardiographic Changes in Eosinophilic Endocarditis Induced by Churg-Strauss Syndrome.

    Science.gov (United States)

    Masaki, Nobuyuki; Issiki, Ami; Kirimura, Masato; Kamiyama, Tetsuo; Sasaki, Osamu; Ito, Hiroyuki; Maruyama, Yoshiaki; Nishioka, Toshihiko

    Eosinophilic myocarditis may be accompanied by Churg-Strauss syndrome (CSS). We report a case of CSS that was accompanied by myocardial changes in the early stage. A 71-year-old woman complained of mild chest pain at rest, but routine echocardiography did not reveal any endocardial abnormalities. Four months later, the patient was hospitalized due to congestive heart failure with neuropathy of both upper extremities. A diagnosis of eosinophilic myocarditis was made based on the patient's laboratory results and the presence of mural thrombus. This case illustrates that, although early eosinophilic myocarditis is an important differential diagnosis in patients with chest pain, it may be difficult to identify in without an apparent mural thrombus.

  7. A case of Churg-Strauss syndrome and central retinal artery occlusion with good visual recovery

    Directory of Open Access Journals (Sweden)

    Yuki Kamata

    2013-01-01

    Full Text Available Here we report a case of Churg-Strauss syndrome (CSS and central retinal artery occlusion (CRAO, with good visual recovery. A 58-year-old Japanese man with CSS experienced acute painless loss of vision in his right eye. CRAO was diagnosed by fundoscopic findings (retinal whitening with a cherry-red spot. Steroid pulse therapy (methylprednisolone at 1 g daily for 3 days followed by combined treatment with prednisolone (30 mg/day and cyclophosphamide (150 mg/day was administered; his visual acuity recovered to 20/30 in 1 month, and no recurrence has occurred for 1 year. Steroid pulse therapy may be effective for CRAO in CSS patients.

  8. Churg-Strauss Syndrome with Cardiac Involvement: A Case Report with CT and MRI Findings

    International Nuclear Information System (INIS)

    Lim, Seong Joo; Cho, Young Jun; Kim, Keum; Hwang, Cheol Mok; Kim, Dae Ho; Choi, Eu Gene

    2012-01-01

    This is a case report of Churg-Strauss Syndrome (CSS) associated with cardiac involvement which is demonstrated in chest CT and cardiac MRI (CMR) without specific cardiac symptoms. A 32-year-old woman had a 3-year history of bronchial asthma, chronic sinusitis, and otitis media. The patient had various typical findings of CSS. The patient had no specific cardiac symptoms or signs such as chest pain, palpitations, syncope, or murmur, but she had diffuse low attenuation lesions in the inner wall of the left ventricle (LV) in contrast-enhanced CT. This corresponded to the area of subendocardial hyperenhancement in delayed contrast-enhanced CMR images. She was treated with steroids for 2 months. Follow-up delayed contrast-enhanced CMR of the LV showed a decrease in the size of the subendocardial enhancement area, and she had no symptoms. Therefore, the radiologist and clinician both should pay careful attention to observe possible cardiac involvement in case of CSS.

  9. Churg-Strauss syndrome presenting with eosinophilic myocarditis: a diagnostic challenge.

    Science.gov (United States)

    Correia, Ana Sofia; Gonçalves, Alexandra; Araújo, Vítor; Almeida e Silva, João; Pereira, José Manuel; Rodrigues Pereira, Pedro; Pizarro, Manuel; Silva, João Carlos; Maciel, Maria Júlia

    2013-09-01

    Churg-Strauss syndrome (CSS) is an unusual disease that presents as systemic vasculitis and peripheral eosinophilia in patients with an atopic constitution. Cardiac involvement is unusual and often not prominent on initial presentation, but is an important cause of morbidity and mortality in patients with CSS. We report the case of a young woman with severe acute myocarditis. Coronary arteriography demonstrated extensive focal vasculopathy, consistent with coronary vasculitis, and myocardial biopsy showed eosinophilic myocarditis. This presentation led to an initial diagnosis of CSS in this patient and appropriate therapy resulted in a spectacular remission of disease activity. Copyright © 2012 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  10. Cotrimoxazole-Induced Hypoglycaemia in a Patient with Churg-Strauss Syndrome

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    Russell Senanayake

    2013-01-01

    Full Text Available Cotrimoxazole is a commonly used antimicrobial agent which is traditionally indicated in the management of pneumocystis infection of which HIV and immunosuppressed individuals are at high risk. Furthermore, it can be used on the long term for prophylactic indications. Hypoglycaemia following commencement of cotrimaoxazole is a rare adverse effect which was first described in 1988. We describe a case of hypoglycaemia shortly following initiation of cotrimoxazole indicated as long-term prophylaxis on a background of Churg-Strauss syndrome. The patient was symptomatic for hypoglycaemia despite simultaneous use of high-dose prednisolone; however, the hypoglycaemia did not require a hospital admission. We will explore the risk factors, monitoring requirements, and the mechanism by which co-trimoxazole induces hypoglycaemia.

  11. The linkage between Churg-Strauss syndrome and leukotriene receptor antagonists: fact or fiction?

    Science.gov (United States)

    McDanel, Deanna L; Muller, Barbara A

    2005-01-01

    Epidemiologic evidence has shown that the worldwide prevalence of asthma is increasing. The leukotriene receptor antagonists (LTRAs) represent a new class of therapy for asthma. They have been developed in the last decade and play a pivotal steroid-sparing role in treating the inflammatory component of asthma. Consequently, reports of Churg-Strauss syndrome (CSS), a rare form of systemic vasculitis, have been recognized as a potential side effect in individuals with moderate to severe asthma on LTRA therapy. The serious nature of this disorder is worthy of prompt recognition by clinicians and aggressive therapy to avoid the subsequent longstanding effects of vasculitis. To validate the postulated linkage between the LTRAs and CSS, this review comprehensively evaluates reported cases in the literature and supports a pathophysiological relationship between the LTRAs and the development of CSS. PMID:18360552

  12. ANCA-Negative Churg-Strauss Syndrome Presenting as Acute Multiple Cerebral Infarcts: A Case Report.

    Science.gov (United States)

    Psychogios, Klearchos; Evmorfiadis, Ilias; Dragomanovits, Spyros; Stavridis, Athanasios; Takis, Konstantinos; Kaklamanis, Loukas; Stathis, Pantelis

    2017-03-01

    Eosinophilic granulomatosis with polyangiitis (EGPA, previously named Churg-Strauss syndrome) is a form of necrotizing vasculitis occurring in patients with asthma and eosinophilia. Ischemic stroke is a relatively rare complication of the disease. We report a case of a 63-year-old woman with multiple embolic infarcts, hypereosinophilia (for >7 years), and skin rash. Elevated cardiac enzymes and cardiac magnetic resonance imaging were consistent with endomyocarditis. The simultaneous presence of history of asthma, sinusitis, hypereosinophilia, and vasculitis led to the diagnosis of EGPA. This case contributes to the recent debate of the 2 possible presentations of the disease according to the ANCA (antineutrophil cytoplasmic antibodies) status. We furthermore underscore the need for careful differential diagnosis of the "ANCA negative" cases with persistent hypereosinophilia from the idiopathic hypereosinophilic syndrome. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  13. A Case of Montelukast-Induced Churg-Strauss Syndrome Associated with Liver Dysfunction

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    Keiji Matsui

    2011-01-01

    Full Text Available A 64-year-old woman was admitted to hospital due to protracted diarrhea and liver dysfunction. The patient was diagnosed as Churg-Strauss syndrome (CSS due to asthma, paranasal sinusitis, hypereosinophilia, and polyneuropathy. There was a history of taking montelukast, a leukotriene receptor antagonist (LTRA, which is thought to have some relationship with CSS. The liver biopsy specimen showed eosinophilic infiltration and centrolobular fatty change. In this paper, we review the relationship between LTRA and CSS. Several lines of evidence suggest that leukotriene plays an important role in maintaining neural tissues. We also review the potential relationship between centrolobular fatty change and pivoxil-containing antibiotics, which was prescribed for sinusitis before admission. Carnitine deficiency induced by pivoxil-containing agents may cause impaired fatty acid oxidation in mitochondria.

  14. Coronary involvement in Churg-Strauss syndrome: a case report with CT findings.

    Science.gov (United States)

    Doo, Kyung Won; Yong, Hwan Seok; Kang, Eun-Young

    2013-12-01

    We report a case of Churg-Strauss syndrome (CSS) associated with coronary artery involvement, as demonstrated on coronary CT angiography (CCTA), without specific cardiac symptoms. A 69-year-old male had an 8-year history of bronchial asthma and chronic sinusitis with hypereosinophilia (35 %), polyneuropathy, and a positive antineutrophil cytoplasmic antibody titer, so he was diagnosed with CSS. The patient had no specific cardiac symptoms, but CCTA showed vasculitis and a saccular aneurysm involving the proximal coronary arteries. The 3-year follow-up CCTA demonstrated an increase in the extent of soft-tissue wall thickening and infiltration involving the coronary arteries. Although vasculitis of the major coronary arteries is not a prominent feature of CSS, our case suggests that the coronary arteries may also be targeted in this syndrome.

  15. A Case Report of Angina Bullosa Haemorrhagica (ABH in Patient with Churg Strauss Syndrome

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    M. Koopaie

    2015-11-01

    Full Text Available Bullosa Haemorrhagica (ABH is a rare oral blood blisters disorder. This recurrent disorder is restricted to oral mucosa and its difference with other oral vesiculobullos disorders is that blood vesicles are formed after minor trauma and in the absence of any blood dyscrasia, vesiculobullos disease and systemic disorder. This blood blisters are without pain, with color of dark red and full of bloods that rapidly enlarge and rapidly burst. The incidence of Angina Bullosa Haemorrhagica is unknown. Diagnosis of this disorder and differentiation from vesiculobullos disease like pemphigus and pemphiguid is important for patient's health. In this report we introduce a 55 years old woman with a 4­years history of oral blood blisters. These vesicles were in lateral border and ventral surface of tongue and on the ferenum. In medical history the patient had churg strauss syndrome and using inhalation corticosteroid for control of asthmatic attacks (An etiologic factor for appearing or aggravation of the disease.

  16. Femineidad y ficción en la obra operística de Richard Strauss

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    María José Sánchez Usón

    2014-01-01

    Full Text Available Tras la muerte de Wagner y Brahms, Richard Straussemergió como uno de los compositores más importantesy populares de la música del siglo XX. Su trayectoria vitaly profesional, azarosa y turbulenta, al igual que las décadasque vivió, estuvo marcada por la realidad femenina.Es innegable que las mujeres de la vida de Strauss, todasde fuerte y distintiva personalidad, dejaron en él huellastan hondas que fue necesario llevarlas a escena, no sólocomo una aportación valiosa a la tipología caracterológicafemenina, sino también como un ejercicio terapéuticopersonal. Así, mujeres reales y mujeres ficticias se confundenen sus obras en un proceso creativo único: el delhombre-artista.

  17. Schmidt. Sinfonie Nr. 1 E-Dur; Strauss. Vier sinfonische Zwischenspiele aus Intermezzo. Detroit Symphony Orchestra, Neeme Järvi / Helge Grünewald

    Index Scriptorium Estoniae

    Grünewald, Helge

    1996-01-01

    Uuest heliplaadist "Schmidt. Sinfonie Nr. 1 E-Dur; Strauss. Vier sinfonische Zwischenspiele aus Intermezzo. Detroit Symphony Orchestra, Neeme Järvi. Chandos/Koch CD 9357 (WD: 68'20") DDD (WD:114'36")

  18. The Influence of Johannes Fabian on Claude Lévi -Strauss

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    Miloš Milenković

    2016-02-01

    Full Text Available In his explicitly theoretical works, Johannes Fabian, one of the key intradisciplinary "affinities" of the author-founder of postmodern anthropology, constructed a specific view of Claude Lévi-Strauss's structuralism, which, as reinterpreted by critical anthropologists, was to fundamentally shape the history of anthropological post-structuralism. In order to explain that the constitution of the subject of research through research itself – i.e. "the invention of the subject of anthropology" – should be accorded the status of the crucial problem of anthropological methodology, Fabian imputed to Lévi-Strauss a rigid and amateurish preconception of research in the natural sciences as inherently positivist. The opposition structuralism/poststructuralism = positivism/postpositivism thus implied was to permanently reshape discussions on realism in critical anthropology, with absurd consequences. The most important of these was the supposedly "antirealist" character of postmodern anthropology, as a direct derivative of critical anthroplogy, which, being aware that reality is created by research, was now seen to play a somehow more ethical and less repressive part in knowledge/power games. The delight at the discovery of this methodological commonplace – that the subject of research is constituted by research itself – might have been but a matter of passing interest, being itself a common enough phenomenon, had not this particular intradisciplinary exchange led to the discrediting of the entire methodological package associated with structuralism. Paradoxically, the retaining of a realistic, radically antipositivist structural method would have made possible the achievement of the cultural-critical ambitions of postmodern anthropology's research program, had not the method been ineptly contaminated by this chain of activist reinterpretation which eventually frustrated the aims it had set out to accomplish.

  19. Living between reality and virtuality – on the work of Monika Fleischmann and Wolfgang Strauss

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    Ryszard W. Kluszczyński

    2012-12-01

    Full Text Available It becomes clear that new media begin to function as multiplicators of new worlds, creating numerous virtual environments. This diversified, compound reality in many ways takes a shape of a network. New media art in this field of events has various functions. From one hand, it is one of the most refined instruments in the process of networkisation. From the other hand, it is also the tool of verification for these processes, critically but without prejudice evaluating its development, attentively observing what shapes do they took, as well as their real or possible results. In each case, new media art is an active participant of these processes, making full use of possibilities provided by the network system. Frequently while performing its activities it is intersected or linked with the processes which are a part of the world of science, creating together with them new cultural paradigm. Monika Fleischmann and Wolfgang Strauss undertook their joint, creative actions in combined fields of art and science in late 1980s. It was a special moment of a breakthrough for the formation of the character of modern civilization. Events taking place back then, as being a part of a sphere of phenomena generated by communication and information sciences, had enormous influence on the process of shaping a new cultural formation – cyber culture, and because of this, at the same time, had enormous influence on our ways of reality perception. From the beginning of their cooperation, Fleischmann and Strauss have found the tools appropriate for the realization of their works in the environemt of the internet. Their’s art has developed in parallel to the development of computer and internet environment, depicting dynamics of this network and inscribing, with the undertaken issues, in the circle of problems generated through out a development and transformations of accompanied cyber-cultural concepts.

  20. Comparación entre los diagramas TTS obtenidos mediante los ensayos normalizados Huey y Strauss modificado para el acero inoxidable AISI 304

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    Otero, E.

    1996-04-01

    Full Text Available This work presents a comparison of Temperature-Time-Sensitization TTS diagrams obtained by Huey and modified Strauss standard, for detecting susceptibility to intergranular attack. The difference between these tests is the use of a strong or a slightly smooth oxidizing electrolyte. The diagrams obtained are different and if a sample tested by modified Strauss is sensitized, then it will be sensitized in the Huey test, but the contrary is not always true. This difference is because a sensitized sample has to have a continuous band lacking in chromium along the grain boundary in order to be sensitized in the modified Strauss test. This condition is not necessary in the Huey test.

    Se comparan los diagramas Temperatura-Tiempo-Sensibilización TTS, obtenidos mediante los ensayos normalizados de corrosión intergranular Huey y Strauss modificado, que, respectivamente, utilizan electrólitos fuerte y suavemente oxidantes, mostrándose que los diagramas obtenidos son diferentes. Si una muestra evaluada mediante el ensayo Strauss modificado se encuentra sensibilizada, entonces lo estará también en el ensayo Huey, pero no necesariamente ocurrirá lo contrario; esta diferencia se asocia a la necesidad de la existencia de una zona continua empobrecida en cromo a lo largo del límite de grano para que el material se sensibilice con respecto al ensayo Strauss modificado, condición innecesaria para el caso del ensayo Huey.

  1. A ideia, a série e a forma: Desafios da imagem no pensamento de Claude Lévi-Strauss

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    Carlo Severi

    2011-11-01

    Full Text Available Neste artigo, parte-se da abordagem teórica da arte por Lévi-Strauss para aplicá-la a um objeto não explorado pelo próprio autor: a arte abstrata no Ocidente. O texto inicia com uma polêmica entre Lévi-Strauss e o teórico do surrealismo, André Breton, em torno da magia da arte. A polêmica põe a nu a originalidade de Lévi-Strauss enquanto teórico da arte, em diálogo permanente com os Modernistas de sua época, assim como a centralidade da arte na sua teoria estruturalista. Se para Breton a magia da arte é universal porque apela para processos de apreensão intuitivas, opostos à razão, para Lévi-Strauss o desafio da universalidade da arte consiste no fato de este ser um dos lugares privilegiados de exploração do pensamento formal. Lévi-Strauss propõe interpretar paralelamente, no interior de cada universo cultural, as coordenadas constitutivas da imagem e as operações mentais que essas coordenadas implicam. Se Lévi-Strauss seguiu este caminho para dar sentido aos arabescos kadiwéu, propõe-se aqui seguir esta trilha na exploração da arte abstrata.

  2. Ravimiuuringutes keerlevad miljonid / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2008-01-01

    Ilmunud ka: Äripäev 5. sept. lk. 12-15, Delovõje Vedomosti 10. sept. lk. 6-7. Autor uuris ravimiuuringutes osalevate arstide tasustamist. Diagramm: Kliinilised uuringud Eestis. Tabel: Uuringuarstide TOP. Kommenteerib ravimiameti peadirektori asetäitja Alar Irs. Ajal. Äripäev ka intervjuu Ravimitootjate liidu juhatuse esimehe Akshay Modyga

  3. Lévi-Strauss no Brasil: a formação do etnólogo

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    Peixoto Fernanda

    1998-01-01

    Full Text Available O artigo procura acompanhar o período brasileiro de Claude Lévi-Strauss (1935-1938, rastreando suas publicações, aulas e pesquisas no momento em que era professor de sociologia na Universidade de São Paulo, com o objetivo de compreender o lugar ocupado pelo Brasil na sua trajetória. O interesse é mostrar que apesar de breve, e de modo geral silenciada, a etapa brasileira do autor foi fundamental para os desdobramentos de sua futura carreira como etnólogo e americanista. O texto procura também avaliar o significado da vinda de Lévi-Strauss para o Brasil no contexto francês da época, quando o americanismo era ainda terreno pouco explorado, ao contrário do africanismo, "vocação" em voga no momento.

  4. Churg–Strauss syndrome associated with antiphospholipid antibodies in a patient with recurrent myocardial and cerebral ischemia

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    Paroli M

    2012-11-01

    Full Text Available Marino Paroli,1 Alessandro Polidoro,1 Simone Romano,1 Daniele Accapezzato21Department of Biotechnology and Medical-Surgical Sciences, 2Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, ItalyAbstract: We report on a case of Churg–Strauss syndrome (CSS associated with the presence of antiphospholipid antibodies. The patient had a history of recurrent myocardial infarction and presented with acute ischemic cerebral disease. Eosinophilia with typical lung and skin lesions led us to diagnose the patient with CCS. We hypothesize that the presence of antiphospholipid antibodies significantly contributed to the ischemic events. We suggest that the search for antiphospholipid antibodies should be included in the laboratory work-up in CSS patients and patients affected by primary systemic vasculitides in general. Moreover, anticoagulant treatment appears to be warranted in all CSS patients and antiphospholipid antibodies to counteract this thrombosis-favoring association.Keywords: Churg–Strauss syndrome, antiphospholipid antibodies, ischemic disease

  5. Churg-Strauss syndrome presenting with acute kidney injury in a case of primary focal segmental glomerulosclerosis.

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    Patil, Sachin B; Vanikar, Aruna V; Gumber, Manoj R; Kute, Vivek B; Shah, Pankaj R; Patel, Himanshu V; Trivedi, Hargovind L

    2014-01-01

    Churg-Strauss syndrome (CSS) also called allergic granulomatosis and angiitis is a multisystem disorder. Churg-Strauss syndrome is defined as an eosinophil-rich, granulomatous inflammation involving the respiratory tract, along with necrotizing vasculitis affecting small- to medium-sized vessels, and is associated with asthma and eosinophilia. Renal involvement in CSS varies from 26 to 88 % but is usually of mild to moderate stage, and advanced renal failure is uncommon. We encountered an unusual case of 27-year-old man with asthma and primary focal segmental glomerulosclerosis diagnosed as CSS showing myeloperoxidase anti-neutrophil cytoplasmic antibody-associated acute kidney injury with crescentic glomerulonephritis. Patient responded to steroid and cyclophosphamide. Over a follow-up of 2 months, he has no hematuria/eosinophilia and serum creatinine of 2.3 mg/dL has decreased to 1.7 mg/dL.

  6. Catheter-Directed Thrombolysis of Deep Vein Thrombosis in a Patient with Churg-Strauss Syndrome: A Case Report

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    Park, Jun Beom; Kim, See Hyung; Choi, Jin Soo; Kim, Young Hwan [Dongsan Hospital, Keimyung University, Daegu (Korea, Republic of)

    2010-10-15

    Vasculitis by Churg-Strauss Syndrome (CSS) is an uncommon disease characterized by the inflammation of blood vessel walls and can involve many organs. The clinical manifestations and courses of vasculitis are highly variable. Deep vein thrombosis has rarely been reported in vasculitis by CSS. We report a case of deep vein thrombosis associated with CSS that was successfully treated by catheter-directed thrombolysis.

  7. Catheter-Directed Thrombolysis of Deep Vein Thrombosis in a Patient with Churg-Strauss Syndrome: A Case Report

    International Nuclear Information System (INIS)

    Park, Jun Beom; Kim, See Hyung; Choi, Jin Soo; Kim, Young Hwan

    2010-01-01

    Vasculitis by Churg-Strauss Syndrome (CSS) is an uncommon disease characterized by the inflammation of blood vessel walls and can involve many organs. The clinical manifestations and courses of vasculitis are highly variable. Deep vein thrombosis has rarely been reported in vasculitis by CSS. We report a case of deep vein thrombosis associated with CSS that was successfully treated by catheter-directed thrombolysis

  8. Pulmonary involvement in Churg-Strauss syndrome: an analysis of CT, clinical, and pathologic findings

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    Kim, Yoon Kyung; Lee, Kyung Soo; Chong, Semin; Chung, Myung Jin; Yi, Chin A; Kim, Ha Young [Samsung Medical Center, Sungkyunkwan University School of Medicine, Department of Radiology and Center for Imaging Science, Seoul (Korea); Chung, Man Pyo [Samsung Medical Center, Sungkyunkwan University School of Medicine, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Seoul (Korea); Han, Joungho [Samsung Medical Center, Sungkyunkwan University School of Medicine, Department of Pathology, Seoul (Korea)

    2007-12-15

    We tried to assess retrospectively thin-section CT findings of Churg-Strauss syndrome (CSS) in 25 patients and to compare these findings with clinical and histopathologic findings. Of 25 patients, 19 (76%) had parenchymal abnormalities at CT; small nodules (n = 12; 63%), ground-glass opacity (n = 10; 53%), bronchial wall thickening (n = 10; 53%), and consolidation (n = 8; 42%). Parenchymal abnormalities (n = 19) were categorizable as an airway pattern in 11 and an airspace pattern in eight. Patients with an airway pattern (n = 5) had obstructive (n = 3) or combined (n = 2) PFT results, whereas those with an airspace pattern (n = 4) had restrictive (n = 3) or obstructive (n = 1) results. Parenchymal opacities at CT corresponded histologically to areas of eosinophilic pneumonia, necrotizing granulomas, and granulomatous vasculitis; small nodules to eosinophilic bronchiolitis and peribronchiolar vasculitis; and bronchial wall thickening to airway wall eosinophil and lymphocyte infiltration. Patients with airspace pattern responded more readily to treatment than those with airway pattern. CT shows lung parenchymal abnormalities in about three-quarters of CSS patients and these abnormalities can be categorized as airspace or airway patterns. This classification helps predict PFT data, underlying histopathology, and treatment response. (orig.)

  9. Optimal therapy and prospects for new medicines in eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome).

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    Pagnoux, Christian; Groh, Matthieu

    2016-10-01

    The prevalence of eosinophilic granulomatosis with polyangiitis (EGPA; previously known as Churg-Strauss syndrome) is lower than that of other antineutrophil cytoplasm antibody (ANCA)-associated vasculitides (AAV's), and only a few randomized controlled trials have been conducted for this rare disease. However, recent international efforts have helped delineate the best treatment approach. At present, EGPA conventional therapy is by default similar to that of other AAVs. Limited, non-severe EGPA can initially be treated with glucocorticoids (GCs) alone. Patients with life-threatening manifestations and/or major organ involvement must receive a combination of GCs and an immunosuppressant, mainly cyclophosphamide. Remission can be achieved in >85% of patients with these first-line treatments, but vasculitis relapses occur in more than one-third of patients, and about 85% cannot stop GC treatment because of GC-dependent asthma and/or ENT manifestations. A few biologic agents, including rituximab or mepolizumab, are now under investigation after interesting preliminary results. Expert commentary: Treatment for EGPA still has several unmet needs. Several biologic agents are now under investigation in randomized controlled trials, but a few others should be considered soon. Their benefit should be demonstrated for devising more EGPA-tailored therapeutic strategies (ideally GC-free).

  10. A case report and literature review of Churg-Strauss syndrome presenting with myocarditis.

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    Qiao, Lu; Gao, Dengfeng

    2016-12-01

    Churg-Strauss syndrome (CSS) is a multisystem disorder characterized by asthma, prominent peripheral blood eosinophilia, and vasculitis signs. Here we report a case of CSS presenting with acute myocarditis and heart failure and review the literature on CSS with cardiac involvement. A 59-year-old man with general fatigue, numbness of limbs, and a 2-year history of asthma was admitted to the department of orthopedics. Eosinophilia, history of asthma, lung infiltrates, peripheral neurological damage, and myocarditis suggested the diagnosis of CSS. Transthoracic echocardiography revealed a dilated hypokinetic left ventricle (left ventricular ejection fraction ∼40%) with mild segmental abnormalities in the septal and apical segments. By reviewing the present case reports, we concluded that (1) the younger age of CSS, the greater occurrence rate of complicating myocarditis and the poorer prognosis; (2) female CSS patients are older than male patients; (3) patients with cardiac involvement usually have a history of severe asthma; (4) markedly increased eosinophil count suggests a potential diagnosis of CSS (when the count increases to 20% of white blood cell counts or 8.1 × 109/L, eosinophils start to infiltrate into myocardium); and (5) negative ANCA status is associated with heart disease in CSS.

  11. Pulmonary involvement in Churg-Strauss syndrome: an analysis of CT, clinical, and pathologic findings

    International Nuclear Information System (INIS)

    Kim, Yoon Kyung; Lee, Kyung Soo; Chong, Semin; Chung, Myung Jin; Yi, Chin A.; Kim, Ha Young; Chung, Man Pyo; Han, Joungho

    2007-01-01

    We tried to assess retrospectively thin-section CT findings of Churg-Strauss syndrome (CSS) in 25 patients and to compare these findings with clinical and histopathologic findings. Of 25 patients, 19 (76%) had parenchymal abnormalities at CT; small nodules (n = 12; 63%), ground-glass opacity (n = 10; 53%), bronchial wall thickening (n = 10; 53%), and consolidation (n = 8; 42%). Parenchymal abnormalities (n = 19) were categorizable as an airway pattern in 11 and an airspace pattern in eight. Patients with an airway pattern (n = 5) had obstructive (n = 3) or combined (n = 2) PFT results, whereas those with an airspace pattern (n = 4) had restrictive (n = 3) or obstructive (n = 1) results. Parenchymal opacities at CT corresponded histologically to areas of eosinophilic pneumonia, necrotizing granulomas, and granulomatous vasculitis; small nodules to eosinophilic bronchiolitis and peribronchiolar vasculitis; and bronchial wall thickening to airway wall eosinophil and lymphocyte infiltration. Patients with airspace pattern responded more readily to treatment than those with airway pattern. CT shows lung parenchymal abnormalities in about three-quarters of CSS patients and these abnormalities can be categorized as airspace or airway patterns. This classification helps predict PFT data, underlying histopathology, and treatment response. (orig.)

  12. Low Median Nerve Palsy as Initial Manifestation of Churg-Strauss Syndrome.

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    Roh, Young Hak; Koh, Young Do; Noh, Jung Ho; Gong, Hyun Sik; Baek, Goo Hyun

    2017-06-01

    Anterior interosseous nerve (AIN) syndrome is typically characterized by forearm pain and partial or complete dysfunction of the AIN-innervated muscles. Although the exact etiology and pathophysiology of the disorder remain unclear, AIN syndrome is increasingly thought to be an inflammatory condition of the nerve rather than a compressive neuropathy because the symptoms often resolve spontaneously following prolonged observation. However, peripheral neuropathy can be 1 of the first symptoms of systemic vasculitis that needs early systemic immunotherapy to prevent extensive nerve damage. Churg-Strauss syndrome (CSS; eosinophilic granulomatosis with polyangiitis) is 1 type of primary systemic vasculitis that frequently damages the peripheral nervous system. CSS-associated neuropathy usually involves nerves of the lower limb, and few studies have reported on the involvement of the upper limb alone. We report on a rare case of low median nerve palsy as the initial manifestation of CSS. The patient recovered well with early steroid treatment for primary systemic vasculitis. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  13. Multiple Thromboembolic Cerebral Infarctions from the Aorta in a Patient with Churg-Strauss Syndrome.

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    Okada, Hideo

    2017-02-01

    Ischemic stroke is a rare complication of Churg-Strauss syndrome (CSS) and its pathogenesis has not been well clarified yet. We report a case of cerebral infarction in a patient with CSS due to embolism from a thrombus on the wall of the aorta. A 39-year-old man had multiple cerebral infarctions with symptoms of mild left hemiparesis and reduced vision. He was clinically diagnosed to have CSS based on remarkable eosinophilia, history of asthma, sinusitis, pulmonary infiltrates, and histologically proven extravascular eosinophilic infiltrates in the specimen of gastric mucosa. Cerebral angiography did not show any stenotic lesions in cerebral arteries. A thrombus was detected on the wall of the aorta by transesophageal echocardiography, which was considered as the source of embolism. The thrombus resolved on follow-up examination 3 months after the onset of the stroke. This is the first case report on cerebral infarction caused by aortogenic thromboembolism in a CSS patient. Other than cerebral vasculitis, embolism from cardiovascular system, including the wall of the aorta, is a possible cause of cerebral infarctions in a CSS patient. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  14. Cardiogenic Shock: An Unusual Initial Presentation of Churg-Strauss Syndrome

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    M. Apirami

    2018-01-01

    Full Text Available Churg-Strauss syndrome (CSS is a rare autoimmune condition, characterized by necrotizing extravascular eosinophil rich granulomatous inflammation of the tissues and disseminated small-medium sized vessel vasculitis in a patient with bronchial asthma and tissue eosinophilia. Though pulmonary involvement is the predominant feature of CSS, extra pulmonary involvement, in particular, cardiac involvement, denotes an adverse outcome. Here we report a 50-year-old female who presented with cardiogenic shock due to an acute coronary event as the initial manifestation of CSS. A subsequent coronary angiogram revealed normal epicardial coronaries. She was a patient with bronchial asthma and developed vasculitic rash, bilateral sensory motor polyneuropathy, and migratory peripheral lung field shadows in the background of peripheral eosinophilia during the course of the illness. She was diagnosed as having CSS based on ACR criteria and aggressively treated with immunosuppressants according to her Five-Factor Score and has shown prompt response to therapy. This case report adds to the literature another rare initial presentation of CSS to the existing array of its clinical manifestations.

  15. Churg-Strauss Syndrome in a Seven-year-old Boy: A Case Report

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    Abdolreza Malek

    2018-06-01

    Full Text Available Churg-Strauss syndrome (CSS is a type of vasculitis of small-to-medium sized vessels. This syndrome is known by a history of bronchial asthma with systemic necrotizing vasculitis and peripheral blood hypereosinophilia. It is currently called eosinophilic granulomatosis with polyangiitis (EGPA. This disease affects both genders and all age groups, but it is very rare among children. CSS diagnosis is based on clinical findings such as asthma, eosinophilia, rhinosinusitis, and signs of vasculitis in major organs. In cases where steroids alone or in combination with other immunosuppressive agents are used as treatment, the outcome and long-term survival are usually satisfying. In comparison with other types of systemic vasculitis, the mortality rate of this syndrome is low. In this study, we present the case of a 7-year-old boy with poorly controlled bronchial asthma since three years of age. This case had developed purpuric skin lesions, sinusitis, arthritis, and weakness of the limbs with symptoms of mononeuritis multiplex at the age of seven. After being admitted to our hospital, a series of studies, including complete blood count-diff, chest X-ray, paranasal sinus radiography, brain magnetic resonance imaging, nerve conduction study, spirometry, and serological tests for autoantibodies, were performed and he was diagnosed with CSS. Thereafter, he received regular corticosteroid therapy in combination with methotrexate, and his symptoms were generally well-controlled with the beginning of the treatment. The clinical characteristics, diagnosis, and management of CSS in children are also reviewed in this study.

  16. [Anesthetic management for surgery of giant coronary aneurysms complicated with Churg-Strauss syndrome].

    Science.gov (United States)

    Kido, Koji; Tokuda, Rui; Suzuki, Tomofumi; Hanashiro, Ako; Kobashigawa, Teruyo; Mayama, Takashi; Kamikawa, Michie

    2014-04-01

    Few cases of Churg-Strauss syndrome (CSS) complicated by giant coronary aneurysms (CAs)have been reported thus far. We report a case of CSS in a 60-year-old man who underwent surgery for giant CAs, and was managed with anesthetics. The patient developed acute myocardial infarction, and was diagnosed with giant CAs in the right coronary artery (RCA, 11 cm) and circumflex artery (3 cm). The CA in RCA was communicating with the right ventricle. He had a history of pericardiectomy for pericarditis caused by the CSS and developed thrombocytopenia due to consumptive coagulopathy within the CAs. An operation, including ligation and excision of the CAs, and coronary artery bypass grafting was performed under general anesthesia and cardiopulmonary bypass. There was massive hemorrhage followed by hemodynamic instability while detaching the tight pericardial adhesion and fragile surface of the CAs. Massive transfusion was required along with inotropes administration and intraaortic balloon support. In this case, determination of the appropriate surgical timing was difficult because symptoms of the CSS became worse followed by rapid enlargement of the CAs, myocardial infarction, and thrombocytopenia. Steroids were administered for treating CSS, and the blood transfusion was sufficient. However, it was difficult to control the hemorrhage and maintain hemodynamic stability.

  17. Diagnosis of Churg-Strauss Syndrome Presented With Neuroendocrine Carcinoma: A Case Report.

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    Park, Dayun; Lee, Ho Jun; Lee, Kwang Hoon; Kwon, Bum Sun; Park, Jin-Woo; Nam, Ki Yeun; Lee, Kyoung Hwan

    2017-06-01

    Churg-Strauss syndrome (CSS) is a rare systemic vasculitis that affect small and medium-sized blood vessels and is accompanied by asthma, eosinophilia, and peripheral neuropathy. This report describes a case of a 52-year-old man who had a history of sinusitis, asthma, and thymus cancer and who had complained of bilateral lower extremity paresthesia and weakness for a month. Peripheral neuropathy was detected by electrodiagnostic studies. Resection of a mediastinal mass, which was diagnosed as thymic neuroendocrine carcinoma, was performed five months before his visit. After thymectomy, peripheral blood tests revealed a gradual increase in eosinophils. Two months after surgery, he was admitted to the hospital for dyspnea, and nodules of focal consolidation were found in his chest X-ray. One month later, pyoderma occurred in the right shin, and the skin biopsy showed extravascular eosinophilic infiltration. He was diagnosed with CSS after thymectomy, and we report a very rare case of CSS presented with thymic neuroendocrine carcinoma.

  18. Churg-Strauss syndrome and persistent heart failure: active disease or damage?

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    Lin, Yih Chang; Oliveira, Guilherme H M; Villa-Forte, Alexandra

    2013-10-01

    Churg-Strauss syndrome (CSS) is a rare small-vessel vasculitis typically associated with adult-onset asthma, peripheral and tissue hypereosinophilia, migratory pulmonary infiltrates, upper respiratory tract symptoms, and clinical evidence of systemic vasculitis. Cardiac involvement is a well-recognized complication with an estimated prevalence of 60%. Heart disease is associated with poor prognosis, accounting for almost 50% mortality in CSS. We present a case of a 48-year-old woman with CSS complicated by congestive heart failure with left ventricular ejection fraction of 25%, who was initially treated with long course of high-dose steroids without any clinical or echocardiographic improvement. She was referred to our hospital 1 year later and was initiated with cyclophosphamide 2 mg/kg per day and prednisone 60 mg/d followed by slow taper. Subsequently, the patient had remarkable improvement. Patient was then transitioned to azathioprine for 1.5 years with sustained disease remission. It may be difficult to determine myocardial disease activity status versus tissue damage in CSS with prolonged duration of heart failure symptoms. This is the first case report demonstrating that CSS cardiac disease may remain active despite 1 year of corticosteroid therapy, and significant improvement or remission can still be achieved by administering more aggressive cytotoxic immunosuppressive therapy.

  19. Serum biomarkers in patients with relapsing eosinophilic granulomatosis with polyangiitis (Churg-Strauss.

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    Christian Dejaco

    Full Text Available Previous studies suggest a role for eotaxin-3, TARC/CCL17 and IgG4 in newly-diagnosed patients with eosinophilic granulomatosis with polyangiitis (EGPA, Churg-Strauss with highly active disease. The role of these biomarkers in relapsing disease is unclear.Serum levels of TARC/CCL17, eotaxin-3, IgG4, and IgG4/IgG ratio were determined in serum samples from a longitudinal cohort of patients with EGPA (105 visits of 25 patients. Epidemiological, clinical and laboratory data were available for all visits.At the first visit, 80% of patients were using glucocorticoids and 68% additional immunosuppressive drugs. Disease flares were seen at 18 visits. The median BVAS and BVAS/WG scores at time of relapse were 4 and 2, respectively. None of the biomarkers tested were useful to discriminate between active disease and remission. Patients treated with prednisone had lower eotaxin-3 and eosinophil levels compared to patients not taking glucocorticoids irrespective of disease activity. Use of immunosuppressive agents was not associated with biomarker levels.Serum levels of TARC/CCL17, eotaxin-3, IgG4, and IgG4/IgG ratio do not clearly differentiate active and inactive disease in established EGPA. Defining biomarkers in EGPA remains a challenge especially during times of glucocorticoid use.

  20. Hospital Morbidity Database for Epidemiological Studies on Churg-Strauss Syndrome.

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    Kanecki, Krzysztof; Nitsch-Osuch, Aneta; Gorynski, Paweł; Tarka, Patryk; Tyszko, Piotr

    2017-01-01

    Churg-Strauss syndrome or more accurately eosinophilic granulomatosis with polyangiitis (EGPA) is a small-vessel necrotizing vasculitis with a characteristic late-onset allergic rhinitis and asthma. The use of hospital morbidity database is an important element of the epidemiological analysis of this rare disease. The present study was undertaken to assess the incidence of EGPA and factors related to its epidemiology in Poland; the first analysis of the kind in Poland, enabling a comparison in the European context. This is a retrospective, population-based study using hospital discharge records with EGPA diagnosis, collected for a National Institute of Public Health survey covering the period from 2008 to 2013. The group consisted of 344 patients (206 females and 138 males) with the first-time hospitalization for EGPA. The major findings are that the annual incidence of EGPA in Poland was 1.5 per million (95% confidence intervals: 1.2-1.8), with the point prevalence of 8.8 per million at the end of 2013. A greater incidence of EGPA was observed in the regions with urban predominance. We conclude that discharge records may be a useful element of epidemiological studies on EGPA.

  1. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome and pulmonary thromboembolism: an overlooked concomitance

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    Vilma Takayasu

    2013-06-01

    Full Text Available The Eosinophilic Granulomatosis with Polyangiitis (formerly Churg- Strauss Syndrome (EGPA is a systemic inflammatory disease characterized by the presence of rhinitis, asthma, peripheral eosinophilia, and vasculitis—the latter being characteristic of the late stage of the disease. After several years from the onset of the disease, small- and medium-sized vessel vasculitis ensues, undertaking various organs and systems. Upper and lower airways, skin, nervous system, gastrointestinal tract, heart, and kidneys are the most commonly involved organs. It is believed that tissue injury is the result of processes mediated by antineutrophil cytoplasmic antibody (ANCA, or toxic mediators released by eosinophils. Although it is classified as ANCA-associated vasculitis, these autoantibodies are present in only 40% of cases. The authors report the case of a patient with EGPA, who had a history of asthma, peripheral and central neuropathy, palpable purpura, gastrointestinal micro perforation, peripheral eosinophilia, and the presence of myeloperoxidase-antineutrophil cytoplasmic antibody. Inflammatory parameters improved after the initiation of treatment, but 1 month after hospital discharge the patient developed symptoms compatible with pulmonary embolism and died. Thrombophilia that occurs in EGPA is due to the interaction between the inflammatory response and eosinophilia with the clotting system resulting in a pro-thrombotic state. Although not yet well-determined, the authors call attention to the possibility of the impact of thromboembolic events on the prognosis of patients with EGPA. In addition to the adequate immunosuppressive treatment, prophylaxis and treatment for thrombosis should never be overlooked.

  2. Effective intravenous immunoglobulin therapy for Churg-Strauss syndrome (allergic granulomatous angiitis complicated by neuropathy of the eighth cranial nerve: a case report

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    Ozaki Yoshio

    2012-09-01

    Full Text Available Abstract Introduction We report the case of a patient with Churg-Strauss syndrome with eighth cranial nerve palsy. Vestibulocochlear nerve palsy is extremely rare in Churg-Strauss syndrome. To the best of our knowledge, only one case of complicated neuropathy of the eighth cranial nerve has been described in a previous report presenting an aggregate calculation, but no differentiation between polyarteritis nodosa and Churg-Strauss syndrome was made. High-dose immunoglobulin was administered to our patient, and her neuropathy of the eighth cranial nerve showed improvement. Case presentation At the age of 46, a Japanese woman developed Churg-Strauss syndrome that later became stable with low-dose prednisolone treatment. At the age of 52, she developed sudden difficulty of hearing in her left ear, persistent severe rotary vertigo, and mononeuritis multiplex. At admission, bilateral perceptive deafness of about 80dB and eosinophilia of 4123/μL in peripheral blood were found. A diagnosis of cranial neuropathy of the eighth cranial nerve associated with exacerbated Churg-Strauss syndrome was made. Although high doses of steroid therapy alleviated the inflammatory symptoms and markers, the vertigo and bilateral hearing loss remained. Addition of a high-dose immunoglobulin finally resulted in marked alleviation of the symptoms associated with neuropathy of the eighth cranial nerve. Conclusions A high dose of immunoglobulin therapy shows favorable effects in neuropathy of the eighth cranial nerve, but no reports regarding its efficacy in cranial neuropathy have been published.

  3. Sindroma de Churg-Strauss: um diagnóstico de asma e eosinofília

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    Tiago Tribolet de Abreu

    2001-11-01

    Full Text Available RESUMO: Introdução: O S. de Churg-Strauss (SCS é uma entidade clínica em que um quadro de asma e eosinofilia coexiste com um atingimento multissistémico.Caso-clínico: Um homem de 63 anos, com diagnóstico de asma e rinite alérgica desde os 55 anos, inicia um quadro de febre, artrite, polineuropatia e hematúria. Verificou-se a existência de eosinofilia marcada e sinusopatia maxilar e etmoidal bilateral. Iniciou corticoterapia, com regressão completa do quadro clínico e laboratorial. Está actualmente assintomático, com Prednisolona 5 mg/dia.Discussão: Revendo os diagnósticos diferenciais de doença pulmonar com eosinofilia,verificámos que a presença de atingimento extrapulmonar permite considerarmos o SCS e o S. hipereosinofílico idiopático como únicas hipóteses. A existência de asma selecciona o SCS como o diagnóstico correcto.Conclusões: a perante um doente com asma e eosinofilia (superior a 10%, o S. de Churg-Strauss é um diagnóstico a ter sempre presente; b o diagnóstico é principalmente clínico, de acordo com os critérios de classificação; c a corticoterapia é muito eficaz e o seu desmame lento permite doses de manutenção baixas.REV PORT PNEUMOL 2001; VII (6: ABSTRACT: Background: The Churg-Strauss syndrome (CSS is a disease in which asthma and eosinophilia occur with multisystemic manifestations.Case-report: A 63 year old male, with a diagnosis of asthma and allergic rhinitis for 8 years, has fever, arthritis, peripheral neuropathy and hematuria. Marked eosinophilia and sinusitis were found. Corticosteroids were given, with complete clinical and laboratorial remission. The patient is asymptomatic with a daily dose of 5 mg of Prednisolone.Discussion: Reviewing the differential diagnosis of pulmonary disease and eosinophilia, the extrapulmonary involvement only exists in the CSS and the hypereosinophilic syndrome. Asthma is present only in the former, and so the Churg-Strauss syndrome was the correct

  4. Ética e profética nas Mitológicas de Lévi-Strauss

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    Renato Sztutman

    2009-06-01

    Full Text Available Este artigo intenta extrair das Mitológicas de Claude Lévi-Strauss uma ética e uma filosofia política (em princípio, ameríndias. Busca-se aqui a um só tempo responder e estender a provocação de Pierre Clastres, para quem a análise estrutural não teria se ocupado de tamanhas questões. Para realizar esta discussão, o foco será dado em duas obras de Lévi-Strauss: As origens dos modos à mesa, o terceiro volume das Mitológicas, e História de lince, a última das "pequenas mitológicas". Se a primeira finda com um excurso sobre a "moral dos mitos", a segunda principia com uma reflexão sobre a capacidade da mitologia de fornecer leituras da história, por exemplo, o "encontro" com o mundo europeu. Essas leituras, de sua parte, devem estar na base do que a literatura etnológica recente reconheceu como movimentos proféticos.This article focus Claude Lévi-Strauss' reflection on amerindian ethic and political thought. We suggest that we could read many passages of Mythologiques as if they contained sorts of replies as well as developments of some of Pierre Clastres' provocations and critics directed to structuralism. We will analyse particularly two books: Les origines des manières à table, Mythologiques' third volume, and Histoire de lynx, the last of the petites mythologiques. The first one ends with an interesting reflection on the "mythical moralism", while the second one starts with the problem of how amerindian mythologies can offer interpretations of history, interpretations of the "encounter" with europeans, for instance. These, we suppose, must be on the basis of what ethnological recent literature called "prophetic movements".

  5. Serum biomarkers are similar in Churg-Strauss syndrome and hypereosinophilic syndrome.

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    Khoury, P; Zagallo, P; Talar-Williams, C; Santos, C S; Dinerman, E; Holland, N C; Klion, A D

    2012-09-01

    Churg-Strauss syndrome (CSS) and hypereosinophilic syndrome (HES) overlap considerably in clinical presentation. A reliable means of distinguishing between these groups of patients is needed, especially in the setting of glucocorticoid therapy. A retrospective chart review of 276 adult subjects referred for evaluation of eosinophilia > 1500/μl was performed, and subjects with a documented secondary cause of eosinophilia or a PDGFR -positive myeloproliferative neoplasm were excluded. The remaining subjects were assessed for the presence of American College of Rheumatology (ACR) criteria. Laboratory and clinical parameters were compared between subjects with biopsy-proven vasculitis (CSS; n = 8), ≥4 ACR criteria (probable CSS; n = 21), HES with asthma and/or sinusitis without other CSS-defining criteria (HESwAS; n = 20), HES without asthma or sinusitis (HES; n = 18), and normal controls (n = 8). Serum biomarkers reported to be associated with CSS were measured using standard techniques. There were no differences between the subjects with definite or probable CSS or HES with respect to age, gender, or maintenance steroid dose. Serum CCL17, IL-8, and eotaxin levels were significantly increased in eosinophilic subjects as compared to normal controls, but were similar between the eosinophilic groups. Serum CCL17 correlated with eosinophil count (P < 0.0001, r = 0.73), but not with prednisone dose. In patients with a history of asthma and sinusitis, distinguishing between ANCA-negative CSS and PDGFR-negative HES is difficult because of significant overlap in clinical presentation and biomarker profiles. Published 2012. This article is a U.S. Government work and is in the public domain in the USA.

  6. Multimodality assessment of cardiac involvement in Churg-Strauss syndrome patients in clinical remission

    International Nuclear Information System (INIS)

    Szczeklik, W.; Miszalski-Jamka, T.; Mastalerz, L.; Sokolowska, B.; Dropinski, J.; Musial, J.; Banys, R.; Hor, K.N.; Mazur, W.

    2011-01-01

    Cardiac involvement in Churg-Strauss syndrome (CSS) is not uncommon, but its frequency varies widely and may depend on the activity of the disease. Therefore, the cardiac involvement in CSS patients in clinical remission was assessed in the present study. In 20 CSS patients in remission and 20 sex- and age-matched healthy controls, an electrocardiogram (ECG) stress test, echocardiography, and 24-h ECG Holter monitoring were performed, together with cardiac magnetic resonance imaging (cMRI). Cardiac involvement was present in 90% (18/20) of CSS patients. Left ventricular ejection fraction (LVEF) was on average lower in the CSS group than in controls (P<0.05), with 7 patients showing systolic heart failure (LVEF <50%). cMRI changes included late gadolinium enhancement lesions in the LV in 89% of patients (17/19), present in all layers of the myocardium. Signs of ongoing inflammation (early gadolinium enhancement) and edema (T2-weighted imaging) were present in 6/19 patients. Holter monitoring revealed both supraventricular and ventricular arrhythmias more frequently in CSS patients when compared with controls (P<0.05). Absolute eosinophil count before the initiation of treatment was higher in rhythm disturbances (P<0.05), and inversely correlated with LV systolic function (rho -0.65). Heart involvement in CSS patients who are in clinical remission is very common. It is characterized not only by fibrosis, but also by an active inflammatory process. The latter finding might influence therapeutic decisions in CSS patients in full clinical remission. (author)

  7. Not All Coughs Are Asthma or Allergies: Churg-Strauss Syndrome.

    Science.gov (United States)

    Bodoutchian, Ani A; Jain, Hitender; Velez, Tania

    2016-09-01

    Cardiomyopathy in patients with Churg-Strauss syndrome (CSS) carries a poor prognosis, with a high 5-year mortality rate, and requires treatment with immunosuppressive therapy. There is no single pathognomonic test or clinical finding for diagnosing CSS; instead, it is based upon meeting four of six criteria. A 47-year-old woman with a 6-month medical history of "asthma" presented to our hospital with a 1-month history or dyspnea on exertion. She denied any chest pain, cough, fever, orthopnea, or leg swelling. She was afebrile and normotensive, and her physical examination was unremarkable. Her white blood cell count was 23,000/mm(3) with 23% eosinophils, and her troponin T level was 1.08 ​Ng/ml. Extensive work-up revealed CSS. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians should be aware of unusual cases because not every patient that walks into an emergency department has a simple case of "asthma" or "allergies." Our patient had been diagnosed with asthma for 6 months before her symptoms had progressed to a point that prompted her to seek medical attention in a hospital. Emergency physicians are in a unique position to identify patients who present with recurrent complaints of asthma-especially late-onset asthma, which gradually worsens and is refractory to usual treatment. A complete blood cell count with a differential will prove valuable. Assessments of a patient's C-reactive protein level and erythrocyte sedimentation rate are inexpensive and check for signs of inflammation, although they are nonspecific. A chest radiograph or computed tomography scan of the chest or sinuses in some patients can also prove to be of value. Prompt recognition and treatment with steroids is imperative to ablate vasculitis tissue damage because this can improve the outcome. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. Churg-Strauss syndrome: a new endotype of severe asthma? Results of 14 Turkish patients.

    Science.gov (United States)

    Yılmaz, İnsu; Çelik, Gülfem; Aydın, Ömür; Özdemir, Seçil Kepil; Soyyiğit, Şadan; Sözener, Zeynep; Özgüçlü, Selcan; Atasoy, Çetin; Düzgün, Nurşen; Mungan, Dilşad; Sin, Betül; Demirel, Yavuz Selim; Mısırlıgil, Zeynep

    2015-07-01

    Churg-Strauss syndrome (CSS) is a rare multisystem vasculitis. Considering the variation of autoimmune diseases in different races, it is of interest to determine whether any outstanding features exist for Turkish patients with CSS. The aim of this study was to evaluate the clinical and serological features of the disease, the treatment, and long-term follow-up details, and to investigate possible etiological factors of Turkish CSS patients. The study included 14 patients who were diagnosed with CSS, and followed by our department between 2004 and 2012. Possible etiological factors, initial symptoms, clinical presentations, treatment, as well as outcomes were documented. The study was approved by the local ethics. All patients fulfilled the American College of Rheumatology criteria. Initial symptoms were worsening asthma (n = 14; 100%) and skin lesions (n = 6; 43%). All patients had a diagnosis of asthma and nasal polyps, whereas 57.1% had aspirin hypersensitivity at the time of diagnosis. The lungs (100%) and skin (43%) were most commonly involved. Peripheral eosinophilia dominated on initial presentations of all patients. Initial treatments included oral methyl prednisolone in all cases, whereas cyclophosphamide and azathioprine were used in three cases. Relapses were detected in five cases. None of the cases were able to stop the oral corticosteroid treatment. No fatalities were observed. We herein describe a new severe asthma endotype in connection with CSS. We suggest that physicians who deal with uncontrolled severe asthma cases should consider CSS in the presence of nasal polyps, aspirin hypersensitivity, and especially peripheral blood eosinophilia over 10%. © 2014 John Wiley & Sons Ltd.

  9. Antineutrophil cytoplasmic autoantibodies and myeloperoxidase autoantibodies in clinical expression of Churg-Strauss syndrome.

    Science.gov (United States)

    Healy, Bridget; Bibby, Susan; Steele, Richard; Weatherall, Mark; Nelson, Harold; Beasley, Richard

    2013-02-01

    The clinical significance of antineutrophil cytoplasmic antibodies (ANCAs) in the phenotypic expression of Churg-Strauss syndrome (CSS) is uncertain. We sought to investigate the relationship between ANCA status and the clinical expression of CSS in a case series derived from the US Food and Drug Administration's adverse events database. All cases of CSS reported to the US Food and Drug Administration from 1997 to April 2003 were reviewed. Information about basic demographics, suspect medication use, clinical manifestations, histologic findings, ANCA staining patterns, and the presence of antibodies to myeloperoxidase (anti-MPO) or proteinase 3 (anti-PR3) was recorded when available. There were 93 case reports of CSS with sufficient documentation, including ANCA status. There were 38 (40.9%) of 93 cases with positive ANCA results, of which 15 cases reported a positive ELISA, all of which were positive for anti-MPO. ANCA negativity was associated with an increased proportion of cardiac involvement (risk difference [RD], 38.2%; 95% CI, 25.3% to 51.0%), gastrointestinal involvement (RD, 25.5%; 95% CI, 13.9% to 37.0%), pulmonary infiltrates (odds ratio, 4.9; 95% CI, 1.5-16.2), and the outcome of a life-threatening event or death (RD, 30.9%; 95% CI, 18.7% to 43.1%) when compared with anti-MPO-positive cases. ANCA negativity was associated with a decreased proportion of peripheral neuropathy (odds ratio, 0.3; 95% CI, 0.07-0.9). These findings support the hypothesis that the presence or absence of autoantibodies influences the clinical expression and severity of CSS. Copyright © 2012 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.

  10. Diagnosis and classification of eosinophilic granulomatosis with polyangiitis (formerly named Churg-Strauss syndrome).

    Science.gov (United States)

    Mouthon, Luc; Dunogue, Bertrand; Guillevin, Loïc

    2014-01-01

    Recently, a group of experts in the field suggested to rename Churg-Strauss syndrome as eosinophilic granulomatosis with polyangiitis (EGPA). This condition, first described in 1951, is a rare small- and medium-sized-vessel vasculitis characterized by an almost constant association with asthma and eosinophilia, and, by the presence of anti-myeloperoxidase (MPO) antineutrophil cytoplasm antibodies (ANCA) in 30-38% of the patients. Vasculitis typically develops in a previously asthmatic and eosinophilic middle-aged patient. Asthma is severe, associated with eosinophilia and extrapulmonary symptoms. Most frequently EGPA involves the peripheral nerves and skin. Other organs, however, may be affected and must be screened for vasculitis, especially those associated with a poorer prognosis, such as the heart, kidney and gastrointestinal tract, as assessed by the recently revised Five-Factor Score (FFS). Recent insights, particularly concerning clinical differences associated with ANCA status, showed that EGPA patients might constitute a heterogeneous group. Thus, EGPA patients with anti-MPO ANCA suffered more, albeit not exclusively, from vasculitis symptoms, such as glomerulonephritis, mononeuritis multiplex and alveolar hemorrhage, whereas ANCA-negative patients more frequently develop heart involvement. This observation led to the hypothesis that EGPA might be divided into different clinical and pathophysiological subtypes, which could be managed better with more specifically adapted therapies. For now, EGPA treatment still relies mainly on corticosteroids and, when necessary for patients with poorer prognoses, combined immunosuppressant drugs, especially cyclophosphamide. Overall survival of EGPA patients is good, despite not uncommon relapses. Copyright © 2014 Elsevier Ltd. All rights reserved.

  11. Multimodality assessment of cardiac involvement in Churg-Strauss syndrome patients in clinical remission

    Energy Technology Data Exchange (ETDEWEB)

    Szczeklik, W; Miszalski-Jamka, T; Mastalerz, L; Sokolowska, B; Dropinski, J; Musial, J [Medical Coll., Jagiellonian Univ., Krakow (Poland); Banys, R [John Paul II Hospital, Krakow (Poland); Hor, K N [Cincinnati Children' s Medical Center, OH (United States); Mazur, W [Heart and Vascular Center at The Christ Hospitals, OH (United States)

    2011-02-15

    Cardiac involvement in Churg-Strauss syndrome (CSS) is not uncommon, but its frequency varies widely and may depend on the activity of the disease. Therefore, the cardiac involvement in CSS patients in clinical remission was assessed in the present study. In 20 CSS patients in remission and 20 sex- and age-matched healthy controls, an electrocardiogram (ECG) stress test, echocardiography, and 24-h ECG Holter monitoring were performed, together with cardiac magnetic resonance imaging (cMRI). Cardiac involvement was present in 90% (18/20) of CSS patients. Left ventricular ejection fraction (LVEF) was on average lower in the CSS group than in controls (P<0.05), with 7 patients showing systolic heart failure (LVEF <50%). cMRI changes included late gadolinium enhancement lesions in the LV in 89% of patients (17/19), present in all layers of the myocardium. Signs of ongoing inflammation (early gadolinium enhancement) and edema (T2-weighted imaging) were present in 6/19 patients. Holter monitoring revealed both supraventricular and ventricular arrhythmias more frequently in CSS patients when compared with controls (P<0.05). Absolute eosinophil count before the initiation of treatment was higher in rhythm disturbances (P<0.05), and inversely correlated with LV systolic function (rho -0.65). Heart involvement in CSS patients who are in clinical remission is very common. It is characterized not only by fibrosis, but also by an active inflammatory process. The latter finding might influence therapeutic decisions in CSS patients in full clinical remission. (author)

  12. Cardiac involvement in ANCA (+) and ANCA (-) Churg-Strauss syndrome evaluated by cardiovascular magnetic resonance.

    Science.gov (United States)

    Mavrogeni, Sophie; Karabela, Georgia; Gialafos, Elias; Stavropoulos, Efthymios; Spiliotis, George; Katsifis, Gikas; Kolovou, Genovefa

    2013-10-01

    The cardiovascular magnetic resonance (CMR) pattern of Churg-Strauss syndrome (CSS) includes myopericarditis, diffuse subendocardial vasculitis or myocardial infarction with or without cardiac symptoms and is usually associated with lack of antineutrophil cytoplasmic antibodies (ANCA). To correlate the CMR pattern with ANCA in CSS, compare it with healthy controls and systemic lupus erythematosus (SLE) patients and re-evaluate 2 yrs after the first CMR. 28 consecutive CSS, aged 42±7 yrs, were referred for CMR and 2 yrs re-evaluation. The CMR included left ventricular ejection fraction (LVEF), T2-weighted (T2-W), early (EGE) and late gadolinium enhanced (LGE) imaging. Their results were compared with 28 systemic lupus erythematosus (SLE) under remission and 28 controls with normal myocardial perfusion, assessed by scintigraphy. CMR revealed acute cardiac lesions in all ANCA (-) CSS with active disease and acute cardiac symptoms and only in one asymptomatic ANCA (+) CSS, with active disease. Diffuse subendocardial fibrosis (DSF) or past myocarditis was identified in both ANCA(+) and ANCA (-) CSS, but with higher incidence and fibrosis amount in ANCA (-) CSS (p<0.05). In comparison to SLE, both ANCA (+) and ANCA (-) CSS had higher incidence of DSF, lower incidence of myocarditis and no evidence of myocardial infarction, due to coronary artery disease (p<0.05). In 2 yrs CMR follow up, 1/3 of CSS with DSF presented LV function deterioration and one died, although immunosuppressive treatment was given early after CSS diagnosis. Cardiac involvement either as DSF or myocarditis, can be detected in both ANCA (+) and ANCA (-) CSS, although more clinically overt in ANCA (-). DSF carries an ominous prognosis for LV function. CMR, due to its capability to detect disease severity, before cardiac dysfunction takes place, is an excellent tool for CSS risk stratification and treatment individualization.

  13. Churg-Strauss Syndrome Leading to Small Bowel Infarction: An Unusual Case of Abdominal Pain in a Young Patient

    Directory of Open Access Journals (Sweden)

    Sunil Sookram

    1998-01-01

    Full Text Available A 33-year-old man with a history of severe asthma presented to the emergency department with a week-long history of severe unrelenting abdominal pain, nausea and decreased appetite. He was admitted to hospital, and routine gastrointestinal investigations were performed, which did not elucidate the cause of his abdominal pain. Exploratory laparotomy demonstrated patchy infarction of the entire small bowel, characteristic of Churg-Strauss syndrome. The patient subsequently underwent 12 separate laparotomies to salvage surviving small bowel. The patient is maintained on total parenteral nutrition.

  14. Acute coronary syndrome caused by coronary vasospasms associated with Churg-Strauss syndrome: effects of betamethasone therapy.

    Science.gov (United States)

    Suzuki, Yuji; Nishiyama, Osamu; Sakai, Toshiaki; Niiyama, Masanobu; Itoh, Tomonori; Nakamura, Motoyuki

    2014-01-01

    A 42-year-old woman with a history of aspirin-induced asthma was admitted with severe chest pain. Emergency coronary angiography revealed coronary artery spasms. The administration of vasodilators did not suppress the anginal symptoms, and the differential white blood cell count continued to show eosinophilia. The patient's symptoms of aspirin-induced asthma, eosinophilia and other allergic states led to the diagnosis of Churg-Strauss syndrome (CSS). After starting betamethasone therapy, the eosinophilia and cardiac symptoms rapidly disappeared. Although coronary vasospasms related to CSS are rare, the present case suggests that a differential white blood cell count should be obtained in patients with refractory coronary vasospasms.

  15. Scintigraphy in a case of Churg-Strauss vasculitis with myocardial involvement using 111In-labelled antimyosin

    International Nuclear Information System (INIS)

    Krause, T.; Schuemichen, C.; Beck, A.; Moser, E.; Lang, B.; Hohnloser, S.

    1990-01-01

    A case of Churg-Strauss vasculitis in a young woman is reported. Diagnosis was confirmed by muscle biopsy. Affection of lungs, kidneys and skin was evident. In addition, myocarditis was suspected on clinical evidence. A highly positive scintigraphy with 111 In-antimyosin enabled diagnosis and assessment of damage to the myocytes. With a heart-to-lung ratio of 3.0 the accumulated activity in the myocardium was higher than usually found in myocarditis. This finding supports the hypothesis of an additional ischemic necrosis. (orig.) [de

  16. Eosinophilic granulomatosis with polyangiitis (formerly known as Churg-Strauss syndrome as a differential diagnosis of hypereosinophilic syndromes

    Directory of Open Access Journals (Sweden)

    Yuri Albuquerque Pessoa Santos

    2017-01-01

    Full Text Available Eosinophilic granulomatosis with polyangiitis (EGPA, formerly known as Churg-Strauss syndrome, is a rare systemic disease situated between primary small vessel vasculitides associated with antineutrophil cytoplasmic antibodies (ANCAs and hypereosinophilic syndromes (HES. Here, we present a case of EGPA in a 38-year-old male, with a previous diagnosis of asthma, who presented with fever, migratory lung infiltrates and systemic eosinophilia that was refractory to previous courses of antibiotics. This case highlights the importance of the primary care physician understanding the differential diagnosis of pulmonary eosinophilic syndromes.

  17. Association of asthma therapy and Churg-Strauss syndrome: an analysis of postmarketing surveillance data.

    Science.gov (United States)

    DuMouchel, William; Smith, Eric T; Beasley, Richard; Nelson, Harold; Yang, Xionghu; Fram, David; Almenoff, June S

    2004-07-01

    Churg-Strauss syndrome (CSS), also known as allergic granulomatous angiitis (AGA), is a rare vasculitis that occurs in patients with bronchial asthma. The nature of the association of CSS with various asthma therapies is unclear. This study investigated the associations of different multidrug asthma therapy regimens and the reporting of AGA (the preferred code for CSS in the coding dictionary for the Adverse Event Reporting System [AERS]) by applying an iterative method of disproportionally analysis to th AERS database maintained by the US Food and Drug Administration. The public-release version of the AERS database was used to identify reports of AGA in patients receiving asthma therapy. Reporting of AGA was examined using iterative disproportionality methods in patients receiving > or =1 of the following drug classes: inhaled corticosteroid (ICS), leukotriene receptor antagonist (LTRA), short-acting beta(2)-agonist (SABA), or long-acting beta(2)-agonist (LABA). The Bayesian data-mining algorithm known as the multi-item gamma poisson shrinker was used to determine the relative reporting rates by calculation of the empirical Bayes geometric mean (EBGM) and its 90% CI (EB05 = lower limit and EB95 = upper limit) for each drug. Subset analyses were performed for each drug with different medication combinations to differentiate the relative reporting of AGA for each. A strong association was found between LTRA use and AGA (EBGM = 104.0, EB05 = 95.0, EB95 = 113.8) that persisted with all combinations of therapy studied. AGA was also associated with the ICS, SABA and LABA classes (EBGM values of 27.8, 14.6 and 40.4, respectively). However, the latter associations were mostly dependent on the presence of concurrent LTRA and, to a lesser extemt, oral corticosteroid therapy and became negligible (ie, EB05 < 2) for patients who were not receiving these concurrent treatments. Differences based on relative reporting were observed in the patterns of association of AGA with LTRA

  18. Defense of Truth (criticism and reconstructing the model of truth in the modern age and its influence on political philosophy from the viewpoints of Husserl and Strauss

    Directory of Open Access Journals (Sweden)

    MH Jamshidi

    2014-02-01

    Full Text Available Husserl and Strauss are two philosophers that intended to reform philosophic thought and thereupon political philosophy. But despite of common view about end and foundations, how and why Husserl is included in the class of pioneers of battle against metaphysical philosophy and Strauss is reputed against him as the leader of classic and Conservative Philosophy? According to Thomas Spreagens’ epistemological method, even though this Germanic teacher and his pupil have common preoccupation about the sunset of philosophical truth-seeking thought, their different understanding of themes of this crisis and ideal aspect have been ended in different and maybe opposite philosophies. Unlike Husserl who set a kind of Humanism and inter-subjective understanding as intellectual and cultural base for his plan, i.e. Phenomenology, Strauss talks about the natural essence of political issues and dependence of political philosophy on regulations which are out of human’s control. Thus, the type of post-metaphysical political philosophy that finds political objects inside ordinary life and social and historical relations and understandings is derived from Husserl’s Phenomenology, but Strauss’ insistence on classic political philosophy cautiously seeks to answer fundamental and pervasive political questions, while continuously and modestly exploring the nature of political issues.

  19. A note on asymptotic expansions for sums over a weakly dependent random field with application to the Poisson and Strauss processes

    DEFF Research Database (Denmark)

    Jensen, J.L.

    1993-01-01

    Previous results on Edgeworth expansions for sums over a random field are extended to the case where the strong mixing coefficient depends not only on the distance between two sets of random variables, but also on the size of the two sets. The results are applied to the Poisson and the Strauss...

  20. Síndroma de Churg-Strauss – a propósito de um caso clínico

    Directory of Open Access Journals (Sweden)

    Susana Oliveira

    2005-01-01

    Full Text Available Resumo: A síndroma de Churg-Strauss (SCS é uma vasculite sistémica pouco comum, que atinge preferencialmente vasos de pequeno calibre, envolve múltiplos órgãos e surge quase sempre associada a asma e eosinofilia.Os autores fazem uma revisão sobre esta doença e discutem o seu diagnóstico diferencial a propósito do caso clínico de uma mulher com diagnóstico de asma brônquica que aos 65 anos inicia quadro compatível com SCS.Rev Port Pneumol 2005; XI (1: 73-83 Abstract: Churg-Strauss syndrome (CSS is a rare systemic vasculitis, that essentially affects medium-sized vessels, involves multiple organs and in the majority of cases is related to asthma and eosinophilia.The authors make a review of this disease and discuss its differential diagnosis presenting the case of a woman with asthma that at the age of 65 is diagnosed with CSS.Rev Port Pneumol 2005; XI (1: 73-83 Palavras-Chave: Churg-Strauss, asma, vasculite, ANCA, Key words: Churg-Strauss, asthma, vasculitis, ANCA

  1. Corporate strategies and clothing supply chains reshaping towards the United States: Levi Strauss & Co firm’s situation

    Directory of Open Access Journals (Sweden)

    Guadalupe García de León P.

    2009-07-01

    Full Text Available This article presents a summary of the corporate strategies of the Levi Strauss & Co. firm, a company that has had an important role in each one of the phases of Mexico’s process of integration into the global apparel production: the integration under the shared–production programs, the first stage of NAFTA, and the current stage of decline of Mexican exports and re–positioning of China. The central argument is that, by analyzing the competitive strategies of the leading firms of global apparel networks—as in the case of Levi’s—, we can get closer to the restructuring logic of these networks and understand the changing terms of the international insertion of the countries and firms involved, as in the case of Mexico.

  2. Juvenile Churg-Strauss Syndrome as an Etiology of Myocarditis and Ischemic Stroke in Adolescents; a Case Report

    Science.gov (United States)

    Moradinejad, Mohammad-Hassan; Rezaei, Amir; Ziaee, Vahid

    2011-01-01

    Background Churg-Strauss syndrome (CSS), a systemic vasculitis accompanied by asthma and eosinophilia, almost invariably affects the lung and is frequently associated with cutaneous involvement. It rarely has cardiac involvement. We report an unusual case of CSS with myocardial involvement and stroke. Case Presentation A 16-year old female suffered of allergic asthma for 4 years. She was under treatment with oral prednisolone and seretide inhalation. After CSS diagnosis, she developed paroxysmal atrial tachycardia. Serum levels of Troponin I and Troponin T were increased indicating massive myocardial damage probably due to myocarditis. After 5 months she developed acute hemiparesis without any evidence of ischemic or hemorrhagic event. She was treated with IVIg, intravenous pulses of methylprednisone and cyclophosphamide for each complication. Conclusion Myocarditis and stroke may also complicate CSS which should be taken in consideration for better management. PMID:23056844

  3. Polyangiitis overlap syndrome of granulomatosis with polyangiitis (Wegener's granulomatosis) and eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome).

    Science.gov (United States)

    Uematsu, Hironori; Takata, Shohei; Sueishi, Katsuo; Inoue, Hiromasa

    2014-02-27

    Polyangiitis overlap syndrome is defined as systemic vasculitis that cannot be classified into one of the well-defined vasculitic syndromes. In this report, a female patient who presented with vasculitis-like and asthmatic symptoms was diagnosed as having polyangiitis overlap syndrome of granulomatosis with polyangiitis (GPA; formerly known as Wegener's granulomatosis) and eosinophilic granulomatosis with polyangiitis (EGPA; formerly known as Churg-Strauss syndrome). The patient fulfilled the American College of Rheumatology diagnostic criteria for GPA and EGPA. She was successfully treated with immunosuppressants and steroids and has been in remission for 20 months. It is important to establish a proper diagnosis and introduce an appropriate treatment modality in patients with this rare and serious pathology to prevent irreversible organ damage.

  4. A pseudoleukemic blood differentiation in a 13-year-old child: an extraordinary presentation of Churg-Strauss syndrome.

    Science.gov (United States)

    Mutsaers, E R; Witteveen, R; van den Bosch-Ruis, W; Kuijpers, T W; van Houten, M A; van den Berg, J M

    2013-03-01

    Churg-Strauss syndrome (CSS) is a rare systemic vasculitis of the small- and medium-size vessels. It is mostly seen in elderly patients presenting as de novo asthma, eosinophilia, and vasculitic organ involvement. In childhood, CSS is extremely rare. The course of pediatric CSS is usually severe and often lethal. We present a case of a 13-year-old girl with a short history of asthma, marked eosinophilia, and multiorgan involvement. The extremely high level of blood eosinophilic granulocytes (51.6 × 10(9)/L) prompted a workup for eosinophilic leukemia before the diagnosis CSS could be made. Subsequently, the disease was successfully treated. This case report shows a classical case of childhood CSS, remarkable because of the presence of extreme hypereosinophilia. It underlines the importance of CSS as a life-threatening cause of hypereosinophilia in children.

  5. Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Syndrome) Complicated by Perforation of the Small Intestine and Cholecystitis.

    Science.gov (United States)

    Ohnuki, Yoichi; Moriya, Yusuke; Yutani, Sachiko; Mizuma, Atsushi; Nakayama, Taira; Ohnuki, Yuko; Uda, Shuji; Inomoto, Chie; Yamamoto, Soichiro; Nakamura, Naoya; Takizawa, Shunya

    2018-03-01

    We report a case of eosinophilic granulomatosis with polyangiitis (EGPA; formerly known as Churg-Strauss syndrome) complicated by perforation of the small intestine and necrotizing cholecystitis. A 69-year-old man with a history of bronchial asthma was admitted with mononeuritis multiplex. The laboratory findings included remarkable eosinophilia. He was treated with corticosteroids and his laboratory indices showed improvement; however, his functional deficits remained. His neuropathy gradually improved after the addition of intravenous immunoglobulin (IVIG). He was subsequently treated with oral prednisolone (40 mg/day) as maintenance therapy. Within a month after finishing IVIG, he developed perforation of the small intestine and necrotizing cholecystitis. Intestinal perforation has often been reported as a gastrointestinal complication of EGPA. In contrast, cholecystitis is a rare complication. We report this case because the manifestation of more than one complication is extremely rare. Gastrointestinal symptoms may be a complication of EGPA itself and/or immunosuppressive treatment.

  6. [A case of Churg-Strauss syndrome with short duration from the onset of asthma to diagnosis of vasculitis].

    Science.gov (United States)

    Fuse, Yoshikazu

    2013-01-01

    A 68-year-old woman was hospitalized because of bronchial asthma and a high myeloperoxidase antineutrophil cytoplasmic antibody (MPO-ANCA) level. She had suffered from rhinitis from one year before hospitalization, body weight loss from three months before, and asthma from one month before. On admission, she complained of dyspnea and body weight loss of over 6 kg. On laboratory tests, high MPO-ANCA and urinary abnormalities were found. On the next day, a renal biopsy was performed and histology showed necrotizing vasculitis with cellular crescents. Churg-Strauss syndrome (CSS) was diagnosed on the basis of the clinical course and histological findings. Prednisolone therapy induced rapid symptom remission, which was achieved within one month from the onset of asthma to the diagnosis of CSS. Early diagnosis and early care led to a good prognosis.

  7. Churg-Strauss syndrome presenting as scar reactivation: histopathologic features and an illustration of 'locus minoris resistentiae'.

    Science.gov (United States)

    Gee, Sarah N; Harris, Anna C; Zimarowski, Mary Jane

    2013-05-01

    We report a 33-year-old female with cutaneous involvement by Churg-Strauss syndrome confined to surgical scars that were obtained 13 years before. She presented to the emergency department with 2-day history of fever, night sweats, right-sided weakness, hoarseness and worsening asthma symptoms. She was found to have an eosinophilia and two sub-5-mm pulmonary nodules. The patient also reported that the scars on her right thumb, inner wrist and back had been swollen, red and painful for 2 days. Examination revealed tender, erythematous, well-healed edematous scars studded with small skin colored papules. She had no clinical findings that were classic for cutaneous vasculitis. A skin biopsy of a scar revealed perivascular and palisading granulomatous inflammation consisting of histiocytes and neutrophils with leukocytoclasia. Focal vascular injury was identified. Scattered tissue eosinophils were seen. Special stains were negative for infection. Thereafter, she was started on intravenous steroids, at which point the fever, pulmonary and cutaneous symptoms subsided. Although scar sarcoidosis is a well-described phenomenon, granulomatous inflammation and vasculitis seen in Churg-Strauss syndrome exclusively manifesting in well-healed surgical scars highlights the unique features seen in this case and draws attention to the concept of locus minoris resistentiae. This case also highlights how a skin biopsy in the setting of suspected systemic vasculitis can confirm the presence of vasculitis and/or granulomatous inflammation and obviate the need for more invasive, higher risk procedures such as lung biopsy. Copyright © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.

  8. Multiple cerebral and cerebellar infarcts as the first clinical manifestation in a patient with Churg-Strauss syndrome: case report and literature review.

    Science.gov (United States)

    Cheng, Meng-Ju; Huang, Pai-Hao; Liao, Pin-Wen; Chen, Jen-Tse; Chiang, Tsuey-Ru

    2012-12-01

    Churg-Strauss syndrome (CSS) is a rare autoimmune disease with small-vessel vasculitis. Neurological manifestation of CSS is common. Central nervous system is less frequently involved than that of peripheral nervous system. We report a case of 60-year-old man who presented with acute onset of right hemiparesis and impaired cognition. The presence of hypereosinophilia, asthma, sinusitis and extravascular eosinophil accumulation led to the diagnosis of Churg-Strauss syndrome. Brain magnetic resonance imaging (MRI) revealed multiple infarcts in bilateral cerebral and cerebellar hemispheres. The neurophysiology study did not reveal peripheral neuropathy. The patient was effectively treated with methylprednisolone, cyclophosphamide and warfarin. Symptoms and signs of central nervous system can be the initial neurological manifestation of CSS patients. CSS should be considered while patients have stroke and hypereosinophilia. In our patient, there is a good response to timely steroid, immunosuppressant and anticoagulant therapies.

  9. Defense of Truth (criticism and reconstructing the model of truth in the modern age and its influence on political philosophy from the viewpoints of Husserl and Strauss

    Directory of Open Access Journals (Sweden)

    MH Jamshidi

    2014-03-01

    Full Text Available Husserl and Strauss are two philosophers that intended to reform philosophic thought and thereupon political philosophy. But despite of common view about end and foundations, how and why Husserl is included in the class of pioneers of battle against metaphysical philosophy and Strauss is reputed against him as the leader of classic and Conservative Philosophy? According to Thomas Spreagens’ epistemological method, even though this Germanic teacher and his pupil have common preoccupation about the sunset of philosophical truth-seeking thought, their different understanding of themes of this crisis and ideal aspect have been ended in different and maybe opposite philosophies. Unlike Husserl who set a kind of Humanism and inter-subjective understanding as intellectual and cultural base for his plan, i.e. Phenomenology, Strauss talks about the natural essence of political issues and dependence of political philosophy on regulations which are out of human’s control. Thus, the type of post-metaphysical political philosophy that finds political objects inside ordinary life and social and historical relations and understandings is derived from Husserl’s Phenomenology, but Strauss’ insistence on classic political philosophy cautiously seeks to answer fundamental and pervasive political questions, while continuously and modestly exploring the nature of political issues.

  10. Co-brand strategy of evaluation of visual images in furniture design: Jimmy S.P.A. and STRAUSS as examples

    Science.gov (United States)

    Chen, Tien-Li; Pan, Fang-Ming; Tsai, Jen-Hui

    2013-03-01

    This study aimed to investigate the correlation of the image associated by the design Co-Brand (Jimmy S.P.A. and STRAUSS) and the impression perceived by subject of viewers. Visual images were used to examine the merit of the evaluation. The best result is provided using an object as an appropriate evaluation method. There are a lot of factors which influence to evaluation of a design. This study is limited to distinguish the appearance from Jimmy's picture books transform furniture and so on. Co-Brand of Jimmy S.P.A. and STRAUSS is not easy because there are not from the same cultural, and industry background and applying different marketing strategy, it is a way to combine the two brands by designing, used questionnaire of SD (Semantic differential evaluation) evaluation method to test out the perception of viewers, the objective of this study is to investigate and appraised the Co-Brands use by of the image in furniture from patrons. SD evaluation result showed, if design cannot understand the perception image of Jimmy S.P.A and STRAUSS with viewers mind, furniture design also can't transmit feeling with design.

  11. A Case Report of Churg-Strauss Syndrome Presenting With Cardiogenic Shock Treated With Extracorporeal Membrane Oxygenation.

    Science.gov (United States)

    Cui, Na; Su, Longxiang; Wang, Hao; Long, Yun; Pang, Cheng; Yang, Fei; Liu, Dawei

    2015-10-01

    Churg-Strauss Syndrome (CSS) complicated with cardiogenic shock is rare. Few case reports have described successful treatment of this rare disease. However, no one has reported on the application of mechanical life support with extracorporeal membrane oxygenation (ECMO) to treat this life-threatening disease.A 36-year-old female with limb numbness for >10 days, chest tightness for 2 days, and worsening dyspnea for 5 h presented in the emergency room. Vital signs showed a low blood pressure (104/60 mm Hg), increased heart rate (158 bpm), and respiration rate (28 bpm). Laboratory tests revealed that eosinophil was significantly increased (WBC: 34.46 × 10/L, neutrophil: 7.56 × 10/L[21.9%], eosinophil: 23.84 × 10/L[69.2%]), and serum myocardial enzymes was abnormal (CK 1049U/L, CKMB-mass 145.1 μg/L, cTnI 16.24 μg/L). Myocardial injury (tachycardia with ST elevation) and poor heart function (LVEF 31%) were found by electrocardiogram and transthoracic echocardiography. On the next day, cardiogenic shock had been developed as demonstrated by deteriorating the perfusion index.Churg-Strauss Syndrome with cardiogenic shock.A series of conservative therapy with drugs such as corticosteroids, anticoagulant, antiplatelet, nitrates, calcium antagonists, inotrope, and vasopressors were initiated on the day of admission. The treatment was ineffective and a cardiogenic shock developed on the next day. Thus, ECMO was initiated immediately to stabilize circulation and perfusion. At the same time, high-dose corticosteroids combined with immunosuppressive therapy were continuously used.Symptoms of cardiogenic shock were gradually improved after ECMO treatment. Elevated values of cardiac enzymes were decreased and the dose of vasoactive drugs was reduced. Extracorporeal membrane oxygenation was discontinued after 8 days, and the patient was eventually weaned off the ventilator. The patient was discharged after 40 days treatment.Once a CSS develops into a

  12. Churg-Strauss syndrome with coexistence of eosinophilic vasculitis, granulomatous phlebitis and granulomatous dermatitis in bullous pemphigoid-like blisters.

    Science.gov (United States)

    Ishibashi, Masafumi; Kudo, Saori; Yamamoto, Kyoko; Shimai, Nobuko; Chen, Ko-Ron

    2011-03-01

    The main histopathological features in the cutaneous lesions of Churg-Strauss syndrome (CSS) are dermal leukocytoclastic vasculitis with a variable eosinophilic infiltrate and non-vasculitic tissue eosinophilia with granuloma formation. This wide histopathological spectrum may account for the various skin manifestations of CSS. However, the unique histopathological combination of dermal eosinophilic vasculitis and subcutaneous granulomatous phlebitis accompanied by bulla formation has not been previously described. We report an unusual CSS case showing dermal necrotizing eosinophilic vasculitis and granulomatous phlebitis in purpuric lesions coupled with subepidermal blistering. The blisters showed dermal granulomatous dermatitis and eosinophilia without evidence of vasculitis. Dermal necrotizing eosinophilic vasculitis was characterized by fibrinoid alteration of the vessel wall, a prominent perivascular eosinophilic infiltrate, a few infiltrating histiocytes along the affected vessel wall, and the absence of neutrophilic infiltration. The underlying subcutaneous granulomatous phlebitis was characterized by an angiocentric histiocytic infiltrate surrounded by marked eosinophilic infiltrate. Deposition of cytotoxic proteins and radicals derived from eosinophils in the vessel walls and papillary dermis followed by a secondary granulomatous response may account for the unique clinical and histopathological features in this case. Copyright © 2010 John Wiley & Sons A/S.

  13. Successful management of Churg-Strauss syndrome using omalizumab as adjuvant immunomodulatory therapy: first documented pediatric case.

    Science.gov (United States)

    Iglesias, E; Camacho Lovillo, M; Delgado Pecellín, I; Lirola Cruz, M J; Falcón Neyra, M D; Salazar Quero, J C; Bernabeu-Wittel, J; González Valencia, J P; Neth, O

    2014-03-01

    Churg-Strauss syndrome (CSS) is an anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis; it is extremely rare in childhood and defined according to the Chapel-Hill Consensus as an eosinophil-rich and granulomatous inflammation involving the respiratory tract and necrotizing vasculitis affecting small to medium-sized vessels. Children commonly have a history of asthma and sinusitis whilst clinical presentation typically involves pulmonary tract and less frequently skin, heart, gastrointestinal tract, and peripheral nerves. Cardiopulmonary disease is higher in children and prognosis is worse. It is associated with significant eosinophilia and raised serum IgE-levels. ANCA are only found in 25% of childhood cases. Here we report the case of a 10-year-old girl who presented to us with vomiting, abdominal pain, and weight loss, paresthesias of lower extremities and breathlessness as well as a history of asthma, sinusitis and allergic rhinitis. She was treated with corticosteroids, cyclophosphamide, intravenous immunoglobulin, mycophenolate mofetil (MMF), and rituximab. However, remission was only achieved after initiation of omalizumab therapy, a recombinant humanized anti-IgE antibody. To the best of our knowledge this is the first pediatric patient suffering from CSS successfully managed with adjuvant anti-IgE therapy resulting in the control of respiratory as well as gastrointestinal symptoms. © 2013 Wiley Periodicals, Inc.

  14. Churg-Strauss vasculitis and idiopathic hypereosinophyl syndrome: role of molecular biology in the differential diagnosis of hypereosinophyl syndrome

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    A. d'Ascanio

    2011-09-01

    Full Text Available Objective: Hypereosinophilic syndromes are a heterogeneous group of uncommon disorders characterized by the presence of marked peripheral blood eosinophilia, tissue eosinophilia, or both, resulting in a wide variety of clinical manifestations, often without an identifiable cause. Churg-Strauss syndrome is a systemic vasculitis characterized by prominent peripheral eosinophilia, asthma and systemic involvement. The presence of mild to severe eosinophilia and systemic involvement raise the search of many trigger factor that need to be ruled out. Distinguishing CSS from idiopathic hypereosinophilic syndrome may be particularly challenging, especially in ANCA negative patients. Methods: The aim of the present study was to present a small case series of patients referred to a Rheumatology Unit for mild to severe eosinophilia and signs and symptoms of systemic involvement and to outline the clinical significance of molecular biology in the work-up of hypereosinophilia. Results: Eleven patients with moderate to severe peripheral eosinophylia, were referred to our Unit from 1996 to 2007. Female to male ratio was 7/4, mean age 40.54 (range 22-75. Three out of eleven patients resulted positive for molecular biology. The diagnosis of idiopathic hypereosinophylia was confirmed in one out of three on the basis of the clinical picture and bone marrow biopsy. Conclusions: Molecular biology may be useful in the screening and in the follow-up of a new hypereosinophylic patient.

  15. Churg-Strauss Syndrome: The Clinical Features and Long-term Follow-up of 17 Patients

    Science.gov (United States)

    Oh, Mi-Jung; Lee, Jin-Young; Kwon, Nam-Hee

    2006-01-01

    Churg-Strauss syndrome (CSS) is a rare multi-system vasculitis; some cases have been reported in Korea. The aim of this study is to describe the clinical features, treatment outcome, and long-term follow-up of CSS from a single Korean medical center. Between 1995 and 2004, seventeen patients were diagnosed with CSS at the Department of Medicine of the Samsung Medical Center, Sungkyunkwan University School of Medicine. The diagnosis of CSS is based on the classification criteria of the American Collage of Rheumatology. All patients had asthma. As in other case series, the lung, peripheral nervous system, and skin were the most commonly involved organs. During the active stage of the disease, most of the patients exhibited peripheral blood eosinophilia and an elevated serum eosinophil cationic protein level. Ten patients were treated with pulses of methylprednisolone followed by tapering and cyclophosphamide, and the others were treated with corticosteroids alone. The outcomes after long-term follow-up were generally good. One patient who was refractory to initial treatment died of heart failure during the follow-up period. CSS was highly variable in its presentation and course. The manifestations may range from mild symptoms to life-threatening conditions. The outcome after long-term follow-up was as good as that of previous studies. PMID:16614512

  16. A nationwide survey on the epidemiology and clinical features of eosinophilic granulomatosis with polyangiitis (Churg-Strauss) in Japan.

    Science.gov (United States)

    Sada, Ken-Ei; Amano, Koichi; Uehara, Ritei; Yamamura, Masahiro; Arimura, Yoshihiro; Nakamura, Yoshikazu; Makino, Hirofumi

    2014-07-01

    We conducted a cross-sectional nationwide survey to determine eosinophilic granulomatosis with polyangiitis (Churg-Strauss) (EGPA) prevalence and clinical features in Japan. Data for EGPA patients in 2008 were collected from 1,564 hospitals. In total, 965 patients were reported from 365 departments. In a second survey, clinical data for 473 patients were obtained. We estimated that 1,866 (95% CI: 1,640-2,092) patients have EGPA in Japan (prevalence, 17.8/1,000,000). Of the 473 patients in the second survey, 315 fulfilled American College of Rheumatology (ACR) criteria or Lanham's criteria for EGPA. The mean age (± SD) of the 315 at onset was 55 ± 14 years, male to female ratio 1:2. 93% of patients had neurological manifestations, which were the organ system most frequently involved. Among 277 patients tested for myeloperoxidase (MPO)-/p anti-neutrophil cytoplasmic antibody (ANCA), 139 (50%) were positive, while only 6 of 238 were positive for proteinase3 (PR3)-/cANCA. MPO-ANCA-positive patients had renal involvement, mucous membrane or ophthalmological symptoms, and ENT symptoms more frequently, whereas cutaneous lesions and cardiovascular involvement were less common. The prevalence of EGPA and the frequency of MPO-/p-ANCA-positivity in Japanese EGPA patients were mostly similar to those of Western countries. However, female predominance and a high frequency of neurological manifestations characterized Japanese patients.

  17. Churg-Strauss Syndrome Following Vaccination Against 2010 Influenza A (H1N1): A Case Report.

    Science.gov (United States)

    Fu, Mu-Hui; Tsai, Wan-Chen; Lan, Jui; Lu, Cheng-Hsien; Lee, Lian-Hui; Huang, Chih-Cheng

    2014-09-01

    Churg-Strauss syndrome (CSS) is a systemic inflammatory disorder characterized by asthma, transient pulmonary infiltration, hyper-eosinophilia, and systemic vasculitis. Reported triggering factors include infections, drugs, allergic desensitization, and vaccinations, although cases involving the latter two are extremely rare. Herein, we describe a patient who developed CSS after receiving an H1N1 vaccination. A 55-year-old woman presented with fever, skin eruptions, and sensory impairment of her feet within one week after an H1N1 vaccine injection. A chest X-ray showed pulmonary infiltrations in both lower lung fields. Eosinophilia was noted in a hematological test, and an electrophysiological study revealed a pattern of mononeuritis multiplex. A skin biopsy was performed which revealed palisading necrotizing granuloma around a degenerated dermis and eosinophilic infiltration of the blood vessel walls. These findings combined with the hematological and electrophysiological findings met the criteria of CSS according to the American College of Rheumatology. The patient recovered well after steroid treatment. This case highlights the possibility that the H1N1 vaccination can trigger CSS. Due to the rarity of reported autoimmune events after vaccine administration and the obscure causal association between autoimmunity and a vaccine, further post-marketing surveillance and research are necessary to clarify the relationship and identify risk factors.

  18. [The relationship between the structuralism of Levi-Strauss and linguistic methods. An attempt at applying structuralist phonologic models to the study of pathologic language].

    Science.gov (United States)

    Lhote, E

    1975-01-01

    The structuralism which is generally accepted as a 'good French' school of thinking, presents in some of its applications the short-time character of fashion in such a way that one often forgets what this philosophy implicates. In this essay, the author intends to show that even though a structural method really exists, one cannot say who exactly is 'the father' of structuralism. But during the long maturity period of thought that resulted in structuralism, one important step has been made in France by Lévi-Strauss who has been using a great number of linguistic concepts, and at the same time has contributed to the consequent progress realized in that discipline. In the light of linguistics and of the works made by Lévi-Strauss some notions are redefined: those of structure, those of oppositions in the systems, those of relations inside one system, and the interactions between 'significant' and 'signifié'. Born from recent research in mathematics and cybernetics, the notion of Model, very fertile in linguistics, is an important element in the Lévi-Strauss structural methodology. With the help of examples taken from phonetics and phonology, the author intends to show how to elaborate a model, of what nature are the links between the observed object and the model, and what can be the applications of that method in the study of pathological languages; the author also intends to show that the main interest in a model of structural type is its explicative and previsional quality. A critical study of the structural analysis makes it possible to show the real contribution of structuralism: the author presents new ways that have been revealed by structuralism and some developments later on favorized by this discipline, mainly in linguistics. Remark. In this study of structuralism, the author places herself on the level with 'method' and not with 'philosophy'.

  19. {sup 123}I-MIBG imaging detects cardiac involvement and predicts cardiac events in Churg-Strauss syndrome

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    Horiguchi, Yoriko; Morita, Yukiko [National Hospital Organization Sagamihara National Hospital, Department of Cardiology, Sagamihara City, Kanagawa (Japan); Tsurikisawa, Naomi; Akiyama, Kazuo [National Hospital Organization Sagamihara National Hospital, Clinical Research Centre for Allergy and Rheumatology, Sagamihara City, Kanagawa (Japan)

    2011-02-15

    In Churg-Strauss syndrome (CSS) it is important to detect cardiac involvement, which predicts poor prognosis. This study evaluated whether {sup 123}I-metaiodobenzylguanidine (MIBG) scintigraphy could detect cardiac damage and predict cardiac events in CSS. {sup 123}I-MIBG scintigraphy was performed in 28 patients with CSS, 12 of whom had cardiac involvement. The early and delayed heart to mediastinum ratio (early H/M and delayed H/M) and washout rate were calculated by using {sup 123}I-MIBG scintigraphy and compared with those in control subjects. Early H/M and delayed H/M were significantly lower and the washout rate was significantly higher in patients with cardiac involvement than in those without and in controls (early H/M, p = 0.0024, p = 0.0001; delayed H/M, p = 0.0002, p = 0.0001; washout rate, p = 0.0012, p = 0.0052 vs those without and vs controls, respectively). Accuracy for detecting cardiac involvement was 86% for delayed H/M and washout rate and 79% for early H/M and B-type natriuretic peptide (BNP). Kaplan-Meier analysis showed significantly lower cardiac event-free rates in patients with early H/M {<=} 2.18 and BNP > 21.8 pg/ml than those with early H/M > 2.18 and BNP {<=} 21.8 pg/ml (log-rank test p = 0.006). Cardiac sympathetic nerve function was damaged in CSS patients with cardiac involvement. {sup 123}I-MIBG scintigraphy was useful in detecting cardiac involvement and in predicting cardiac events. (orig.)

  20. Relationship among antineutrophil cytoplasmic antibody, blood urea nitrogen and complement in patients with eosinophilic granulomatosis polyangiitis (Churg-Strauss syndrome).

    Science.gov (United States)

    Kawakami, Tamihiro; Kimura, Satoko; Takeuchi, Sora; Soma, Yoshinao

    2013-07-01

    Eosinophilic granulomatosis with polyangiitis (EGPA), also known as Churg-Strauss syndrome, is an antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis characterized by a history of asthma, hypereosinophilia. The prevalence of ANCA in EGPA is less common than in other ANCA-associated vasculitis. Increasing evidence of complement activation in the pathogenesis of ANCA-associated vasculitis has been provided by studies in animal models. We examined EGPA patients with cutaneous manifestations as an initial sign and investigated the correlations among clinical, serological and histopathological findings. We focused on differences among ANCA, blood urea nitrogen and complement levels such as complement 3 (C3), C4 and total complement hemolytic activity (CH50). We retrospectively investigated the records of 22 patients (11 male and 11 female) with EGPA admitted to our hospital from 1997-2012. Ten of the 22 patients (46%) were positive for serum myeloperoxidase (MPO)-ANCA. In contrast, all the patients were negative for serum proteinase 3 ANCA. There was a significantly positive correlation between serum CH50 and C4 levels in patients with EGPA. Serum blood urea nitrogen (BUN) levels differed significantly between MPO-ANCA-positive and -negative patients. Serum CH50 levels were higher in MPO-ANCA-positive patients compared to negative patients. Serum BUN levels were higher in elevated CH50 patients compared to normal and low CH50-negative patients. We propose that positive findings for MPO-ANCA with CH50 high activity may be a risk factor for developing renal insufficiency. Assuming there are correlations between the presence of ANCA and complements, earlier diagnosis based on initial efficacious treatment for EGPA. © 2013 Japanese Dermatological Association.

  1. Clinical and laboratory characteristics of 19 patients with Churg-Strauss syndrome from a single South Australian centre.

    Science.gov (United States)

    Whyte, A F; Smith, W B; Sinkar, S N; Kette, F E; Hissaria, P

    2013-07-01

    Churg-Strauss syndrome (CSS) is a rare, idiopathic systemic vasculitis. There is emerging evidence of an association between the presence or absence of antineutrophil cytoplasmic antibodies (ANCA) and clinical phenotype. Thromboembolism is an increasingly recognised complication of the disease. Given the paucity of Australian data, the aim of this study was to examine the clinical and laboratory features of CSS in a single Australian centre. We performed a retrospective review of all patients who fulfilled the American College of Rheumatology classification criteria for CSS managed at the Department of Immunology, Royal Adelaide Hospital between 2002 and 2008. Nineteen patients were included. All patients had asthma and most had upper airway involvement. Peripheral nerve, musculoskeletal, gastrointestinal and cutaneous involvement was common. Renal and cardiac involvement was uncommon in this series. Histological confirmation was obtained in 15 patients (78.9%). Ten patients (52.6%) were ANCA+, and these were more likely to have musculoskeletal involvement, such as arthralgia or myalgia (odds ratio 57, P = 0.005). Thrombosis was a feature at diagnosis in six patients (31.6%); two of these recurred with relapse. Sixteen patients (84.2%) were followed up; five died, and mean survival was 8.9 years. This is the first Australian study to focus on CSS. Our results demonstrate similar presentation and prognosis of CSS to previous descriptions; however, we noted that musculoskeletal involvement was more common in ANCA+ patients. In our series, thrombosis was a significant complication and we suggest that thromboprophylaxis may be warranted. © 2013 The Authors; Internal Medicine Journal © 2013 Royal Australasian College of Physicians.

  2. 123I-MIBG imaging detects cardiac involvement and predicts cardiac events in Churg-Strauss syndrome

    International Nuclear Information System (INIS)

    Horiguchi, Yoriko; Morita, Yukiko; Tsurikisawa, Naomi; Akiyama, Kazuo

    2011-01-01

    In Churg-Strauss syndrome (CSS) it is important to detect cardiac involvement, which predicts poor prognosis. This study evaluated whether 123 I-metaiodobenzylguanidine (MIBG) scintigraphy could detect cardiac damage and predict cardiac events in CSS. 123 I-MIBG scintigraphy was performed in 28 patients with CSS, 12 of whom had cardiac involvement. The early and delayed heart to mediastinum ratio (early H/M and delayed H/M) and washout rate were calculated by using 123 I-MIBG scintigraphy and compared with those in control subjects. Early H/M and delayed H/M were significantly lower and the washout rate was significantly higher in patients with cardiac involvement than in those without and in controls (early H/M, p = 0.0024, p = 0.0001; delayed H/M, p = 0.0002, p = 0.0001; washout rate, p = 0.0012, p = 0.0052 vs those without and vs controls, respectively). Accuracy for detecting cardiac involvement was 86% for delayed H/M and washout rate and 79% for early H/M and B-type natriuretic peptide (BNP). Kaplan-Meier analysis showed significantly lower cardiac event-free rates in patients with early H/M ≤ 2.18 and BNP > 21.8 pg/ml than those with early H/M > 2.18 and BNP ≤ 21.8 pg/ml (log-rank test p = 0.006). Cardiac sympathetic nerve function was damaged in CSS patients with cardiac involvement. 123 I-MIBG scintigraphy was useful in detecting cardiac involvement and in predicting cardiac events. (orig.)

  3. Effect of delayed diagnosis on disease course and management of Churg-Strauss syndrome: a retrospective study.

    Science.gov (United States)

    Sokołowska, Barbara; Szczeklik, Wojciech; Mastalerz, Lucyna; Kuczia, Paweł; Wodkowski, Michał; Stodółkiewicz, Edyta; Macioł, Karolina; Musiał, Jacek

    2013-03-01

    Delayed diagnosis in patients with Churg-Strauss syndrome (CSS) is largely attributed to the variable and nonspecific presentation of the disease's initial symptoms. The aim of the study was to evaluate the effect of delayed diagnosis on the course of CSS. We conducted a retrospective study of 30 CSS patients followed up in our department. In each patient, we assessed the delay in CSS diagnosis (the time when patients already fulfilled four out of six of the American College of Rheumatology criteria and the diagnosis was not yet established), the disease activity at the time of diagnosis, and organ involvement during CSS course. A median value of 2 weeks was chosen as the cutoff point after which the diagnosis was considered as delayed. Sixteen patients were diagnosed before (group 1) and 14 patients after this cutoff point (group 2). In group 2, we found a higher Birmingham Vasculitis Activity Score at the moment of diagnosis (20.4 vs 25.1, p < 0.05) and a more severe disease course, resulting in more frequent hospitalization rates (0.64 vs 2.26/year, p < 0.00001), higher corticosteroids dose requirements (5.87 vs 11.57 mg/day converted to methylprednisolone, p < 0.0001), and additional immunosuppressive therapy administration (56.2 vs 92.8 %, p < 0.05) to maintain disease remission. All six perinuclear pattern of antineutrophil cytoplasmic antibobodies (pANCA)-positive patients (20 %) were found in group 1. Concluding, the delay in diagnosis of CSS of more than 2 weeks was found to be associated with a disease course that was more severe. The presence of the pANCA antibodies may occasionally facilitate establishment of the diagnosis.

  4. Childhood-onset eosinophilic granulomatosis with polyangiitis (formerly Churg-Strauss syndrome): a contemporary single-center cohort.

    Science.gov (United States)

    Gendelman, Samantha; Zeft, Andrew; Spalding, Steven J

    2013-06-01

    To date only 38 cases of childhood-onset eosinophilic granulomatosis with polyangiitis (cEGPA; formerly Churg-Strauss syndrome) have been reported. Additional patients with cEGPA could enhance the understanding of this rare and life-threatening condition. Our objectives were (1) to determine the frequency of specific organ system involvement; (2) to examine initial therapeutic regimen; and (3) to document disease and therapy-related morbidity in a contemporary cohort of patients with cEGPA. Retrospective review of patients evaluated at the Cleveland Clinic between 2003 and 2011 who met either American College of Rheumatology or Lanham criteria for EGPA and whose age was < 18 years at symptom onset. Nine patients (8 female; 7 white) were identified. Median age at onset of rhinitis/asthma symptom was 13 years and median age at diagnosis of cEGPA was 15 years. All patients demonstrated eosinophilia, upper airway disease (allergic rhinitis, chronic sinusitis, and/or nasal polyps), and pulmonary involvement. Other frequently involved organ systems included musculoskeletal (67%), gastrointestinal (67%), cutaneous (67%), neurologic (56%), and cardiac (44%). Antineutrophil cytoplasmic antibody (ANCA) serologies were negative in all patients. The medications used most frequently for initial therapy included oral (44%) or intravenous corticosteroids (56%) and azathioprine (67%). Disease or therapeutic complications occurred in half of the cohort and included heart failure, stroke, and sequela from longterm, high-dose steroids. Eosinophilia, in combination with upper airway, pulmonary, musculoskeletal, neurologic, and cardiac manifestations, is frequently observed in cEGPA. ANCA titers are often negative. Steroids are the mainstay of initial therapy but steroid-related side effects occur regularly.

  5. Modulation of MMP-2 and MMP-9 in Churg-Strauss syndrome respiratory mucosa: potential monitoring parameters.

    Science.gov (United States)

    Leone, A; Uzzo, M L; Gerbino, A; Tortorici, S; Tralongo, P; Cappello, F; Incandela, S; Spatola, G F; Jurjus, A R

    2014-01-01

    Churg-Strauss (CSS) syndrome is rare and of unknown etiology. It is associated with vasculitis, blood eosinophilia and granulomatosis, and affects multiple organs and systems at various stages of the disease. Specific diagnostic and monitoring tests are not yet available. This study aims to assess the changes in MMP-2 and MMP-9 along with the histopathological alterations in two cases of CSS, as possible potential diagnostic and monitoring criteria. Two adult male patients were diagnosed with CSS in the otorhinolaryngology clinic in the University of Palermo, based on multiple clinical and histopathologic criteria. Biopsies of respiratory mucosa were taken after the consent of the patients, processed for routine histopathology and immunohistochemistry as well as quantitative polymerase chain reaction (qPCR). Similar biopsies were also taken from a non- CSS patient. The Assessment of MMP-2 and MMP-9 was performed using both immunohistochemistry and qPCR techniques. Histopathological alterations in the respiratory mucosa were consistent with vasculitis and granulomatous tissue formation, in addition to inflammatory cell infiltration with abundance of eosinophils. Immunohistochemistry assay performed on the samples derived from the two CSS patients showed a relative and remarkable increase of both MMP-2 and MMP-9 compared to controls. Such an increase was consistent with the qPCR results which depicted a significant increase between 20 and 30% for both MMP-2 and MMP-9, respectively. Since the secretion of MMPs is an essential step in angiogenesis, could these enzymatic factors be used as parameters to diagnose or monitor the evolution of CSS? The small number of samples analyzed in this study does not allow us to suggest a general statement correlating the increase in expression of MMP-2 and MMP-9 to the appearance or evolution of vasculitis; it is only speculative.

  6. De Sahlins a Claude Lévi-strauss: no setor transpacífico do sistema mundial

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    Marcos Lanna

    2001-12-01

    Full Text Available Privilegiando o fato de a obra de Marshall Sahlins dar bom uso à teoria lévi-straussiana da troca, este artigo reinterpreta a análise do primeiro sobre o "setor transpacífico do 'sistema mundial'". Mais do que uma crítica a Sahlins, o artigo pretende aprofundar a demonstração deste último do fato de que entendermos sistemas de trocas "nativos" (ou "autóctones" ou "indígenas" é condição necessária para entendermos relações mais amplas, como aquelas entre estes sistemas e os "capitalistas" (ou "ocidentais", seja lá como os definamos. Isto nos leva a minimizar a distinção entre trocas inter e intra culturais, conclusão esta que se reforça com uma rápida especificação da noção de troca das Estruturas elementares do parentesco apresentada no final do artigo.Focussing on the fact that Marshall Sahlins' work revolves around the Lévy-Strauss's theory of exchange, this article reinterprets the analysis of the first on the "trans-pacific sector of the 'world system'". Rather than a critique of Sahlins, this article proposes to further elaborate the latter's demonstration that the comprehension of "native" (or autochthonous, or indigenous systems of exchange is a necessary condition for the comprehension of wider relations, such as those between these systems and their "capitalist" (or "Occidental", etc. counterparts. This leads us to minimize the distinction between inter- and intra-cultural exchanges, a conclusion reinforced by a rapid look at the notion of exchange in the Elementary Structures of Kinship presented at the end of the article.

  7. Cardiac tamponade leading to the diagnosis of eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome): a case report and review of the literature.

    Science.gov (United States)

    Yano, Toshiyuki; Ishimura, Shutaro; Furukawa, Tetsuaki; Koyama, Masayuki; Tanaka, Marenao; Shimoshige, Shinya; Hashimoto, Akiyoshi; Miura, Tetsuji

    2015-11-01

    Eosinophilic granulomatosis with polyangiitis (EGPA), which was previously called Churg-Strauss syndrome, is a necrotizing systemic vasculitis of unknown cause accompanied by prominent eosinophilia. Cardiovascular complications, including eosinophilic myocarditis, are a major cause of mortality in this disorder. Acute pericarditis with slight pericardial effusion is a typical manifestation in EGPA, though hemodynamically significant pericardial effusion has been reported in a few cases. We report a case that initially presented with isolated cardiac tamponade, which was followed by systemic manifestations of EGPA over 3 weeks. Including the present case, previous EGPA cases with cardiac tamponade are reviewed to delineate its clinical characteristics.

  8. Cross-cultural structures of concentric and diametric dualism in Lévi-Strauss' structural anthropology: structures of relation underlying the self and ego relation?

    Science.gov (United States)

    Downes, Paul

    2003-02-01

    The parallels between Jung's and Lévi-Strauss' concentric cross-cultural structures of the unconscious are highlighted. Lévi-Strauss' basic contrasts between concentric and diametric dualisms are developed into psychologically relevant differences regarding symmetry, connection and separation, and interaction between foreground and background structures respectively. These contrasts between concentric and diametric structures are applied as a common structural framework for understanding Jungian conceptions of the self, the ego and their relations, Freudian views of compensation and repetition in obsessional neurosis, and Winnicott's conception of a child's transitional object. Developing the contrasts between concentric and diametric structures reveals a compensatory relation between both structures. This supports an argument that concentric structures express the self and diametric structures express the ego in their mutual compensatory interrelation. Contrasting concentric with diametric structures challenges traditional Western logic, including Fordham's view that it is contradictory to treat the self as both centre and totality. It also develops an understanding of Jung's transcendent function which seeks to go beyond the ego-shadow opposition.

  9. The wild thought and child psycholoy: new approaches from the dialogue of Claude Levi-Strauss and Maurice Merleau-Ponty

    Directory of Open Access Journals (Sweden)

    Paulo Victor Albertoni Lisboa

    2012-05-01

    Full Text Available The ideas about “logical”, “non-logical” and “pre-logical” consider an understanding about rationality or the discretion to state what rationality  intelligible is. Ethnology and phenomenology, when considering the dialog of Claude Lévi-Strauss and Maurice Merleau-Ponty, have in common the enlargement of concept about “rational” or “reason” as both authors make it intelligible as certain logical procedures that were previously not apprehensible in themselves. While Lévi-Strauss says there is no thought of the primitive, but only the savage mind, in the other words, a mode of knowledge closer to perception and imagination and which operates according to the logic of the concrete, in another sense, Maurice Merleau-Ponty draws on their work, about the perception and the development of an ontology of the sensible, to contest the claim that children have pre-logical thought, when judged against the criterion of “representation”. The two authors have, therefore, the perception is the foundation for the assertion of the savage mind or child psychology, and converge on the location of the arts space for the possibility of learning to see the world differently in Western culture.

  10. Suurim kliendiinfo leke kindlustuses / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2008-01-01

    Eesti suurimat kindlustusmaaklerit Iizi kahtlustatakse koos IT-arendusfirmaga Indium Eesti kindlustusturu suurimas infolekkes. Vt. samas: Intervjuu OÜ Indium juhi Indrek Soomestega. IT-mees: minul oli väike osa; kommenteerivad Sergei Vahnitski, Risto Rossar, Enn Saar; Algis Suik. Lisa: Infolekke skeem; Kuidas sündmused arenesid. Vt. lisaks: IIZI kindlustusfirmal lasub kahtlus. Algatati kriminaalmenetlus. Äripäev 16. juuli lk. 11

  11. Bauhaus otsustas siiski Eesti ehitusturule tulla / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2008-01-01

    Saksa hiigelkett Bauhaus tahab tulla Eesti ehituskaupade turule. Diagramm: Ehituskaupade müügiketid Euroopas ja Eestis. Vt. samas: Asukoht; Ehitamine on muutunud jälle sesoonseks tegevuseks; Lidl üritas, kuni väsis

  12. Alta Capital venitab Kruudale tasumisega / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2008-01-01

    Alta Capital Partnersid pole veel maksnud Oliver Kruudale 2007. aasta septembris müüdud Tere ja Kalevi eest. Vt. samas: Rahasaamise venimine on lükanud Kalevi viimastel kuudel laenurallile. Kommenteerib Aivar Häelm

  13. Uus tulumaksuseadus teel kohtuhaamri alla / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2007-01-01

    Uuest tulumaksuseaduse eelnõust. Lisatud: Rahandusminister Ivari Padar: eesmärk pole komisjoni "ära petta" ; KPMG Baltics ASi maksu- ja juriidilise osakonna juhataja Joel Zernaski ja peaminister Andrsu Ansipi kommentaarid ; Euroopa Komisjon oma nõudmistest ei tagane

  14. Magnum seljatas Tamro kasvuga / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2007-01-01

    Ravimite hulgimüüja Magnum Medical ületas käibe kasvult turuliidrit Tamro Eesti OÜ-d, siiski ei kavatse viimane Magnumile liidripositsiooni ära anda. Diagramm: Tamrol ja Magnumil pea võrdne turuosa. Tabel: Magnumil kasvas käive rohkem kui Tamrol. Lisa: Number

  15. Kliendid panid EMT alistuma / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2007-01-01

    EMT loobus klientide reaktsiooni tõttu kavatsusest minna üle minutipõhisele kõneminutihinna kehtestamisele. Vt. samas: EMT üritas kliente veenda mitme argumendiga, kuid see ei õnnestunud; EMT teenus maksab juba praegu kõige rohkem

  16. Narnia täismahus tulemine / Aleks Lange

    Index Scriptorium Estoniae

    Lange, Aleks

    2006-01-01

    Lewis, Clive Staples. Imetegija õepoeg ; Hobune ja tema poiss ; Prints Caspian / tlk. Andry Ervald ; Koiduränduri teekond ; Hõbedane tool ; Viimane lahing / tlk. Aldo Randmaa ; Lõvi, Nõid ja riidekapp / tlk. Andry Ervald ja Maiju Woodhead (Tallinn : Pegasus, 2006. (Narnia kroonikad ; 1-7))

  17. Maxima krabab uute supermarketite abil turgu / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2007-01-01

    Ilmunud ka: Delovõje Vedomosti 18. juuli lk. 5. 2007. aasta esimese kuue kuu ligi 60 protsendiline käibe kasv annab Leedu poekett Maxima tegevjuhile lootust 4-5 aasta pärast tõusta Eesti kaubandusturu liidripositsioonile. Diagramm: Maxima sai tuule tiibadesse. Lisa: Number

  18. Contrasting association of a non-synonymous leptin receptor gene polymorphism with Wegener's granulomatosis and Churg-Strauss syndrome.

    Science.gov (United States)

    Wieczorek, Stefan; Holle, Julia U; Bremer, Jan P; Wibisono, David; Moosig, Frank; Fricke, Harald; Assmann, Gunter; Harper, Lorraine; Arning, Larissa; Gross, Wolfgang L; Epplen, Joerg T

    2010-05-01

    There is evidence that the leptin/ghrelin system is involved in T-cell regulation and plays a role in (auto)immune disorders such as SLE, RA and ANCA-associated vasculitides (AAVs). Here, we evaluate the genetic background of this system in WG. We screened variations in the genes encoding leptin, ghrelin and their receptors, the leptin receptor (LEPR) and the growth hormone secretagogue receptor (GHSR). Three single nucleotide polymorphisms (SNPs) in each gene region were analysed in 460 German WG cases and 878 ethnically matched healthy controls. A three-SNP haplotype of GHSR was significantly associated with WG [P = 0.0067; corrected P-value (P(c)) = 0.026; odds ratio (OR) = 1.30; 95% CI 1.08, 1.57], as was one non-synonymous SNP in LEPR (Lys656Asn, P = 0.0034; P(c) = 0.013; OR = 0.72; 95% CI 0.58, 0.90). These four SNPs were re-analysed in independent cohorts of 226 German WG cases and 519 controls. While the GHSR association was not confirmed, allele frequencies of the LEPR SNP were virtually identical to those from the initial cohorts. Analysis of this SNP in the combined WG and control panels revealed a significant association of the LEPR 656Lys allele with WG (P = 0.00032; P(c) = 0.0013; OR = 0.72; 95% CI 0.60, 0.86). Remarkably, the Lys656Asn SNP showed contrasting allele distribution in two cohorts of 108 and 88 German cases diagnosed with Churg-Strauss syndrome (CSS, combined P = 0.0067; OR = 1.41; 95% CI 1.10, 1.81), whereas identical allele frequencies were revealed when comparing British WG and microscopic polyangiitis cases. While GHSR has to be further evaluated, these data provide profound evidence for an association of the LEPR Lys656Asn SNP with AAV, resulting in opposing effects in WG and CSS.

  19. Joint Damage in ANCA-Associated Systemic Vasculitis. Report II: Wegener’s and Churg-Strauss Granulomatous Polyangiitis

    Directory of Open Access Journals (Sweden)

    D.V. Pomazan

    2016-08-01

    Full Text Available Wegener’s (granulomatosis with polyangiitis, GPA and Churg-Strauss (eosinophilic polyangiitis, EPA vasculitis are treated as a single variant of systemic necrotizing granulomatosis vasculitis, associated with anti-neutrophil cytoplasmic antibodies (ANCA. There is an urgent need for further study of articular syndrome in patients with ANCA-SV. Objective: to evaluate the incidence and nature of the lesion of the joints at GPA and EPA, connection with extra-articular signs of the disease. Material and methods. The study involved 58 patients with ANCA-SV, among which there were 28 patients with GPA (16 men and 12 women aged from 17 to 70 years old and 30 with EPA (14 men and 16 women aged 19–70 years old.The average duration of the disease in the first and second groups was 4 years and 11 years, respectively. I, II and III degree activity of the GPA were in the ratio 1 : 6 : 7 and in the cases of EPA — 1 : 3 : 4. The lung pathology was diagnosed in all cases with EPA, in patients with GPA — in 68 % of cases. In addition, 2.3 times less frequently cutaneous syndrome was detected. Results. The lesion of the joints in the form of arthritis or arthralgia occurs in 1/2 of the number of patients with granulomatous ANCA-SV in the ratio of HPA to EPA as 1 : 2, which is associated with the severity of extra-articular manifestations of disease, and in cases of EPA — with the level of antibodies to proteinase-3. Patients with EPA significantly more frequently had lesions of the maxillary joints, digital joints of foot, ankle, metatarsophalangeal, hip, sacroiliac and vertebral, and the last 4 were not diagnosed in patients with HPA. Epiphyseal osteoporosis, subchondral sclerosis, osteocytes, artrocalcinosis and changes of the menisci horns of the knee-joints were observed only at EPA. Conclusions. The severity of arthropathy prevails in EPA, compared to GPA, that is associated with great inflammatory degenerative changes of the articular, but intra

  20. A case report for fatal Churg-Strauss syndrome complications: first reported death due to rapid progression of prominently huge hepatic capsular hematoma and multi-system organ hemorrhage

    Science.gov (United States)

    Qian, Jiejing; Tong, Hongyan; Chen, Feifei; Mai, Wenyuan; Lou, Yinjun; Jin, Jie

    2014-01-01

    Churg-Strauss syndrome (CSS) is a rare disease that has an extremely low incidence rate. CSS prognosis is good, in general; and there are no reports of multiple-organ hemorrhage in CSS. We report a unique case of CSS, wherein, an elderly man experienced multiple organ hemorrhage -- a particularly huge hematoma under the capsule of the liver and poor prognosis. PMID:25419420

  1. Influence of integrated quality management system on processing management in management and production staff’s opinion in Strauss Cafe Poland Ltd Company

    Directory of Open Access Journals (Sweden)

    Justyna Górna

    2009-01-01

    Full Text Available In the article are presented the results of the research determining the influence of the integrated quality management system on management process in the assessment of management and regular employees of Strauss Cafe Poland Ltd. According to the ISO 9001 requirements in order to effectively manage the organisation, should identify operations. The activities requiring resources and managed in order to enable the transformation of inflow into outflow should be evaluated as a process. The analysis of the gathered data shows the essential influence of the systems (QMS and HACCP on the management process in the company. The management staff emphasized the significant influence of the quality management system whereas production staff of HACCP system. Both of these groups of employees in the survey shows the beurocracy as a negative result of these systems, while positive results are improvement of image of the company and increase of both products and services quality.

  2. A CULINÁRIA INDÍGENA COMO ELO DE PASSAGEM DA “CULTURA” PARA A “NATUREZA”: INVERTENDO LÉVI-STRAUSS

    Directory of Open Access Journals (Sweden)

    MÁRTIN CÉSAR TEMPASS

    2011-06-01

    Full Text Available According to Claude Lévi-Strauss, the cuisine constitutes a passing link fromstage of nature to stage of culture. Based on ethnographic research among the Mbyá-Guarani,this article analyzes this assertion under the light of the Amerindian cosmology. However, thedichotomy between nature and culture does not apply to indigenous groups, since for thesenature and culture constitute a hybrid. To this hybridism might also be added the domain ofsupernatural. In terms of analysis this hybrid configuration does not allow any kind oftransition from one domain to another. Yet the transition is possible among the three possibleconditions of life in cosmos – animality, humanity and divinity. Human beings may perform thetransition to animality as well as the transition to divinity. But no matter the course of thetransition, although in different conditions in cosmos, from humanity one will always achieveanimality. As conceptualized by Lévi-Strauss, from culture always occurs the trasition to nature.However, in one direction ex-humans will control nature beings, in another one, they will becontrolled by nature. This isn’t just about a peculiarity of indigenous groups, it may also befound in societies so-called “modern”, however under others shapes.Segundo Claude Lévi-Strauss, a culinária constitui um elo de passagem da etapada natureza para o estágio da cultura. A partir da pesquisa etnográfica realizada entre osMbyá-Guarani, o presente artigo analisa esta afirmação sob a luz da cosmologia ameríndia.No entanto, a dicotomia entre natureza e cultura não se aplica aos grupos indígenas, pois, paraestes, as categorias natureza e cultura constituem um híbrido. E a este hibridismo podemosacrescentar também o domínio da sobrenatureza. E, em termos de análise, essa configuraçãohibrida não possibilita haver qualquer tipo de passagem entre um domínio e outro. Mas apassagem é possível entre as três possíveis condições de vida no cosmos

  3. Development of eosinophilic granulomatosis with poliangiitis (Churg-Strauss syndrome) and brain tumor in a patient after more than 7 years of omalizumab use: A case report.

    Science.gov (United States)

    Borekci, S; Aydin, O; Hatemi, G; Gemicioglu, B

    2015-03-01

    Omalizumab is a monoclonal anti-immunoglobulin E antibody used for the treatment of severe perennial allergic asthma. Previous reports have suggested that omalizumab treatment can be associated with the development of eosinophilic granulomatosis with poliangiitis (EGPA) (formerly known as Churg-Strauss syndrome) and an increased risk of malignancy. Long-term risks of omalizumab treatment are not very well defined. Here, we report the case of a 75-year-old woman with concurrent occurrence of EGPA and brain tumor after more than 7 years of omalizumab treatment. The possibility of EGPA should be borne in mind during long-term treatment with omalizumab. Despite the absence of definitive data, an association may also exist between the development of malignancy and omalizumab use. © The Author(s) 2015.

  4. Churg-Strauss Syndrome as an Unusual Aetiology of Stroke with Haemorrhagic Transformation in a Patient with No Cardiovascular Risk Factors

    Directory of Open Access Journals (Sweden)

    Tiina Sairanen

    2011-01-01

    Full Text Available Background: We present here a case of haemorrhagic brain infarction in a middle-aged and physically active male, who had never smoked. This case report aims to remind the internist and neurologist to bear in mind unusual aetiologies of brain infarcts in patients without classical cardiovascular risk factors. Case Description: A 49-year-old male with pulmonary asthma and a prior history of nasal polyps had a wake-up stroke with left-sided symptoms and speech disturbance. A head MRI and MR angiography revealed a recent haemorrhagic infarct in the right putamen and corona radiata. The left hemiparesis progressed to sensory-motor hemiplegia on the 4th day. In the head CT, it was shown that the haemorrhagic infarct had progressed to a large haematoma. A pansinusitis was also diagnosed. The aetiological investigations revealed a minor atrial septal defect (ASD with shunting and a heterozygotic clotting factor V R506Q mutation. A remarkable blood eosinophilia of 9.80 E9/l (42% together with fever, sinusitis, wide-spread bilateral nodular pulmonary infiltrates that did not respond to wide-spectrum antimicrobial treatment, positive anti-neutrophilic cytoplasmic antibodies, a high myeloperoxidase antibody level and slightly positive anti-proteinase 3 antibodies suggested the diagnosis of Churg-Strauss syndrome. These inflammatory symptoms and findings promptly responded to treatment with corticosteroids and cyclophosphamide. Conclusions: Even after the concomitant findings of the low risk factors, i.e. small ASD and heterozygotic clotting factor mutation, continued search for the final aetiology of stroke revealed Churg-Strauss syndrome, which was the key to the treatment.

  5. Churg-Strauss Syndrome as an Unusual Aetiology of Stroke with Haemorrhagic Transformation in a Patient with No Cardiovascular Risk Factors

    Science.gov (United States)

    Sairanen, Tiina; Kanerva, Mari; Valanne, Leena; Lyytinen, Jukka; Pekkonen, Eero

    2011-01-01

    Background We present here a case of haemorrhagic brain infarction in a middle-aged and physically active male, who had never smoked. This case report aims to remind the internist and neurologist to bear in mind unusual aetiologies of brain infarcts in patients without classical cardiovascular risk factors. Case Description A 49-year-old male with pulmonary asthma and a prior history of nasal polyps had a wake-up stroke with left-sided symptoms and speech disturbance. A head MRI and MR angiography revealed a recent haemorrhagic infarct in the right putamen and corona radiata. The left hemiparesis progressed to sensory-motor hemiplegia on the 4th day. In the head CT, it was shown that the haemorrhagic infarct had progressed to a large haematoma. A pansinusitis was also diagnosed. The aetiological investigations revealed a minor atrial septal defect (ASD) with shunting and a heterozygotic clotting factor V R506Q mutation. A remarkable blood eosinophilia of 9.80 E9/l (42%) together with fever, sinusitis, wide-spread bilateral nodular pulmonary infiltrates that did not respond to wide-spectrum antimicrobial treatment, positive anti-neutrophilic cytoplasmic antibodies, a high myeloperoxidase antibody level and slightly positive anti-proteinase 3 antibodies suggested the diagnosis of Churg-Strauss syndrome. These inflammatory symptoms and findings promptly responded to treatment with corticosteroids and cyclophosphamide. Conclusions Even after the concomitant findings of the low risk factors, i.e. small ASD and heterozygotic clotting factor mutation, continued search for the final aetiology of stroke revealed Churg-Strauss syndrome, which was the key to the treatment. PMID:21468361

  6. Kampo medicines improved blood test and QOL in two vasculitis cases of Churg–Strauss syndrome and Henoch–Shönlein purpura after inadequate treatment with conventional therapies

    Directory of Open Access Journals (Sweden)

    Yasuyo Hijikata

    2010-02-01

    Full Text Available Yasuyo Hijikata1, Yumiko Ikemoto2, Urara Kohdera31Toyodo Hijikata Clinic, Osaka, Japan; 2St Mary’s Hospital, Himeji, Japan; 3Nakano Children’s Hospital, Osaka, JapanObjective: Based on the tenets of traditional Chinese medicine (TCM theory, Kampo medicines were selected and applied to two cases of Churg–Strauss syndrome and Henoch–Shönlein purpura. Two vasculitis syndrome patients exhibited persistent symptoms and abnormal blood tests after treatment with conventional therapies.Methods: As the two cases had “blood stagnation” and “damps and heat” and one had a “yang deficiency” in terms of TCM theory, we applied certain selected Kampo medicines.Results: In case 1, the patient presented with hypereosinophilia, venous thrombosis, pulmonary infarction, decreased platelet count, ulner nerve palsy and Raynaud’s phenomena, which led to a diminished quality of life. After starting the Kampo medicines, the patient improved quickly and recovered within 11 months. In case 2, persistent purpura, abdominal pain, and bloody feces quickly improved and disappeared after Kampo treatment. After starting the Kampo medicines, prednisolone was stopped at 21 days without any sign of relapse to date.Conclusion: Kampo medicines helped clear the persistent abnormal symptoms and laboratory findings of vasculitis syndromes, Churg–Strauss syndrome and Henoch–Shönlein purpura, which had responded inadequately to the conventional therapies administered.Keywords: Kampo medicine, vasculitis, Churg–Strauss syndrome, Henoch–Shönlein purpura

  7. Intravenous immunoglobulin for chronic residual peripheral neuropathy in eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome): a multicenter, double-blind trial.

    Science.gov (United States)

    Koike, Haruki; Akiyama, Kazuo; Saito, Toyokazu; Sobue, Gen

    2015-03-01

    Eosinophilic granulomatosis with polyangiitis (EGPA), previously called Churg-Strauss syndrome, frequently affects the peripheral nervous system. We conducted a multicenter, double-blind, three-arm treatment period, randomized, pre-post trial to assess the efficacy of intravenous immunoglobulin (IVIg) administration for residual peripheral neuropathy in patients with EGPA that is in remission, indicated by laboratory indices. Twenty-three patients were randomly assigned into three groups, in which the timing of IVIg and placebo administration was different. Each group received one course of intervention and two courses of placebo at 2-week intervals. Treatment effects were assessed every 2 weeks for 8 weeks. The primary outcome measure, the amount of change in the manual muscle testing sum score 2 weeks after IVIg administration, significantly increased (p = 0.002). The results over time suggested that this effect continued until the last assessment was done 8 weeks later. The number of muscles with manual muscle testing scores of three or less (p = 0.004) and the neuropathic pain scores represented by the visual analogue scale (p = 0.005) also improved significantly 2 weeks after IVIg administration. This study indicates that IVIg treatment for EGPA patients with residual peripheral neuropathy should be considered even when laboratory indices suggest remission of the disease.

  8. Anterior ischaemic optic neuropathy in eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome): a case report and review of the literature.

    Science.gov (United States)

    Padovano, Ilaria; Pazzola, Giulia; Pipitone, Nicolò; Cimino, Luca; Salvarani, Carlo

    2014-01-01

    We report a 62-year-old man with mild fever, headache and acute visual loss in his right eye due to anterior ischaemic optic neuropathy (AION), followed a few days later by pain in the legs and left arm associated with numbness and weakness. Giant cell arteritis complicated by AION was suspected at the beginning and high-dose oral glucocorticoids were started. However, on the basis of the past medical history of nasal polyposis, asthma, and hypereosynophilia as well as of further investigations (biopsy of the nasal mucosa showing granulomatous inflammation with a rich eosinophilic infiltrate, electromyography demonstrating, mononeuritis multiplex and positive p-ANCA), eosinophilic granulomatosis with polyangiitis (EGPA), previously known as Churg-Strauss syndrome, was diagnosed. Because visual acuity in the right eye deteriorated despite glucocorticoid therapy, pulse intravenous cyclophosphamide was started, subsequently replaced by oral azathioprine, while prednisone was slowly tapered. This treatment led to gradual improvement of the neurological symptoms, whereas the right visual impairment remained unchanged. EGPA-related AION is an uncommon lesion that is probably due to vasculitic involvement of posterior ciliary and/or chorioretinal arteries. The prognosis of established AION is poor for the affected eye, even when glucocorticoid treatment is started immediately. However, early recognition of AION and prompt aggressive treatment with high-dose glucocorticoids plus cyclophosphamide can prevent visual loss in the unaffected eye.

  9. Minding experience: An exploration of the concept of "experience" in the early French anthropology of Durkheim, Lévy-Bruhl, and Lévi-Strauss.

    Science.gov (United States)

    Throop, C Jason

    2003-01-01

    In line with the growing concern with the unexamined reliance upon the concept of "experience" in anthropology, this article explores in some detail the various usages and definitions of the concept in the work of three of early French anthropology's most influential theorists: Emile Durkheim (1858-1918), Lucien Lévy-Bruhl (1857-1939), and Claude Lévi-Strauss (1908-). With its important influence on both British and American anthropology, the early French anthropological tradition, as epitomized in the writings of these three thinkers, has indeed played a pivotal role in shaping many current taken-for-granted understandings of the concept of experience in the discipline of anthropology as a whole. In the process of exploring how experience is viewed by these three scholars, this paper will thus take some initial steps toward the historical contextualization of many of the unquestioned assumptions underpinning current understandings of experience in the discipline of anthropology and the social sciences more generally. Copyright 2003 Wiley Periodicals, Inc.

  10. Anti-IgE Monoclonal Antibody (Omalizumab) in Refractory and Relapsing Eosinophilic Granulomatosis With Polyangiitis (Churg-Strauss): Data on Seventeen Patients.

    Science.gov (United States)

    Jachiet, Marie; Samson, Maxime; Cottin, Vincent; Kahn, Jean-Emmanuel; Le Guenno, Guillaume; Bonniaud, Philippe; Devilliers, Hervé; Bouillet, Laurence; Gondouin, Anne; Makhlouf, Fatma; Meaux-Ruault, Nadine; Gil, Helder; Bienvenu, Boris; Coste, André; Groh, Matthieu; Giraud, Violaine; Dominique, Stéphane; Godeau, Bertrand; Puéchal, Xavier; Khouatra, Chahera; Ruivard, Marc; Le Jeunne, Claire; Mouthon, Luc; Guillevin, Loïc; Terrier, Benjamin

    2016-09-01

    To describe the efficacy and safety of omalizumab, an anti-IgE monoclonal antibody, in patients with refractory and/or relapsing eosinophilic granulomatosis with polyangiitis (Churg-Strauss) (EGPA). We conducted a nationwide retrospective study including EGPA patients who received omalizumab. Response was defined as the absence of asthma and/or sinonasal exacerbations with a prednisone dosage of ≤7.5 mg/day (complete response) or >7.5 mg/day (partial response). Seventeen patients (median age 45 years) received omalizumab for severe steroid-dependent asthma (88%) and/or sinonasal involvement (18%). After a median follow-up of 22 months, 6 patients (35%) achieved a complete response, 5 patients (30%) achieved a partial response, and 6 patients (35%) had no improvement. The median Birmingham Vasculitis Activity Score decreased from 2.5 at baseline to 0.5 at 12 months. The median number of exacerbations per month decreased from 1 at baseline to 0 at 12 months, and the median forced expiratory volume in 1 second increased from 63% of the percent predicted at baseline to 85% of the percent predicted at 12 months. The median prednisone dosage decreased from 16 mg/day at baseline to 11 mg/day at 6 months and 9 mg/day at 12 months. Omalizumab was discontinued in 8 patients (47%) during follow-up, because of remission (12.5%), adverse event despite disease remission (12.5%), refractory disease (25%), or relapse (50%). Relapses included retrobulbar optic neuritis attributable to EGPA in 2 patients and severe asthma flare in 2 others. The results of this study suggest that omalizumab may have a corticosteroid-sparing effect in EGPA patients with asthmatic and/or sinonasal manifestations, but reducing the corticosteroid dose may also increase the risk of severe EGPA flares, which raises the question of the safety of omalizumab in patients with EGPA. © 2016, American College of Rheumatology.

  11. Unfavorably Altered Fibrin Clot Properties in Patients with Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Syndrome): Association with Thrombin Generation and Eosinophilia.

    Science.gov (United States)

    Mastalerz, Lucyna; Celińska-Lӧwenhoff, Magdalena; Krawiec, Piotr; Batko, Bogdan; Tłustochowicz, Witold; Undas, Anetta

    2015-01-01

    Given reports on the increased prevalence of thromboembolic incidents in patients with eosinophilic granulomatosis with polyangiitis (EGPA; Churg-Strauss syndrome), we investigated whether fibrin clot properties are unfavorably altered in EGPA. Ex vivo plasma fibrin clot characteristics, including clot permeability, turbidimetry and efficiency of fibrinolysis using two assays, were investigated in 34 consecutive patients with remission in EGPA according to the Birmingham Vasculitis Activity Score version 3 (23 female, 11 male), aged 48 (range, 21-80) years. The control group comprised 34 age- and sex- matched volunteers. Compared with controls, patients with EGPA were characterized by denser fiber clots (estimated pore size, Ks, 7.30±0.93 vs 10.14±1.07 10-9 cm2), faster fibrin polymerization (lag phase in a turbidimetric curve, 41.8±3.6 vs 47.4±2.9 s), thicker fibrin fibers (maximum absorbance, ΔAbs, 0.87±0.09 vs 0.72±0.07), higher maximum levels of D-dimer released from clots (DDmax 4.10±0.46 vs 3.54±0.35 mg/L), and prolonged clot lysis time (t50%; 9.50±1.45 vs 7.56±0.87 min); all p<0.0001. Scanning electron microscopy images confirmed denser plasma fibrin networks composed of thinner fibers formed in EGPA. Antineutrophil cytoplasmic antibody status and C-reactive protein did not affect clot variables. Multivariate analysis adjusted for fibrinogen showed that Ks was predicted by eosinophil count, peak thrombin generation, factor VIII, and soluble CD40 ligand, whereas eosinophil count, peak thrombin generation and antiplasmin predicted t50%. This study is the first to show that EGPA is associated with prothrombotic plasma fibrin clot phenotype, which may contribute to thromboembolic manifestations reported in this disease.

  12. VASCULITIS DE CHURG-STRAUSS: PRESENTACIÓN CLÍNICA COMO GLOMERULONEFRITIS EXTRACAPILAR NECROTIZANTE PAUCI-INMUNE CON NEFRITIS TUBULO-INTERSTICIAL EOSINOFÍLICA.

    Directory of Open Access Journals (Sweden)

    Fernanda da Cunha

    2004-01-01

    Full Text Available RESUMEN: Se presenta el caso clínico de una mujer de 81 años con antecedentes patología pulmonar obstructiva crónica "idiopática" que desarrolló un cuadro de insuficiencia renal aguda aparentemente prerrenal, con posterior oliguria y eosinofilia simulando una nefropatía túbulo-intersticial alérgica. La evolución atípica y la presencia de p-ANCA, sugerían una vasculitis, patología que se confirmó con la biopsia renal. Los resultados anatomopatológicos revelaron la existencia de una glomerulonefritis necrotizante con semilunas e infiltrado eosinófilo. Estos datos y el historial de la paciente llevaron al diagnóstico de vasculitis de Churg-Strauss. El tratamiento inicial con corticoides y ciclofosfamida y posteriormente con Azatioprina mostró excelentes resultados con mejoría de la función renal, de los parámetros inflamatorios y de la clínica sistémica, que la paciente mantuvo posteriormente. ABSTRACT: We report a case of a 81 year-old woman with idiopathic chronic obstructive pulmonary disease, who developed a functional acute renal failure with delayed oliguria and eosinophily, simulating an acute interstitial nephropathy. The unusual clinical course and the presence of antimyeloperoxidase antibodies (p-ANCA suggested a vasculitis; the renal biopsy confirmed this diagnosis. The histology revealed a crescentic glomerulonephritis with eosinophilic infiltration. With these data and the pulmonary history of the patient, a diagnosis of Churg-Struss Vasculitis was made. The initial treatment with steroids and ciclophosphamide switched later to azatioprine, was succeeded with a sustained improvement in renal function, inflammatory markers and clinical course.

  13. Churg-Strauss syndrome cardiac involvement evaluated by cardiac magnetic resonance imaging and positron-emission tomography: a prospective study on 20 patients

    International Nuclear Information System (INIS)

    Marmursztejn, Julien; Guillevin, Loic; Cohen, Pascal; Guilpain, Philippe; Pagnoux, Christian; Mouthon, Luc; Trebossen, Regine; Legmann, Paul; Vignaux, Olivier; Duboc, Denis

    2013-01-01

    Churg-Strauss syndrome (CSS) cardiac involvement is associated with a poor prognosis. Recently cardiac MRI (CMRI) has emerged as a promising technique to detect early CSS cardiac involvement. However, CMRI-detected myocardial delayed enhancement (MDE) could correspond to fibrosis or inflammation. Fluoro-2-deoxyglucose PET (FDG-PET) was previously used in other systemic diseases to distinguish between them. To determine whether the CMRI-MDE detected in CSS patients reflected fibrosis or myocardial inflammation, patients in CSS remission underwent FDG-PET. Twenty consecutive CSS patients in remission (BVAS = 0) were recruited. Fourteen patients [eight men, six women; mean (S.D.) age 49 (9) years; mean disease duration 3.5 (2.9) years] with CMRI-detected MDE, and six patients [four men, two women; mean (S.D.) age 44 (15) years; mean disease duration 3.5 (5.3) years] with normal CMRI underwent FDG-PET. Segments with MDE on CMRI were analysed on FDG-PET images, with myocardial FDG hypo-fixation defining fibrosis and hyper-fixation corresponding inflammation. Among the 14 patients with MDE on CMRI, FDG-PET showed 10 had hypo-fixation, 2 had hyper-fixation and 2 had normal scans. CSS duration at the time of CMRI was shorter for patients with myocardial inflammation than in those with fibrosis. The six patients with normal CMRI had normal FDG-PET images. For CSS patients in remission, CMRI detected subclinical active myocardial lesions and could be recommended to assess cardiac involvement. However, because CMRI-detected MDE can reflect fibrosis or inflammation, FDG-PET might help to distinguish between the two. (authors)

  14. Churg-Strauss syndrome cardiac involvement evaluated by cardiac magnetic resonance imaging and positron-emission tomography: a prospective study on 20 patients

    Energy Technology Data Exchange (ETDEWEB)

    Marmursztejn, Julien [Department of Cardiology, Service Frederic Joliot CEA Orsay, Hopital Cochin, AP-HP, Universite Paris Descartes, Sorbonne Paris Cite, Paris, (France); Department of Radiology, Service Frederic Joliot CEA Orsay, Hopital Cochin, AP-HP, Universite Paris Descartes, Sorbonne Paris Cite, Paris, (France); Guillevin, Loic; Cohen, Pascal; Guilpain, Philippe; Pagnoux, Christian; Mouthon, Luc [Department of Internal Medicine, Service Frederic Joliot CEA Orsay, Hopital Cochin, AP-HP, Universite Paris Descartes, Sorbonne Paris Cite, Paris, (France); Trebossen, Regine [Department of Nuclear Medicine, Service Frederic Joliot CEA Orsay, Hopital Cochin, AP-HP, Universite Paris Descartes, Sorbonne Paris Cite, Paris, (France); Legmann, Paul; Vignaux, Olivier [Department of Radiology, Service Frederic Joliot CEA Orsay, Hopital Cochin, AP-HP, Universite Paris Descartes, Sorbonne Paris Cite, Paris, (France); Duboc, Denis [Department of Cardiology, Service Frederic Joliot CEA Orsay, Hopital Cochin, AP-HP, Universite Paris Descartes, Sorbonne Paris Cite, Paris, (France)

    2013-07-01

    Churg-Strauss syndrome (CSS) cardiac involvement is associated with a poor prognosis. Recently cardiac MRI (CMRI) has emerged as a promising technique to detect early CSS cardiac involvement. However, CMRI-detected myocardial delayed enhancement (MDE) could correspond to fibrosis or inflammation. Fluoro-2-deoxyglucose PET (FDG-PET) was previously used in other systemic diseases to distinguish between them. To determine whether the CMRI-MDE detected in CSS patients reflected fibrosis or myocardial inflammation, patients in CSS remission underwent FDG-PET. Twenty consecutive CSS patients in remission (BVAS = 0) were recruited. Fourteen patients [eight men, six women; mean (S.D.) age 49 (9) years; mean disease duration 3.5 (2.9) years] with CMRI-detected MDE, and six patients [four men, two women; mean (S.D.) age 44 (15) years; mean disease duration 3.5 (5.3) years] with normal CMRI underwent FDG-PET. Segments with MDE on CMRI were analysed on FDG-PET images, with myocardial FDG hypo-fixation defining fibrosis and hyper-fixation corresponding inflammation. Among the 14 patients with MDE on CMRI, FDG-PET showed 10 had hypo-fixation, 2 had hyper-fixation and 2 had normal scans. CSS duration at the time of CMRI was shorter for patients with myocardial inflammation than in those with fibrosis. The six patients with normal CMRI had normal FDG-PET images. For CSS patients in remission, CMRI detected subclinical active myocardial lesions and could be recommended to assess cardiac involvement. However, because CMRI-detected MDE can reflect fibrosis or inflammation, FDG-PET might help to distinguish between the two. (authors)

  15. Unfavorably Altered Fibrin Clot Properties in Patients with Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Syndrome: Association with Thrombin Generation and Eosinophilia.

    Directory of Open Access Journals (Sweden)

    Lucyna Mastalerz

    Full Text Available Given reports on the increased prevalence of thromboembolic incidents in patients with eosinophilic granulomatosis with polyangiitis (EGPA; Churg-Strauss syndrome, we investigated whether fibrin clot properties are unfavorably altered in EGPA.Ex vivo plasma fibrin clot characteristics, including clot permeability, turbidimetry and efficiency of fibrinolysis using two assays, were investigated in 34 consecutive patients with remission in EGPA according to the Birmingham Vasculitis Activity Score version 3 (23 female, 11 male, aged 48 (range, 21-80 years. The control group comprised 34 age- and sex- matched volunteers.Compared with controls, patients with EGPA were characterized by denser fiber clots (estimated pore size, Ks, 7.30±0.93 vs 10.14±1.07 10-9 cm2, faster fibrin polymerization (lag phase in a turbidimetric curve, 41.8±3.6 vs 47.4±2.9 s, thicker fibrin fibers (maximum absorbance, ΔAbs, 0.87±0.09 vs 0.72±0.07, higher maximum levels of D-dimer released from clots (DDmax 4.10±0.46 vs 3.54±0.35 mg/L, and prolonged clot lysis time (t50%; 9.50±1.45 vs 7.56±0.87 min; all p<0.0001. Scanning electron microscopy images confirmed denser plasma fibrin networks composed of thinner fibers formed in EGPA. Antineutrophil cytoplasmic antibody status and C-reactive protein did not affect clot variables. Multivariate analysis adjusted for fibrinogen showed that Ks was predicted by eosinophil count, peak thrombin generation, factor VIII, and soluble CD40 ligand, whereas eosinophil count, peak thrombin generation and antiplasmin predicted t50%.This study is the first to show that EGPA is associated with prothrombotic plasma fibrin clot phenotype, which may contribute to thromboembolic manifestations reported in this disease.

  16. Levi-Strauss Ve Roland Barthes’ın Yaklaşımıyla “God Of War III” Oyununun Mitsel Çözümlemesi

    OpenAIRE

    SEPETÇİ, Tülin

    2016-01-01

    Bu çalışmanın amacı, Roland Barthes ve Levi-Strauss’un mit kuramlarını bir popüler kültür ürünü olarak ele alınan “God of War III” adlı video oyunu bağlamında karşılaştırmaktır. Çalışmada öncelikle tarihsel süreç içerisinde mitlerin işlevi ve “oyun” kavramının mitlerle ilişkisinden, ardından Levi-Strauss ve Roland Barthes’ın mit yaklaşımları ve analizinden bahsedilmiş, ardından “God of War III” adlı video oyununa mitsel çözümleme yapılmıştır. Her iki düşünürün mit yaklaşımları çerçevesinde ön...

  17. Rahvaliitlaste rahalaevad roostetavad kai ääres / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2007-01-01

    Rahvaliidule lähedal seisvad ärimehed müüsid riigile maha vanu kalalaevu, et neid õppelaevadena kasutada, kuid nüüd roostetavad laevad kai ääres. Vt. samas: Lobby ekstraklass - minister tegi kõik, mis soovitud; Kalurite liit on tänaseks laiali jooksnud; Undrest jr võitles toetuse välja kohtus; Üheksast õppelaevaks muudetud alusest õpitakse päriselt vaid mõnel. Küsimustele vastab endine põllumajandusminister Ester Tuiksoo. Kommenteerivad Toivo Orgussaar ja Jüri Lember

  18. Eesti rehepapid läksid Bauhausi nime kallale / Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2008-01-01

    Enne Saksa keti Bauhaus Eestisse tulekut üritasid eestlastest konkurendid tema kaubamärki endale võtta. Vt. samas: Kaubamärkide üle vaieldakse sageli ja pikalt. Kommenteerivad Merle Rihma ja Margus Tähepõld

  19. Katastroofi hüvitamiseks on auto jagu kindlustusraha / Kadri Bank, Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Bank, Kadri

    2008-01-01

    Tallinnas on mitmeid suure katastroofiohuga ettevõtteid, mis on end raskete tagajärgedega õnnetuste vastu kindlustanud väiksema summaga kui mõni autokindlustus. Vt. samas: Kolmandate isikute kahjude hüvitamine; Kõrge riskiohuga firmad on koondunud Koplisse ja Peterburi mnt äärde

  20. Kofkini kahtlane kiirvõit / Kadi Heinsalu, Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Heinsalu, Kadi, 1966-

    2007-01-01

    Aleksander Kofkini riiulifirma Meriton Food Boutique OÜ sai 25 aastaks rendile kohviku- ja poeruumid endises Pärli kohvikus. Vt. samas: Rentija kahtlustab kokkumängu; Kibekiirelt teoks saanud äritehing; Nemad otsustasid Kofkini firma kasuks; Kristina Traks. Edgar Savisaar ja Alaksander Kofkin - ammused sõbrad

  1. Bioetanooli saab prügist / Mette Hedegaard Thomsen ; interv. Sten-Aleks Pihlak

    Index Scriptorium Estoniae

    Thomsen, Mette Hedegaard

    2008-01-01

    Taani Tehnikaülikooli Riso laboratooriumi teaduri Mette Hedegaard Thomseni sõnul suudab teise põlvkonna bioetanoolitehas teha kütust kõikvõimalikest jäätmetest ning on samas palju loodussõbralikum. Kommenteerib Robert Antropov

  2. Social space: Philosophical reflections | Strauss | South African ...

    African Journals Online (AJOL)

    Our analysis of the phrase 'social space' first of all concentrates on the modal or functional nature of the different aspects of reality, including the social and spatial aspects. Subsequently this leads to an analysis of the problem of modal analogies – one way in which an answer is given to the perennial philosophical problem ...

  3. The Millennial Generation: Howe and Strauss Disputed

    Science.gov (United States)

    Alexander Agati, Holly

    2012-01-01

    Researchers have attempted to untangle the complexity of a generation through four primary effects--time interval, cohort, period, and attitude--based on personal and societal attributes. The Millennial generation, born 1982-2000, has received considerable attention through the media, in educational institutions, and in the workplace. The seven…

  4. Kto samõi bogatõi v Estonii / Sten-Aleks Pihlak, Kärt Blumberg, Lemmi Kann

    Index Scriptorium Estoniae

    Pihlak, Sten-Aleks

    2008-01-01

    Eesti laevatranspordi kolmik - Ain Hanschmidt, Enn Pant ja Kalev Järvelill on Äripäeva rikaste edetabelis esimesed. Viimaste kuude suure aktsiahinnalanguse tõttu on paljud Äripäeva rikaste edetabelis olijad kaotanud igast kolmest kroonist kaks. Artiklis selgitatakse miks on Äripäeva Rikaste TOPis vähe naisi. Lisad: Iz TOP-500 samõhh bogatõhh ljudei v Estonii; Reitingi bogatshei za prezhnije godõ; Metodika

  5. Normativity I – The Dialectical Legacy | Strauss | South African ...

    African Journals Online (AJOL)

    With Habermas it is important to realize that one has to differentiate between moral and non-moral (a-moral) norms, which is different from what is immoral. However, since the Renaissance reflections on human freedom were caught up in the dialectic of necessity (nature) and freedom. A brief sketch is given of the ...

  6. Review Essay: Situational Analysis—Strauss Meets Foucault?

    Directory of Open Access Journals (Sweden)

    Rainer Diaz-Bone

    2012-11-01

    Full Text Available With the (German translation of the volume "Situational Analysis" by Adele CLARKE, a new approach to the development of Grounded Theory Methodology (GTM is presented. CLARKE radicalizes the methodological standpoint of classical pragmatism. She integrates structuralist and post-structuralist analytic elements into GTM. This review essay critically analyzes this new integration and employs the methodological notion of the "theory/methods package" introduced by CLARKE, which denotes the cohesion of theory, methodology and methods, and can be conceived as a kind of “methodic holism” (not to be confused with the different concept of methodological holism. CLARKE puts more emphasis on objects and power than classical GTM, and attempts to integrate a FOUCAULTian discourse model. However, she does not succeed in integrating the pragmatic and structuralist/post-structuralist methodologies in a fully coherent way. Her situational analysis does not incorporate a discourse-analytic methodology, and has not implemented the methods needed for a FOUCAULTian discourse analysis. Nevertheless, this valuable work presents an important development in pragmatic social research. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1301115

  7. Respiratory manifestations of eosinophilic granulomatosis with polyangiitis (Churg-Strauss)

    NARCIS (Netherlands)

    Cottin, Vincent; Bel, Elisabeth; Bottero, Paolo; Dalhoff, Klaus; Humbert, Marc; Lazor, Romain; Sinico, Renato A.; Sivasothy, Pasupathy; Wechsler, Michael E.; Groh, Matthieu; Marchand-Adam, Sylvain; Khouatra, Chahéra; Wallaert, Benoit; Taillé, Camille; Delaval, Philippe; Cadranel, Jacques; Bonniaud, Philippe; Prévot, Grégoire; Hirschi, Sandrine; Gondouin, Anne; Dunogué, Bertrand; Chatté, Gérard; Briault, Amandine; Jayne, David; Guillevin, Loïc; Cordier, Jean-François

    2016-01-01

    The respiratory manifestations of eosinophilic granulomatosis with polyangiitis (EGPA) have not been studied in detail.In this retrospective multicentre study, EGPA was defined by asthma, eosinophilia and at least one new onset extra-bronchopulmonary organ manifestation of disease.The study

  8. La vie de Jésus-Christ, du Docteur Strauss

    Directory of Open Access Journals (Sweden)

    Edgar Quinet

    2010-12-01

    Full Text Available Edgar Quinet est un de ces fils de la Révolution qui ont peur du vide.Lui qui sera dans le regret que la Révolution française n’ait pas su produire une religion nouvelle, découvre, effaré, les ruines de l’ancienne. Ce n’est pas qu’il crût, mais enfin, comme à ce vicaire savoyard dont il se méfiait, l’Évangile parlait à son cœur de fils de mère calviniste. Il y tenait comme à sa conscience morale. Et voici qu’un répétiteur de philosophie au séminaire protestant de Tübingen (Tubingue, ainsi qu’...

  9. Churg-Strauss's Syndrome; Review of literature | Adefuye | Nigerian ...

    African Journals Online (AJOL)

    Diffuse organ involvement, especially cardiovascular (CVS), GIT, rare involvement of CNS and renal system suggest poorer prognosis and possible fatal outcome. Patients with these poor prognostic outlooks, especially cardiac, receive aggressive treatment using corticosteroids combined with immunosuppresants (chiefly ...

  10. Biofiltration of BTEX waste gases / by Johannes Mattheus Strauss

    OpenAIRE

    Strauss, Johannes Mattheus

    2003-01-01

    A comparison of biofilter performance under different temperature conditions is of particular importance for the application and commercialization of biofiltration technology due to the fact that many waste gas streams are at elevated temperatures. The efficacy of higher temperature biofiltration reactors, therefore, has important practical and cost implications as it directly impacts on the need and cost for gas cooling prior to biofiltration treatment. In this study the perfo...

  11. Primitive terms and the limits of conceptual understanding | Strauss ...

    African Journals Online (AJOL)

    South African Journal of Philosophy. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 32, No 2 (2013) >. Log in or Register to get access to full text downloads.

  12. Batik Kreatif Amri Yahya dalam Perspektif Strukturalisme Levi-Strauss

    OpenAIRE

    Irfa'ina Rohana Salma

    2016-01-01

    ABSTRAKPada saat ini sebagaian besar pengembangan motif batik mengacu pada ragam hias tradisional, sehingga hasilnya cenderung monoton. Perlu penyegaran visual dan diversifikasi gagasan untuk menghasilkan motif batik modern yang baru, unik, kreatif, dan inovatif. Tujuan kajian ini adalah menginspirasi para seniman, perajin, desainer untuk menciptakan motif kreatif sebagai diversifikasi produk yang semakin memperkaya khasanah batik Indonesia, dengan mengkaji batik kreatif karya Amri Yahya. Bat...

  13. Do we really comprehend time? | Strauss | South African Journal of ...

    African Journals Online (AJOL)

    It may appear as if time measurement can help us to understand what time is. However, the historical development of time measurement alternatively explored different routes – such as counting the days, weeks, months and years, establishing relative positions (the sundial), employing the constant movement of a pendulum ...

  14. Uvidet heruvima / Boris Bernstein

    Index Scriptorium Estoniae

    Бернштейн, Борис, 1924-2015

    2006-01-01

    Inglite kujundi loomisest euroopalike traditsioonide baasil. Inglite kujutamine Euroopa kunstis. Vaadeldud Jean Fouquet, Benozzo Gozzoli, Raffaeli, Luigi Bernini, Aleksandr Ivanovi, Alek Rapoporti töid

  15. Mathematics Placement at the University of Illinois

    Science.gov (United States)

    Ahlgren Reddy, Alison; Harper, Marc

    2013-01-01

    Data from the ALEKS-based placement program at the University of Illinois is presented visually in several ways. The placement exam (an ALEKS assessment) contains precise item-specific information and the data show many interesting properties of the student populations of the placement courses, which include Precalculus, Calculus, and Business…

  16. Improving research questionnaires by means of intralingual translation

    African Journals Online (AJOL)

    Clear research questionnaires ultimately help to ensure the reliability and comparability of the data that they gather (Fowler 1992; Lenzner 2012; Moroney and Cameron 2016). This paper explores the intersection of best practices in the fields of questionnaire design and intralingual translation as a means to ensure clarity ...

  17. Pelapisan Sosial dan Pernikahan Ideal dalam Mitos Sangkuriang: Telaah Struktural Antropologi Lévi-Strauss

    Directory of Open Access Journals (Sweden)

    Asep Yudha Wirajaya

    2010-06-01

    Full Text Available Mitos Sangkuriang merupakan mitos yang pesan kearifan tradisinya “gagal” dicerna oleh masyarakat pemiliknya. Mitos ini pada akhirnya hanya mampu menceritakan asal mula ”kelahiran” sebuah gunung dan cekungan Bandung, dan tidak ada hubungannya dengan kehidupan manusia kecuali tentang perjalanan kehidupan seorang anak manusia yang durhaka pada orang tuanya. Tampak bahwa, pesan-pesan mitos ini sedemikian naifnya jika dibandingkan dengan dinamika perjalanan kehidupan yang dijalani oleh manusia Sangkuriang. Karena itulah perlu cara pandang, pemahaman dan penafsiran yang tidak hanya menangkap berbagai fenomena atas peristiwa yang terjadi dalam kehidupan sehari-hari tetapi juga untuk melihat ‘batin sosial’ suatu masyarakat bahkan melihat ke dalam ‘struktur dalam’ (deep structure suatu masyarakat. Dengan demikian mitos sebagai sebuah ”proses komunikasi” lintas generasi dalam tataran simbolis mampu hadir dan bermakna dalam tatanan yang apik dan rapih sebagai alternatif solusi mengatasi atau memecahkan berbagai kontradiksi empiris yang selama ini tidak terpahami oleh nalar manusia. Abstract: Sangkuriang myth represents myth whose message of its tradition wisdom is "fail" to be digested by its owner society. This myth in the end only can narrate provenance "birth" a Bandung hollow and mount, and there no relation with human life except about life journey a disaffected human being child at its old fellow. See that, messages of this myth is naive in such a way in comparison with life journey dynamics experienced by Sangkuriang human being. Therefore, it needs a way of approach, interpretation and understanding which do not only catch various phenomenon to the event that happened in everyday life, but also to see 'social mind' society, even see into 'structure in' (structure deep society. Thereby myth as a "communications process" passed by quickly generation in symbolic devices can attend and have a meaning of in nice structure and good alternatively solution overcome or solve various empirical contradiction is not comprehended by human being natural existence Key Words: incest, social veneering, and Sangkuriang

  18. Rituximab in the treatment of refractory or relapsing eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome).

    Science.gov (United States)

    Thiel, Jens; Hässler, Fabian; Salzer, Ulrich; Voll, Reinhard E; Venhoff, Nils

    2013-09-24

    Eosinophilic granulomatosis with polyangiitis (EGPA) is part of antineutrophil cytoplasmic antibodies (ANCAs)-associated vasculitides. In EGPA small-vessel vasculitis is associated with eosinophilia and asthma. About 40% of EGPA patients are ANCA-positive, suggesting a role for B cells in the pathogenesis of EGPA. B cell-depleting therapy with rituximab (RTX) can be effective in ANCA-positive EGPA, but very few patients have been published to date. The role of RTX in the treatment of ANCA-negative EGPA is unclear. We report a single-center cohort of patients with eosinophilic granulomatosis with polyangiitis. Of these patients, nine (six ANCA-positive, three ANCA-negative) had been treated with RTX for relapsing or refractory disease on standard immunosuppressive treatment. In a retrospective analysis, data on treatment response, frequency of relapses, adverse events, and peripheral B-cell reconstitution were evaluated. Furthermore, serum immunoglobulin concentrations, ANCA status, and peripheral B cell subpopulations were assessed after RTX treatment. All patients had high disease activity before RTX treatment. At presentation 3 months after RTX therapy, all ANCA-positive and ANCA-negative patients had responded to RTX, with one patient being in complete remission, and eight patients being in partial remission. After a mean follow-up of 9 months, C-reactive protein concentrations had normalized, eosinophils had significantly decreased, and prednisone had been tapered in all patients. In all patients, RTX therapy was combined with a standard immunosuppressive therapy. Within the 9-month observation period, no relapse was recorded. Three patients were preemptively retreated with RTX, and during the median follow-up time of 3 years, no relapse occurred in these patients. During the follow-up of 13 patient-years, five minor but no major infections were recorded. In our analysis on nine patients with EGPA resistant to standard therapy, rituximab proved to be an efficient and safe treatment for ANCA-positive and ANCA-negative patients. Preemptive retreatment with RTX, combined with standard maintenance immunosuppressants, resulted in a sustained treatment response. Prospective, randomized trials evaluating the use of RTX in EGPA are warranted.

  19. Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) presenting as diffuse myositis.

    Science.gov (United States)

    Parent, Marc-Etienne; Larue, Sandrine; Ellezam, Benjamin

    2014-11-21

    Eosinophilic granulomatosis with polyangiitis is a complex multisystemic syndrome with heterogeneous presentation. Most often, there is a clinical history of asthma or other atopic conditions, and current presentation generally includes signs of cutaneous or pulmonary involvement. Very few reports described myalgia or weakness as the chief complaint. Of these, only a few included muscle biopsy evaluation and none showed convincing evidence of primary myositis. We believe this report is the first to demonstrate true myositis in the setting of early eosinophilic granulomatosis with polyangiitis. This report describes a 74 year old Caucasian man, with no known allergies, presenting severe myalgia, muscle weakness, jaw claudication, and fever. Blood work showed marked eosinophilia and high creatine kinase levels. Biceps brachialis muscle biopsy revealed eosinophilic necrotizing vasculitis and true myositis with myophagocytosis of non-necrotic fibers and strong sarcolemmal MHC-1 overexpression by immunohistochemistry. This patient was successfully treated with prednisone and azathioprine. Our finding of true myositis in a case of eosinophilic granulomatosis with polyangiitis suggests that primary auto-immunity against muscle fibers, distinct from the secondary effects of vasculitis, can occur in this entity and may represent an overlap syndrome. Early recognition of eosinophilic granulomatosis with polyangiitis in patients presenting with myositis may provide an opportunity to treat the vasculitis before onset of severe multisystemic disease. We recommend the use of muscle biopsy with immunohistochemistry for MHC-1 to confirm the diagnosis of myositis in the setting of eosinophilic granulomatosis with polyangiitis.

  20. Churg-Strauss Syndrome: a syndrome described on clinical observation and autopsy findings

    Directory of Open Access Journals (Sweden)

    Fernando Peixoto Ferraz de Campos

    2013-06-01

    Full Text Available Dr. Jacob Churg (1910-2005 was born in Dolhinow, a Belarusian city that later became a part of Poland and in 1939 was ceded to Russia during the partition of Poland by Russia and Germany. Churg’s father, Wolf, was a physician, and his mother, Gita, a dentist. Jacob recalled reading his father’s medical books and pestering him with many questions. He graduated with a medical degree from the University of Wilno (Poland in 1933 and started working at the Department of Internal Medicine. He realized that he was less confident dealing with patients than with “tissues.” In 1936, at the same university, he began his studies in experimental pathology.

  1. Tagakiusamine ja kirjutamiskunst / Leo Strauss ; järelsõna Jüri Lipping

    Index Scriptorium Estoniae

    Strauss, Leo, 1899-1973

    2000-01-01

    Ajalooliste tekstide ridade vahele peidetud sõnumi lugemisest. Tsensuuri mõjust filosoofilistele tekstidele. Peidetud sõnumi lugemisest lähtuvast erinevusest eelmoodsate ja uusaegsete filosoofide teostes. Jüri Lipping'u järelsõna Leo Straussi filosoofilistest vaadetest.

  2. Opera in the Foreign Language Classroom: Learning German with Mozart, Wagner, Weber, and Johann Strauss

    Science.gov (United States)

    Heinz, Solveig M.

    2010-01-01

    Content-based instruction (CBI) has been part of the foreign language curriculum for many years at US colleges, leading to courses that combine language instruction with specific content domains, such as film, literature, politics, sports and many others. This article presents a rather unusual choice of content domain for a second-year language…

  3. On law’s origin
    Derrida reading Freud, Kafka and Lévi-Strauss

    Directory of Open Access Journals (Sweden)

    Jacques de Ville

    2011-04-01

    Full Text Available This article's main focus is 'Before the Law', a text by Derrida on Kafka's Before the Law, in which Derrida also comments on Freud's Totem and Taboo. Freud, in this text, enquires into the origins of religion, morality, social institutions and law. He contends that this origin is to be found in a crime, the killing of the primal father by a band of brothers, followed by the institution of totemism and the incest prohibition. Freud's psychoanalytical account of the origins of the totem and the prohibition of incest has been challenged from various quarters. The article enquires whether Freud's Totem and Taboo and its theory of the primal horde in relation to the origins of law should be dismissed in light of these challenges, or whether some insight can still be gained from it. The second option is affirmed, with Derrida's 'Before the Law' pointing to the importance of reading Freud in a way analogous to Kafka's Before the Law, and more specifically to the need for a reconsideration of the originary nature of the Oedipus complex, so as to arrive eventually at a kind of 'pre-origin' of law.

  4. Performance of chicken broilers fed with diets substituted with ...

    African Journals Online (AJOL)

    Performance of chicken broilers fed with diets substituted with mulberry leaf powder. Carlina Freddie Simol, Andrew Alek Tuen, Humrawali Hazid Ahmad Khan, John Keen Chubo, Patricia Jie Hung King, Kian Huat Ong ...

  5. Ih ljubit Fashion TV / Alina Zelimhanova

    Index Scriptorium Estoniae

    Zelimhanova, Alina

    2002-01-01

    Tutvustatakse uue põlvkonna supermodelle: Anouck Lepere (belgia), Caroline Ribeiro (brasiilia), Maria Carla Boscono (itaalia), Liya Kebede (etioopia), Jacquetta Wheeler (inglise), Karolina Kurkova (tšehhi), Natalja Vodjanova (vene), Alek Wek (sudaani), Hannelore Knuts (belgia). Lisatud fotod

  6. Mõrvaprotsessi süüalune üritas uurijaid kohtusse anda / Villu Päärt

    Index Scriptorium Estoniae

    Päärt, Villu, 1972-

    2003-01-01

    Tartu endise abilinnapea Aleks Lenzneri poja Antoni tapmises kohtu alla antud Valeri Tsakker saatis kaitsepolitseisse avalduse, väites, et keskkriminaalpolitseinikud avaldasid talle psühholoogilist survet

  7. Epistemology as Politics and the Double-bind of Border Thinking: Lévi-Strauss, Deleuze and Guattari, Mignolo

    Directory of Open Access Journals (Sweden)

    Timothy Nicholas Laurie

    2012-11-01

    Full Text Available This paper examines Gilles Deleuze and Felix Guattari’s theories of writing and the State in Anti-Oedipus and A Thousand Plateaus, teasing out issues of gender, primitivism and academic expertise in the authors’ claims about power and politics. While noting the benefits of politically analysing social customs and traditions, Laurie highlights the complicities between Deleuze and Guattari's theories and the assumptions embedded in their anthropological sources. He further argues that the cultural and historical speculations in Anti-Oedipus cannot be divorced from the authors' privilege of philosophy as a uniquely European creative space. Seeking an alternative perspective on cultural translation, the paper turns to Walter Mignolo’s study of the 'book' in Spanish-Amerindian colonial encounters. Foregrounding the critical value of philology for ‘de-colonising’ theory, Mignolo argues that Eurocentric cultural comparisons serve to legitimate particular ways of knowing within contested fields of representation. However, in both Deleuze and Guattari and Mignolo, the paper questions the gender dynamics of writing practices implicitly articulated in meta-narratives about the State and/or colonialism. Laurie suggests that these authors frequently remain oblivious to the role of women in the historical contexts examined, and that understanding political dynamics within cultural groups requires questioning the privilege of writing itself, both in and outside the academy. While sympathetic to the role of political philosophy in negotiating complex historical issues, this paper also advocates a rethinking of the subordinate place attributed to anthropological and historical research practices in the theoretical exegeses of Deleuze, Guattari and Mignolo.

  8. Increasing gas producer profitability with virtual well visibility via an end-to-end wireless Internet gas monitoring system

    Energy Technology Data Exchange (ETDEWEB)

    McDougall, M. [Northrock Resources Ltd., Calgary, AB (Canada); Benterud, K. [Zed.i solutions, Calgary, AB (Canada)

    2003-07-01

    This PowerPoint presentation describes how Northrock Resources Ltd. increased profitability using Smart-Alek{sup TM} while avoiding high implementation costs. Smart-Alek is a new type of fully integrated end-to-end electronic gas flow measurement (GFM) system based on Field Intelligence Network and End User Interference (FINE). Smart-Alek can analyze gas production through public wireless communications and a web-browser delivery system. The system has enabled Northrock to increase gas volumes with more accurate measurement and reduced downtime. In addition, operating costs have decreased because the frequency of well visits has been reduced and the administrative procedures of data collection is more efficient. The real-time well visibility of the tool has proven to be very effective in optimizing business profitability. 7 figs.

  9. Identidad cultural, capital y psiquismo: estudio de la identidad y el mercado: un diálogo con Freud, Lévy-Strauss y Polanyi

    OpenAIRE

    Lázaro Fernández, Juan Ignacio

    2011-01-01

    Esta tesis pretende hacerse cargo de un problema teórico de difícil solución que creemos tiene un papel relevante en la frontera que delimita los espacios de la psicología y la antropología, y en la relación de ambas con la sociedad de mercado y con el proyecto ilustrado de una sociedad decidida desde la razón. Planteado de forma muy general, podríamos afirmar que trataremos de investigar el estatuto del individuo dentro de espacios antropológicos definidos por un funcionamiento social basado...

  10. Use of Intelligent Tutor in Post-Secondary Mathematics Education in the United Arab Emirates

    Science.gov (United States)

    Dani, Anita; Nasser, Ramzi

    2016-01-01

    The purpose of this paper is to determine potential identifiers of students' academic success in foundation mathematics course from the data logs of the intelligent tutor Assessment for Learning using Knowledge Spaces (ALEKS). A cross-sectional study design was used. A sample of 152 records, which accounts to approximately 60% of the population,…

  11. ERKI moe ülevaatus pakkus täismajale toreda õhtu / Tiiu Oga

    Index Scriptorium Estoniae

    Oga, Tiiu

    2007-01-01

    Eesti Kunstiakadeemia 13.01.2007 Salme kultuurikesksuses toimunud moeetendusest. Lavastaja Kaarel Väli, graafiline kujundus Eiko Ojala, videokunstnikud Taavi Varm ja Aleks Tenusaar koos RGB-ga, lavaline kujundus Ain Nurmela, valguskunstnik Meelis Lusmägi koos ET Valgusega. Korraldajad Jaanika Terasmaa ja Ester Kannelmäe

  12. Noored filmilinnas Rakveres / Sulev Teinemaa

    Index Scriptorium Estoniae

    Teinemaa, Sulev, 1947-

    1999-01-01

    Põhja- ja Baltimaade noorte videofilmifestival "Visions of Light" 2. okt.-ni Rakveres. Võisteldi vanusekategooriates 18-25 ja 7-17 aastased. Festivali parimad Roar Uthaug & Espen Egeland Norrast. Eestist said auhinna Kaspar Jancis, Katrin Kissa, Aleks Adamov. Videofilmide tegemise võimalustest Eestis. Raivo Kelomees rääkis võrguvideo lihtsamatest vormidest.

  13. Revisiting the systemic vasculitis in eosinophilic granulomatosis with polyangiitis (Churg-Strauss): A study of 157 patients by the Groupe d'Etudes et de Recherche sur les Maladies Orphelines Pulmonaires and the European Respiratory Society Taskforce on eosinophilic granulomatosis with polyangiitis (Churg-Strauss).

    Science.gov (United States)

    Cottin, Vincent; Bel, Elisabeth; Bottero, Paolo; Dalhoff, Klaus; Humbert, Marc; Lazor, Romain; Sinico, Renato A; Sivasothy, Pasupathy; Wechsler, Michael E; Groh, Matthieu; Marchand-Adam, Sylvain; Khouatra, Chahéra; Wallaert, Benoit; Taillé, Camille; Delaval, Philippe; Cadranel, Jacques; Bonniaud, Philippe; Prévot, Grégoire; Hirschi, Sandrine; Gondouin, Anne; Dunogué, Bertrand; Chatté, Gérard; Briault, Christophe; Pagnoux, Christian; Jayne, David; Guillevin, Loïc; Cordier, Jean-François

    2017-01-01

    To guide nosology and classification of patients with eosinophilic granulomatosis with polyangiitis (EGPA) based on phenotype and presence or absence of ANCA. Organ manifestations and ANCA status were retrospectively analyzed based on the presence or not of predefined definite vasculitis features or surrogates of vasculitis in patients asthma, eosinophilia, and at least one systemic organ manifestation attributable to systemic disease. The study population included 157 patients (mean age 49.4±14.1), with a follow-up of 7.4±6.4years. Patients with ANCA (31%) more frequently had weight loss, myalgias, arthralgias, biopsy-proven vasculitis, glomerulonephritis on biopsy, hematuria, leukocytoclastic capillaritis and/or eosinophilic infiltration of arterial wall on biopsy, and other renal disease. A total of 41% of patients had definite vasculitis manifestations (37%) or strong surrogates of vasculitis (4%), of whom only 53% had ANCA. Mononeuritis multiplex was associated with systemic vasculitis (p=0.005) and with the presence of ANCA (p<0.001). Overall, 59% of patients had polyangiitis as defined by definite vasculitis, strong surrogate of vasculitis, mononeuritis multiplex, and/or ANCA with at least one systemic manifestation other than ENT or respiratory. Patients with polyangiitis had more systemic manifestations including arthralgias (p=0.02) and renal disease (p=0.024), had higher peripheral eosinophilia (p=0.027), and a trend towards less myocarditis (p=0.057). Using predefined criteria of vasculitis and surrogates of vasculitis, ANCA alone were found to be insufficient to categorise patients with vasculitis features. We suggest a revised nomenclature and definition for EGPA and a new proposed entity referred to as hypereosinophilic asthma with systemic (non vasculitic) manifestations. Copyright © 2016 Elsevier B.V. All rights reserved.

  14. The ANCA Vasculitis Questionnaire (AAV-PRO©)

    Science.gov (United States)

    2017-05-01

    Eosinophilic Granulomatosis With Polyangiitis (Churg-Strauss) (EGPA); Churg-Strauss Syndrome (CSS); Granulomatosis With Polyangiitis (Wegener's) (GPA); Wegener Granulomatosis (WG); Microscopic Polyangiitis (MPA); ANCA-Associated Vasculitis (AAV); Vasculitis

  15. Kaks miljonit krooni paras äraelamiseks / Peeter Raidla

    Index Scriptorium Estoniae

    Raidla, Peeter, 1955-

    2007-01-01

    Ilmunud ka: Delovõje Vedomosti 7. nov. lk. 10-11. Äripäeva koostatud dividendimiljonäride edetabelist Eesti dividendimiljonäride TOP 500. Tabel: Tänavustest esikümnemeestest neli ka varem tabeli eesotsas olnud; Lisa: Number; Metoodika. Vt. samas: Sten-Aleks Pihlaku intervjuud Ragner Matsalu, Jüri Uppini, Sulev Sisaski ja Gunnar Kobiniga

  16. Suurim tunnustus = Decorations worthy of the President / Inge Pitsner

    Index Scriptorium Estoniae

    Pitsner, Inge

    2008-01-01

    Riigikantselei sümboolikanõunik Gert Uiboaed tutvustab presidendi poolt annetatavaid riiklikke teenetemärke. Vt. samas: Huvitava saatusega kett. Eesti Vabariigi Presidendi ametitunnusest - Riigivapi ketiklassi teenetemärgist; Teenetemärgid valmivad Eestis; Mees märkide keskelt = Man among medals. Falerist Aleks Kivinuki märgikogus on väga haruldasi Eesti teenetemärke

  17. Increasing gas producer profitability with virtual well visibility via an end-to-end, wireless Internet gas monitoring system

    Energy Technology Data Exchange (ETDEWEB)

    McDougall, M.; Coleman, K.; Beck, R.; Lyon, R.; Potts, R. [Northrock Resources Ltd., Calgary, AB (Canada); Benterud, K. [Zed.i solutions, Calgary, AB (Canada)

    2003-07-01

    Most gas producing companies still use 100-year old technology to measure gas volumes because of the prohibitive costs of implementing corporate wide electronic information systems to replace circular mechanical chart technology. This paper describes how Northrock Resources Ltd. increased profitability using Smart-Alek{sup TM} while avoiding high implementation costs. Smart-Alek is a new type of fully integrated end-to-end electronic gas flow measurement (GFM) system based on Field Intelligence Network and End User Interference (FINE). Smart-Alek can analyze gas production through public wireless communications and a web-browser delivery system. The system has enabled Northrock to increase gas volumes with more accurate measurement and reduced downtime. In addition, operating costs were also decreased because the frequency of well visits was reduced and the administrative procedures of data collection was more efficient. The real-time well visibility of the tool has proven to be very effective in optimizing business profitability. 9 refs., 1 tab., 9 figs.

  18. Reply to “Statistical evaluation of the VAN Method using the historic earthquake catalog in Greece,” by Richard L. Aceves, Stephen K. Park and David J. Strauss

    Science.gov (United States)

    Varotsos, P.; Lazaridou, M.

    The pioneering calculation by Aceves et al. [1996] shed light on the main question of this debate, i.e., on whether “VAN predictions can be ascribed to chance.” Aceves et al. [1996] conclude that “the VAN method has resulted in a significantly higher prediction rate than randomly sampling a PDF (probability density function) map generated from a 25 year history of earthquakes.” After investigating the totality of VAN predictions issued during the period 1987-1989, Aceves et al. [1996] found: “The prediction rate for the VAN method clearly exceeds that from the random model at all time lags between 5-22 days. At a 5 day time lag, the VAN prediction rate of 35.7% has a P-value of less than 0.06%. This means that a random model does as well as does the VAN method less than 0.06% of the time. At 22 days, the prediction rate of 67.9% has a P-value of less than 0.07%.” These conclusions basically coincide with those of Hamada [1993] although Aceves et al. [1996] followed different procedures. They are also in fundamental agreement with the results of Honkura and Tanaka [1996]. Another important conclusion of Aceves et al. [1996] is that, after declustering the earthquake catalog and prediction list from aftershocks, “VAN method is still formally significant.”

  19. Inauguration of the Moscow-based office of GRS/IPSN-RISKAUDIT by the Federal German Minister of the Environment, Mr. Klaus Toepfer, and the Minister of Industry, Mr. Dominique Strauss-Kahn

    International Nuclear Information System (INIS)

    1993-02-01

    The German and the French Government as well as the EC are taking particular interest in cooperative activities with the Russian Federation in the field of reactor safety enhancement and protection of the environment. The existing cooperation is expected to be intensified by the establishment of a common office in Moscow. The organisation, tasks and financing scheme of the RISKAUDIT office are explained in the languages German, Russian and French. (HP) [de

  20. Infarto agudo do miocárdio como apresentação inicial de granulomatose eosinofílica com poliangiite (anteriormente, síndrome de Churg Strauss

    Directory of Open Access Journals (Sweden)

    Wahinuddin Sulaiman

    2014-10-01

    Full Text Available A granulomatose eosinofílica com poliangiite é uma vasculite primária rara, caracterizada por hipereosinofilia, asma de surgimento tardio e granulomas eosinofílicos extravasculares. Relatamos um caso apresentado inicialmente com infarto do miocárdio e que, ulteriormente, teve prosseguimento apenas com asma, manifestações cutâneas e neuropatia periférica. Os parâmetros laboratoriais revelaram hipereosinofilia com um padrão perinuclear negativo de autoanticorpos citoplásmicos antineutrófilos (p-ANCA. A biópsia de pele demonstrou vasculite leucocitoclástica com infiltração eosinofílica, diante de uma angiografia coronária normal. Os sintomas do paciente melhoraram com metilprednisolona IV, pulsoterapia com ciclofosfamida e azatioprina.

  1. Focus on the Involvement of the Nose and Paranasal Sinuses in Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss Syndrome): Nasal Cytology Reveals Infiltration of Eosinophils as a Very Common Feature.

    Science.gov (United States)

    Seccia, Veronica; Baldini, Chiara; Latorre, Manuela; Gelardi, Matteo; Dallan, Iacopo; Cristofani-Mencacci, Lodovica; Sellari-Franceschini, Stefano; Bartoli, Maria Laura; Bacci, Elena; Paggiaro, Pierluigi

    2018-01-01

    Eosinophilic granulomatosis with polyangiitis (EGPA) is a necrotizing vasculitis that predominantly affects small- to medium-sized vessels. It is characterized by a wide spectrum of extrapulmonary symptoms, including sinonasal and paranasal sinus abnormalities. These are the most common features of this disease, constituting diagnostic criteria for EGPA. However, the actual clinical features, cellular mechanisms and impact on patients' quality of life (QoL) are still a matter of study. Thirty-nine EGPA patients underwent multidimensional rhinological evaluations, including rhinofibroscopy, nasal cytology, and QoL questionnaires. This was coupled with respiratory and rheumatological assessments. Twenty-eight patients were diagnosed with chronic rhinosinusitis (CRS). Of these, 18 had nasal polyposis (NP). Chronic rhinitis was diagnosed in 10 patients. Of these, 3 had allergic rhinitis (AR) and seven had non-AR (NAR). Overall, only 1 patient (2.6%) was normal. Nasal cytology showed that hypereosinophilia was present in 17/28 patients with CRS, 4/7 patients with NAR and all patients with AR. SNOT-22 and SF-36 showed a severe impact of nasal symptoms on QoL. No differences in asthma control or rheumatological patterns for EGPA were observed among patients with or without NP. Even when the rheumatological assessment scored EGPA "under control" according to the Birmingham Vasculitis Activity Score and Vasculitis Damage Index, sinonasal diseases and related nasal inflammatory processes were not controlled. Therefore, there is a need for clinical monitoring and targeted treatment to control the inflammatory processes and improve the QoL of EGPA patients. © 2018 S. Karger AG, Basel.

  2. At the Threshold of Ricoeur’s Concerns in La Métaphore Vive: A Spatial Discourse of Diametric and Concentric Structures of Relation Building on Lévi-Strauss

    Directory of Open Access Journals (Sweden)

    Paul Downes

    2017-02-01

    Full Text Available In La Métaphore Vive, spatial understandings pervade much of Ricoeur’s discussion of metaphor in terms of proximity and distance, tension, substitution, displacement, change of location, image, the ‘open’ structure of words, closure, transparency and opaqueness. Yet this is usually where space is discussed within metaphor, and as a metaphor itself, rather than as a precondition or prior system of relations to language interacting with language. Based on reinterpretation of an aspect of Lévi-Strauss’ structuralist anthropology, diametric and concentric spaces are argued to be such a prior system of relations to language, actively framing metaphor. This article examines the relevance of this prelinguistic spatial discourse to Ricoeur’s framework of metaphor and interrogation of the copula, influenced centrally by Heidegger . Concentric spatial assumed connection and diametric spatial assumed separation offer a framework for understanding, in Ricoeur’s words, the “conflict between identity and difference” in metaphor and early Heidegger’s existential spatiality.

  3. A 92-Year-Old Male with Eosinophilic Asthma Presenting with Recurrent Palpable Purpuric Plaques

    Science.gov (United States)

    Negbenebor, Nicole A.; Khalifian, Saami; Foreman, Ruth K.; Kroshinsky, Daniela

    2018-01-01

    Churg-Strauss syndrome or eosinophilic granulomatosis with polyangiitis is a systemic vasculitis affecting the small and medium-sized vasculature. It is commonly associated with asthma and eosinophilia. Most patients are diagnosed at around the age of 40. We report a case of biopsy-confirmed Churg-Strauss syndrome in a 92-year-old male with a history of eosinophilic asthma and peripheral eosinophilia who was later diagnosed with Churg-Strauss syndrome. PMID:29719830

  4. A 92-Year-Old Male with Eosinophilic Asthma Presenting with Recurrent Palpable Purpuric Plaques

    Directory of Open Access Journals (Sweden)

    Nicole A. Negbenebor

    2018-03-01

    Full Text Available Churg-Strauss syndrome or eosinophilic granulomatosis with polyangiitis is a systemic vasculitis affecting the small and medium-sized vasculature. It is commonly associated with asthma and eosinophilia. Most patients are diagnosed at around the age of 40. We report a case of biopsy-confirmed Churg-Strauss syndrome in a 92-year-old male with a history of eosinophilic asthma and peripheral eosinophilia who was later diagnosed with Churg-Strauss syndrome.

  5. Educational Needs of Patients With Systemic Vasculitis

    Science.gov (United States)

    2014-07-11

    Behcet's Disease; Churg-Strauss Syndrome; Vasculitis, Central Nervous System; Giant Cell Arteritis; Wegener Granulomatosis; Henoch-Schoenlein Purpura; Microscopic Polyangiitis; Polyarteritis Nodosa; Takayasu's Arteritis

  6. Pediatric Vasculitis Initiative

    Science.gov (United States)

    2017-05-01

    Wegeners Granulomatosis (Granulomatosis With Polyangiitis); Microscopic Polyangiitis; Churg Strauss Syndrome (Eosinophilic Granulomatosis With Polyangiitis); Polyarteritis Nodosa; Takayasu Arteritis; Primary CNS Vasculitis; Unclassified Vasculitis

  7. Low Dose Naltrexone to Improve Physical Health in Patients With Vasculitis

    Science.gov (United States)

    2018-06-08

    Eosinophilic Granulomatosis With Polyangiitis (EGPA); Churg-Strauss Syndrome (CSS); Giant Cell Arteritis; Granulomatosis With Polyangiitis; Microscopic Polyangiitis; Polyarteritis Nodosa; Takayasu Arteritis

  8. Salome/Salomé

    DEFF Research Database (Denmark)

    Hallbäck, Geert

    2016-01-01

    En sammenligning af teksten til Oscar Wildes teaterstykke Salome med Richard Strauss libretto til operaen Salomé. Librettoen er baseret på teaterteksten, men forkortet med ca. 50%.......En sammenligning af teksten til Oscar Wildes teaterstykke Salome med Richard Strauss libretto til operaen Salomé. Librettoen er baseret på teaterteksten, men forkortet med ca. 50%....

  9. How Exemplar Counselor Advocates Develop Social Justice Interest: A Qualitative Investigation

    Science.gov (United States)

    Swartz, Melissa Robinson; Limberg, Dodie; Gold, Joshua

    2018-01-01

    The authors examined the experiences of 10 peer-nominated exemplar counselor advocates using grounded theory methodology (Strauss & Corbin, [Strauss, A., 1998]). Analysis by the authors yielded a model of how exemplar counselor advocates develop a social justice interest and provided key insights on how counselor educators can enhance social…

  10. DIE NAAM “NEDERDUITSE GEREFORMEERDE KERK”

    African Journals Online (AJOL)

    P.J. Strauss. DIE NAAM “NEDERDUITSE. GEREFORMEERDE KERK”. ABSTRACT. An investigation into the name of the Dutch Reformed Church (DRC) reveals that it is a reformed church in the ... P.J. Strauss, Fakulteit Teologie, Universiteit van die Vrystaat, Suid‑Afrika. ..... Dit is so omdat die staat en sy howe die reg in die ...

  11. Knowledge spaces

    CERN Document Server

    Doignon, Jean-Paul

    1999-01-01

    Knowledge spaces offer a rigorous mathematical foundation for various practical systems of knowledge assessment. An example is offered by the ALEKS system (Assessment and LEarning in Knowledge Spaces), a software for the assessment of mathematical knowledge. From a mathematical standpoint, knowledge spaces generalize partially ordered sets. They are investigated both from a combinatorial and a stochastic viewpoint. The results are applied to real and simulated data. The book gives a systematic presentation of research and extends the results to new situations. It is of interest to mathematically oriented readers in education, computer science and combinatorics at research and graduate levels. The text contains numerous examples and exercises and an extensive bibliography.

  12. Learning Spaces

    CERN Document Server

    Falmagne, Jean-Claude

    2011-01-01

    Learning spaces offer a rigorous mathematical foundation for practical systems of educational technology. Learning spaces generalize partially ordered sets and are special cases of knowledge spaces. The various structures are investigated from the standpoints of combinatorial properties and stochastic processes. Leaning spaces have become the essential structures to be used in assessing students' competence of various topics. A practical example is offered by ALEKS, a Web-based, artificially intelligent assessment and learning system in mathematics and other scholarly fields. At the heart of A

  13. Increasing operations profitability using an end-to-end, wireless internet, gas monitoring system

    Energy Technology Data Exchange (ETDEWEB)

    McDougall, M. [Northrock Resources Ltd., AB (Canada); Benterud, K. [zed.i solutions, inc., Calgary, AB (Canada)

    2004-10-01

    Implementation by Northrock Resources Ltd., a wholly-owned subsidiary of Unocal Corporation, of a fully integrated end-to-end gas measurement and production analysis system, is discussed. The system, dubbed Smart-Alek(TM), utilizes public wireless communications and a web browser only delivery system to provide seamless well visibility to a desk-top computer. Smart-Alek(TM) is an example of a new type of end-to-end electronic gas flow measurement system, known as FINE(TM), which is an acronym for Field Intelligence Network and End-User Interface. The system delivers easy-to-use, complete, reliable and cost effective production information, far more effective than is possible to obtain with conventional SCADA technology. By installing the system, Northrock was able to increase gas volumes with more accurate electronic flow measurement in place of mechanical charts, with very low technical maintenance, and at a reduced operating cost. It is emphasized that deploying the technology alone will produce only partial benefits; to realize full benefits it is also essential to change grass roots operating practices, aiming at timely decision-making at the field level. 5 refs., 5 figs.

  14. The design, construction and first-phase heavy vehicle simulator testing results on full scale ultra-thin reinforced concrete test sections at Rayton, South Africa

    CSIR Research Space (South Africa)

    Du Plessis, L

    2016-09-01

    Full Text Available .J. Jordaan2, P.J. Strauss3, A. Kilian4 1. L. du Plessis, CSIR Built Environment, Meiring Naudé Street, Brummeria, Pretoria, South Africa, Phone: 012 841 2922, E-mail: lplessis@csir.co.za Corresponding author 2. G.J. Jordaan, Tshepega Engineering (Pty...) Ltd, PO Box 33783 Glenstantia 0010 Phone: 012 665 2722, and University of Pretoria, Pretoria, 0001, E-mail: jordaangj@tshepega.co.za 3. P.J. Strauss, Pieter Strauss CC, PO Box 588 La Montagne 0184, Phone: 012 807 0367, E-mail: Pieter...

  15. Comparative study of thermal lensing in low-doped Nd:YVO4 and Nd:GdVO4 of equal doping concentration

    CSIR Research Space (South Africa)

    Strauss

    2009-06-01

    Full Text Available stream_source_info Strauss_2009.pdf.txt stream_content_type text/plain stream_size 4705 Content-Encoding UTF-8 stream_name Strauss_2009.pdf.txt Content-Type text/plain; charset=UTF-8 Comparative Study of Thermal Lensing... in Low-doped Nd:YVO4 and Nd:GdVO4 of Equal Doping Concentration H. J. Strauss1,2, C. Bollig1, H. M. von Bergmann2 and M. J. D. Esser1 1. National Laser Centre, Council for Scientific and Industrial Research, PO Box 395, Pretoria 0001, South Africa 2...

  16. Cyber threats and responses in the banking sector

    CSIR Research Space (South Africa)

    Strauss

    2017-10-01

    Full Text Available stream_source_info Strauss_CSIR2017.pdf.txt stream_content_type text/plain stream_size 5207 Content-Encoding UTF-8 stream_name Strauss_CSIR2017.pdf.txt Content-Type text/plain; charset=UTF-8 CSIR Conference Cyber... Threats and Responses in the banking sector Paul Strauss Chief Information Risk Officer October 2017 CSIR / Standard Bank / page 2 Cyber Risk Drivers 4% of www content Academic Information Medical Records Legal Documents Scientific...

  17. High Power Vanadate lasers

    CSIR Research Space (South Africa)

    Strauss

    2006-07-01

    Full Text Available stream_source_info Strauss1_2006.pdf.txt stream_content_type text/plain stream_size 3151 Content-Encoding UTF-8 stream_name Strauss1_2006.pdf.txt Content-Type text/plain; charset=UTF-8 Laser Research Institute... University of Stellenbosch www.laser-research.co.za High Power Vanadate lasers H.J.Strauss, Dr. C. Bollig, R.C. Botha, Prof. H.M. von Bergmann, Dr. J.P. Burger Aims 1) To develop new techniques to mount laser crystals, 2) compare the lasing properties...

  18. Technology: Making the Connections. Innovations in the Apparel Industry. Resources in Technology.

    Science.gov (United States)

    Threlfall, K. Denise

    1996-01-01

    Describes the partnership between Levi Strauss & Co., the largest brand-name apparel manufacturer in the world, and Custom Clothing Technology, the developer of software to customize jeans for female customers. (JOW)

  19. Reproductive Health in Men and Women With Vasculitis

    Science.gov (United States)

    2014-06-25

    Giant Cell Arteritis; Takayasu's Arteritis; Polyarteritis Nodosa; Wegener's Granulomatosis; Microscopic Polyangiitis; Churg-Strauss Syndrome; Behcet's Disease; Kawasaki Disease; Henoch-schoenlein Purpura; Vasculitis, Central Nervous System; Drug-induced Necrotizing Vasculitis

  20. Pathogenesis of PR3-ANCA associated vasculitis

    NARCIS (Netherlands)

    Kallenberg, C. G. M.

    2008-01-01

    Wegener's Granulomatosis (WG) is closely associated with antineutrophil cytoplasmic autoantibodies (ANCA), particularly those directed to proteinase 3 (PR3). ANCA directed to myeloperoxidase (MPO) are associated with microscopic polyangiitis (MPA) and the Churg Strauss syndrome. PR3-ANCA associated

  1. The music during century of the masses (Music and society 2

    Directory of Open Access Journals (Sweden)

    Carlo Sini

    2012-11-01

    Full Text Available Strauss negli USA. I suoi rapporti con Hitler e Goebbels. La diffusione del libro e la produzione di massa. I Beatles fra tecnologia, cultura popolare, estetica e la generazione rivoluzionaria.

  2. Genetics Home Reference: dystonia 6

    Science.gov (United States)

    ... neck, causing problems with speaking (dysarthria) and eating (dysphagia). Eyelid twitching (blepharospasm) may also occur. Involvement of ... dystonia, DYT6 type The Bachmann-Strauss Dystonia and Parkinson Foundation: What Is Dystonia? Patient Support and Advocacy ...

  3. Students' cross-racial interaction in post-apartheid South African

    African Journals Online (AJOL)

    student perspectives and Critical Race Theory (CRT), this qualitative exploration .... apartheid was dismantled, Afrikaans-medium universities adopted a dual language .... coding (Strauss and Corbin, 1990) to identify areas that pertained to the ...

  4. Stigma, treatment beliefs, and substance abuse treatment use in ...

    African Journals Online (AJOL)

    with individuals who need help tending to deny or hide their condition for fear ..... Centers for Disease Control and Prevention, Atlanta, Georgia, U. S. A,. 2004. 19. Strauss ... Community based organizations for substance users in Cape Town,.

  5. Demand for Health Care Services and Child Health Status in Nigeria ...

    African Journals Online (AJOL)

    Toshiba

    poverty aside from physical capital (Strauss J and Thomas D, 1998). ... factors on health status of children across poverty groups and sector. ...... Decomposing Inequalities in Nutritional Status of ... The causal effect of health on social and.

  6. Qualitative Data Analysis Strategies

    OpenAIRE

    Greaves, Kristoffer

    2014-01-01

    A set of concept maps for qualitative data analysis strategies, inspired by Corbin, JM & Strauss, AL 2008, Basics of qualitative research: Techniques and procedures for developing grounded theory, 3rd edn, Sage Publications, Inc, Thousand Oaks, California.

  7. Takayasu's Arteritis

    Science.gov (United States)

    ... of an active inflammatory illness. These may include “constitutional symptoms” (fever, fatigue, weight loss), arthritis, and non- ... Disease Eosinophilic Granulomatosis with Polyangiitis, formerly Churg-Strauss Syndrome (EGPA) Cryoglobulinemia Giant Cell Arteritis Henoch-Schönlein Purpura ...

  8. How to Stop Biting Your Nails

    Medline Plus

    Full Text Available ... Resident International Grant Resident Scholarship to Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss ... A-Z index Skin, hair, and nail care Skin care Hair care / hair loss Injured skin Nail care ...

  9. Dandruff: How to Treat

    Medline Plus

    Full Text Available ... Resident International Grant Resident Scholarship to Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss ... A-Z index Skin, hair, and nail care Skin care Hair care / hair loss Injured skin Nail care ...

  10. Bug bites and stings: When to see a dermatologist

    Medline Plus

    Full Text Available ... Resident International Grant Resident Scholarship to Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss ... A-Z index Skin, hair, and nail care Skin care Hair care / hair loss Injured skin Nail care ...

  11. Early Outcomes in Children With Antineutrophil Cytoplasmic Antibody-Associated Vasculitis

    DEFF Research Database (Denmark)

    Morishita, Kimberly A; Moorthy, Lakshmi N; Lubieniecka, Joanna M

    2017-01-01

    diagnosed before their eighteenth birthday as having granulomatosis with polyangiitis (Wegener's), microscopic polyangiitis, eosinophilic granulomatosis with polyangiitis (Churg-Strauss), or ANCA-positive pauci-immune glomerulonephritis. The primary outcome measure was achievement of disease remission...

  12. VCRC Tissue Repository

    Science.gov (United States)

    2018-04-23

    Aortitis; Cutaneous Vasculitis; Eosinophilic Granulomatosis With Polyangiitis; Giant Cell Arteritis; Granulomatosis With Polyangiitis (Wegener's); Henoch-Schonlein Purpura; IgA Vasculitis; Microscopic Polyangiitis; Polyarteritis Nodosa; Takayasu Arteritis; Churg-Strauss Syndrome

  13. How to Stop Biting Your Nails

    Medline Plus

    Full Text Available ... Scholarship to Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss and Katz Scholarship ... like biting your nails, try playing with a stress ball or silly putty instead. This will help ...

  14. How to Stop Biting Your Nails

    Medline Plus

    Full Text Available ... International Grant Resident Scholarship to Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss ... publications JAAD JAAD Case Reports Dermatology World Quality care, guidelines and reporting Clinical guidelines Quality measures DataDerm ...

  15. Dandruff: How to Treat

    Medline Plus

    Full Text Available ... International Grant Resident Scholarship to Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss ... publications JAAD JAAD Case Reports Dermatology World Quality care, guidelines and reporting Clinical guidelines Quality measures DataDerm ...

  16. Bug bites and stings: When to see a dermatologist

    Medline Plus

    Full Text Available ... International Grant Resident Scholarship to Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss ... publications JAAD JAAD Case Reports Dermatology World Quality care, guidelines and reporting Clinical guidelines Quality measures DataDerm ...

  17. Bug bites and stings: When to see a dermatologist

    Medline Plus

    Full Text Available ... Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss and Katz Scholarship Sulzberger Institute ... tanning Skin cancer Indoor tanning Network adequacy Impacted states Private payer Medicare physician payment MACRA implementation Alternative ...

  18. Dandruff: How to Treat

    Medline Plus

    Full Text Available ... Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss and Katz Scholarship Sulzberger Institute ... tanning Skin cancer Indoor tanning Network adequacy Impacted states Private payer Medicare physician payment MACRA implementation Alternative ...

  19. How to Stop Biting Your Nails

    Medline Plus

    Full Text Available ... Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss and Katz Scholarship Sulzberger Institute ... tanning Skin cancer Indoor tanning Network adequacy Impacted states Private payer Medicare physician payment MACRA implementation Alternative ...

  20. Review Cyclic AMP response element binding protein and brain ...

    Indian Academy of Sciences (India)

    Madhu

    Several types of adult-onset stressors, including physical and psychosocial stressors ... stress-induced atrophy with antidepressant therapy in animal models (Watanabe et ..... (Strauss et al 2005) and geriatric depression (Hwang et al. 2005).

  1. Teater kinos või kino teatris? "Salome" juhtum / Rein Veidemann

    Index Scriptorium Estoniae

    Veidemann, Rein, 1946-

    2008-01-01

    Ooper kinolinal : Richard Strauss. "Salome". Dirigent Patrick Summers, lavastaja Jürgen Flimm. New Yorgi Metropolitan Opera etenduse otseülekanne 11. oktoobril Tallinna kobarkinos ja Tartu kinos Ekraan

  2. Stability of the static solitons in a pure spinor theory with fractional power nonlinearities

    International Nuclear Information System (INIS)

    Akdeniz, K.G.; Tezgor, G.; Barut, A.O.; Kalayci, J.; Okan, S.E.

    1988-08-01

    Soliton solutions are obtained in a pure fermionic model with fractional power nonlinear self-interactions. The stability properties of the minimum solutions have also been investigated within the framework of the Shatah-Strauss formalism. (author). 10 refs

  3. Manager Development: A Conceptual Model

    Science.gov (United States)

    1976-05-31

    mentor relation- ship, an important influence in managerial careers ( Martin and Strauss, 1956; Harrell, 1974; Thompson, Dalton and Price, 1976). At any... Joly , 1973, 39-48. 4 - References March, J. G. & H. A. Simon. Organizations. New York: Wiley & Sons, 1958. Marshall, G. L. "Predicting Executive...Achievement". Unpublished doctoral dissertation, Boston, Mass.: Harvard Business School, 1964. Martin , N. H. & A. L. Strauss. "Patterns of

  4. The predicament of heroic anthropology

    OpenAIRE

    Doja , Albert

    2006-01-01

    International audience; Paradoxically at first sight, Derrida's grammatological project joined the same idea of thought-decentring that was already morally and epistemologically central to Lévi-Strauss. But recognizing that Lévi-Strauss's anthropology anticipated thinking on deconstruction and on decentration would contribute to grant it with the benefit of a gesture that Derrida would like to be restricted to his own approach. In this paper I argue that if we are to understand the modern con...

  5. Multi-pass 1.9 um Tm:YLF slab laser pump source

    CSIR Research Space (South Africa)

    Strauss

    2010-09-01

    Full Text Available stream_source_info Strauss1_2010.pdf.txt stream_content_type text/plain stream_size 4116 Content-Encoding ISO-8859-1 stream_name Strauss1_2010.pdf.txt Content-Type text/plain; charset=ISO-8859-1 Multi-Pass 1.9 ?m Tm...:YLF Slab Laser Pump Source H.J. Strauss1, S.C. Burd2, W. Koen1, M.J.D. Esser1, C. Jacobs1, O.J.P. Collett1, K. Nyangaza1, D. Preussler1 and C. Bollig1 1 Laser Centre, Council for Scientific and Industrial Research, PO Box 395, Pretoria, 0001, South...

  6. O corpo perigoso

    Directory of Open Access Journals (Sweden)

    Hutcheon Linda

    2003-01-01

    Full Text Available A adaptação operística de Richard Strauss de Salomé de Oscar Wilde transgride todas as regras de representação do corpo feminino: este corpo não é apenas contemplado pelo 'olhar masculino' mas também contempla, com resultados poderosos e mortais. Na versão de Strauss, Salomé oferece um desafio às teorias canônicas tanto do 'olhar' quanto do feminino enquanto objeto.

  7. Energy policy of the Bavarian Government

    Energy Technology Data Exchange (ETDEWEB)

    Strauss, F J

    1986-06-01

    On the annual meeting of the Arbeitsgemeinschaft Regionaler Energieversorgungsunternehmen in Munich (April 28-29) the Prime Minister of Bavaria Franz Josef Strauss was speaking about Bavarian energy policy as stretching from Kahl to the planned Wackersdorf reprocessing plant. Neither did he fail to mention the intended increase of the coal rate nor to express his opinion on the Ukrainian reactor accident. Besides, Strauss expressed his wish of returning to a harmonic basic energy policy which will look after the interests of man and the environment and will help to arrive at a consensus free from all ideology which is the basis of our conditions of life and future social security.

  8. An Authorization Logic with Explicit Time

    Science.gov (United States)

    2008-02-02

    that η-logic can be used in specifying the behavior of systems with time-dependent authorization policies. In such cases, the logic can be used to...10(4):265– 310, November 1992. [26] Christopher Lesniewski-Laas, Bryan Ford, Jacob Strauss, M. Frans Kaashoek, and Robert Morris. Alpaca : extensible

  9. A Logic for Reasoning About Time-Dependent Access Control Policies

    Science.gov (United States)

    2008-05-20

    its purpose, it is a rather coarse approximation of the behavior desired in general. It is likely that Alice wants the credential C to allow Bob...Jacob Strauss, Robert Morris, and M. Frans Kaashoek. Alpaca : Extensible authorization for distributed services. In Proceedings of the 14th ACM Conference

  10. U-Shaped Interest in U-Shaped Development--and What It Means

    Science.gov (United States)

    Siegler, Robert S.

    2004-01-01

    Interest in U-shaped development has itself undergone a U-shaped progression. Twenty-five years ago, interest in U-shaped development was high. This interest was evident at a 1978 conference in Tel Aviv on "U-shaped Behavioral Growth" that resulted in the publication of a book of the same title 4 years later (Strauss, 1982). The breadth…

  11. Case report

    African Journals Online (AJOL)

    abp

    2012-06-11

    Jun 11, 2012 ... Abstract. Churg Strauss syndrome is a rare systemic and pulmonary vasculitis exceptionally associated with AA amyloidosis. We report the case of a 65-year old woman with past medical history of asthma. She developed polyarthralgia, headache and purpura. A laboratory workout found hypereosinophilia ...

  12. 77 FR 58802 - Notice of Intent To Seek OMB Approval To Collect Information: Forms Pertaining to the Peer Review...

    Science.gov (United States)

    2012-09-24

    ... Collect Information: Forms Pertaining to the Peer Review of ARS Research Projects AGENCY: Agricultural... S. Strauss, Peer Review Program Coordinator, Office of Scientific Quality Review; Agricultural... allow the ARS to efficiently manage data associated with the peer review of agricultural research. All...

  13. Language and Nutrition (Mis)Information: Food Labels, FDA Policies and Meaning

    Science.gov (United States)

    Taylor, Christy Marie

    2013-01-01

    In this dissertation, I address the ways in which food manufacturers can exploit the often vague and ambiguous nature of FDA policies concerning language and images used on food labels. Employing qualitative analysis methods (Strauss, 1987; Denzin and Lincoln, 2003; Mackey and Gass, 2005) that drew upon critical discourse analysis (Fairclough,…

  14. Work-Related Issues Facing Nurse Anesthetists During Deployment on Military Operation Other Than War

    Science.gov (United States)

    2000-10-01

    nursing. In grounded theory ( Denzin & Lincoln , 1994; Strauss & Corbin, 1990; Streubert & Carpenter, 1995), the conceptual framework is developed from the...through application of the four concepts of rigor; credibility, dependability, confirmability, and transferability ( Denzin & Lincoln , 1994; Morse & Field...1995; Wilson, 1993). Denzin and Lincoln (1994) note that in qualitative research, the terms "credibility, dependability, confirmability, and

  15. Kuula ka neid

    Index Scriptorium Estoniae

    2012-01-01

    Lühidalt heliplaatidest: Wagner, Strauss, Seeger. Eesti Rahvusmeeskoor, eesti Kaitseväe Orkester; Kalinka. Lembit Tolga; Cesena. Graindelavoix, Björn Schmelzer; Igavene suvi. Allan Vainola & Unenäopüüdjad; Odysseia. European Jazz Motion. Meie aeg on käes. August Hunt; Maksmata võlad. legshaker; Magnificat. Kammerkoor Studio Vocale

  16. Poststructuralism as Theory and Practice in the English Classroom. ERIC Digest.

    Science.gov (United States)

    Bush, Harold K., Jr.

    This digest provides a historical review of some current literary theories and practices which developed from contemporary philosophy. Structuralism, associated with Ferdinand de Saussure and Claude Levi-Strauss, with a seemingly scientific view of language and culture posited a systemic "center" that organized and sustained an entire…

  17. Survival units as the point of departure for a relational social theory

    DEFF Research Database (Denmark)

    Kaspersen, Lars Bo; Gabriel, Norman

    Relational social theory can be found in the works of Hegel, Marx, Simmel, Mannheim, Mead, Saussure, Lévi-Strauss, Althusser, Foucault and Bourdieu. However, one of the most consistent relational thinkers is Norbert Elias. In order to develop his figurational and relational social theory Elias...

  18. Managing Information Overload for Senior Leaders in the 21st Century

    Science.gov (United States)

    Jackson, Jason M.

    2013-01-01

    Information overload is a state where information input exceeds processing capability by an individual, and adverse effects of information overload, such as becoming less productive, making bad decisions, and becoming highly selective, are growing. Guided by Glaser and Strauss' work on grounded theory, this study examined adverse impact of…

  19. Mirror Your Audience's Attitude: A Global Profile.

    Science.gov (United States)

    Meussling, Vonne

    Recent advertising research has suggested that to gain initial entry into and retain continual success with a targeted audience of consumers, it is wise to mirror the attitudes and desires of those consumers. This has proven effective in the United States, where companies such as Chevrolet, Levi Strauss, and Coca-Cola have successfully catered to…

  20. La Generacion Millennials en La Universidad: Nuevas Realidades Para El Consejero Profesional

    Science.gov (United States)

    Dominguez-Davila, Nelissa

    2013-01-01

    College life strategies must be reassessed in light of the new generational culture taking hold with the arrival in college campuses of "Millennials" Generation students (Strauss & Howe 2000). This study explored college professional counselors' "Millennials" Generation knowledge, their techniques and strategies in…

  1. Welcoming a New Generation to College: The Millennial Students

    Science.gov (United States)

    Elam, Carol; Stratton, Terry; Gibson, Denise D.

    2007-01-01

    High on any required reading list for college-level student affairs officers and high school counselors is "Millennials Rising: The Next Great Generation" by Neil Howe and William Strauss (2000). Experts on generational change in the United States, the authors contend that the current generation of college-age and pre-college-age…

  2. The Interactionist Imagination

    DEFF Research Database (Denmark)

    to the works of: Georg Simmel, Robert E. Park, George Herbert Mead, Everett C. Hughes, Herbert Blumer, Manford H. Kuhn, Erving Goffman, Harold Garfinkel, Anselm L. Strauss, Jack D. Douglas, Howard S. Becker, Stanford M. Lyman, Arlie R. Hochschild and Gary Alan Fine....

  3. El debate actual sobre la familia en la teoría social: ¿desaparición, transformación o profundización en una categoría antropológica básica?

    OpenAIRE

    Ortiz-de-Landázuri, C. (Carlos)

    2010-01-01

    Donati ha justificado recientemente la posible compatibilidad entre las teorías de Lévi Strauss y Talcott Parsons respecto de la familia, sin aceptar las críticas que por este motivo formuló Foucault. Con este fin se reconstruye el debate actual entre siete autores contemporáneos sobre la familia.

  4. A Case Study of Project ATHENA: Tactical Level Technological Innovation Aboard the USS Benfold

    Science.gov (United States)

    2014-12-01

    frequently cited as a fundamental contributor to the laborious and often-disappointing acquisition process. While entire text books are filled with... secondhand accounts and archival records instead of personal observation to chronicle the project from its inception. Fortunately, the researcher had...social phenomenon (Strauss & Glaser, 1999). John Creswell (2009) further elaborates on the merits of qualitative research in his book Research Design

  5. Laying aside the spear : Hobbesian warre and the Maussian gift

    NARCIS (Netherlands)

    Corbey, R.H.A.

    2006-01-01

    The pacification of a primordial, violent natural state of humankind by a social contract based on reciprocal exchange is a widespread preconception, from Thomas Hobbes and Enlightenment social thought to Marcel Mauss and Claude Lévi-Strauss. In this contribution, the structure, historical

  6. Reliability and validity of the rey visual design learning test in primary school children

    NARCIS (Netherlands)

    Wilhelm, P.

    2004-01-01

    The Rey Visual Design Learning Test (Rey, 1964, in Spreen & Strauss, 1991) assesses immediate memory span, new learning and recognition for non-verbal material. Three studies are presented that focused on the reliability and validity of the RVDLT in primary school children. Test-retest reliability

  7. New Principal Coaching as a Safety Net

    Science.gov (United States)

    Celoria, Davide; Roberson, Ingrid

    2015-01-01

    This study examines new principal coaching as an induction process and explores the emotional dimensions of educational leadership. Twelve principal coaches and new principals--six of each--participated in this qualitative study that employed emergent coding (Creswell, 2008; Denzin, 2005; Glaser & Strauss, 1998; Spradley, 1979). The major…

  8. Validity of the rey visual design test in primary and secondary school children

    NARCIS (Netherlands)

    Wilhelm, P.; van Klink, M.; van Klink, M.

    2007-01-01

    The Rey Visual Design Learning Test (Rey, 1964, cited in Spreen & Strauss, 1991, Wilhelm, 2004) assesses immediate memory span, new learning, delayed recall and recognition for nonverbal material. Two studies are presented that focused on the construct validity of the RVDLT in primary and secondary

  9. A Conceptual Review of the Demands of chronic care and the ...

    African Journals Online (AJOL)

    USER

    1University of Zambia, School of Medicine, Department of Medical Education Development ... University of Zambia ... becoming a growing health challenge in developing ... training of the nurses in chronic care nursing can ... the Corbin and Strauss Chronic Illness Trajectory ... their own with help from teachers both in the.

  10. Inherited Retinal Degenerative Disease Clinical Trial Network

    Science.gov (United States)

    2012-10-01

    diseases and dry AMD; • Established patient databases at the University of Utah and University of Medicine and Dentistry of New Jersey CTECs, classified...Scholl: Emily Fletcher, Rupert Strauss, Yulia Wolfson, Stacey Seabrook Wilmer Biostatistics Center: Ann Ervin, Beatriz Munoz Reading Center

  11. Puzzling the Picture Using Grounded Theory

    Science.gov (United States)

    Bennett, Elisabeth E.

    2016-01-01

    Since the first publication by Glaser and Strauss in 1967, Grounded Theory has become a highly influential research approach in the social sciences. The approach provides techniques and coding strategies for building theory inductively from the "ground up" as concepts within the data earn relevance into an evolving substantive theory.…

  12. School Choice or the Politics of Desperation? Black and Latinx Parents of Students with Dis/Abilities Selecting Charter Schools in Chicago

    Science.gov (United States)

    Waitoller, Federico R.; Super, Gia

    2017-01-01

    In this paper, we focus on the city of Chicago to examine how Black and Latinx parents of students with dis/abilities1 engage with school choice. Using analytical tools from grounded theory (Strauss & Corbin, 1990) and a theoretical lens informed by critical notions of space, race and dis/ability, we analyze interviews with parents of students…

  13. Characteristics of Millennial Students at a Two-Year College

    Science.gov (United States)

    Fenske, Susanne Kelly

    2011-01-01

    The purpose of this research is to describe the degree to which Millennial students who attend two-year colleges exhibit the characteristics of the seven Millennial generation characteristics. Howe and Strauss (2007) purport that the Millennials exhibit seven key characteristics in their behavior: Special, Sheltered, Confident, Team-oriented,…

  14. KERK EN SKOOLONDERWYS IN VIER KERKORDES

    African Journals Online (AJOL)

    3 Vgl Strauss 2006:649-665 vir 'n uiteensetting van hierdie standpunt. 4 Die oer- of eerste vorm van die huidige NG Kerkorde is die kerkorde van 1962 van die eerste Algemene Sinode. Die destydse aktuarius en voorsitter van die kommissie verantwoordelik, dr JD Vorster, verwys hierna as die Dordtse. Kerkorde, aangepas ...

  15. Shaping and detecting mid-IR light with a spatial light modulator

    CSIR Research Space (South Africa)

    Maweza, Elijah L

    2016-10-01

    Full Text Available modulator Maweza, Elijah L Gailele, Lucas M Strauss, Hencharl J Litvin, Ihar Forbes, Andrew Dudley, Angela L ABSTRACT: We demonstrate the operation and calibration of a spatial light modulator in the mid-IR region by creating and measuring...

  16. Think twice – Diagnostic delay in a patient with acute chest pain

    DEFF Research Database (Denmark)

    Bang, Caecilie Larsen; Porsbjerg, Celeste

    2016-01-01

    to consider alternative diagnoses in patients with atypical symptoms and a low risk profile. Heart involvement is the most critical and potentially lethal systemic manifestation in eosinophilic granulomatosis with polyangiitis (EGPA, formerly known as Churg-Strauss syndrome), which makes a quick diagnosis...

  17. СИНДРОМ ЧАРДЖ-СТРОССА В СОЧЕТАНИИ С АУТОИММУННОЙ ТРОМБОЦИТОПЕНИЕЙ. 20 ЛЕТ НАБЛЮДЕНИЯ

    Directory of Open Access Journals (Sweden)

    Д. Л. Виноградов

    2015-01-01

    Full Text Available The description of a rare combination syndrome Churg-Strauss syndrome (CSS with autoimmune thrombocytopenia. The disease is characterized by slow progression and refractory to standard types of immunosuppressive therapy. The first positive results are used prolonged courses of immunosuppressive of dipeptide thymodepressin

  18. Vasculitis Pregnancy Registry

    Science.gov (United States)

    2018-04-30

    Vasculitis; Behcet's Disease; CNS Vasculitis; Cryoglobulinemic Vasculitis; Eosinophilic Granulomatosis With Polyangiitis (EGPA); Churg-Strauss Syndrome (CSS); Granulomatosis With Polyangiitis (GPA); Wegener's Granulomatosis; IgA Vasculitis; Henoch-Schoenlein Purpura (HSP); Microscopic Polyangiitis (MPA); Polyarteritis Nodosa (PAN); Takayasu Arteritis (TAK); Urticarial Vasculitis; Systemic Vasculitis

  19. High-power diode-end-pumped Tm:YLF slab laser delivering 189 W at 1890 nm

    CSIR Research Space (South Africa)

    Koen, W

    2010-09-01

    Full Text Available Laser Delivering 189 W at 1890 nm W. Koen, H.J. Strauss, C. Bollig and M.J.D. Esser CSIR National Laser Centre, Meiring Naude Road, Brummeria, Pretoria, 0001 wkoen@csir.co.za Abstract: We present a high-power Tm:YLF slab laser double...

  20. Celebrating the Year of Light….. from medicine to security with Optical Coherence Tomography

    CSIR Research Space (South Africa)

    Singh, A

    2015-10-01

    Full Text Available medicine to security with Optical Coherence Tomography Ann Singh1, Ameeth Sharma1, Ted Roberts1, Rethabile Khutlang2, Rocky Ramokolo1, Nico Marome1, Leandra Webb2, Natasha Botha2,Aletta Karsten3, Hencharl Strauss1 1 CSIR, National Laser Centre, P.O Box...

  1. Hidden Myth: Structure & Symbolism in Advertising.

    Science.gov (United States)

    Leymore, Varda Langholz

    This discussion of advertising treats it as a communication system analyzable in structuralist terms. Building on the approaches of Levi-Strauss and others, the discussion begins with a general introduction to structuralism and goes on to outline the specific methodology adopted in this study. The approach is illustrated in two contexts: static…

  2. Glanders in donkeys (Equus asinus in the state of Pernambuco, Brazil: a case report

    Directory of Open Access Journals (Sweden)

    Rinaldo Aparecido Mota

    2010-03-01

    Full Text Available The clinical, anatomical and histopatological findings of glanders diagnosis in donkeys in the state of Pernambuco-Brazil are reported. The animals were euthanized and necropsied, and evaluated for lesions in respiratory and lymphatic systems, confirming the disease by isolation of Burkholderia mallei and Strauss test.

  3. Dandruff: How to Treat

    Medline Plus

    Full Text Available ... Members Making a Difference Award Native American Health Service Resident Rotation PICMED Grant Professionalism Award Resident-Fellow QI Project Award Resident International Grant Resident Scholarship to Legislative Conference Skin Care for Developing Countries Grant State Advocacy Grant Strauss ...

  4. Podoby a proměny strukturální tematiky

    Czech Academy of Sciences Publication Activity Database

    Sládek, Ondřej

    2009-01-01

    Roč. 41, - (2009), s. 41-54 ISSN 0231-5904 Institutional research plan: CEZ:AV0Z90560517 Keywords : structuralism * Vodička, Felix * thematics * Propp, Vladimir Jakovlevič * Lévi-Strauss, Claude * Doležel, Lubomír * Mukařovský, Jan Subject RIV: AJ - Letters, Mass-media, Audiovision

  5. THE PUPPIS CLUSTER OF GALAXIES BEHING THE GALACTIC PLANE AND THE ORIGIN OF THE LOCAL ANOMALY

    NARCIS (Netherlands)

    LAHAV, O; YAMADA, T; SCHARF, C; KRAANKORTEWEG, RC

    1993-01-01

    Recent surveys of galaxies behind the Galactic plane have revealed the Puppis cluster, centred at l approximately 240-degrees, b approximately 0-degrees and redshift cz approximately 1000-2000 km s-1. We supplement the recent 2-Jy IRAS redshift survey of Strauss et al. for absolute value of b >

  6. New advances in the pathogenesis of ANCA-associated vasculitides

    NARCIS (Netherlands)

    Chen, M.; Kallenberg, C. G. M.

    2009-01-01

    Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) are a group of autoimmune disorders including Wegener granulomatosis (WG), microscopic polyangiitis (MPA), Churg-Strauss syndrome (CSS) and renal-limited vasculitis (RLV). This paper reviews updated information on the

  7. Recognizing Social Class in the Psychotherapy Relationship: A Grounded Theory Exploration of Low-Income Clients

    Science.gov (United States)

    Thompson, Mindi N.; Cole, Odessa D.; Nitzarim, Rachel S.

    2012-01-01

    The process of psychotherapy among 16 low-income clients was explored using grounded theory (Charmaz, 2006; Glaser & Strauss, 1967) in order to understand and identify their unique experiences and needs. Semistructured interviews were conducted with 12 women and 4 men who had attended at least 6 sessions of psychotherapy within 6 months of the…

  8. Intergenerational Challenges in Australian Jewish School Education

    Science.gov (United States)

    Gross, Zehavit; Rutland, Suzanne D.

    2014-01-01

    The aim of this research is to investigate the intergenerational changes that have occurred in Australian Jewish day schools and the challenges these pose for religious and Jewish education. Using a grounded theory approach according to the constant comparative method (Strauss 1987), data from three sources (interviews [296], observations [27],…

  9. What Influences Agents to Pursue a Career in Extension?

    Science.gov (United States)

    Arnold, Shannon; Place, Nick

    2010-01-01

    The qualitative study reported here explored why agricultural agents pursue an Extension career. A purposive sample was used to select twelve Florida agricultural agents. Interviews investigated positive and negative influences that affected agents' employment decisions. Grounded theory was used as the primary data analysis method (Strauss &…

  10. Retention: predicting first-year success | Lourens | South African ...

    African Journals Online (AJOL)

    Universities and technikons have been struggling to meet the demands of growing numbers of students who enter higher education with limited skills. Higher Education literature abroad provides an exhaustive range of theory about the reasons for students leaving (cited in Strauss & Volkwein 2002), as well as proposals for ...

  11. A Shear Banding Model for Penetration Calculations

    Science.gov (United States)

    2000-04-01

    mechanism of strength reduction to zero within a shear band in three different steels, includ- ing AISI 4340 with RHC 44, which is reasonably similar to RHA...TECH LIB CHINA LAKE CA 93555-6001 CDR NAVAL SUR WAR CTR C S COFFEY PPARK FZERILLI CODE 4140 R K GARRET JR JMCKIRGAN TECH LIB 101 STRAUSS AVE

  12. Etíese perspektiewe vir die bantering van konflik in die mediese ...

    African Journals Online (AJOL)

    mits versagtende omstandighede nie aangevoer kan word nie. Die howe oefen dan ook alleen sy regterlike funksie uit oor 'n konkrete geskil wat van daadwerklike belang vir die werklike partye is (Strauss 1982:14). Die hof laat hom lei deur die maatstaf van goeie sedes, die boni mores. Regter Mostert se verduideliking in ...

  13. die sinodale verband van die nederduitse gereformeerde kerk in die

    African Journals Online (AJOL)

    Liezel

    Strauss. Die sinodale verband van die Nederduitse Gereformeerde Kerk. 122 die Vrystaatse Sinode anti-veranderingsgesind of eerder gesond-behoudend of gereformeerd-gematig? Veral as dit .... howe) in moeilike omstandighede gebring is (NG Kerk in die OVS 1865-1912:5). In 'n brief op 8 Augustus 1864 ontken Ds.

  14. DIE PREDIKANT: DIENAAR VAN GOD OF NET 'N GEWONE ...

    African Journals Online (AJOL)

    admin

    Ons Howe het tot dusver gemeentes van verskillende denominasies konsekwent as ... VGKSA11 het die Hoogste Hof van Appèl bevind dat die howe al meermale ...... STRAUSS, P.J.. 1999. Die goedkeuring van kerkrade vir 'n nuwe verband in die NG Kerkfamilie. Acta Theologica 19(2):32-54. VAN JAARSVELD, S.R.. 2006.

  15. PARTIKULIERE EN ALGEMENE SINODES

    African Journals Online (AJOL)

    Strauss. Partikuliere en algemene sinodes. 1. PROBLEEMSTELLING. Die geykte voorkoms van streeks- of provinsiale of partikuliere sinodes en 'n algemene of generale of nasionale sinode — 'n ontleding van die gebruik van hierdie ..... 20 Kerkvergaderings is natuurlik nie howe wat regspraak bedryf nie, maar hoogstens.

  16. Lived Experiences of Low Socioeconomic Millennial Generation College Students

    Science.gov (United States)

    Thacker, Kelly L.

    2012-01-01

    The characteristics and needs of college students across the United States are ever-changing. As Millennial generation students, born between 1982 and 2003 (Howe & Strauss, 2000), attend college, unique characteristics are present. Commonalities within the Millennial generation have been identified; however, socioeconomic status can impact a…

  17. The Next Great Generation?

    Science.gov (United States)

    Brownstein, Andrew

    2000-01-01

    Discusses ideas from a new book, "Millennials Rising: The Next Great Generation," (by Neil Howe and William Strauss) suggesting that youth culture is on the cusp of a radical shift with the generation beginning with this year's college freshmen who are typically team oriented, optimistic, and poised for greatness on a global scale. Includes a…

  18. Visions of Students Today: A Message from the Editors

    Science.gov (United States)

    Wentzell, G. W.; Richlin, L.; Cox. M. D.

    2012-01-01

    In Michael Wesch's (2007) now widely seen video "A Vision of Students Today" (http://www.youtube.com/watch?v=dGCJ46vyR9o), a camera pans across a large, traditional classroom where college students hold up messages about themselves as members of the current generation of learners, who have been dubbed Millennials (Howe & Strauss, 2000). The video…

  19. Miks IMF ei kiirusta riike rahanduskriisist päästma? / Heiki Suurkask

    Index Scriptorium Estoniae

    Suurkask, Heiki, 1972-

    2008-01-01

    Mitu riiki taotleb IMF-ilt kriisiabi, IMF esitab neile abi andmiseks rangeid nõudeid. Varasemates kriisides on IMF-i rahast piisanud, kuid suuremaid tööstusriike ta välja aidata ei suudaks, selle juhi Dominique Strauss-Kahni prognoosi kohaselt peab IMF seekord välja andma sadu miljardeid dollareid. Lisa: Pangajuhti tabas seksiskandaal

  20. The experts from the Review of LHC Superconducting Cables and Magnet Production, accompanied by the committee's secretary and the Head of the Magnets and Superconductors Group.

    CERN Document Server

    2004-01-01

    From left to right: Ron Scanlan (Lawrence Berkeley National Laboratory, US), Taka Shintomi (KEK Laboratory, Japan), Claudine Bosteels (Secretary of the Review, AT-MAS Group, CERN), Lucio Rossi (Head of AT-MAS Group, CERN), Ettore Salpietro (EDFA-Iter project), Bruce Strauss (US Department of Energy, Chairman of the committee), and Pierre Vedrine (CEA-DAPNIA-SACM, France).

  1. Research

    African Journals Online (AJOL)

    abp

    2013-08-09

    Aug 9, 2013 ... Diagnosis, treatment and prophylaxis of spontaneous bacterial peritonitis: a consensus document. International Ascites Club. J Hepatol. 2000; 32(1):142-153. PubMed | Google Scholar. 2. Caly WR, Strauss E. A prospective study of bacterial infections in patients with cirrhosis. J Hepatol. 1993; 18(3):353-.

  2. Implementation of Performance-Based Acquisition in Non-Western Countries

    Science.gov (United States)

    2009-03-01

    responsibility that involves representatives from budget, technical, contracting, logistics, legal , and program offices. It is difficult for an agency to...Glaser and Anselm Strauss. They built this theory from combining two main traditions of research: positivism and interactionism. Grounded Theory...my leadership and the users are satisfied with the program and the program stays within legal bounds. Customer satisfaction Program Success 1

  3. Af Upraktiske Grunde

    DEFF Research Database (Denmark)

    Vaaben, Nana Katrine

    2001-01-01

    som både Claude Levi-Strauss lægger op til i sine klassiske studier af "den vilde tanke", og som Jean Baudrillard siden har lagt op til i sine analyser af samlere som en slags ekstreme forbrugere, der er i færd med at komplettere deres identitet gennem besiddelser af genstande. Imidlertid tillægger...

  4. Do-It-Yourselfers or Engineers? Bricolage as a Metaphor for Teacher Work and Learning.

    Science.gov (United States)

    Scribner, Jay Paredes

    This study explores the nature of teacher learning within the broader context of increasing state-level accountability, applying Levi-Strauss' bricolage metaphor to teachers' workplace learning. Based on the assumption that "problems of practice" serve as catalysts for learning, it addresses how teachers define and solve problems in…

  5. The Problems of Practice: Bricolage as a Metaphor for Teachers' Work and Learning

    Science.gov (United States)

    Scribner, Jay Paredes

    2005-01-01

    In this article the author uses Levi-Strauss' (1966) metaphor of Bricolage to examine how teachers, not policymakers, make sense of their "problems of practice" in three United States high schools. The article also examines how teachers address these problems of practice. It concludes by underscoring the disconnect between teachers' and…

  6. Work and Family. Special Focus.

    Science.gov (United States)

    Goetz, Kathy, Ed.

    1992-01-01

    This newsletter issue focuses on issues concerning families with both parents employed outside the home and describes several employer programs designed to help employees balance their work and family life. The newsletter includes the following articles: (1) "Work and Family: 1992"; (2) "Levi Strauss and Co.--A Work/Family Program…

  7. The Cutting Edge: Workplace English. Project Handbook and Instructional Guide.

    Science.gov (United States)

    Clymer-Spradling, Carol

    A workplace literacy program for garment workers is described and evaluated. The program, a partnership between El Paso Community College (Texas) and Levi Strauss & Company, consisted of a three-level, job-specific, video-based curriculum for limited-English-speaking employees implemented at seven plants in El Paso. The 18-month model…

  8. The Cutting Edge: Workplace English. Section I: Project Handbook.

    Science.gov (United States)

    El Paso Community Coll., TX. Literacy Center.

    A model workplace literacy program of El Paso Community College (Texas), in cooperation with Levi Strauss and Company, is described. The partnership designed a three-part, job-specific, video-based curriculum in English as a Second Language (ESL) for garment industry workers, implemented in seven local plants. The 18-month program had these goals:…

  9. Understanding Children's Drawings: The Path to Manhood. With "Notes on the Study of Man," By Wolfgang Schad.

    Science.gov (United States)

    Strauss, Michaela

    Based on the notes of Hanns Strauss and his collection of 6,000 drawings by 2- to 7-year-olds, this book describes the stages of development of children's drawings by using the framework of Rudolf Steiner's "anthroposophical" science. In the introduction, the early development of children's drawing is compared with works of art left by…

  10. Lead and cadmium in mushrooms from the vicinity of two large emission sources in Slovenia

    International Nuclear Information System (INIS)

    Petkovšek, Samar Al Sayegh; Pokorny, Boštjan

    2013-01-01

    Cd and Pb contents were determined in 699 samples of fruiting bodies of 55 mushrooms species, collected in the period 2000–2007 in the vicinity of the largest Slovenian thermal power plant (the Šalek Valley) and near an abandoned lead smelter (the Upper Meža Valley). The present study is the first regarding lead and cadmium in mushrooms from those exposed areas. Therefore, there was a significant lack of prior data. Among 55 studied mushroom species 36 species are edible and important from an ecotoxicological perspective. However, the remaining non-edible species are important for bioindication and allowed us to compare our results with other studies carried out in other polluted areas in Europe. The highest contents of Cd were found in Agaricus arvensis Schff.: Fr. (117 mg/kg dw) and Agaricus silvicola L.: Fr. (67.9 mg/kg dw), while the highest contents of Pb were found in Macrolepiota procera (Scop.) Singer (53.8 mg/kg dw) and Lycoperdon perlatum Pers. (50 mg/kg dw), respectively. Considering the high contents of both metals in fruiting bodies of edible fungi, together with FAO/WHO directives on tolerable levels of weekly intake of Pb/Cd by humans, it is evident that consumption of some mushroom species originating from both study areas may pose a significant human health risk. A. arvensis Schff.: Fr., A. silvicola L.: Fr. and Cortinarius caperatus (Pers.) Fr. originating from the Šalek Valley, and Armillaria mellea Vahl. P. Kumm., Boletus edulis Bull., L. perlatum Pers., Leccinum versipelle (Fr. and Hök) Snell, and M. procera (Scop.) Singer originating from the Upper Meža Valley should not be consumed at all. Our findings are consistent with some other studies, which emphasized that mushrooms from heavily polluted areas, such as in the vicinity of smelters, accumulate extremely high amounts of metals, and should therefore be omitted from human consumption. - Highlights: ► The Pb contents were higher in saprophytic fungi in comparison with mycorrhizal

  11. Piloting a Blended Approach to Teaching Statistics in a College of Education: Lessons Learned

    Directory of Open Access Journals (Sweden)

    Yonghong Jade Xu, Ph.D.

    2008-07-01

    Full Text Available This study investigated the performance of graduate students enrolled in introductory statistics courses. The course in Fall 2005 was delivered in a traditional face-to-face manner and the same course in Fall 2006 was blended by using an online commercial tutoring system (ALEKS and making attendance of several face-to-face classes optional. There was no significant difference in the t-test comparing performance in the courses, which used the students’ combined score on two mid-terms and the final exam to indicate performance. The ANCOVA analyzing influences on performance in the blended class yielded no significant influence for gender, ethnicity, age, or class type (traditional vs. blended, but a significant influence from students’ incoming GRE-Quantitative score. Seven Likert questions on students’ perception of blended learning were not correlated with student performance. Three focus groups – comprised of low-, medium-, and high-performing students – revealed three themes and several subthemes and differences based on students’ performance level.

  12. PREFACE: Counting Complexity: An international workshop on statistical mechanics and combinatorics

    Science.gov (United States)

    de Gier, Jan; Warnaar, Ole

    2006-07-01

    On 10-15 July 2005 the conference `Counting Complexity: An international workshop on statistical mechanics and combinatorics' was held on Dunk Island, Queensland, Australia in celebration of Tony Guttmann's 60th birthday. Dunk Island provided the perfect setting for engaging in almost all of Tony's life-long passions: swimming, running, food, wine and, of course, plenty of mathematics and physics. The conference was attended by many of Tony's close scientific friends from all over the world, and most talks were presented by his past and present collaborators. This volume contains the proceedings of the meeting and consists of 24 refereed research papers in the fields of statistical mechanics, condensed matter physics and combinatorics. These papers provide an excellent illustration of the breadth and scope of Tony's work. The very first contribution, written by Stu Whittington, contains an overview of the many scientific achievements of Tony over the past 40 years in mathematics and physics. The organizing committee, consisting of Richard Brak, Aleks Owczarek, Jan de Gier, Emma Lockwood, Andrew Rechnitzer and Ole Warnaar, gratefully acknowledges the Australian Mathematical Society (AustMS), the Australian Mathematical Sciences Institute (AMSI), the ARC Centre of Excellence for Mathematics and Statistics of Complex Systems (MASCOS), the ARC Complex Open Systems Research Network (COSNet), the Institute of Physics (IOP) and the Department of Mathematics and Statistics of The University of Melbourne for financial support in organizing the conference. Tony, we hope that your future years in mathematics will be numerous. Count yourself lucky! Tony Guttman

  13. "Emergence" vs. "Forcing" of Empirical Data? A Crucial Problem of "Grounded Theory" Reconsidered

    Directory of Open Access Journals (Sweden)

    Udo Kelle

    2005-05-01

    Full Text Available Since the late 1960s Barney GLASER and Anselm STRAUSS, developers of the methodology of "Grounded Theory" have made several attempts to explicate, clarify and reconceptualise some of the basic tenets of their methodological approach. Diverging concepts and understandings of Grounded Theory have arisen from these attempts which have led to a split between its founders. Much of the explication and reworking of Grounded Theory surrounds the relation between data and theory and the role of previous theoretical assumptions. The book which initially established the popularity of GLASER's and STRAUSS' methodological ideas, "The Discovery of Grounded Theory", contains two conflicting understandings of the relation between data and theory—the concept of "emergence" on the one hand and the concept of "theoretical sensitivity" on the other hand. Much of the later developments of Grounded Theory can be seen as attempts to reconcile these prima facie diverging concepts. Thereby GLASER recommends to draw on a variety of "coding families" while STRAUSS proposes the use of a general theory of action to build an axis for an emerging theory. This paper first summarises the most important developments within "Grounded Theory" concerning the understanding of the relation between empirical data and theoretical statements. Thereby special emphasis will be laid on differences between GLASER's and STRAUSS' concepts and on GLASER's current critique that the concepts of "coding paradigm" and "axial coding" described by STRAUSS and Juliet CORBIN lead to the "forcing" of data. It will be argued that GLASER's critique points out some existing weaknesses of STRAUSS' concepts but vastly exaggerates the risks of the STRAUSSian approach. A main argument of this paper is that basic problems of empirically grounded theory construction can be treated much more effectively if one draws on certain results of contemporary philosophical and epistemological discussions and on widely

  14. A herança estruturalista de Durkheim nas ciências sociais

    Directory of Open Access Journals (Sweden)

    Gabriel E. Silveira

    2006-01-01

    Full Text Available The article discusses the assimilation of some aspects of Durkheims structuralism by Bourdieu and Lévi-Strauss. In Durkheims view, the fundamental categories of human thinking are socially built, due to the ontological priority of the collective. These categories seem to be structured in opposing pairs. Bourdieu admits that this type of categories is at the basis of the construction of the social space and habitus, even in contemporary societies. Although Lévi-Strauss disagrees with Durkheim in terms of problems and hypotheses, he is in accordance with him on the assumptions of structuralism. He admits, for instance, that the totemic structure of opposing pairs is a universal category.

  15. Building Grounded Theory in Entrepreneurship Research

    DEFF Research Database (Denmark)

    Mäkelä, Markus; Turcan, Romeo V.

    2007-01-01

    In this chapter we describe the process of building of theory from data (Glaser and Strauss 1967; Strauss and Corbin 1998). We discuss current grounded theory in relation to research in entrepreneurship and point out directions and potential improvements for further research in this field....... The chapter has two goals. First, we wish to provide an explicit paradigmatic positioning of the grounded theory methodology, discussing the most relevant views of ontology and epistemology that can be used as alternative starting points for conducting grounded theory research. While the chapter introduces...... our approach to grounded theory, we acknowledge the existence of other approaches and try to locate our approach in relation to them. As an important part of this discussion, we take a stand on how to usefully define ‘grounded theory’ and ‘case study research’. Second, we seek to firmly link our...

  16. The Methodological Dynamism of Grounded Theory

    Directory of Open Access Journals (Sweden)

    Nicholas Ralph

    2015-11-01

    Full Text Available Variations in grounded theory (GT interpretation are the subject of ongoing debate. Divergences of opinion, genres, approaches, methodologies, and methods exist, resulting in disagreement on what GT methodology is and how it comes to be. From the postpositivism of Glaser and Strauss, to the symbolic interactionist roots of Strauss and Corbin, through to the constructivism of Charmaz, the field of GT methodology is distinctive in the sense that those using it offer new ontological, epistemological, and methodological perspectives at specific moments in time. We explore the unusual dynamism attached to GT’s underpinnings. Our view is that through a process of symbolic interactionism, in which generations of researchers interact with their context, moments are formed and philosophical perspectives are interpreted in a manner congruent with GT’s essential methods. We call this methodological dynamism, a process characterized by contextual awareness and moment formation, contemporaneous translation, generational methodology, and methodological consumerism.

  17. Summer 2011

    Directory of Open Access Journals (Sweden)

    Eric G. Strauss

    2011-01-01

    Full Text Available Cities and the Environment Editor, Eric Strauss, provides an introduction to the Summer 2011 issue. He discusses the journal's transition to its new home at Loyola Marymount University and the creation of the Center for Urban Resilience and Ecological Solution, while underscoring highlights of the special topics section on Urban Predators. The contributors to this section participated in the International Symposium on Urban Wildlife and the Environment hosted by the Wildlife Society at the University of Massachusetts Amherst in June of 2009. Finally, Dr. Strauss notes the breadth of our issue by mentioning the additional articles' focus on rain gardens, water quality, arthropod diversity, green roofs, and socio-ecological dynamics.

  18. Formation of Structure in the Universe

    Science.gov (United States)

    Bahcall, John; Fisher, Karl; Miralda-Escude, Jordi; Strauss, Michael; Weinberg, David

    1997-01-01

    This grant supported research by the investigators through summer salary support for Strauss and Weinberg, support for graduate students at Princeton University and Ohio State University, and travel, visitor, and publication support for the investigators. The grant originally had a duration of 1 year, and it was extended (without additional funding) for an additional year. The impact of the grant was considerable given its relatively modest duration and funding level, in part because it provided 'seed' funding to get Strauss and Weinberg started at new institutions, and in part because it was combined with support from subsequent grants. Here we summarize progress in the three general areas described in the grant proposal: Lyman alpha absorbers and the intergalactic medium, galaxy formation; and large scale structure.

  19. Mobility Work

    DEFF Research Database (Denmark)

    Bardram, Jakob Eyvind; Bossen, Claus

    2005-01-01

    We posit the concept of Mobility Work to describe efforts of moving about people and things as part of accomplishing tasks. Mobility work can be seen as a spatial parallel to the concept of articulation work proposed by the sociologist Anselm Strauss. Articulation work describes efforts of coordi....../or resources. To accomplish their work, actors have to make the right configuration of these four aspects emerge.......We posit the concept of Mobility Work to describe efforts of moving about people and things as part of accomplishing tasks. Mobility work can be seen as a spatial parallel to the concept of articulation work proposed by the sociologist Anselm Strauss. Articulation work describes efforts...... of coordination necessary in cooperative work, but focuses, we argue, mainly on the temporal aspects of cooperative work. As a supplement, the concept of mobility work focuses on the spatial aspects of cooperative work. Whereas actors seek to diminish the amount of articulation work needed in collaboration...

  20. Annual Research Progress Report, Fiscal Year 1981,

    Science.gov (United States)

    1981-10-01

    by reticuloendothelial cells. In "The Reticuloendothelial System. Vol. 2: Biochemistry and Metabolism." Edited by A-1. Sbarra and R. Strauss, pp 309...C) GL., 3t Lecturer, European Society for Biochemistry , Auctenhausen, rr Sep 81. (C) it(. , ;icst lcL rur, Brussels, Belgium, 12 Sep 81, (C) u..u...the symptoms of acute low back pain. Technical Approach: Kinesiological muscle balancing techniques were applied to patients with acute or subacute low

  1. People having global patent with a novel idea

    International Nuclear Information System (INIS)

    Wang, Yeon Jung

    1991-04-01

    This book introduces the people gotten global patent with a brilliant idea, the contents of this book are coca cola bottles of Lud, barbed-wire fence of Joseph, cross head of Phillip, a pencil attached a eraser of Heimann, blue jeans of Strauss, refining process of Martin whole, automobile of Daimler, artificial silk of Chardonnay, phone of Bel, a telegraphic instrument of Mos, streptomycin of Waksman, cement of Smitten, permanent machine of Haris and mickey mouse.

  2. Work-Related Issues Facing Nurse Anesthetists During Deployment on a Military Operation Other Than War

    Science.gov (United States)

    2000-10-01

    transferability ( Denzin & Lincoln , 1994; Morse & Field, 1995; Wilson, 1993). Denzin and Lincoln (1994) note that in qualitative research, the terms credibility...DEPLOYMENT ISSUES 56 Denzin , N.K., & Lincoln ,Y.S. (Eds.)(1994). Handbook of qualitative research. (pp. 1-17). Thousand Oaks, CA: Sage. Department of the...Association of Operating Room Nurses, 62, 875-883. Strauss, A., Corbin, J. (1994). Grounded theory methodology. In Denzin , N.K., & Lincoln , Y.S

  3. Using the Internet to Collaborate with Consumers in Redefining a Psychosocial Agenda for Families with Hereditary Breast Cancer

    Science.gov (United States)

    2008-06-01

    AL, Corbin J. Grounded theory methodology: an overview. In Handbook of Qualitative Research, Denzin NK, Lincoln YS (eds). Sage Publications: Thousand...Patient Education Counseling, 53 (1), 57–64. Strauss, A., & Corbin, J. (1994). Grounded theory methodology: An overview. In N. K. Denzin & Y. S... Lincoln (Eds.), Handbook of qualitative research (pp. 273–285). Thousand Oaks: Sage Publications. Suthers, G. K. (2007). Cancer risks for Australian

  4. Democratic institutions: the spell of Plato and the return to the classics

    OpenAIRE

    Colen, José

    2012-01-01

    The purpose of this paper, that reflects an ongoing research, is to suggest the usefulness of an analysis of the readings of Karl Popper and Leo Strauss on Plato's political philosophy. Very different as they are, both thinkers saw in the Republic one of the most powerful critics of democracy and built interpretations and polemic arguments by contrast with Plato's arguments. There are currently two arguments questioning liberal or constitutional democracy. The first originates in the social s...

  5. Chaplain Training at a Crossroads: What Lies Ahead?

    Science.gov (United States)

    1998-04-01

    challenges in their lives. Their skills will include computer literacy , an understanding of diversity, and a global mind-set. They will thrive in a...learned to be critical and skeptical, especially of the media. Since they grew up in an environment of broken families, diminished financial expectations...generation born 1984 and after. He calls this group the Millennial Generation.5 According to Strauss, the Millennials will have more collective esteem as

  6. The Eighth Data Release Of The Sloan Digital Sky Survey: First Data From SDSS-3

    Science.gov (United States)

    2011-04-01

    of galaxies (Strauss et al. 2002; Eisenstein et al. 2001), quasars (Richards et al. 2002b), stars (Yanny et al. 2009), and other objects are selected...interlocking surveys; it is described in detail in a companion paper ( Eisenstein et al. 2011). In brief, these surveys are as follows. 1. SEGUE-2. This...algorithms were refined in various ways, as detailed in C. Rockosi et al. (2011, in preparation; see also Eisenstein et al. 2011). We summarize the

  7. People having global patent with a novel idea

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Yeon Jung

    1991-04-15

    This book introduces the people gotten global patent with a brilliant idea, the contents of this book are coca cola bottles of Lud, barbed-wire fence of Joseph, cross head of Phillip, a pencil attached a eraser of Heimann, blue jeans of Strauss, refining process of Martin whole, automobile of Daimler, artificial silk of Chardonnay, phone of Bel, a telegraphic instrument of Mos, streptomycin of Waksman, cement of Smitten, permanent machine of Haris and mickey mouse.

  8. El hombre y el pallar en la iconografía moche

    Directory of Open Access Journals (Sweden)

    Anne-Marie Hacquenghem

    1984-12-01

    Full Text Available En un articulo titulado "Pythagore en Amérique", publicado en sulibro Le Regard Eloigne, Lévi-Strauss señala el sitio particular que atribuyen, a las semillas de la antigua familia de los leguminosos, pueblos distantes en el tiempo y en el espacio. Esto nos indica a retornar al estudio de los pallares representados en la iconografía macne.

  9. Acerca de un posible malentendido sobre la obligación de reciprocidad

    OpenAIRE

    Terradas Saborit, Ignasi

    2002-01-01

    El objeto de este articulo es reflexionar sobre un malentendido etnográfico y sus consecuencias para la teoría antropológica. Se trata de un dato aportado por E. H. Man que Claude Lévi-Strauss y Annette Weiner han incorporado de manera muy significativa a sus teorías de la reciprocidad. Sugerimos que la fortuna de este malentendido se debe a sus concomitancias con la ideologia del individualismo posesivo.

  10. Who is the “God” Nietzsche denied?

    Directory of Open Access Journals (Sweden)

    André J. Groenwald

    2005-10-01

    Full Text Available This article examines the reasons that brought Nietzsche to the point of declaring that God is dead, thus doubting the existence of God. Nietzsche’s was a reaction to modernity’s belief in progress as perceived through the philosophy of Hegel, while also being a reaction to the knowing subject of Descartes and Kant and the theology of Strauss. Nietzsche’s quest was for a concept of God that would be free from human domination.

  11. United States Earthquake Early Warning System: How Theory and Analysis Can Save America Before the Big One Happens

    Science.gov (United States)

    2017-12-01

    Documentation for 201447 Spending more on ShakeAlert now and including sustainable operating costs can be justified. In a 2016 publication in...Seismological Research Letters, entitled “ Benefits and Costs of Earthquake Early Warning,” Strauss and Allen determine that “according to FEMA’s cost ...statistical life in the United States is USD 6.6 million.”48 As such, the benefits outweigh the costs as the earthquake early warning system alone would

  12. The Approach of Local Firms towards E-Banking

    OpenAIRE

    MSc. Vjosa Mullatahiri; MSc. Lorik Abdullahu; MSc. Ganimete Podvorica

    2015-01-01

    There is a visible demand to increase the awareness for the efficacy and the advantages that e-banking has to offer to small enterprises; however, many other enterprises cannot conceive the possibility of running their business without e-banking. This study on approach of local firms towards e-banking is conducted by applying the Grounded Theory of Barney Glaser and Anselm Strauss and the Critical Incident Technique, in order to identify the factors influencing the satisfaction of the busines...

  13. Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units

    Science.gov (United States)

    2010-01-01

    it affected various stakeholders. Using standard case-study analysis methods ( Miles and Huberman , 1994; Strauss and Corbin, 1998; Study Design and...a Perioperative Assistant Training Program,” Association of Operating Room Nurses, Vol. 66, No. 5, November 1997, pp. 890–904. Miles , Matthew B., and...A. M. Huberman , Qualitative Data Analysis: An Expanded Sourcebook, 2nd ed., Thousand Oaks, Calif.: Sage Publications, 1994. Morey, John C., and Mary

  14. Promoting Airmen with the Potential to Lead: A Study of the Air Force Master Sergeant Promotion System

    Science.gov (United States)

    2014-01-01

    Following recommendations for qualitative data analysis in the research literature (e.g., Corbin and Strauss, 2008; Miles and Huberman , 1994), we employed an...Journal of Applied Social Psychology, Vol. 33, No. 12, 2003, pp. 2493–2514. Miles , Mathew B., and A. Michael Huberman , Qualitative Data Analysis...Korotkin, M. R. Wallis, and J. Marshall- Miles , Characteristics Relevant to Performance as an Army Leader: Knowledge, Skills, Abilities, Other

  15. The Attitudes of Indian Palliative-Care Nurses and Physicians toward Pain Control and Palliative Sedation

    OpenAIRE

    Gielen, Joris; Gupta, Harmala; Rajvanshi, Ambika; Bhatnagar, Sushma; Mishra, Seema; Chaturvedi, Arvind K.; Van den Branden, Stef; Broeckaert, Bert

    2011-01-01

    Aim: We wanted to assess Indian palliative-care nurses and physicians’ attitudes toward pain control and palliative sedation. Materials and Methods: From May to September 2008, we interviewed 14 physicians and 13 nurses working in different palliative-care programs in New Delhi, using a semi-structured questionnaire, and following grounded-theory methodology (Glaser and Strauss). Results: The interviewees did not consider administration of painkillers in large doses an ethical problem, ...

  16. The attitudes of Indian palliative-care nurses and physicians to pain control and palliative sedation

    OpenAIRE

    Joris Gielen; Harmala Gupta; Ambika Rajvanshi; Sushma Bhatnagar; Seema Mishra; Arvind K Chaturvedi; Stef Van den Branden; Bert Broeckaert

    2011-01-01

    Aim: We wanted to assess Indian palliative-care nurses and physicians′ attitudes toward pain control and palliative sedation. Materials and Methods: From May to September 2008, we interviewed 14 physicians and 13 nurses working in different palliative-care programs in New Delhi, using a semi-structured questionnaire, and following grounded-theory methodology (Glaser and Strauss). Results: The interviewees did not consider administration of painkillers in large doses an ethical problem...

  17. Sulfur and strontium isotopic compositions of carbonate and evaporite rocks from the late Neoproterozoic–early Cambrian Bilara Group (Nagaur-Ganganagar Basin, India): Constraints on intrabasinal correlation and global sulfur cycle

    Digital Repository Service at National Institute of Oceanography (India)

    Mazumdar, A.; Strauss, H.

    (e.g., Kampschulte et al., 2001; Kampschulte and Strauss, 2004). The latter process delivers substantial amounts of nutrients to the ocean, triggering an increase in primary productivity. Subsequent delivery of organic matter to the sediment in turn... be consistent with a scenario in which the enhanced delivery of nutrients from continental weathering resulted in increasing primary production and greater subsequent remineralization of sedimentary organic matter, causing sulfate limitation and a Rayleigh...

  18. Pluralism v. relativism : an appraisal of Isaiah Berlin´s defence of pluralism

    OpenAIRE

    Martins, Ana Vasconcelos

    2015-01-01

    Isaiah Berlin’s conception of pluralism is often confused with relativism. The purpose of this thesis is to assess the solidity of his arguments concerning the distinction between the two theories against the backdrop of two interpretations by two very different thinkers that similarly approximate pluralism to relativism: John Gray, the radical pluralist, and Leo Strauss, the steward of naturalism. Berlin tendered a conception of pluralism whereby the inevitable conflict among ...

  19. Poor physical function in elderly women in low-level aged care is related to muscle strength rather than to measures of sarcopenia

    OpenAIRE

    Walker, Karen; Woods,; Iuliano-Burns,Sandra; King,Susannah; Strauss,Boyd

    2011-01-01

    Julie L Woods1, Sandra Iuliano-Burns2, Susannah J King1, Boyd J Strauss1, Karen Z Walker11Nutrition and Dietetics Department, Monash University, Victoria, Australia; 2Endocrine Centre of Excellence, Department of Medicine, Austin Health, University of Melbourne, West Heidelberg, AustraliaPurpose: To determine the prevalence of sarcopenia and investigate relationships among body composition, muscle strength, and physical function in elderly women in low-level aged care.Subjects and methods: Si...

  20. High average power Q-switched 1314 nm two-crystal Nd:YLF laser

    CSIR Research Space (South Africa)

    Botha, RC

    2015-02-01

    Full Text Available . 40, No. 4 / OPTICS LETTERS High average power Q-switched 1314 nm two-crystal Nd:YLF laser R. C. Botha,1,2,* W. Koen,3 M. J. D. Esser,3,4 C. Bollig,3,5 W. L. Combrinck,1,6 H. M. von Bergmann,2 and H. J. Strauss3 1HartRAO, P.O. Box 443...

  1. Veno-occlusive disease of the colon - CT findings

    International Nuclear Information System (INIS)

    Rademaker, J.

    1998-01-01

    Venous occlusion is a rare cause of ischemic bowel disease and is usually brought about by thrombosis that may occur as a complication of systemic disorders like systemic lupus erythematosus, Behcet disease or Churg-Strauss syndrome. This report describes a patient with veno-occlusive disease of the colon caused by lymphocytic phlebitis. Typical CT findings included homogeneous bowel wall thickening and vascular engorgement. (orig.) (orig.)

  2. Veno-occlusive disease of the colon - CT findings

    Energy Technology Data Exchange (ETDEWEB)

    Rademaker, J [Department of Radiology I, Medical School Hannover (Germany)

    1998-10-01

    Venous occlusion is a rare cause of ischemic bowel disease and is usually brought about by thrombosis that may occur as a complication of systemic disorders like systemic lupus erythematosus, Behcet disease or Churg-Strauss syndrome. This report describes a patient with veno-occlusive disease of the colon caused by lymphocytic phlebitis. Typical CT findings included homogeneous bowel wall thickening and vascular engorgement. (orig.) (orig.) With 1 fig., 4 refs.

  3. A cross-sectional study of the Birmingham Vasculitis Activity Score version 3 in systemic vasculitis

    DEFF Research Database (Denmark)

    Suppiah, Ravi; Mukhtyar, Chetan; Flossmann, Oliver

    2011-01-01

    and the vasculitis damage index (VDI) to demonstrate that the BVAS v. 3 measures disease activity. Results. WG (63%), Churg-Strauss syndrome (9%) and microscopic polyangiitis (9%) were the most common diagnoses. The BVAS v. 3 showed convergent validity with the VAI [¿¿=¿0.82 (95% CI 0.77, 0.85)], PGA [¿¿=¿0.85 (95...

  4. Lemay and Olds: Great Captains of Airpower

    Science.gov (United States)

    2016-12-01

    and Julius Cesar all possessed ten qualities: ambition, judgment, leadership, audacity, agility, infrastructure, strategy, terror, branding , and a...carnage at battles such as Gaugamela.6 Alexander, according to Strauss, possessed “special personal qualities that inspired others on a deep, emotional ...the main problem.64 This is not to say that Strauss’ remaining qualities of ambition, judgement, strategy, terror, branding , and Divine Providence do

  5. Supervision of Special Education Instruction in Rural Public School Districts: A Grounded Theory

    OpenAIRE

    Bays, Debora Ann

    2001-01-01

    The grounded theory presented in this study describes how the supervision of special education instruction occurs in public elementary schools in rural settings. Grounded theory methodology (Strauss & Corbin, 1998) was employed in this study. Nine elementary schools in three rural districts in the state of Virginia participated in the study. Interview data were collected from 34 participants, including special and general education teachers, principals, and directors of special education. Obs...

  6. Celebrating 50 Years of Grounded Theory: Onward and Forward Editorial

    OpenAIRE

    Astrid Gynnild

    2017-01-01

    Welcome to this very special issue of the Grounded Theory Review. In this issue we celebrate 50 amazing years of grounded theory during which it has become one of the fastest growing methods in the global research world. Five decades after The Discovery of Grounded Theory was first published, the seminal work of founders Barney G. Glaser and Anselm Strauss is cited more than 94,000 times on Google Scholar alone. We celebrate that after 50 years of researching, teaching, defending, explic...

  7. GROUNDED THEORY METHODOLOGY and GROUNDED THEORY RESEARCH in TURKEY

    OpenAIRE

    ARIK, Ferhat; ARIK, Işıl Avşar

    2016-01-01

    This research discusses the historical development of the Grounded Theory Methodology, which is one of the qualitative research method, its transformation over time and how it is used as a methodology in Turkey. The Grounded Theory which was founded by Strauss and Glaser, is a qualitative methodology based on inductive logic to discover theories in contrast with the deductive understanding which is based on testing an existing theory in sociology. It is possible to examine the Grounded Theory...

  8. The Development of Constructivist Grounded Theory

    OpenAIRE

    Jane Mills; Ann Bonner; Karen Francis

    2006-01-01

    Constructivist grounded theory is a popular method for research studies primarily in the disciplines of psychology, education, and nursing. In this article, the authors aim to locate the roots of constructivist grounded theory and then trace its development. They examine key grounded theory texts to discern their ontological and epistemological orientation. They find Strauss and Corbin's texts on grounded theory to possess a discernable thread of constructivism in their approach to inquiry. T...

  9. Computation of inverse magnetic cascades

    International Nuclear Information System (INIS)

    Montgomery, D.

    1981-10-01

    Inverse cascades of magnetic quantities for turbulent incompressible magnetohydrodynamics are reviewed, for two and three dimensions. The theory is extended to the Strauss equations, a description intermediate between two and three dimensions appropriate to tokamak magnetofluids. Consideration of the absolute equilibrium Gibbs ensemble for the system leads to a prediction of an inverse cascade of magnetic helicity, which may manifest itself as a major disruption. An agenda for computational investigation of this conjecture is proposed

  10. New kids on the block : New generations of workers may change the way we perceive work and workplace

    OpenAIRE

    Groen, B.; Lub, X.D.

    2010-01-01

    Rationale for our research is the upcoming war for talent (Ware & Grantham, 2003), caused by a diminishing workforce and the scarcity of students in facility management degree programs (outside the Netherlands). In order to retain (future) workers, a good scope of workers' needs is required. Age-related differentiation regarding work and workspace is suggested by several researchers such as Sladek (2009) and Howe and Strauss (2007). This study sets out to explore generational differences in f...

  11. Mathematics Education Problems and Attempts to Solve Them in Nowadays Lithuanian School

    OpenAIRE

    Malaukytė Ieva

    2017-01-01

    The decreasing number of the Lithuanian residents has strong impact on the educational system: the number of pupils is decreasing, the schools are getting closed. School is considered to be the provider of educational services, so it is necessary to search, how to preserve and attract clients – pupils. The growing competition induces search for distinctiveness among the schools. According to the theory of generations of William Strauss and Neil Howe, now we have to educate representatives of ...

  12. World of Warcraft Meets War Plan Orange: The Military Utility of Collaborative Problem Solving in a Virtual Environment

    Science.gov (United States)

    2011-06-01

    hundred years, this faith in the wisdom of crowds is well founded; many entrepreneurs have already built multi-million dollar businesses around the...the age group that makes up the younger portion of the Air Force is called the Millennial Generation, Generation Y, or just Millennials . Born...Strauss and Neil Howe as definitive, the earliest Millennial joined the Air Force in 2000 and can retire in 2018, around the time the last Millennial

  13. Inimkäsitlusi filosoofias / Peeter Pints

    Index Scriptorium Estoniae

    Pints, Peeter

    1997-01-01

    Käsitlemist leiavad Confucius, Sokrates, Augustinus, M. Luther, B. Pascal, N. Macchiavelli, Erasmus Rotterdamist, T. Hobbes, J. Locke, Ch.L. Montesqieu, J.J. Rousseau, Cl. Helvetius, I. Kant, J. Condorcet, F.W. Hegel, L. Feuerbach, K. Marx, H. Maine de Biran, F.W. Schelling, M. Stirner, A. Schopenhauer, L. Morgan, E. Taylor, L. Levy-Bruhl, W. McDougall, H. Spencer, O. Spengler, Cl. Levy-Strauss, S. Kierkegaard, M. Weber

  14. Different Generations and the Challenge of Leadership - Does it Matter?

    Science.gov (United States)

    2011-03-21

    Columbine High School in Colorado in 1999 that left fifteen people dead. In a survey conducted in 1999 by Howe and Strauss of 660 Northern Virginia...Confident, Hardworking Competitive Skeptical Connected, and Open to change Great Depression, Vietnam War Columbine High Second World War, School ...Class of2000 students, "Millennial kids declared the Columbine shooting , together with its aftermath, to be the number-one event of their youth that

  15. Resilience and Work-life Balance in First-line Nurse Manager

    OpenAIRE

    Kim, Miyoung; Windsor, Carol

    2015-01-01

    Purpose: The aim of this study was to explore how first-line nurse managers constructed the meaning of resilience and its relationship to work-life balance for nurses in Korea. Methods: Participants were 20 first-line nurse managers working in six university hospitals. Data were collected through in-depth interviews from December 2011 to August 2012, and analyzed using Strauss and Corbin's grounded theory method. Results: Analysis revealed that participants perceived work-life balance a...

  16. Estrutura & História.

    Directory of Open Access Journals (Sweden)

    Alicia Ferreira Gonçalves

    2015-06-01

    Full Text Available O presente artigo discorre sobre as ligações entre estrutura e história a partir das perspectivas estruturalista francesa e culturalista norte-americana, focalizando as interlocuções teóricas entre Claude Lévi-Strauss e Marshall Sahlins entre o final dos anos 1940 e ao longo dos anos 1990 do século XX.

  17. El hombre en el espacio cósmico

    Directory of Open Access Journals (Sweden)

    Yuri Nikoláyevich, Koptiev

    2002-01-01

    Full Text Available Not available

    «Los vuelos al espacio cósmico no se pueden detener. Esta no es una tarea de un sólo hombre cualquiera ni siquiera de un grupo de gente. Es un proceso histórico al que la humanidad llegó en su desarrollo normalmente».
    Yuri Gagarin (Primer cosmonauta del planeta Tierra

    En el artículo se examinan las cuestiones relacionadas con el vuelo del hombre al espacio cósmico. Al principio se enumeran mitos y obras de ficción de los siglos pasados en los que se exponían diferentes ideas y métodos de vuelo del hombre al espacio, entre éstos, los que proponían los científicos españoles. Más adelante, se mencionan los principales logros de la técnica espacial de cohetes de Rusia y, en primer lugar, del primer vuelo espacial del mundo de Yuri Alekséyevich Gagarin el 12 de abril de 1961. Se pone especial atención en la resolución de uno de los problemas más importantes: la creación del cohete portador que garantizó la puesta en órbita terrestre de la nave espacial de Gagarin «Vostok».
    En el artículo, la atención principal se presta a la estación «Mir». Se describe brevemente la prehistoria de su creación, se exponen los resultados de las investigaciones realizadas y se presentan los informes globales de los resultados de su vuelo de 15 años de duración.

  18. Global well-posedness for the radial defocusing cubic wave equation on $R^3$ and for rough data

    Directory of Open Access Journals (Sweden)

    Tristan Roy

    2007-11-01

    Full Text Available We prove global well-posedness for the radial defocusing cubic wave equation $$displaylines{ partial_{tt} u - Delta u = -u^{3} cr u(0,x = u_{0}(x cr partial_{t} u(0,x = u_{1}(x }$$ with data $(u_0, u_1 in H^{s} imes H^{s-1}$, $1 > s >7/10$. The proof relies upon a Morawetz-Strauss-type inequality that allows us to control the growth of an almost conserved quantity.

  19. Novitäten im Breslauer Stadttheater

    OpenAIRE

    Zduniak, Maria

    2017-01-01

    Am Anfang des 20. Jahrhunderts zählte das Breslauer Stadttheater, obwohl mit nur einer kleinen Orchester-Besetzung ausgestattet, zu den bemerkenswerten europäischen Opernbühnen. Es war aufgeschlossen für musikalische Novitäten. Als Beweis dafür sind u.a. die Breslauer Premieren Salome (1906) von Richard Strauss, L\\'Orfeo (1913) von Claudio Monteverdi und die Uraufführung der Oper Eros und Psyche (1917) von Ludomir Różycki zu nennen.

  20. Understanding the Work-Life Interaction from a Working Time Perspective

    DEFF Research Database (Denmark)

    Pedersen, Vivi Bach

    time not only defines the temporal structure of work, but also determines the individual’s social time. The theoretical framework is based on theories concerning influence, in particular Organizational Participation (e.g. Heller, Pusic, Strauss & Wilpert, 1998) and Self-Determination Theory (e.g. Deci...... & Ryan, 2002). Through theoretical analyses it is shown that a participatory influence approach reveals new perspectives in understanding the complexity of the work-life phenomenon and help counteracting the undesirable split-up between the existing conflict versus balance approaches. Participants from...

  1. M3D project for simulation studies of plasmas

    International Nuclear Information System (INIS)

    Park, W.; Belova, E.V.; Fu, G.Y.; Sugiyama, L.E.

    1998-01-01

    The M3D (Multi-level 3D) project carries out simulation studies of plasmas of various regimes using multi-levels of physics, geometry, and mesh schemes in one code package. This paper and papers by Strauss, Sugiyama, and Belova in this workshop describe the project, and present examples of current applications. The currently available physics models of the M3D project are MHD, two-fluids, gyrokinetic hot particle/MHD hybrid, and gyrokinetic particle ion/two-fluid hybrid models. The code can be run with both structured and unstructured meshes

  2. Fronteras del mito, la filosofía y la ciencia. De los mitos cosmogónicos a la teoría del big bang

    OpenAIRE

    Leonardo Ordóñez Díaz

    2016-01-01

    C. Lévi-Strauss advirtió que la variedad de mitos, lejos de constituir una proliferación anárquica de relatos, exhibe un aire de familia que trasparenta la profunda unidad del pensamiento humano. A partir de esta idea, el artículo muestra cómo ciertas teorías filosóficas y científicas sobre el origen del cosmos se apoyan en una estructuranarrativa implícita en los mitos cosmogónicos. Esta comparación evidencia inesperadas afinidades en el intento por responder la pregunta por el origen del co...

  3. La grounded theory y la investigación cualitativa en comunicación y marketing

    Directory of Open Access Journals (Sweden)

    Pere Soler Pujals

    2012-04-01

    Full Text Available La Grounded Theory, desarrollada por Barney G. Glaser y Anselm L. Strauss, ha tenido en los últimos años una importante repercusión en el campo de la investigación cualitativa, aplicada principalmente en clínica y educación. Consideramos que su metodología es perfectamente aplicable en investigación comercial, con un rigor científico difícilmente asumible con las metodologías cualitativas que habitualmente se emplean.

  4. Traduire la bêtise. Entretien avec Hans-Horst Henschen

    Directory of Open Access Journals (Sweden)

    Hans-Horst Henschen

    2012-03-01

    Full Text Available Quand il entreprend de traduire l’ensemble du corpus Bouvard et Pécuchet, Hans-Horst Henschen est déjà un traducteur reconnu. Ses traductions et/ou éditions de Barthes, Lévi-Strauss, Lyotard, Althusser, Michel Serres ou Jean Starobinski font de lui en Allemagne un relais important de la pensée française. Et à ces traductions d’auteurs ou de courants critiques, s’ajoutent celles qui s’y rattachent par raccroc ; celles qui semblent au contraire quitter les champs de l’anthropologie, de la psych...

  5. La lettre perdue

    Directory of Open Access Journals (Sweden)

    Philippe Dufour

    2010-12-01

    Full Text Available Durant un quart de siècle, de 1838 à 1865, de nombreux articles présentent dans la Revue des Deux Mondes les travaux des historiens des religions allemands. On s'attache ici aux historiens du christianisme, occupés à la critique littéraire et historique de la Bible. Trois grandes scansions rythment ce transfert culturel : la première autour du docteur Strauss et de sa lecture mythographique du christianisme, la deuxième autour de Baur et de l'école de Tübingen pratiquant la lecture historique, la troisième avec Ernst von Bunsen et sa lecture archéologique. Ces trois types de lecture sont autant d'atteintes à l'orthodoxie : Strauss vide les origines du christianisme de leur substrat historique ; Baur désacralise les Textes, humainement écrits, porteurs des dissensions entre pauliniens et chrétiens judaïsants ; Bunsen aryanise le christianisme en le coupant du judaïsme et en le rattachant à Zoroastre. Les lecteurs français se révèlent à la fois fascinés et effrayés par ce regard méthodique qui emporte le sens littéral des Textes.For a quarter of a century, from 1838 to 1865, numerous articles appeared in the Revue des Deux Mondes presenting the works of German historians of religion. We will focus on the historians of Christianity, concerned with literary and historical criticism of the Bible. Three major movements rhythm this cultural transfer: the first one was brought about by Doctor Strauss and his mythographic reading of Christianity, the second by Bauer and the Tübingen School and its historical reading, and the third by Ernst von Bunsen and his archeological reading. These three types of readings all attacked the orthodoxy: Strauss dismantled the historical foundations of the origins of Christianity. Baur desanctified the Texts, only written by humans and bearers of disagreements between Paulinians and Judaic Christians. Bunsen led Christianity towards Arianism by cutting it off from Judaism and linking it to

  6. Horror Infiniti. Die Zigeuner als Europas Trickster

    Directory of Open Access Journals (Sweden)

    Leonardo Piasere

    2011-06-01

    Full Text Available The figure of trickster is well known to all folklore traditions round the world, even among Romanispeaking groups as beng (devil like in the Mediterranean and Balkan context. But the focus of thearticle concerns the transformation of Roma and other Gypsies themselves into tricksters, whichcan be shown in three examples: 1 Gypsies in the literature of the Italian Renaissance, 2 Gypsiesin the Rumanian Þsiganiada of the early 19th century and 3 the Gypsy cliché in the ethnographyof the 20th century, which comes near to the bricoleur of Lévi-Strauss or to an indefinable entitycomparable with the irrational numbers in mathematics.

  7. Mental Health Promotion in School: Schoolchildren’s and Families’ Viewpoint

    Directory of Open Access Journals (Sweden)

    Kristiina Puolakka

    2014-01-01

    Full Text Available While developing mental health work in schools, it is very important to consider the viewpoint of pupils. Parents can also give remarkable information on their children’s viewpoint. The purpose of this study was to produce a description of the concepts used by schoolchildren aged 12–16 years and their families associated with promoting mental health in schools. The research material comprised interviews with schoolchildren and mothers, and verbal answers from the school well-being profile survey (n=426. The analysis was conducted by applying the grounded theory method as introduced by Strauss. The study was conducted in a Finnish comprehensive school.

  8. Third Semiannual Report to the Congress by the United States Atomic Energy Commission, February 2, 1948

    Energy Technology Data Exchange (ETDEWEB)

    Lilienthal, David E.; Bacher, Robert F.; Pike, Sumner T.; Strauss, Lewis L.; Waymack, William W.

    1948-02-02

    The document includes the letter of submittal and the third semiannual report. These reports are called for pursuant to Section 17 of the Atomic Energy Act of 1946. The letter of submittal was titled ''Letter from the Chairman and Members of the United States Atomic Energy Commission transmitting pursuant to law the third semiannual report of the Atomic Energy Commission''. It was authored by David E. Lilienthal, Chairman, and Robert F. Bacher, Sumner T. Pike, Lewis L. Strauss, and William W. Waymack of the AEC.

  9. Eosinophilic Granulomatosis with Polyangiitis and Diffuse Gastrointestinal Involvement

    Directory of Open Access Journals (Sweden)

    Diana L. Franco

    2014-10-01

    Full Text Available Eosinophilic granulomatosis with polyangiitis (EGPA, formerly named Churg-Strauss syndrome, is a rare systemic small- and medium-sized-vessel vasculitis, characterized by the presence of severe asthma as well as blood and tissue eosinophilia. Gastrointestinal (GI symptoms, like diarrhea and abdominal pain, are common; however, there are few reports of histologic evidence of GI involvement. We report the case of a patient on treatment for EGPA who presented with recurrent small bowel obstruction and choledocholithiasis. Biopsies of the esophagus, small bowel and common bile duct showed diffuse eosinophilia, with clear EGPA in the GI tract. Improved awareness of GI EGPA may allow for timely management of this disorder.

  10. THE 2015 INTERNATIONAL GUIDELINES FOR THE DIAGNOSIS AND TREATMENT OF EOSINOPHILIC GRANULOMATOSIS WITH POLYANGIITIS

    Directory of Open Access Journals (Sweden)

    T. V. Beketova

    2016-01-01

    Full Text Available In 2015, guidelines for the diagnosis and treatment of eosinophilic granulomatosis with polyangiitis, formerly known as Churg-Strauss syndrome, were prepared with the participation of experts from 5 countries of Europe, the USA, and Canada, who accumulated scientific achievements and currently gained clinical experience. The proposed guidelines should not be regarded as final standards, but must become a guide for the selection of a personification strategy for managing patients with eosinophilic granulomatosis with polyangiitis and serve as a starting point for further investigations. The purposes of the publication are general characterization of the key points of the guidelines and discussion of some debate problems. 

  11. CUTANEOUS VASCULITIDES AND CUTANEOUS MANIFESTATIONS OF SYSTEMIC VASCULITIDES

    Directory of Open Access Journals (Sweden)

    Vesna Jurčić

    2009-06-01

    plexes with complement activation. Typical representatives are Henoch-Schönlein purpura, cryoglobulinemic vasculitis and vasculitis in systemic lupus erythematosus. Necrotizing arteriolitis and arteritis of small arteries are usually found in ANCA positive vasculitides. Medium-sized arteries can be involved in both ANCA positive vasculitides and polyarteritis nodosa. Conclusions This article presents the clinical picture, histopathologic characteristics, pathogenetic mechanisms and treatment of some clinicopathologic entities of vasculitides, such as Henoch-Schönlein purpura, urticarial vasculitis, cryoglobulinemic vasculitis, microscopic polyangiitis, Wegener\\'s granulomatosis, Churg-Strauss syndrome and polyarteritis nodosa.

  12. Necrobiotic granuloma: An update

    Directory of Open Access Journals (Sweden)

    Achyut Pokharel

    2018-01-01

    Full Text Available Granulomatous disorders comprise a large family sharing the common histological denominator of granuloma formation. Collagenolytic or necrobiotic granuloma is one in which a granulomatous infiltrate develops around a central area of altered collagen and elastic fibers. The altered fibers exhibit new staining patterns, becoming either more basophilic which gives blue appearance (“blue granuloma” or eosinophilic giving red appearance (“red granuloma”. Conditions which exhibit blue granuloma include granuloma annulare, Wegener's granulomatosis, and rheumatoid vasculitis, whereas red granulomas include necrobiosis lipoidica, necrobiosis xanthogranuloma, rheumatoid nodules, Churg-Strauss syndrome, and eosinophilic cellulitis (Well's syndrome.

  13. Dialéctica y estructura en la teoría sociológica. La búsqueda de un método lógico

    Directory of Open Access Journals (Sweden)

    RICHARD HARVEY BROWN

    1987-01-01

    Full Text Available Revisión de la teoría sociológica moderna: positivismo y romanticismo en el trabajo de Karl Marx, Max Weber y Emile Durkheim; funcionalismo, interacción simbólica, y etnometodología; y dialéctica y estructura en el trabajo de Jean-Jean-Paul Sartre y Claude Levi-Strauss. El proceso dialéctico se considera como método de construcción de teoría sociológica, ya que considera la subjetividad mientras que mantiene el rigor de la objetividad.

  14. Genital piercings: what is known and what people with genital piercings tell us.

    Science.gov (United States)

    Armstrong, Myrna L; Caliendo, Carol; Roberts, Alden E

    2006-06-01

    General and subjective information about those who chose to obtain genital piercings was presented. Particularly, the assumptions made from the literature are refuted by objective and subjective data collected from intimately pierced individuals themselves. Professional nurses must not base practice decisions on assumptions but on the "best evidence with clinical experience, research, (as well as) associated patient values" (Sackett, Strauss, Richardson, Rosenberg, & Haynes, 2001, p. 10). Thus, providing clinically competent care is driven by the latest knowledge and evidence from research and patient sources. Data found here provide further empirical evidence that may help to improve client outcomes by advancing evidence-based nursing practice in relation to people with genital piercings.

  15. Coito, luego existo. Acerca de la ciudad contemporánea

    OpenAIRE

    Salabert, Pere

    1997-01-01

    Dos models urbans, el tradicional de la ciutat-recinte i I'actual de una ciutat-flux, es refereixen a dues modalitats d'espai: un de sentit intencional i organitzat, que s'actualitza en la significació, i un altre de sentit obert, múltiple o difús que es propaga sense significar. Alhora, dos models de comunitat: un de modern, il.lustrat per una societat-maquina de vapor (Levi-Strauss) que ja s'ha devorat a si mateixa, i un altre de postmodern, avui vigent, donat per una societat-ameba multifo...

  16. Understanding the Dynamics of Learning across social worlds

    DEFF Research Database (Denmark)

    Mengiste, Shegaw Anagaw; Aanestad, Margunn

    2013-01-01

    participation, politics and learning in IS implementation and use. We consider learning to be an integral part of the social practice, and it occurs mainly through encounters and negotiations between actors from different social worlds who might have competing interests and values. The paper also analysed how......This paper adopts a novel learning perspective on information systems development. Building on the works of Anselm Strauss we conceptualize development processes as “negotiated orders” where members from different “social worlds” encounter and negotiate differences and tensions. We argue...

  17. Nonlinear magnetohydrodynamics: the effects of nonlinear plasma fluctuations on the transport, confinement and heating of a plasma

    International Nuclear Information System (INIS)

    Montgomery, D.C.

    1986-01-01

    We have explored numerical solutions of the three-dimensional magnetohydrodynamic equations and of the Strauss equations. In the former case, the emphasis has been on relaxation to force-free, field-reversed states in magnetofluids bounded by rigid conductors; in the latter case, the emphasis has been on disruptions. The competition between dynamic alignment of the velocity fields and magnetic fields and selective decay toward minimum energy states has been explored. Analytical expressions for density fluctuation spectra in MHD turbulence have been derived. Analytical expressions for turbulent MHD resistivities and viscosities have been derived

  18. On the stability of solitary waves for classical scalar fields

    International Nuclear Information System (INIS)

    Blanchard, P.; Stubbe, J.; Vazquez, L.

    1986-01-01

    We study the stability for the bound states of lowest action of certain nonlinear Klein-Gordon and Schroedinger equations by applying the Shatah-Strauss formalism. We extend the range of application of this formalism by using a recent existence theorem for minimum action solutions to a large class of equations including logarithmic Klein-Gordon equation and logarithmic Schroedinger equation and scalar fields with fractional non-linearities. Furthermore we discuss the relation between different stability criteria considered in the literature. (orig.)

  19. Ho:YLF pumped HBr laser

    CSIR Research Space (South Africa)

    Botha, LR

    2009-10-01

    Full Text Available , “Optically Pumped Mid-Infrared HBr Laser,” IEEE J. Quantum Electron. 30(10), 2395–2400 (1994). 2. C. S. Kletecka, N. Campbell, C. R. Jones, J. W. Nicolson, and W. Rudolph, “Cascade Lasing of Molecular HBr in the Four Micron Region Pumped by a Nd:YAG laser...-Infrared Coherent Sources, (European Physical Society 2009) Invited Talk Mo3. 5. C. Bollig, H. J. Strauss, M. J. D. Esser, W. Koen, M.Schellhorn, D. Preussler, K. Nyangaza, C. Jacobs, E. H. Bernardi and L. R. Botha, “Compact Fibre-Laser-Pumped Ho:YLF Oscillator...

  20. Konstruktive collager 

    DEFF Research Database (Denmark)

    Paldam, Camilla Skovbjerg

    Med udgangspunkt i eksempelmateriale af primært Max Ernst og Louis Aragon påvises udvekslingen mellem poetiske billeder og tekstuelle såvel som visuelle collager i 1920'ernes surrealisme. I kritisk diskussion med Peter Bürger genlæses de surrealistiske collage-teknikker og der vises – med referen...... til Claude Lévi-Strauss' bricolage-begreb samt Paul Ricoeurs metaforopfattelse – en sammenhæng mellem surrealisternes interesse for myte og alkymi og deres brug af collage....

  1. ["Kaitai-Shinsho": a change of languages and concepts].

    Science.gov (United States)

    Okada, Masanobu

    2003-07-01

    The translation of "Outleedkundige Tafelen (Dutch) [Anatomische Tabellen (German)]" to "Kaitai-Shinsho" by Gempaku Sugita and others was not the mere substitution of Dutch for Japanese. They responded to the writing according to the situation of the change to modern medicine from the medicine of ancient-medieval times based on Galen's teachings, by using the Japanese culture of those days in a form of "bricolage" (a term used by Claude Levi-Strauss), in combination with Western medicine, leading to its establishment as Japanese medicine. That is, their work was not a mere translation, but an innovation of Japanese medical language system.

  2. Entre el collage y el bricolaje. Una cierta mirada hacia El desprecio de Godard en Los abrazos rotos de Almodóvar

    Directory of Open Access Journals (Sweden)

    Agustín Gómez Gómez

    2012-10-01

    Full Text Available En Los abrazos rotos, Almodóvar construye un relato a partir de otros relatos. Lo hará de dos formas. Por una parte muestra -lo que denominamos collage- un conjunto de obras pictóricas y cinematográficas principalmente. Por otra construye unas relaciones más ocultas, menos visibles, que englobamos dentro de la definición de bricolage de Levi-Strauss. Esta última forma nos conduce a El desprecio (Le mépris, 1963 de Godard, que es la que utiliza para narrar la relación entre Martel y Lena.

  3. Towards Clean Diesel Engines. Second Symposium. Book of Abstracts.

    Science.gov (United States)

    1998-04-06

    E-Mail: choelle@bmw.co.at Rudolf HOLTBECKER R&D KoSt 7055 Wärtsilä NSD Switzerland Ltd. Postfach 414 CH-8401 Winterthur Switzerland Tel.: +41...49-5362 267 E-Mail: tim.strauss@volkswagen.de C. M. I. SPAANJAARS Dept. of Molecular + Laser Physics Rudolf STRUIS University of Nijmegen Paul...365 3017 Fax: +41-56-310 2199 Fax: +31-24-365 3311 E-Mail: struis@psi.ch E-Mail: charless@sci.kun.nl Gerrit SUCK Tobias STEINER Konzernforschung K

  4. "Nossa Senhora da Help": sexo, turismo e deslocamento transnacional em Copacabana "Our Lady of Help": Sex, tourism and transnational movements in Copacabana

    Directory of Open Access Journals (Sweden)

    Ana Paula da Silva

    2005-12-01

    Full Text Available A análise do turismo sexual e o tráfico das mulheres tem concentrada na subjugação das mulheres, situando-as como passivas - objetos de câmbio que são "traficados" entre universos nacionais subordinados e dominantes. Todavia, como Lévi-Strauss advém, as mulheres também são geradoras de símbolos. Baseando nossa análise em trabalhos de campo feito entre turistas sexuais e prostitutas em Copacabana, buscamos demonstrar como a capacidade feminina de criar e manipular símbolos potencializa o movimento internacional de brasileiras e de estrangeiros.Analysis of sexual tourism has concentrated on the subjugation of women as devalued objects of exchange, trafficked between dominant and subordinate national universes. As Lévi-Strauss points out, however, while often understood to be items of exchange, women are also symbol generators in their own right. It is this symbolic-generating capacity that strengthens the international movement of Brazilian women as sexualized objects of exchange. Basing our analysis on fieldwork among tourists and prostitutes in Copacabana, we seek to demonstrate how women's ability to manipulate symbols potentializes the international movement of Brazilian women and foreign men.

  5. O “KESUITA” GUARANI: MITOLOGIA E TERRITORIALIDADE

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    ALDO LITAIFF

    2009-12-01

    Full Text Available Guarani beliefs, as the Kesuita or Nhanderu and the Land with no evil, are here seen as autochthon axiomatic propositions, which refer to notions as those of territory and territoriality. The myth is an oral theory of practice, which uses heavenly bodies and elements of nature as tools for creating concepts, or “ideographic bases” (LÉVI-STRAUSS, 1964. It is intended to demonstrate that the mythic discourse can bear an indirect connection, or even adirect one, with empirical reality, while stressing those issues relating to territoriality.RESUMO: Crenças guarani como o Kesuita ou Nhanderu Mirim e a Terra sem mal, são vistas aqui como proposições axiomáticas autóctones referentes à noções de território e territorialidade. O mito é uma teoria oral da prática, que utiliza astros e elementos da naturezacomo ferramentas de conceitualização, ou “suportes ideográficos” (LÉVI-STRAUSS, 1964. Pretendemos demonstrar que o discurso mítico pode ter uma ligação indireta ou mesmo direta com a realidade empírica, destacando questões concernentes à territorialidade.

  6. Diálogos de Lacan na reinvenção do inconsciente

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    Francisco Rafael Barbosa Caselli

    2015-01-01

    Full Text Available Este artigo tem como objetivo apresentar e explicitar três momentos da interlocução de Jacques Lacan com o estruturalismo em seu percurso de reinvenção do inconsciente. Como metodologia, foram analisados três textos dos teóricos estruturalistas referidos por Lacan: o antropólogo Claude Lévi-Strauss e os linguistas Ferdinand de Saussure e Roman Jakobson. Com o intuito de dimensionar a asserção lacaniana de que “o inconsciente é estruturado como uma linguagem”, este trabalho propõe um percurso de leitura que busca evidenciar em profundidade o diálogo que Lacan manteve com estes autores. Tal proposta é desenvolvida a partir da leitura rigorosa e elaboração de comentários sobre os textos dos autores estruturalistas, com foco na formulação original de seus conceitos e apropriações efetuadas por Lacan. Desse modo, busca-se demonstrar como alguns conceitos propostos pela antropologia estrutural de Lévi-Strauss e pela linguística estrutural de Saussure e Jakobson, uma vez reformulados, constituem os pilares sobre os quais repousam a estrutura do inconsciente lacaniano formalizada no escrito “A instância da letra no inconsciente”.

  7. THE MYTHOLOGY OF KAMPUNG NAGA COMMUNITY

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    Wahyu Iryana

    2014-12-01

    Full Text Available In order to gain understanding of the meaning of symbolic variants of the myth in Kampung Naga, an objective analysis is required. Therefore, this paper applied the linguistic model study offered by Levi-Strauss as a new step for the objectivity of myth interpretation. The basic assumption of Levi-Strauss’ linguistic model is that myth often display a diverse surface structure, but in fact the diversity is the description of the human deep structure. The selection of this myth was solely based on the life of the Kampung Naga community as part of Sundanese Society. The results indicated that the myth in the religious life of the Kampung Naga community contains a various stories which include the revelation, the reincarnation, and the descent of revelation. These episodes can be constructed into the structure of a Levi-Strauss linguistic model, a binary opposition, namely the mandate giver (active the mandate recipient (passive. The relationship between the giver and the receiver is vertical (structural called “structure of three” (regular. From the “structure of three”, the “culinary triangle” can be constructed. From the “combined triangle”, the Batara Guru will also appear to become a central event that other figures have to go through. Finally, it can be stated that the deep structure construction that still refers to the aspect of Javanese cosmology in General.

  8. Enacting Students as Digital Experts: Reconfiguring Relations in Teaching

    DEFF Research Database (Denmark)

    Stenbøg, Sofie

    2015-01-01

    ‘Digital Natives’, ‘Net Generation’ or ‘Milliners’ (Prensky 2001, Tapscott 1998, Strauss & Howe 2000). There have been many attempts to define the young generation who have grown up with digital technologies as a vital part of their everyday life. This generation now inhabits today’s schools and ...... it transforms teachers’ and students’ roles and responsibilities. Thus, this paper contributes to establishing digital education as a relevant empirical field within STS.......‘Digital Natives’, ‘Net Generation’ or ‘Milliners’ (Prensky 2001, Tapscott 1998, Strauss & Howe 2000). There have been many attempts to define the young generation who have grown up with digital technologies as a vital part of their everyday life. This generation now inhabits today’s schools...... and their entry has not escaped the attention from teachers, school managers and policy makers. Incorporating students’ digital skills or ‘expertise’ as a resource in teaching, e.g. through digital student production is an emergent trend in education. This trend is generally based on the assumption that students...

  9. AN ANALYSIS OF THE INTERACTIONAL CONSTRUCTION OF FICTION NARRATIVES BETWEEN PEERS

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    Alam, Florencia

    2015-01-01

    Full Text Available This study aims to analyse the interactional construction of fictional accounts produced by dyads of 4- year-old children from marginalised urban populations in Argentina. The narratives, elicited from a sequence of images, were video-taped and transcribed. The data corpus consist of 33 narratives produced by dyads of 4 yearold children. A qualitative analysis was performed that combined the Constant Comparative Method (Glaser & Strauss, 1967; Strauss & Corbin, 1990 with tools from Conversation Analysis (Goodwin 1984, 2007; Sacks, Schegloff & Jefferson, 1974. This analysis allowed the generation of a system of categories that identified the narrative roles assumed by the participants. The analysis attended to the juxtaposition of different semiotic fields: linguistic information, body position, intonation, gaze direction, gestures and the manipulation of objects. Findings showed that children adopted roles of storyteller, audience, or parallel player. In most of the cases both children adopted a storyteller role leading to a negotiation process that allowed them to co-construct the narrative. This paper is written in Spanish

  10. Sideways Force Produced During Disruptions

    Science.gov (United States)

    Strauss, H. R.; Paccagnella, R.; Breslau, J.; Jardin, S.; Sugiyama, L.

    2012-10-01

    We extend previous studies [1] of vertical displacement events (VDE) which can produce disruptions. The emphasis is on the non axisymmetric ``sideways'' wall force Fx. Simulations are performed using the M3D [2] code. A VDE expels magnetic flux through the resistive wall until the last closed flux surface has q VDE is presented. The wall force depends strongly on γτw, where γ is the mode growth rate and τw is the wall resistive penetration time. The force Fx is largest when γτw is a constant of order unity, which depends on the initial conditions. For large values of γτw, the wall force asymptotes to a relatively smaller value, well below the critical value ITER is designed to withstand. The principle of disruption mitigation by massive gas injection is to cause a disruption with large γτw. [4pt] [1] H. R. Strauss, R. Paccagnella, and J. Breslau,Phys. Plasmas 17, 082505 (2010) [2] W. Park, E.V. Belova, G.Y. Fu, X. Tang, H.R. Strauss, L.E. Sugiyama, Phys. Plasmas 6, 1796 (1999).

  11. Angeitis necrotizante sistémica no supurativa

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    Gabriel Toro G.

    1972-04-01

    Full Text Available 1. Se estudian 3 casos de angeítis necrotizante sistémica no supurativa: un hombre de 36 y una mujer de 58 años con granulomatosis de Wegener y un hombre de 30 años con granulomatosis alérgica del tipo descrito por Churg y Strauss. 2. Se prefiere el hombre de angeítis necrotizante sistémica no supurativa como lo ha hecho Paronetto cuando trata este capítulo desde el punto de vista inmunopatológico. 3. Consideran los autores que la lesión renal es la periglomerulitis granulomatosa parahiliar y que su presencia ya en la biopsia tiene gran valor diagnóstico. 4. Se subraya que el cuadro clínico, la marcada eosinofilia tisular y la presencia de imágenes micromultinodulares en el ganglio linfático, apoyan sólidamente un diagnóstico de granulomatosis alérgica de la forma descrita por Churg y Strauss. 5. Se hace una amplia revisión bibliográfica.

  12. Atualização do tratamento das vasculites associadas a anticorpo anticitoplasma de neutrófilos Treatment of antineutrophil cytoplasmic antibody-associated vasculitis: update

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    Alfredo Nicodemos Cruz Santana

    2011-12-01

    Full Text Available As vasculites antineutrophil cytoplasmic antibody (ANCA, anticorpo anticitoplasma de neutrófilos associadas (VAAs são caracterizadas por uma inflamação sistêmica das artérias de pequeno e médio calibre (especialmente no trato respiratório superior e inferior, e nos rins. As VAAs compreendem a granulomatose de Wegener (agora chamada de granulomatose com poliangeíte, poliangeíte microscópica, VAA limitada ao rim e a síndrome de Churg-Strauss. Neste artigo, discutiremos as fases de tratamento dessas vasculites, como fase de indução (com ciclofosfamida ou rituximab e fase de manutenção (com azatioprina, metotrexato ou rituximab. Além disso, discutiremos como manusear os casos refratários à ciclofosfamida.In its various forms, antineutrophil cytoplasmic antibody (ANCA-associated vasculitis (AAV is characterized by a systemic inflammation of the small and medium-sized arteries (especially in the upper and lower respiratory tracts, as well as in the kidneys. The forms of AAV comprise Wegener's granulomatosis (now called granulomatosis with polyangiitis, microscopic polyangiitis, renal AAV, and Churg-Strauss syndrome. In this paper, we discuss the phases of AAV treatment, including the induction phase (with cyclophosphamide or rituximab and the maintenance phase (with azathioprine, methotrexate, or rituximab. We also discuss how to handle patients who are refractory to cyclophosphamide.

  13. Risk factors of atherosclerosis and clinical and morphological comparisons in systemic vasculitides

    Directory of Open Access Journals (Sweden)

    Leonid Aleksandrovich Strizhakov

    2012-01-01

    Full Text Available Objective: to study the incidence rates of angina, myocardial infarction (MI, stroke, and the frequency of endovascular interventions in patients with systemic vasculitides, and the incidence rate of atherosclerosis according to autopsy data. Subjects and methods. Three hundred and twenty-one patients with systemic vasculitides: Wegener's granulomatosis (n = 138, Takayasu's arteritis (n = 79, polyarteritis nodosum (n = 55, and Churg-Strauss syndrome (n = 49 were examined; 55 autopsies were analyzed in patients with the above diseases. Results. Fifty-one (15.6% of the 321 patients were diagnosed as having cardiovascular diseases (CVD: angina pectoris (7.1% and MI (3.1% and endovascular interventions (0.9%. The risk of cardiovascular events was found to be associated with traditional risk factors, such as male gender and age. Arterial hypertension, hypercholesterolaemia, and increased serum creatinine were more frequently detected in the CVD group that showed no significant differences from the non-CVD group. According to autopsy results, atherosclerosis was identified in the patients with Wegener's granulomatosis (52%, Takayasu's arteritis (50%, polyarteritis nodosum (52.6%, and Churg-Strauss syndrome (57.1%. Conclusion. CVD and atherosclerosis are common in systemic vasculitides, which requires the traditional risk factors of atherosclerosis to be actively corrected.

  14. Mario de Andrade y la Missão de Pesquisas Folclóricas (1938: una etnografía que no fue

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    Giobellina Brumana, Fernando

    2006-08-01

    Full Text Available This article studies the project by Brazilian Modernism in order to recover the Northeastern and Northem musical patrimony, destined mainly for religious uses. This enterprise took the form of an ethno-musical record which was financed and directed by the Secretariat for Culture of Sao Paulo City. During a couple of years the Secretariat for Culture was headed by the novelist Mario de Andrade (author of «Macunaíma». It was also the instutional framework within which Lévi- Strauss started his career as an ethnologist.

    Este trabajo estudia el proyecto que se desarrolló desde el modernismo brasileño para recuperar el patrimonio musical, fundamentalmente de uso religioso, del nordeste y norte del Brasil. En concreto, es la tentativa llevada a cabo a fines de 1930 de un registro etno-musicológico, que fue financiada y dirigida por la Secretaría de Cultura de la Ciudad de São Paulo. La Secretaría estuvo durante un par de años dirigida por el novelista Mario de Andrade (el autor de «Macunaíma » y fue el ámbito institucional en el que Lévi-Strauss dio sus primeros pasos como etnólogo.

  15. La Sequía: Puquio, barrio de Chaupi - août 1979, août 1980

    Directory of Open Access Journals (Sweden)

    1985-01-01

    Full Text Available La Sequia est la 'fête de l'eau' à Puquio (Pérou, département d'Ayacucho, province de Lucanas. La description du rituel permet de s'interroger sur la nature de Pedroorqo, le dieu tutélaire des communautés de Puquio, et sur ses relations avec les hommes. La Sequia renouvelle chaque année la nécessaire alliance qui, en une 'conjonction par complémentarité' (C. Lévi-Strauss, unit la divinité et les hommes. Le rituel de l'eau, au cours duquel le passé est actualisé pour donner vie au présent, apparaît ainsi, comme la manifestation d'un paganisme toujours vivace. La Sequia es la 'fiesta del agua' en Puquio (Perú, departamento de Ayacucho, provincia de Lucanas. La descripción del ritual nos lleva a interrogarnos sobre la naturaleza de Pedroorqo, el dios tutelar de las comunidades de Puquio, y sus relaciones con los hombres. La Sequia renueva cada año la necesaria alianza que une, en una 'conjunción por complementaridad' (C. Lévi-Strauss, la divinidad y los hombres. El ritual del agua, durante el cual el pasado es actualizado para dar vida al presente, aparece así como manifestación de un paganismo siempre vivo.

  16. Structure du mythe The Structure of Myth Estructura del mito

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    Patrick Hubner

    1996-05-01

    Full Text Available Cette analyse structurale du mythe littéraire s'appuie sur les travaux de Claude Lévi-Strauss et montre la tension productive entre les notions de structure et de mythe littéraire, tension qui devient la source abondante de signifiants polyphoniques.This in-depth analysis of the structural law which shapes the literary myth is based on Claude Lévi-Strauss’s works, and shows that there exists a fruitful tension between the notions of structure and literary myth, a tension which becomes an abundant source of polyphonic meanings.Con la ayuda de los trabajos de C. Lévi-Strauss, G. Durand y J. Rousset, se intenta dar una brillante análisis de la ley estructural del mito literario. La noción de estructura y la de mito literario mantienen entre sí una tensión fecunda, fuente inagotable de la riqueza polifónica de los significados.

  17. AS RANHURAS DO SENSÍVEL: DO BRICOLAGE ARTÍSTICO À IMPRESSÃO DE IDÉIAS

    Directory of Open Access Journals (Sweden)

    Alexandre Lettnin

    2012-10-01

    Full Text Available Este artigo compõe uma reflexão sobre a minha produção artística, cuja temática baseia-se na releitura de construções arquitetônicas relevantes à memória visual de regiões e culturas específicas. Enquanto gravurista, descobri que o processo de trabalho que utilizo me aproxima do pensamento que Claude Lévi-Strauss expõe em seus escritos sobre “A Ciência do Concreto”, levando-me a bricolar com o mundo sensível. Elenco como objeto de estudo três xilogravuras. PALAVRAS-CHAVE: Gravura. Bricolage. Memória. Mundo Sensível. RÉSUMÉ: C’est article compose une réflexion sur ma prodution artistique, dont le suject c’est la relecture des costructions d’archictecture importantes a la memoire visuel des regions et cultures spécifiques. En tant que graveur, j’ai découvért que le processus de travaille que j’utilise, m’approche de la pensée que Claude Lévi-Strauss expose dans ses écrits sur “La science du Concret”, ce qui me ramene a bricoler avec le monde sensible. J’eli comme objet d’études trois xilographies. MOTS-CLÉES: Gravure. Bricolage. Memoire. Monde Sensible.

  18. Viewing the effects of anthropogenic emission control from the change of CO2 concentration observed by GOSAT in China during the 2014 APEC summit

    Science.gov (United States)

    Lei, L.; Zhong, H.; Liu, L.; Yang, S., Sr.

    2016-12-01

    contribute to the verification of the reported anthropogenic CO2 emissions discussed in Keppel-Aleks et al. (ACP, 2013). Acknowledgement: We are greatly acknowledging the data products provided by NIES GOSAT Project and CARMA.

  19. Causality and complexity: the myth of objectivity in science.

    Science.gov (United States)

    Mikulecky, Donald C

    2007-10-01

    Two distinctly different worldviews dominate today's thinking in science and in the world of ideas outside of science. Using the approach advocated by Robert M. Hutchins, it is possible to see a pattern of interaction between ideas in science and in other spheres such as philosophy, religion, and politics. Instead of compartmentalizing these intellectual activities, it is worthwhile to look for common threads of mutual influence. Robert Rosen has created an approach to scientific epistemology that might seem radical to some. However, it has characteristics that resemble ideas in other fields, in particular in the writings of George Lakoff, Leo Strauss, and George Soros. Historically, the atmosphere at the University of Chicago during Hutchins' presidency gave rise to Rashevsky's relational biology, which Rosen carried forward. Strauss was writing his political philosophy there at the same time. One idea is paramount in all this, and it is Lakoff who gives us the most insight into how the worldviews differ using this idea. The central difference has to do with causality, the fundamental concept that we use to build a worldview. Causal entailment has two distinct forms in Lakoff 's analysis: direct causality and complex causality. Rosen's writings on complexity create a picture of complex causality that is extremely useful in its detail, grounding in the ideas of Aristotle. Strauss asks for a return to the ancients to put philosophy back on track. Lakoff sees the weaknesses in Western philosophy in a similar way, and Rosen provides tools for dealing with the problem. This introduction to the relationships between the thinking of these authors is meant to stimulate further discourse on the role of complex causal entailment in all areas of thought, and how it brings them together in a holistic worldview. The worldview built on complex causality is clearly distinct from that built around simple, direct causality. One important difference is that the impoverished causal

  20. The 3D distribution of cordierite and biotite in hornfels from the Bugaboo contact aureole (British Columbia, Canada)

    Science.gov (United States)

    Gaidies, Fred; Petley-Ragan, Arianne; Pattison, David

    2016-04-01

    The size, abundance, shape and spatial distribution of metamorphic minerals bears important information on the rates and mechanisms of fundamental processes that take place during metamorphic crystallization. X-ray computed tomography (XR-CT) has become the method of choice to study the three-dimensional (3D) disposition of minerals in rocks as it allows investigation of relatively large sample volumes at sufficiently high resolution required for statistically meaningful analyses, and as its non-destructive fashion permits further studies such as mineral chemical, isotopic or crystallographic analyses of select grains identified through XR-CT. We present results obtained through the quantification of the 3D disposition of cordierite and biotite crystals in a hornfels from the contact aureole of the Bugaboo Batholith (British Columbia, Canada) using XR-CT and global as well as scale-dependent pattern statistics (Petley-Ragan et al., 2016). The results demonstrate a random distribution of cordierite and biotite crystal sizes for all scales across the entire rock volume studied indicative of interface-controlled prograde metamorphic reaction kinetics. We show that the common approach to approximate the shape of crystals as spherical underestimates the influence of the Strauss hard-core process on rock texture which may be misinterpreted to reflect ordering of crystal sizes by inhibition of nucleation and growth commonly associated with diffusion-controlled reaction kinetics. According to our findings, Strauss hard-core ordering develops at length scales equal to and less than the average major axis of the crystal population. This is significantly larger than what is obtained if a spherical crystal geometry would be assumed, and increases with deviation from sphericity. For the cordierite and biotite populations investigated in this research, Strauss hard-core ordering developed at length scales of up to ˜2.2 and 1.25 mm, respectively, which is almost 1 mm longer than