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"effusion" Definitions
  1. (specialist) something, especially a liquid or gas, that flows out of somebody/something; the act of flowing out
  2. (formal) the expression of feelings in an exaggerated way; feelings that are expressed in this way

494 Sentences With "effusion"

How to use effusion in a sentence? Find typical usage patterns (collocations)/phrases/context for "effusion" and check conjugation/comparative form for "effusion". Mastering all the usages of "effusion" from sentence examples published by news publications.

He was matched, effusion for effusion, in the orchestra pit.
In response, you'll get either an uncomprehending stare or an effusion of tall tales.
The impact left Rand with six broken ribs, three displaced, pleural effusion and now pneumonia.
A medical update: final report indicates six broken ribs & new X-ray shows a pleural effusion.
The senator tweeted Wednesday that he has "six broken ribs & new X-ray shows a pleural effusion".
He married Paula Schwartz in 1983, and with her he tenderly husbanded the land, planting an effusion of flora.
He was also suffering from a pleural effusion, an unusual amount of liquid that can build up around the lungs.
These infections often cause fluid build-up in the ear, as can another condition called otitis media with effusion (OME).
Instead, from the late nineteen-sixties onward, the effusion of Romantic tendencies rendered the Winters position even more out of step.
EPP symptoms can be acute, or delayed (subacute), most often expressed as generalised oedema, effusion in tissues and distortion of the skin.
But he made every word matter, shaping lyrical lines with poignancy, conveying the tragic subtext to every youthful effusion in the music.
I experienced no similar effusion for Louis Ironson, the Marxist theorist who walks out on Prior and begins a tortured affair with Joe.
According to Cleveland Clinic, a pleural effusion, also referred to as "water on the lungs," is the build-up of excess fluid around the lungs.
" In a rare burst of effusion in his interviews on Tuesday, Chris' face split into a grin describing his children, whom he called "my life.
In a small hospital in Tuscany, doctors identified the apparent source of the problem: a pericardial effusion, or a buildup of fluid around the heart.
Hawaii's School of Ocean and Earth Science and Technology said the volcano was active from 1790 to 1924, showing mostly "gentle effusion" from a lava lake.
And so much for unscripted effusion: Netflix has designated an area for taking selfies with the tree, set off by metal barriers, and has provided a sledge as prop.
Paul sustained six broken ribs and a "pleural effusion" – or a "build-up of excess fluid between the layers of the pleura outside the lungs," according to the Cleveland Clinic.
A medical update: final report indicates six broken ribs & new X-ray shows a pleural effusion Paul returned to the Senate a little more than a week after Boucher's assault.
In response, Mr. Paul called his dad "probably the most honest man in politics that we've ever seen in a generation," which sounded kind of lukewarm compared to Mr. Bush's effusion.
Children suffering from middle-ear infection, also known as otitis media with effusion (OME), undergo a tympanostomy tube placement surgery to drain out accumulated fluid and simplify the administration of antibiotics.
"It may probably be used with advantage during surgical operations in which no great effusion of blood takes place," he observed, taking heed for the first time of the gas' anesthetic effect.
Mr. Levit's interpretation was permeated by wariness, a sense of repression that occasionally exploded — as in the fugue in E minor, the almost sputtering effusion of a man finally finding his voice.
In the tweet, Paul said he'd broken six ribs (it had originally been reported as five) and had a pleural effusion, which is a buildup of fluid in the lining around the lungs.
In the tweet, Paul said he broke six ribs (it had originally been reported as five) and suffered from a pleural effusion, which is a buildup of fluid in the lining around the lungs.
A medical update: final report indicates six broken ribs & new X-ray shows a pleural effusion Boucher is a retired doctor who practiced as an anesthesiologist and pain specialist; his medical license expired in 2015.
In the tweet, Paul said he broke six ribs (it had originally been reported as five) and suffered from a pleural effusion, which is a buildup of fluid in lining in the outside of the lungs.
Paul said on Twitter on Wednesday that he suffered six broken ribs and that X-rays showed a pleural effusion, which is a buildup of fluid in the tissues that line the lungs and the chest.
A medical update: final report indicates six broken ribs & new X-ray shows a pleural effusion Kentucky State Police are investigating the incident in coordination with the FBI, which is standard because Paul is a member of Congress.
" What we know is that we have a US senator who was attacked outside his home by a neighbor, an attack so severe that Paul has six broken ribs and, according to his Twitter feed, a "pleural effusion.
"Although cinema patrons may be surfeited with underworld tales, this particular effusion has the distinct advantage of being endowed with originality and suspense and also of being exceedingly well directed," Mordaunt Hall wrote in The New York Times.
His carpets, which are all hung on the wall, thus making emphasizing their status as non-utilitarian objects, erupt into black goop, draining down the wall in long fabric tendrils that pool on the floor, as in "Effusion" (2016).
One reason you can be sure HBO's Sharp Objects is a true Southern Gothic is that when its debutante gloves finally unpeel, you don't just get an effusion of secrets and darkness and a lot of deep-buried social dysfunction.
In Mayotte's case, if an eruption did take place, Mitchell explained, it's more likely to be some sort of fissure effusion involving more fluid lava, a bit like an underwater version of what happened on the slopes of Hawaii's Kīlauea in 2018.
A medical update: final report indicates six broken ribs & new X-ray shows a pleural effusion The dispute between Paul and Boucher, a Democrat, allegedly arose over yard care and not Paul's politics, according to neighbors who spoke to The New York Times.
His quick pivots — from the melancholy Romantic effusion of an arialike passage, for example, to an orchestral riff on the Champs' mambo-lite '50s pop number "Tequila" — are so agile and persuasive that you sometimes forget to notice that the juxtapositions are plainly, intentionally ridiculous.
Lava flow volumes are extraordinarily difficult to measure, but we are working on various means of determining eruption rates (including topographic mapping thanks to a NASA airplane that is on site, and also measuring gases, which can be used as a proxy for effusion rate).
WASHINGTON — What is striking about Donald J. Trump's latest effusion of admiration for Russia's stony-faced leader, Vladimir V. Putin, is how similar it is to the way Mr. Putin is portrayed in Russia: as a necessary foil for an aggressive and flawed American leadership.
But by the mid-19th century, men had largely ceded pink to their sisters and wives, any of whom might have worn the coy mid-1800s dress showcased at F.I.T., a pink silk taffeta gown, its multiple tiers bordered in an effusion of ruffles.
It did not give a cause of death but sources close to Law, who died in a hospital in Rome, said he had been suffering from the complications of diabetes, liver failure and a build-up of fluids around the heart, known as pericardial effusion.
Brad taps it and a window opens up on his screen: PATIENT A-0053912-F-7: FEMALE, 49 YEARS, 7 MONTHS, 6 DAYSDIAGNOSIS: SARCOMATOID CARCINOMA, STAGE IVCOMPLICATIONS: PLEURAL EFFUSION, DECREASING LUNG FUNCTION, HEMOPTYSIS ----- 5% OF PATIENTS WITH COMPARABLE DATA SET SURVIVE > 7 DAYS The thing beeps one last time.
Like most conservatives, I favor a more limited role for our robed archons, I admired Scalia's originalism precisely because it establishes plausible (if, of course, debatable) limits on judicial activism, and I regard Kennedy's Casey ruling as a vapid Emersonian effusion, whose paean to individualism was really a license to kill inconvenient innocents.
It documented what Wallace called the "grudging move toward maybe acknowledging that this unromantic, unhip, clichéd A.A. thing — so unlikely and unpromising ... this goofy slapdash anarchic system of low-rent gatherings and corny slogans and saccharine grins and hideous coffee" might actually offer hope, in its simplicity and its slogans, in its church-basement coffee and its effusion of anonymous and unqualified love.
Primary effusion lymphoma (PEL) is a HHV8+ B cell lymphoma presenting as an effusion (i.e. excess fluid) in the pleural cavity (see pleural effusion), peritoneal cavity (see peritoneal effusion), or pericardium (see pericardial effusion). These effusions are due to the infiltration of HHV8-infected B cells into the membrane tissues that line these spaces. Tumor masses are infrequent and generally occur late in the disease.
Subdural effusion refers to an effusion in the subdural space, usually of cerebrospinal fluid. It is sometimes treated with surgery.
This is of particular use in radiographic detection of knee effusions, as the cause for the effusion may obscure the subcutaneous planes on x-ray that can also be used to determine presence of effusion or effusion size.
A common trait of serous fluids is their role in assisting digestion, excretion, and respiration. In medical fields, especially cytopathology, serous fluid is a synonym for effusion fluids from various body cavities. Examples of effusion fluid are pleural effusion and pericardial effusion. There are many causes of effusions which include involvement of the cavity by cancer.
First, the effusion is milked at the medial border of the patella from inferior to superior aspect. Then, using another hand, the effusion is milked at the lateral border of the patella from superior to inferior aspect. If effusion is present, a bulge will be appear at the medial border of the patella because the effusion is milked back to the medial patella.
One of the most common signs of CMML is splenomegaly, found in approximately half of cases. Other less frequent signs and symptoms consist of anaemia, fever, weight loss, night sweats, infection, bleeding, synovitis, lymphadenopathy, skin rashes, pleural effusion, pericardial effusion and peritoneal effusion.
Pleural effusion involving fibrinous exudates in the fluid may be called fibrinous pleurisy, which sometimes occurs as a later stage of pleurisy. A person can develop a pleural effusion in the absence of pleurisy. For example, pneumonia, heart failure, cancer, or a pulmonary embolism can lead to a pleural effusion.
Pleurisy is a condition of inflamed pleurae. Pleurisy can lead to a build-up of fluid known as pleural effusion in the pleural cavity. Pleural effusion can also occur from other causes.
Atypical Meigs syndrome, characterized by a benign pelvic mass with right-sided pleural effusion but without ascites, can also occur. As in typical Meigs syndrome, pleural effusion resolves after removal of the pelvic mass.
Pleural carcinosis is associated with malignant pleural effusion and poor prognosis.
A large left sided pleural effusion as seen on an upright chest X-ray A pleural effusion is usually diagnosed on the basis of medical history and physical exam, and confirmed by a chest X-ray. Once accumulated fluid is more than 300 mL, there are usually detectable clinical signs, such as decreased movement of the chest on the affected side, dullness to percussion over the fluid, diminished breath sounds on the affected side, decreased vocal resonance and fremitus (though this is an inconsistent and unreliable sign), and pleural friction rub. Above the effusion, where the lung is compressed, there may be bronchial breathing sounds and egophony. A large effusion there may cause tracheal deviation away from the effusion.
This can also be used to treat pericardial effusion or cardiac tamponade.
Ibn 'Arabî used the term "effusion" (fayd) to denote the act of creation. His writings contain expressions which show different stages of creation, a distinction merely logical and not actual. The following gives details about his vision of creation in three stages: the Most Holy Effusion (al-fayd al- aqdas), the Holy Effusion (al-fayd al-muqaddas) and the Perpetual Effusion (al-fayd al-mustamirr).Souad Hakim – Unity of Being in Ibn 'Arabî Waḥdat al- wujūd spread through the teachings of the Sufis like Qunyawi, Jandi, Tilimsani, Qayshari, Jami etc.
The absence of normal grooves around patella may indicates a patellar intra-articular effusion. There are two ways to confirm the effusion. The knee is extended fully before the examination begins. This first way is the patellar tap.
Auenbrugger's sign is a bulging of the epigastrium seen in cases of severe pericardial effusion. It is often not spotted because pericardial effusion can be caught on echocardiography before it progresses this far. It is named after Joseph Leopold Auenbrugger.
Since chyle is rich in triglycerides, a pleural effusion that is rich in triglycerides (>110 mg/dL) confirms the presence of a chylothorax; a pleural effusion that is low in triglyceride content (<50 mg/dL) virtually excludes the diagnosis. If a pleural effusion contains triglycerides between 50-110 mg/dL, analysis of the lipoprotein content of the pleural effusion to evaluate for chylomicrons is recommended. If that procedure detects chylomicrons in the fluid, that confirms a chylothorax. Chylothoraces are typically exudative and often contain a high number of lymphocytes and have low levels of the enzyme lactate dehydrogenase (LDH).
A parapneumonic effusion is a type of pleural effusion that arises as a result of a pneumonia, lung abscess, or bronchiectasis. There are three types of parapneumonic effusions: uncomplicated effusions, complicated effusions, and empyema. Uncomplicated effusions generally respond well to appropriate antibiotic treatment.
The treatment for Joint effusion include icing,rest and medication as advised by your Doctor.
In medicine, Meigs's syndrome, also Meigs syndrome or Demons–Meigs syndrome, is the triad of ascites, pleural effusion, and benign ovarian tumor (ovarian fibroma, fibrothecoma, Brenner tumour, and occasionally granulosa cell tumour). Meigs syndrome resolves after the resection of the tumor. Because the transdiaphragmatic lymphatic channels are larger in diameter on the right, the pleural effusion is classically on the right side. The causes of the ascites and pleural effusion are poorly understood.
Pulmonary complications, such as pleural effusion, result from retroperitoneal transudation of fluid from the swollen pancreas.
There are many causes of joint effusion. It may result from trauma, inflammation, hematologic conditions, or infections.
This is needed to confirm the presence of a pleural effusion. Chest radiograph is usually performed first and may demonstrate an underlying lung cancer as well as the pleural effusion. Ultrasound has a sensitivity of 73% and specificity of 100% at distinguishing malignant pleural effusions from other causes of pleural effusion, based on the presence of visible pleural metastases, pleural thickening greater than 1 cm, pleural nodularity, diaphragmatic thickening measuring greater than 7mm and an echogenic swirling pattern visible in the pleural fluid.
Trauma from ligamentous, osseous or meniscal injuries can result in an effusion. These are often hemarthrosis or bloody effusions.
In conclusion, RA-related, loculated pericardial effusion should be kept in mind as a rare cause of cardiac tamponade.
A subpulmonic effusion is excess fluid that collects at the base of the lung, in the space between the pleura and diaphragm. It is a type of pleural effusion in which the fluid collects in this particular space, but can be "layered out" with decubitus chest radiographs. There is minimal nature of costophrenic angle blunting usually found with larger pleural effusions. The occult nature of the effusion can be suspected indirectly on radiograph by elevation of the right diaphragmatic border with a lateral peak and medial flattening.
Pericardial effusion ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function. A pericardial effusion with enough pressure to adversely affect heart function is called cardiac tamponade. Pericardial effusion usually results from a disturbed equilibrium between the production and re-absorption of pericardial fluid, or from a structural abnormality that allows fluid to enter the pericardial cavity.
99 An early draft of Lines: On an Autumnal Evening was titled An Effusion at Evening, Written in August 1793.Coleridge 1912 p. 51 Effusion was dedicated to Mary Evans and expressed his feelings for her.Doughty 1981 p. 55 After he married Sara Fricker, Coleridge revised the poem to match his new relationship.
The effusion is not so much due to exudation as to a transudation of serum with which micrococci are commingled.
Cooling by effusion The blade surface is made of porous material which means having a large number of small orifices on the surface. Cooling air is forced through these porous holes which forms a film or cooler boundary layer. Besides this uniform cooling is caused by effusion of the coolant over the entire blade surface.
A joint effusion is the presence of increased intra-articular fluid. It may affect any joint. Commonly it involves the knee.
Septic arthritis is the purulent invasion of a joint by an infectious agent with a resultant large effusion due to inflammation.
Pericardiocentesis, a procedure in which a needle is used to drain the effusion, can utilize ultrasound guidance of a needle to decrease the risk of hitting lungs, heart or other vital organsSalem K, Mulji A, Lonn E. Echocardiographically guided pericardiocentesis – the gold standard for the management of pericardial effusion and cardiac tamponade. Can J Cardiol 1999;15:1251–1255.
The typical signs of post-pericardiotomy syndrome include fever, pleuritis (with possible pleural effusion), pericarditis (with possible pericardial effusion), occasional but rare pulmonary infiltrates, and fatigue. Cough, pleuritic or retrosternal chest pain, joint pain and decreased oxygen saturation can also be seen in some cases. Other signs include arthritis, together with petechiae on the skin and palate.
A chest X-ray might depict pleural effusion, pulmonary infiltration, or pericardial effusion. During medical doctor examination, a pericardial friction rub can be auscultated indicating pericarditis. Auscultation of the lungs can show crackles indicating pulmonary infiltration, and there can be retrosternal/pleuritic chest pain worse on inspiration (breathing in). Patient can also depict sweating (diaphoresis) and agitation or anxiety.
Treatment depends on the underlying cause and the severity of the heart impairment. Pericardial effusion due to a viral infection usually goes away within a few weeks without the treatment. Some pericardial effusions remain small and never need treatment. If the pericardial effusion is due to a condition such as lupus, treatment with anti- inflammatory medications may help.
If pericarditis were to persist, pericardial effusion may also occur which could in turn lead to cardiac tamponade if not properly treated.
Uremic pericarditis is effectively treated with hemodialysis and can resolve the symptoms and decrease the size of any pericardial effusion, if present.
HHV8 is also associated with Kaposi's sarcoma and with another subtype of lymphoma, primary effusion lymphoma, previously called body cavity- based lymphoma.
Prenatal features that might lead physicians to consider a diagnosis of Noonan syndrome include cystic hygroma, increased nuchal translucency, pleural effusion, and edema.
The otitis category included acute suppurative otitis media, otitis media NOS, acute tympanitis, otitis media with effusion, serous otitis media, and glue ear.
Locations can include the subcutaneous tissue on the scalp, the pleura (pleural effusion), the pericardium (pericardial effusion) and the abdomen (ascites). Edema is usually seen in the fetal subcutaneous tissue, sometimes leading to spontaneous abortion. It is a prenatal form of heart failure, in which the heart is unable to satisfy demand (in most cases abnormally high) for blood flow.
In contrast to PBL, the plasmablastic cells in primary effusion lymphomas, whether HHV8-positive or HHV8-negative, usually strongly express CD45 and in HHV8 cases express HHV8 proteins such as the LANA-1 protein. Primary effusion lymphoma, HH8-negative also differs from PBL in that its plasmablastic cells frequently express certain B-cell marker proteins such as CD20 and CD79a.
A pleural effusion (fluid collection in the space between the lungs and the chest wall or diaphragm) can be due to either blood from a transient rupture of the aorta or fluid due to an inflammatory reaction around the aorta. If a pleural effusion were to develop due to AD, it is more commonly in the left hemithorax rather than the right hemithorax.
Pleural effusion usually occurs in patients previously diagnosed with rheumatoid arthritis, but it can also occur concurrently with or before the development of the joint manifestations of the disease (Graham, 1990; Chou and Chang, 2002). Patients may present with the signs of pleural effusion: dullness on percussion, diminished or absent breath sounds and vocal fremitus, and egophony at the level of the pleural liquid.
A systematic review (2009) published as part of the Rational Clinical Examination Series in the Journal of the American Medical Association showed that dullness to conventional percussion was most accurate for diagnosing pleural effusion (summary positive likelihood ratio, 8.7; 95% confidence interval, 2.2–33.8), while the absence of reduced tactile vocal fremitus made pleural effusion less likely (negative likelihood ratio, 0.21; 95% confidence interval, 0.12–0.37).
Benign asbestos pleural effusion is an exudative pleural effusion (a buildup of fluid between the two pleural layers) following asbestos exposure. It is relatively uncommon and the earliest manifestation of disease following asbestos exposure, usually occurring within 10 years from exposure. Effusions may be asymptomatic but rarely, they can cause pain, fever, and breathlessness. Effusions usually last for 3–4 months and then resolve completely.
Chest pain or pressure are common symptoms. A small effusion may be asymptomatic. Larger effusions may cause cardiac tamponade, a life-threatening complication; signs of impending tamponade include dyspnea, low blood pressure, and distant heart sounds. The so-called "water-bottle heart" is a radiographic sign of pericardial effusion, in which the cardiopericardial silhouette is enlarged and assumes the shape of a flask or water bottle.
Low blood sodium levels and raised liver enzymes have been reported. Accumulations of fluid in the lungs (pleural effusion), around the heart (pericardial effusion), and in the abdomen (ascites) have also been reported, consistent with generalized inflammation. Compared to Kawasaki disease, characteristic features can include presentation with gastrointestinal symptoms such as vomiting, diarrhoea, and abdominal pain. Neurological involvement also appears to be relatively frequent.
If the difference between the albumin level in the blood and the pleural fluid is greater than 1.2 g/dL (12 g/L), this suggests that the patient has a transudative pleural effusion. However, pleural fluid testing is not perfect, and the final decision about whether a fluid is a transudate or an exudate is based not on chemical analysis of the fluid, but on accurate diagnosis of the disease that produces the fluid. The traditional definitions of transudate as a pleural effusion due to systemic factors and an exudate as a pleural effusion due to local factors have been used since 1940 or earlier (Light et al., 1972).
"Trapped lung" presents in the same way as pneumothorax ex vacuo and can occur in patients with visceral pleural thickening and following drainage of an effusion.
To maximize function of the healthier lung, the patient is best to lie on the side of the healthier lung, so that it receives adequate perfusion. Patients with chronic heart failure prefer to lie mostly on the right side, to enable a better blood return, whereby cardiac output is augmented. One exception is pleural effusion, in which the patients experience less dyspnea when lying on the side of the pleural effusion.
The poem was rewritten many times, and other titles of the later versions include "Effusion", Written in Early Youth, The Time, An Autumnal Evening, and An Effusion on an Autumnal Evening. Written in Early Youth. The poem was included in Coleridge's 1796 collection with publications following in 1797, 1803, 1828, 1829, and 1834. It is documented that, on 7 November 1793, Coleridge read the poem to his friends from college.
Other causes of pleural effusion include tuberculosis (though stains of pleural fluid are only rarely positive for acid-fast bacilli, this is the most common cause of pleural effusions in some developing countries), autoimmune disease such as systemic lupus erythematosus, bleeding (often due to chest trauma), chylothorax (most commonly caused by trauma), and accidental infusion of fluids. Less common causes include esophageal rupture or pancreatic disease, intra-abdominal abscesses, rheumatoid arthritis, asbestos pleural effusion, mesothelioma, Meigs's syndrome (ascites and pleural effusion due to a benign ovarian tumor), and ovarian hyperstimulation syndrome. Pleural effusions may also occur through medical or surgical interventions, including the use of medications (pleural fluid is usually eosinophilic), coronary artery bypass surgery, abdominal surgery, endoscopic variceal sclerotherapy, radiation therapy, liver or lung transplantation, insertion of ventricular shunt as a treatment method of hydrocephalus,Raicevic Mirjana, Nikolovski Srdjan, Golubovic Emilija. Pleural Effusion as a Ventriculo-Peritoneal Shunt Complication in Children (Meeting Abstract).
Less frequently, individuals present with extracavitary primary effusion lymphomas, i.e., solid tumor masses not accompanied by effusions. The extracavitary tumors may develop in lymph nodes, bone, bone marrow, the gastrointestinal tract, skin, spleen, liver, lungs, central nervous system, testes, paranasal sinuses, muscle, and, rarely, inside the vasculature and sinuses of lymph nodes. As their disease progresses, however, individuals with the classical effusion-form of PEL may develop extracavitary tumors and individuals with extracavitary PEL may develop cavitary effusions.
Hydrops fetalis can be diagnosed and monitored by ultrasound scans. An official diagnosis is made by identifying excess serous fluid in at least one space (ascites, pleural effusion, of pericardial effusion) accompanied by skin edema (greater than 5 mm thick). A diagnosis can also be made by identifying excess serous fluid in two potential spaces without accompanying edema. Prenatal ultrasound scanning enables early recognition of hydrops fetalis and has been enhanced with the introduction of MCA Doppler.
Kyanga's death was announced in the early morning of September 9, 2011. He died from a pleural effusion. Veteran musician Kikumbi Mwanza Mpango Mwema, popularly known as King Kiki, confirmed Kyanga's death.
Crackles (rales) may be heard over the affected area during inspiration. Percussion may be dulled over the affected lung, and increased, rather than decreased, vocal resonance distinguishes pneumonia from a pleural effusion.
PEST stands for Papilledema, evidence of Extravascular volume overload (ascites, pleural effusion, pericardial effusion, and lower extremity edema), Sclerotic bone lesions, and Thrombocytosis/erythrocytosis (i.e. increased in blood platelets and red blood cells). Other features of the disease include a tendency toward leukocytosis, blood clot formation, abnormal lung function (restrictive lung disease, pulmonary hypertension, and impaired lung diffusion capacity), very high blood levels of the cytokine vascular endothelial growth factor (VEGF), and an overlap with the signs and symptoms of multicentric Castleman disease.
The decision to treat is usually made after a combination of physical exam and laboratory diagnosis, with additional testing including audiometry, tympanogram, temporal bone CT and MRI. Decongestants, glucocorticoids, and topical antibiotics are generally not effective as treatment for non- infectious, or serous, causes of mastoid effusion. Moreover, it is recommended against using antihistamines and decongestants in children with OME. In less severe cases or those without significant hearing impairment, the effusion can resolve spontaneously or with more conservative measures such as autoinflation.
In more severe cases, tympanostomy tubes can be inserted, possibly with adjuvant adenoidectomy as it shows a significant benefit as far as the resolution of middle ear effusion in children with OME is concerned.
For this reason, a mass may not be appreciated within the actual joint space itself. Additional radiographic findings include joint effusion and degenerative changes such as joint space narrowing, subchondral sclerosis, and osteophyte formation.
Middle ear effusion is generally apparent, with no middle ear or inner ear malformations. Accordingly, management by ear tubes (myringotomy tubes) is often effective and may restore normal levels of hearing (Handzic et al., 1995).
In patients younger than 12, intra-articular fractures of the elbow can be ruled out through sonography. Because intra-articular fractures cause a joint effusion, the dorsal fat pad sign is a reliable parameter for diagnosis of elbow fractures.Rabiner et al: Accuracy of point-of-care ultrasonography for diagnosis of elbow fractures in children. In: Annals of Emergency Medicine 61, 2013, pp 9–17 If a joint effusion is depicted in the ultrasound, two-plane X-ray imagery is necessary to diagnose the fracture.
MDA-MB-468 is a cell line that was isolated from a 51-year-old female human in 1977, and is commonly used in breast cancer research. MDA-MB-468 cells were extracted from a pleural effusion of mammary gland and breast tissues, and have proven useful for the study of metastasis, migration, and breast cancer proliferation. The cell line was isolated in 1977 by R. Cailleau, et al., from a pleural effusion of a 51-year-old Black female patient with metastatic adenocarcinoma of the breast.
It was first described by William Ewart in 1896.W. Ewart: Practical aids in the diagnosis of pericardial effusion, in connection with the question as to surgical treatment. British Medical Journal, London, 1896, 1: 717-721.
In addition, the presence of a joint effusion can be inferenced by the presence of the fat pad sign, a structure that is normally physiologically present, but pathologic when elevated by fluid, and always pathologic when posterior.
Cardiac tamponade is caused by a large or uncontrolled pericardial effusion, i.e. the buildup of fluid inside the pericardium. This commonly occurs as a result of chest trauma (both blunt and penetrating), but can also be caused by myocardial infarction, myocardial rupture, cancer, uremia, pericarditis, or cardiac surgery, and rarely occurs during retrograde aortic dissection, or while the person is taking anticoagulant therapy. The effusion can occur rapidly (as in the case of trauma or myocardial rupture), or over a more gradual period of time (as in cancer).
A pleural effusion is excess fluid that accumulates in the pleural cavity, the fluid-filled space that surrounds the lungs. This excess fluid can impair breathing by limiting the expansion of the lungs. Various kinds of pleural effusion, depending on the nature of the fluid and what caused its entry into the pleural space, are hydrothorax (serous fluid), hemothorax (blood), urinothorax (urine), chylothorax (chyle), or pyothorax (pus) commonly known as pleural empyema. In contrast, a pneumothorax is the accumulation of air in the pleural space, and is commonly called a "collapsed lung".
A very large hemorrhagic pericardial effusion due to malignancy as seen on ultrasound which was causing tamponade. closed arrow: the heart, open arrow: the effusion Tamponade is the closure or blockage (as of a wound or body cavity) by or as if by a tampon, especially to stop bleeding. Tamponade is a useful method of stopping a hemorrhage. This can be achieved by applying an absorbent dressing directly into a wound, thereby absorbing excess blood and creating a blockage, or by applying direct pressure with a hand or a tourniquet.
Fibrosis can affect one or both of the two layers of tissue forming the pleura—the visceral pleura adjacent to the lung and the parietal pleura adjacent to the ribcage. The term fibrothorax implies severe fibrosis affecting both the visceral and the outer (parietal) pleura, fusing the lung to the chest wall. The condition starts as an undrained pleural effusion. Over time, the undrained pleural effusion causes sustained inflammation of the pleura, which can then lead to deposition of fibrin in the pleura and the development of a fibrotic scar.
Urinothorax (pl. urinothoraces) means urine in the fluid-filled cavity that surrounds the lungs. It is an extremely rare cause of pleural effusion. It is secondary to obstructive uropathy whereby urine forms a collection in the pleural cavity.
In the clinical laboratory, routine cultures may be held for insufficient time to grow nocardiae, and referral to a reference laboratory may be needed for species identification. Pulmonary infiltration and pleural effusion are usually detected via x-ray.
During his recuperation, Palipana experienced complications that included sepsis and pleural effusion. Palipana subsequently spent seven months at a spinal injuries unit in the Princess Alexandra Hospital. He met the boxer Joe Frazier during his admission in hospital.
Infectious Diseases (2010): n. pag. ProQuest. Web. 12 Oct. 2013. Pleural effusion, a condition in which a surplus of fluid accumulates around the lungs, is another sign of an infection. P. kellicotti infection may sometimes be misdiagnosed as tuberculosis.
Knee effusion occurs when excess synovial fluid accumulates in or around the knee joint. It has many common causes, including arthritis, injury to the ligaments or meniscus, or fluid collecting in the bursa, a condition known as prepatellar bursitis.
With pleural effusion, fluid often builds up in the costophrenic angle (due to gravity). This can push the lung upwards, resulting in "blunting" of the costophrenic angle. The posterior angle is the deepest. Obtuse angulation is sign of disease.
Thomas Graham is known for his studies on the behaviour of gases, which resulted in his formulation of two relationships, both since becoming known as "Graham's Laws," the first regarding gas diffusion, and the second regarding gas effusion. In the former case, Graham deduced that when measured repeatedly under the same conditions of pressure and temperature, the rate of diffusive mixing of a gas is inversely proportional to the square root of its density, and given the relationship between density and molar mass, also inversely proportional to the square root of its molar mass. In the same way, in the latter case, regarding effusion of a gas through a pin hole in to a vacuum, Graham deduced that the rate of effusion of a gas is inversely proportional to the square root of its molar mass. These two are sometimes referred to as a combined law (describing both phenomena).
Lunacy Admission Patient register records, Royal Albert Asylum, Scotforth He died of "tuberculosis and tubercular meningitis, 7 days, with effusion 24 hours." Rev. W.H. Gavin was trained at Lancashire Independent College. He was robbed of a silver watch while a student.
A large amount of fluid can result in collapse of the lung. This can make it difficult to breathe. In some cases of pleural effusion, the excess fluid becomes infected and turns into an abscess. This is called an empyema.
Eunice Lam recalled that occasion in 2015. In 1989, she died at home in Hong Kong due to pleural effusion. There was no JTWROS. Yam had a will drawn up and left her estate to families, including Yam Bing Yee.
In addition, patients with an ipsilateral pleural effusion are frequently excluded from the limited- disease category. In rare cases, patients with minimal pleural effusions are included in the limited-disease protocols; this includes those with demonstrated effusions only on chest CT, as well as those with blunting of the costophrenic angle on chest radiographs. In most cases, all patients demonstrated any positive sign of pleural effusion on any type of imaging tests are excluded. Likewise, ambiguities in the definition of limited disease also occurs in classification of the limited disease with reference to the extent of lymphadenopathy.
Published by The Solomon R. Guggenheim Foundation, New York, in collaboration with Musée National d'Art Moderne, Paris, Museum am Ostwall, Dortmund In Du "Cubisme" Gleizes and Metzinger wrote: "...let us admit that the reminiscence of natural forms cannot be banished—in any event, not yet. An art cannot be raised to the level of pure effusion at the first step."Du "Cubisme", Albert Gleizes and Jean Metzinger, Paris, Figuière, 1912 Three years later, the transformation toward pure effusion would manifest itself in the Brooklyn Bridge and continue further still in subsequent works produced by the artist in New York.
Diagnosis of the effusive form of the disease has become more straightforward in recent years. Detection of viral RNA in a sample of the effusion (liquid drained from body), such as by reverse transcription polymerase chain reaction (RT-PCR) is diagnostic of effusive FIP. However, that does require that a sample be sent to an external veterinary laboratory. Within the veterinary hospital there are a number of tests which can rule out a diagnosis of effusive FIP within minutes: #Measure the total protein in the effusion: if it is less than 35g/L, FIP is extremely unlikely.
Early complications include shock, infection, systemic inflammatory response syndrome, low blood calcium, high blood glucose, and dehydration. Blood loss, dehydration, and fluid leaking into the abdominal cavity (ascites) can lead to kidney failure. Respiratory complications are often severe. Pleural effusion is usually present.
Fat pads should be carefully examined for convexity, which implies joint effusion (e.g., in the hip and elbow). However, the radiographic technique (positioning in particular) must be optimal for this evaluation to be valid. Osseous lines should be checked for integrity (e.g.
Due to the cyclical movement of the lung in inspiration and expiration, the motion-time tracing (M-mode) ultrasound shows a sinusoid appearance between the fluid and the line tissue. This finding indicates a possible pleural effusion, empyema, blood in pleural space (hemothorax).
The Knudsen effusion cell was developed by Martin Knudsen (1871-1949). A typical Knudsen cell contains a crucible (made of pyrolytic boron nitride, quartz, tungsten or graphite), heating filaments (often made of metal tantalum), water cooling system, heat shields, and an orifice shutter.
Kaposi sarcoma Kaposi's sarcoma-associated herpesvirus (KSHV) is a part of the gammaherpesvirus subfamily. It undergoes lytic infection in lymphocytes and latency in B cells. It causes Kaposi's sarcoma and primary effusion lymphoma. KSHV is one of eight known human cancer-causing viruses.
In: Ultraschall in Med. 30, 2009, V3_01; Thus, the joint facets cannot be accessed. Vertebral structures are not suitable for ultrasound fracture diagnosis. The additional imaging of soft tissue like haematomas, joint effusion, and blood vessels is an advantage over to X-ray- imaging.
Necropsy lesions in primates with callitrichid hepatitis show signs of jaundice, hepatomegaly, splenomegaly, and subcutaneous and intramuscular hemorrhages. Pleural and pericardial effusion, sometimes sanguineous, has also been reported. On histology, multifocal necrosis with acidophilic bodies and mild inflammatory infiltrates are typically found in the liver.
He was the silver medalist at the 1983 European Championships. Sabovčík had knee effusion before the 1984 Winter Olympics in Sarajevo. He won the bronze medal behind Scott Hamilton and Brian Orser. Sabovčík became a two-time European champion with wins in 1985 and 1986.
The fungus has been recorded to cause fungal pericardial effusion and myocarditis in a French bulldog, that was under immunosuppressive therapy (species was non-pigmented, and has indication of a hyalohyphomycosis infection); and induced a granulomatous mediastinal mass in an immunocompromised Irish Wolfhound dog.
Ultrasonography uses sound waves to create an image. It may show where fluid is located in the chest. It also can show some tumors. Although ultrasound may detect fluid around the lungs, also known as a pleural effusion, sound waves are scattered by air.
The urine arrives in the pleural space either retroperitoneally (under the peritoneum) under the posterior diaphragm, or via the retro peritoneal lymphatics. It remains a rare, possibly under-diagnosed, differential in the case of transitive pleural effusion. Respiratory symptoms are usually mild. Handa et al.
A pleural effusion: as seen on chest X-ray. The A arrow indicates fluid layering in the right chest. The B arrow indicates the width of the right lung. The volume of the lung is reduced because of the collection of fluid around the lung.
Dirofilariasis is an infection by parasites of the genus Dirofilaria. It is transmitted through a mosquito bite; its main hosts include dogs and wild canids. These can give rise to granulomas in the pulmonary artery. Some common symptoms include cough, fever and pleural effusion.
He was a member of the Legion of Honor. His health gradually deteriorated, and he visited Paris to consult with doctors. Feutrier was found dead in his bed there on 27 June 1830, aged forty-five. An autopsy found the cause was an effusion on the brain.
Chronic diarrhea is almost always seen with lymphangiectasia, but most other signs are linked to low blood protein levels (hypoproteinemia), which causes low oncotic pressure. These signs include ascites, pleural effusion, and edema of the limbs and trunk. Weight loss is seen with long-term disease.
Pleural effusion with inflammation of the fibrous sac around the heart (oral treatment only), rare cases of bone marrow damage, diffuse muscle pains, backache, dermatologic reactions, transient cardiovascular reactions, and crystals in the urine have additionally been seen. Muscle weakness may persist for several days following treatment.
It is usually associated with accumulation of blood, fluid, or air within the pleural cavity, which mechanically collapses the lung. This is a frequent occurrence with pleural effusion, caused by congestive heart failure (CHF). Leakage of air into the pleural cavity (pneumothorax) also leads to compression atelectasis.
CT angiogram 3D reconstruction, posterior view showing a normal artery on the left, and occlusion to right popliteal artery as a result of a knee dislocation Symptoms include knee pain. The joint may also be obviously out of place. A joint effusion is not always present.
In crystal growth, a Knudsen cell is an effusion evaporator source for relatively low partial pressure elementary sources (e.g. Ga, Al, Hg, As). Because it is easy to control the temperature of the evaporating material in Knudsen cells, they are commonly used in molecular-beam epitaxy.
Management is dependent on the situation presented and the severity of the case. Usually surgical resection is advised but in prenatal cases, due to combination with other cardiac abnormalities, especially in latter trimesters, but pericardiocentesis is useful technique to reduce pleural effusion or/ and secondary disorders.
At high temperatures, entropy explains a large signal in isotope composition. However, when temperature decreases isotope effects are more expressed and randomness plays less of a role. These general trends are exposed in further understanding of bond breaking, diffusion or effusion, and condensation or evaporation reactions.
Other symptoms like nausea, vomiting, headache, fatigue, and muscle aches could also accompany the original symptoms. Sometimes the coughing can produce rusty or blood-streaked sputum. In 25% of cases, a parapneumonic effusion may occur. Chest X-rays will typically show lobar consolidation or patchy infiltrates.
CT is best utilized in earlier stages of the disease process, before cartilaginous bodies have calcified (become filled with calcium). CT can effectively detect non-calcified masses or those with only minimal calcification, which allows the radiologist to distinguish this condition from a simple joint effusion.
VG-1 is a B cell line which was derived from primary effusion lymphoma (PEL) . It was first established in 2000 by David T. Scadden’s group at Massachusetts General Hospital. It is infected with Kaposi's sarcoma-associated herpesvirus (KSHV), but negative with Epstein-Barr virus (EBV) .
LXs and epi-LXs have been detected in a various human tissues undergoing a wide range of inflammatory reactions, allergic reactions, and other conditions such as in the blood of patients undergoing coronary angioplasty or strenuous exercise. LXA4 inhibits the-bronchial contracting action of LTC4 and relaxes pre-contracted bronchi in asthmatic individuals. Kaposi's sarcoma-associated herpesvirus (KSHV) causes the malignant transformation of human cells and is responsible for Kaposi’s sarcoma and primary effusion lymphoma, two cancers which afflict in particular humans infected with HIV. Studies in human Kaposi sarcoma and primary effusion lymphoma cells find that: a) KSHV promotes the production of pro-inflammatory cytokines, lipoxygenases, cyclooxygenase, and metabolites of the latter two classes of enzymes while suppressing production of anti-inflammatory signaling agents such as LXA4, apparently as a strategy to promote its latency and malignant transforming ability; b)' Karposi sarcoma and primary effusion lymphoma cells express the ALX/FPR receptor; and c)' treatment of the latter cells with LXA4 or 15-epi-LXA4 reverses this pro-malignancy profile of pro- inflammatory signaling by an ALX/FPR-dependent mechanism.
Post-mortem findings include friable internal organs, abdominal effusion and evidence of sepsis in the joints, heart valves and brain.Streptococcus and Enterococcus infections - Poultry expert reviewed and published by WikiVet, accessed 12 October 2011. Bacteria can usually be cultured from tissues collected at necropsy or identified by microscope examination.
A test tube is filled with distilled water and acetic acid is added. To this mixture one drop of the effusion to be tested is added. If the drop dissipates, the test is negative, indicating a transudate. If the drop precipitates, the test is positive, indicating an exudate.
The Rivalta's test had a high positive predictive value (86%) and a very high negative predictive value for FIP (96%) in a study in which cats that presented with effusion were investigated (prevalence of FIP 51%). Positive Rivalta's test results can occur in cats with bacterial peritonitis or lymphoma.
He died in 1499 from pleural effusion at Arneburg Castle and was succeeded by his eldest son Joachim I. John was the first of the Hohenzollern electors to be buried in Brandenburg, first at Lehnin Abbey, later transferred to Berlin Cathedral by order of his grandson Joachim II.
As the cancer becomes more advanced, it can cause an accumulation of fluid in the abdomen. If the malignancy has not been diagnosed by the time it causes ascites, it is typically diagnosed shortly thereafter. Advanced cancers can also cause abdominal masses, lymph node masses, or pleural effusion.
Cytology is an important tool in identifying effusions due to malignancy. The most common causes for pleural fluid are lung cancer, metastasis from elsewhere and pleural mesothelioma. The latter often presents with an effusion. Normal cytology results do not reliably rule out malignancy, but make the diagnosis more unlikely.
Thirteen talks to him and finds out he had "treatment" to become heterosexual. He had electro convulsion therapy and was injected with many different chemicals. The chemicals could explain the pleural effusion and the ECT could explain the rest. The team thinks the ECT could have caused head trauma.
The chest radiograph may appear relatively normal, even late in the disease, or may suggest hyperinflation only. As the disease progresses, the chest radiograph often demonstrates diffuse, bilateral and symmetric reticulonodular opacities, cysts, bullae or a "honeycomb" (i.e., pseudo fibrotic) appearance. Pleural effusion and pneumothorax may be apparent.
Chronic, progressive pain and swelling of the affected joint are exacerbated by physical activity. Joint effusion and limited range of motion are common associated features. It affects primarily large joints, including knee (>50% of cases), elbow, hip, and shoulder. SOC is twice as common in men as women.
An accurate diagnosis of the cause of the effusion, transudate versus exudate, relies on a comparison of the chemistries in the pleural fluid to those in the blood, using Light's criteria. According to Light's criteria (Light, et al. 1972), a pleural effusion is likely exudative if at least one of the following exists: # The ratio of pleural fluid protein to serum protein is greater than 0.5 # The ratio of pleural fluid LDH and serum LDH is greater than 0.6 # Pleural fluid LDH is greater than 0.6 or times the normal upper limit for serum. Different laboratories have different values for the upper limit of serum LDH, but examples include 200 and 300 IU/l.
Fluid overload is defined as an increase in body weight of over 10%. Aggressive fluid resuscitation can lead to fluid overload which can lead to damage of multiple organs: cerebral oedema, which leads to delirium; pulmonary oedema and pleural effusion, which lead to respiratory distress; myocardial oedema and pericardial effusion, which lead to impaired contractility of the heart; gastrointestinal oedema, which leads to malabsorption; hepatic congestion, which leads to cholestasis and acute kidney injury; and tissue oedema, which leads to poor wound healing. All these effects can cause disability and death, and increase in hospitalisation costs. Fluid overload causes cardiac dilation, which leads to increased ventricular wall stress, mitral insufficiency and leads to cardiac dysfunction.
Acute otitis media in children with moderate to severe bulging of the tympanic membrane or new onset of otorrhea (drainage) is not due to external otitis. Also, the diagnosis may be made in children who have mild bulging of the ear drum and recent onset of ear pain (less than 48 hours) or intense erythema (redness) of the ear drum. To confirm the diagnosis, middle-ear effusion and inflammation of the eardrum have to be identified; signs of these are fullness, bulging, cloudiness and redness of the eardrum. It is important to attempt to differentiate between acute otitis media and otitis media with effusion (OME), as antibiotics are not recommended for OME.
Bleeding is the most feared technical complication and may be grounds for urgent reoperation. Biliary fistula is also a possible complication, albeit one more amenable to nonsurgical management. Pulmonary complications such as atelectasis and pleural effusion are commonplace, and dangerous in patients with underlying lung disease. Infection is relatively rare.
This has been a characteristic feature of IH in many case reports. However, over the longer- term especially, these cycles of effusion and recovery may not be as constant as first reported. In women, many cases seem to begin at puberty. Episodes of knee swelling may coincide the menstrual cycle.
Stenotrophomonas maltophilia has had multiple different names in the past. It was first found in a pleural effusion in 1943 and given the name Bacterium bookeri. It was then renamed to Pseudomonas maltophilia in 1961. It was moved to the genus Xanthomonas in 1983, and most recently to Stenotrophomonas in 1993.
The symptoms of post-traumatic arthritis are similar to the ones occurring with osteoarthritis. General symptoms are stiffness, swelling, synovial effusion, pain, redness, tenderness, grinding, instability and intra-articular bleeding of the injured joint. As a result of this symptoms, post-traumatic arthritis often comes along with the loss of ability.
The cells were derived from the pleural effusion of a ductal carcinoma found in the mammary gland of an elderly human patient. T-47D cells are distinct from other human breast cancer cells in that their progesterone receptors are not regulated by estradiol, a hormone that is abundant within the cells themselves.
There they found the death of Attila accomplished by an effusion of blood, without any wound, and the girl with downcast face weeping beneath her veil.JORDANES. THE ORIGIN AND DEEDS OF THE GOTHS. translated by Charles C. Mierow. Transcribed by J. Vanderspoel, Department of Greek, Latin and Ancient History, University of Calgary.
If the effusion is caused by infection, microbiological culture may yield the infectious organism responsible for the infection, sometimes before other cultures (e.g. blood cultures and sputum cultures) become positive. A Gram stain may give a rough indication of the causative organism. A Ziehl-Neelsen stain may identify tuberculosis or other mycobacterial diseases.
Pleurodesis is performed to prevent recurrence of pneumothorax or recurrent pleural effusion. It can be done chemically or surgically. It is generally avoided in patients with cystic fibrosis, if possible, because lung transplantation becomes more difficult following this procedure. Previous pneumothorax with or without pleurodesis is not a contraindication to subsequent lung transplantation.
The gilded high altar depicts important biblical themes. The medieval astronomical clock at St. Mary's. ;High Altar The high altar was built in 1721 by a Berlin craftsman, mainly from painted wood. The altar shows in three pictures; Bottom: " The Last Supper " ; Middle: " The Resurrection " ; Top: " The Effusion of the Holy Spirit " .
In some cases of pleurisy, excess fluid builds up in the pleural space. This is called a pleural effusion. The buildup of excess fluid, will more often than not force the two layers of the pleura apart so they don't rub against each other when breathing. This can relieve the pain of pleurisy.
ICL sometimes precedes and may be the first signal of several blood cancers. ICL patients have developed primary effusion lymphoma, primary leptomeningeal lymphoma, diffuse large cell lymphoma, MALT lymphoma, and Burkitt's lymphoma, among others. ICL may indirectly trigger autoimmune diseases. It has been associated with several cases of autoimmune disease Sjögren syndrome.
Very low vapor pressures of solids can be measured using the Knudsen effusion cell method. In a medical context, vapor pressure is sometimes expressed in other units, specifically millimeters of mercury (mmHg). This is important for volatile anesthetics, most of which are liquids at body temperature, but with a relatively high vapor pressure.
Intra- articular use of PSGAGs has been shown to improve lameness, signs of arthritis, joint effusion, and synovial fluid quality.Tew WP. Demonstration by synovial fluid analysis of the efficacy in horses of an investigational drug (L-1016). J Equine Vet Sci 1982;March/April:42–50.Altman RD, Dean DD, Muniz O, et al.
On July 23, an active lava lake and minor spattering within the summit crater was observed. A new lava effusion event began on October 13 advancing over the next several weeks. The summit cone partially collapsed on November 25, producing a pyroclastic flow down the northwest side of the volcano and a new lava flow.
The molecular beams of gaseous source materials injectors or effusion jets that ensure a homogeneous beam profile. For some starting compounds, such as the hydrides that are the group V starting material, the hydrides have to be precracked into the injector. This is usually done by thermally decomposing with a heated metal or filament.
With this dosing at onset of attacks, each episode of effusion was successfully terminated. Reducing frequency and severity of IH episodes: Case reports indicate some success using long-term, low-dose colchicine (e.g. 0.5 mg to 1 mg daily). A recent single case report has shown hydroxychloroquine (300 mg daily) to be effective too.
However, he has a pleural effusion as he's being discharged. Thirteen and Taub check where Ted lived before he moved into his fiancée's room, but the owner comes back and sees them. The owner, Cotter, claims to be Ted's ex-boyfriend of three years. The team tests Ted for HIV/AIDS but he's negative.
It is to squeeze the fluid between the patella and the femur by pressing at the medial patella using a non- dominant hand. Then, using the dominant hand to press on the patella vertically. If the patella is ballotable, then patellar intra-articular effusion is present. Another way is the milking of the patella.
There is much variation in the style of submarine eruptions. This changes with a number of variables including magma viscosity, water depth, effusion rate and volatile content. Many studies highlight the effects of pressure which increases with depth. It is believed that increased pressure restricts the release of volatile gases, resulting in effusive eruptions.
Old St Matthew's Church, where Ann Walker's brass memorial plaque now hangs. Walker died on 25 February 1854, aged 50. As per her death certificate, her cause of death is recorded as 'congestion of the brain, effusion'. She was buried on 3 March 1854 under the reading pulpit of the Old St Matthew's Church, Lightcliffe.
155, 160–161 under the name "Effusion 3, to Mercy". This edition was soon reprinted in The Universal Magazine for the October 1796 edition.Mays 2001 II p. 213 In May 1794, Pitt suspended Habeas Corpus in response to allegations that both the London Constitutional Society and the London Corresponding Society were plotting against the government.
The person may have an insidious course with increased respiratory rate, foul-smelling sputum, hemoptysis, and fever. Complications may occur, such as exudative pleural effusion, empyema, and lung abscesses. If left untreated, aspiration pneumonia can progress to form a lung abscess. Another possible complication is an empyema, in which pus collects inside the lungs.
If the duct is disrupted posteriorly, the secretions leak through the retroperitoneum into the mediastinum via the aortic or esophageal hiatus. Once in the mediastinum, the secretions can either be contained in a mediastinal pseudocyst, lead to enzymatic mediastinitis, or, more commonly, leak through the pleura to enter the chest and form a chronic pancreatic pleural effusion.
The disease in the lungs is characterized by enlargement of the tracheobronchial lymph nodes and infiltration of the lungs, sometimes leading to lung lobe consolidation and pleural effusion. Signs and symptoms include cough, loss of appetite, weight loss, anemia, and difficulty breathing. Seizures and rear limb weakness can be seen. Invasion of the bone marrow can cause pancytopenia.
Malignant pleural effusion is a condition in which cancer causes an abnormal amount of fluid to collect between the thin layers of tissue (pleura) lining the outside of the lung and the wall of the chest cavity. Lung cancer and breast cancer account for about 50-65% of malignant pleural effusions. Other common causes include pleural mesothelioma and lymphoma.
Lymphoma of the kidney presents as bilateral kidney enlargement and failure. If the lymphoma is located in the nose, the cat may have discharge from the nose and facial swelling. Lymphoma of the heart causes congestive heart failure, pericardial effusion, and cardiac arrhythmias. Ocular lymphoma in cats often presents as anterior uveitis (inflammation of the inside of the eye).
A distension of this bursa is therefore generally an indication of knee effusion. # the prepatellar bursa between the patella and the skin It allows movement of the skin over the underlying patella. # the deep infrapatellar bursa between the upper part of the tibia and the patellar ligament. It allows for movement of the patellar ligament over the tibia.
X-ray of the knee of a 12 year old male, showing knee effusion of medium severity, marked by black arrows. It displaces the patella anteriorly and extends into the suprapatellar bursa. An X-ray is useful to verify that there is no break or dislocation when there is a history of trauma. May show signs of osteoarthritis.
Although it increases circulation to the kidneys, it does not help kidney function, and is not recommended for kidney disease. It is also used to treat congestive heart failure (pulmonary edema, pleural effusion, and/or ascites) in cats and dogs. It can also be used in an attempt to promote urine production in anuric or oliguric acute kidney failure.
The 1997 eruption was the largest effusive eruption ever witnessed. During a 100-day period, at least 31 km3 of lava were erupted, with 25 km3 shortly afterward. The eruption sheds light on emplacement of very large, voluminous flows millions of years ago on Mars and Earth. The highest effusion rates exceeded 10,000 cubic meters per second.
The desolate, uninhabited island measures approximately , with over 90% of its surface permanently covered in ice. The volcano Mount Belinda is its most notable geographic feature, rising to above sea level. It was believed to be inactive prior to the sighting of low-level ash emission and suspected lava effusion in 2002 by the British Antarctic Survey.
Dilated cardiomyopathy can be due to pericardial effusion or infective endocarditis, especially in intravenous drug users which are common in the HIV population.Barbaro G, Di Lorenzo G, Grisorio B, et al., and the Gruppo Italiano per lo Studio Cardiologico dei pazienti affetti da AIDS Investigators. Cardiac involvement in the acquired immunodeficiency syndrome: a multicentre clinical-pathological study.
The material is kept in a hydrogen annealing oven over several hours at temperatures between 200 °C and 300 °C. The enclosed hydrogen atoms, known for hydrogen embrittlement Effect of temperature on the susceptibility of VT6ch alloy to hydrogen embrittlement are removed by effusion. The method is predominantly used immediately after welding, coating process or galvanizing of the parts.
The apex beat is found approximately in the 5th left intercostal space in the mid-clavicular line. It can be impalpable for a variety of reasons including obesity, emphysema, effusion and rarely dextrocardia. The apex beat is assessed for size, amplitude, location, impulse and duration. There are specific terms to describe the sensation such as tapping, heaving and thrusting.
Yellow nail syndrome, also known as "primary lymphedema associated with yellow nails and pleural effusion", is a very rare medical syndrome that includes pleural effusions, lymphedema (due to under development of the lymphatic vessels) and yellow dystrophic nails. Approximately 40% will also have bronchiectasis. It is also associated with chronic sinusitis and persistent coughing. It usually affects adults.
I do not perceive so striking > a similarity between the two passages; at all events I had written the > Effusion several years before I had seen Mr Rogers' Poem.Coleridge 1912 qtd. > pp. 52–53 Rogers's work was published in 1792, the year before, and it is possible that Coleridge concealed the original date of creating his poem.
The diagnosis is based on the combination of the symptoms. Generally, people are diagnosed with yellow nail syndrome if they have two or three of the three classical symptoms (yellow nails, lymphedema and pleural effusion). The nail changes are considered essential for the diagnosis, but they can be subtle. Pulmonary function testing can show obstruction of the airways.
Guinzburg died in the Mater Dei clinic on 2008-3-12. He was in the clinic six days before his death because he suffered the fracture of a vertebra. He was affected by a pulmonary disease (a pleural effusion and a pneumonia generated from a lung cancer). He was 59 at the time of his death.
The Ninth Letter is addressed to Archytas. Bury describes it as "a colourless and commonplace effusion which we would not willingly ascribe to Plato, and which no correspondent of his would be likely to preserve."Bury, Epistle IX, 591. Despite the fact that Cicero attests to its having been written by Plato,Cicero, De Finibus, Bonorum et Malorum, ii.
This test can be used with an integrated low-dose CT-scan with photon emission to get images that are more precise. Once pleural effusion is detected, a thoracentesis is recommended. The fluid of a chylothorax may appear milky, serous or serosanguineous. If the appearance of the fluid is not milky, that does not exclude a chylothorax from consideration.
The ER workup reveals a bloody pleural effusion. Chase suspects drugs, but House does not think so. House orders them to do a venogram to find the "low pressure leak", and orders Chase and Cameron to break into his house. Foreman tries to contact the boy's parents to get consent in order to carry out the venogram.
Otitis media is a group of inflammatory diseases of the middle ear. The two main types are acute otitis media (AOM) and otitis media with effusion (OME). AOM is an infection of rapid onset that usually presents with ear pain. In young children this may result in pulling at the ear, increased crying, and poor sleep.
Sairecabur is part of the Andean Central Volcanic Zone (CVZ). A number of stratovolcanoes can be found in the area, many of which were affected by explosive eruptions that have destroyed parts of their edifices. Effusion of large amounts of lava took place from several cones. Many volcanoes are extinct and only a few have documented activity.
For cases of recurrent pericardial effusion, an operation to create a hole between the pericardial and pleural spaces can be performed, known as a pericardial fenestration. The congenital abscence of pericardium is rare. However, if it happens, it is usually occurs on the left side. Those affected usually do not have any symptoms and they are usually discovered incidentally.
Chua was hard at work right up to the time he was down with Pleural effusion. He died on Thursday, 22 March 2018, aged 68, after he was hospitalized in a hospital in Bintan, Indonesia. and in a coma from which he never recovered. Chua was accompanied by his son and returned to Singapore on March 23, 2018.
After the landslide, the volcano was rebuilt by the effusion of lava flows and much of the scar is now filled in. Socompa is also noteworthy for the high-altitude biotic communities that are bound to fumaroles on the mountain and form well above the regular vegetation in the region. The climate on the mountain is cold and dry.
In the body whorl the spots again occur towards the middle, but are contiguous to, and below joined with, one large dorsal effusion of the same colour. The aperture is narrow. The simple outer lip is thickened..The columella is upright.Melvill J.C. & Standen R. (1896) Notes on a collection of shells from Lifu and Uvea, Loyalty Islands, formed by the Rev.
For those presenting with acute shortness of breath, ultrasound assessment of the lung, heart, and IVC can evaluate for potentially life-threatening diseases, including pneumothorax, significant pleural effusions, congestive heart failure, pulmonary edema, pericardial effusion, and some large pulmonary emboli.Litchenstein DA, Meziere GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure. The BLUE Protocol. Chest 2008; 134(1):117–125.
In children, a posterior fat pad sign suggests a condylar fracture of the humerus. In adults it suggests a radial head fracture. In addition to fracture, any process resulting in an elbow joint effusion may also demonstrate an abnormal fat pad sign. Increased intracapsular fluid is also seen in several conditions other than fracture and this produces the abnormal fat pad sign.
Other serious side effects are hallucinations, peripheral edema, gastrointestinal ulcers, pulmonary fibrosis and psychosis. Dopamine agonists have been linked to cardiac problems. Side effects such as hypotension, myocardial infarction, congestive heart failure, cardiac fibrosis, pericardial effusion and tachycardia. A high risk for valvular heart disease has been established in association with ergot-derived agonists especially in elderly patients with hypertension.
It seems to affect slightly more women than men. Episodes of swelling last several days or longer, can occur with regular or semi- regular frequency, typically one or two episodes per month. Between periods of effusion, knee swelling reduces dramatically providing largely symptomless intervals. Unlike some other rheumatological conditions such as rheumatoid arthritis, laboratory findings are usually within normal ranges or limits.
Infant baptism by effusion in a Catholic Church in Venezuela Believer's baptism of adult by immersion, Northolt Park Baptist Church, Baptist Union of Great Britain. Baptism is the ritual act, with the use of water, by which a person is admitted to membership of the Church. Beliefs on baptism vary among denominations. Differences occur firstly on whether the act has any spiritual significance.
Human herpes virus 8 (HHV8) is associated with four rare lymphoproliferative disorders: 1) a subset of diffuse large B cell lymphoma (DLBCL), b) large B-cell lymphoma arising in HHV8-associated multicentric Castleman's disease, c) primary effusion lymphoma, and 4) germinotropic lymphoproliferative disorder. The latter two forms of HHV8+ lymphoproliferatvive disorders have been associated in rare case reports with EBV infection.
Mycoplasma penetrans has been shown to hinder p53, a tumor suppressing gene that aids in regulating the cell cycle. There have also been cases of malignant pleural effusion, when patients exhibited chronic M. penetrans infection with various immunodeficiencies (such as HIV infections or anticancer treatment). This particular species is also a sexually transmitted disease and one cause of pelvic inflammatory disease.
A pericardial effusion is the presence of excessive pericardial fluid, this can be confirmed using an echocardiogram. Small effusions are not necessarily dangerous and are commonly caused by infection such as HIV or can occur after cardiac surgery. Large and rapidly accumulating effusions may cause cardiac tamponade, a life-threatening complication, that puts pressure on the heart preventing the ventricles from filling correctly.
It may also be put inside the chest to help prevent the recurrence of a pleural effusion due to cancer. However, for scarring down the pleura, talc appears to be the better option. While potentially effective against bacterial infections, its toxicity prevents its use for this purpose. It has been studied in the treatment of warts but is of unclear benefit.
People with HHV-8-associated MCD may experience enlarged lymph nodes in multiple lymph node regions; systemic symptoms, such as fever, night sweats, unintended weight loss, and fatigue; rashes such as cherry hemangiomas or Kaposi sarcoma; enlargement of the liver and/or spleen; and extravascular fluid accumulation in the extremities (edema), abdomen (ascites), or lining of the lungs (pleural effusion).
Chest x-ray is the first test done to confirm the presence of pleural fluid. The lateral upright chest x-ray should be examined when a pleural effusion is suspected. In an upright x-ray, 75 mL of fluid blunts the posterior costophrenic angle. Blunting of the lateral costophrenic angle usually requires about 175 mL but may take as much as 500 mL.
Patients with iMCD may experience enlarged lymph nodes in multiple lymph node regions; systemic symptoms (fever, night sweats, unintended weight loss, fatigue); enlargement of the liver and/or spleen; extravascular fluid accumulation in the extremities (edema), abdomen (ascites), or lining of the lungs (pleural effusion); lung symptoms such as cough and shortness of breath; and skin findings such as cherry hemangiomas.
If the effusion is compromising heart function and causing cardiac tamponade, it will need to be drained, most commonly by a needle inserted through the chest wall and into the pericardial space called pericardiocentesis. A drainage tube is often left in place for several days. In some cases, surgical drainage may be required by cutting through the pericardium creating a pericardial window.
This has been shown to lead to pericardial effusion and peripheral hemorrhage in E12.5 mice, which succumb due to heart failure before weaning age. This data could have important implications for human medicine by suggesting that mutations with the GATA4 transcription factor could be responsible for AV cushion defects in humans with improper septal formation leading to congenital heart disease.
Alaskan volcano Novarupta with an effused lava dome at the summit. Silicic magmas most commonly erupt explosively, but they can erupt effusively. These magmas are water saturated, and many orders of magnitude more viscous than basaltic magmas, making degassing and effusion more complicated. Degassing prior to eruption, through fractures in the country rock surrounding the magma chamber, plays an important role.
Results show that the lava was highly fluid (low viscosity) with low yield strength, resembling Hawaiian and Icelandic basaltic lavas. Average effusion rates are about 185 m3/s. These rates are comparable to those seen in Hawaii and Iceland. Earth-based radar studies show that Ascraeus Mons has a higher radar echo strength than other volcanic structures on the planet.
Chest X-rays taken shortly after the accident may or may not be abnormal, but typically over time show infiltrates in the lower lobes of the lungs. High-resolution CT will frequently demonstrate abnormalities, including opacities, pleural effusion, consolidation, or pulmonary nodules. Histopathology of lung biopsy or bronchoalveolar lavage may indicate lipid-laden macrophages. Laboratory results may show highly elevated inflammatory markers.
These entities must be clinically excluded. Clinical condition characterized by ovarian mass, ascites, and right-sided pleural effusion.Ovarian malignancy and the other causes (see “Differential Diagnosis”) of pelvic mass, ascites, and pleural effusion to be considered, History of early satiety, weight loss with increased abdominal girth, bloating, intermittent abdominal pain, dyspnea, nonproductive cough may help in differentiating potential local factor causing such symptoms.
Sairecabur and Saciel Sairecabur proper is accompanied by a wide caldera. Before the formation of this caldera the volcano may have been high and thus one of the highest volcanoes on Earth. After the formation of this caldera lava effusion occurred during the Pleistocene and Holocene; there is no reported historical activity, however. Eruption products on Escalante and Sairecabur include andesite and dacite.
If the cancer has spread elsewhere, symptoms related to metastatic disease may appear. Common sites of spread include nearby lymph nodes, the liver, lungs and bone. Liver metastasis can cause jaundice and abdominal swelling (ascites). Lung metastasis can cause, among other symptoms, impaired breathing due to excess fluid around the lungs (pleural effusion), and dyspnea (the feelings often associated with impaired breathing).
Tactile fremitus is normally more intense in the right second intercostal space, as well as in the interscapular region, as these areas are closest to the bronchial trifurcation (right side) or bifurcation (left side). Tactile fremitus is pathologically increased over areas of consolidation and decreased or absent over areas of pleural effusion or pneumothorax (when there is air outside the lung in the chest cavity, preventing lung expansion). The reason for increased fremitus in a consolidated lung is the fact that the sound waves are transmitted with less decay in a solid or fluid medium (the consolidation) than in a gaseous medium (aerated lung). Conversely, the reason for decreased fremitus in a pleural effusion or pneumothorax (or any pathology separating the lung tissue itself from the body wall) is that this increased space diminishes or prevents entirely sound transmission.
Otitis media with effusion (OME), also known as serous otitis media (SOM) or secretory otitis media (SOM), and colloquially referred to as 'glue ear,' is fluid accumulation that can occur in the middle ear and mastoid air cells due to negative pressure produced by dysfunction of the Eustachian tube. This can be associated with a viral upper respiratory infection (URI) or bacterial infection such as otitis media. An effusion can cause conductive hearing loss if it interferes with the transmission of vibrations of middle ear bones to the vestibulocochlear nerve complex that are created by sound waves. Early-onset OME is associated with feeding of infants while lying down, early entry into group child care, parental smoking, lack, or too short a period of breastfeeding and greater amounts of time spent in group child care, particularly those with a large number of children.
The Wilson test is also useful in locating OCD lesions of the femoral condyle. The test is performed by slowly extending the knee from 90 degrees, maintaining internal rotation. Pain at 30 degrees of flexion and relief with tibial external rotation is indicative of OCD. Physical examination of a patient with ankle OCD often returns symptoms of joint effusion, crepitus, and diffuse or localized tenderness.
From 1993 onward, the rate of lava effusion gradually decreased, and eruptions came to an end in 1995. The 1990–1995 eruptions of Unzen were the first eruptive activities in the world where pyroclastic flows were recorded clearly and continuously on video (in the past, many pyroclastic flows, such as those on Mt. Pelee, were recorded either as photographs or on small-scale videos).
Conductive hearing loss makes all sounds seem faint or muffled. The hearing loss is usually worse in lower frequencies. Congenital conductive hearing loss is identified through newborn hearing screening or may be identified because the baby has microtia or other facial abnormalities. Conductive hearing loss developing during childhood is usually due to otitis media with effusion and may present with speech and language delay or difficulty hearing.
An ultrasound scan of the hip joint can show a fluid collection (effusion). Treatment is with nonsteroidal anti-inflammatory drugs and limited weight-bearing. The condition usually clears by itself within seven to ten days, but a small group of patients will continue to have symptoms for several weeks. The recurrence rate is 4–17%, most of which is in the first six months.
There may be an effusion on ultrasound, similar to transient synovitis. Neurological conditions can also present with a limp. If developmental dysplasia of the hip is missed early in life, it can come to attention later in this way. Pain in the groin can also be caused by diseases of the organs in the abdomen (such as a psoas abscess) or by testicular disease.
Volcanism remains active in Nicaragua. The Masaya Caldera Complex erupted 460,000 and 50,000 years ago with the Las Sierras Formation as a Pliocene-Pleistocene basement rock. Massive pyroclastic and ignimbrite eruptions caused the caldera to collapse although most of the material it erupted has been basalt. Analysis of an eruption of the caldera in 1772 indicates perhaps the highest rate of lava effusion in Central America.
The typical pathology of infection with these parasites includes anaemia and enlargement of the liver and spleen. Gross lesions also include pulmonary congestion and pericardial effusion. Megaloschizonts appear as grey-white nodules found in the heart, liver, lung or spleen. Microscopically there is ischemic necrosis and associated inflammation in the heart, brain, spleen and liver due to occlusion of blood vessels by megaloschizonts in endothelial cells.
Diagnosis is based on microscopic demonstration of eggs in stool or sputum, but these are not present until 2 to 3 months after infection. However, eggs are also occasionally encountered in effusion fluid or biopsy material. Furthermore, you can use morphologic comparisons with other intestinal parasites to diagnose potential causative agents. Finally, antibody detection is useful in light infections and in the diagnosis of extrapulmonary paragonimiasis.
Tshabalala-Msimang married her first husband, Mandla Tshabalala, while both were in exile in the Soviet Union. Later she married Mendi Msimang, the treasurer of the African National Congress. Concern over Tshabalala-Msimang's health came to the fore in late 2006. She was admitted to the Johannesburg Hospital on 20 February 2007, suffering from anaemia and pleural effusion (an abnormal accumulation of fluid around the lungs).
Group B coxsackieviruses tend to infect the heart, pleura, pancreas, and liver, causing pleurodynia, myocarditis, pericarditis, and hepatitis (inflammation of the liver not related to the hepatotropic viruses). Coxsackie B infection of the heart can lead to pericardial effusion. The development of insulin-dependent diabetes (IDDM) has recently been associated with recent enteroviral infection, particularly coxsackievirus B pancreatitis. This relationship is currently being studied further.
In pneumonia, a collection of fluid may form in the space that surrounds the lung. Occasionally, microorganisms will infect this fluid, causing an empyema. To distinguish an empyema from the more common simple parapneumonic effusion, the fluid may be collected with a needle (thoracentesis), and examined. If this shows evidence of empyema, complete drainage of the fluid is necessary, often requiring a drainage catheter.
Ewart's sign is a set of findings on physical examination in people with large collections of fluid around their heart (pericardial effusions). Dullness to percussion (described historically as "woody" in quality), egophony, and bronchial breath sounds may be appreciated at the inferior angle of the left scapula when the effusion is large enough to compress the left lower lobe of the lung, causing consolidation or atelectasis.
Nevertheless, let us admit that the reminiscence of natural forms > cannot be absolutely banished; not yet, at all events. An art cannot be > raised to the level of a pure effusion at the first step. > > This is understood by the cubist painters, who indefatigably study > pictorial form and the space which it engenders. > > This space we have negligently confounded with pure visual space or with > Euclidian space.
As a consequence, the most frequently involved site of septic metastases are the lungs, followed by the joints (knee, hip, sternoclavicular joint, shoulder and elbow). In the lungs, the bacteria cause abscesses, nodulary and cavitary lesions. Pleural effusion is often present. Other sites involved in septic metastasis and abscess formation are the muscles and soft tissues, liver, spleen, kidneys and nervous system (intracranial abscesses, meningitis).
In those with frequent infections tympanostomy tubes may decrease recurrence. In children with otitis media with effusion antibiotics may increase resolution of symptoms, but may cause diarrhoea, vomiting and skin rash. Worldwide AOM affects about 11% of people a year (about 325 to 710 million cases). Half the cases involve children less than five years of age and it is more common among males.
Postoperative pericardial effusion is also suspected to be the cause of atrial fibrillation. Prophylaxis may include prophylactic postoperative rate and rhythm management. Some authors perform posterior pericardiotomy to reduce the incidence of postoperative AF. When AF occurs, management should primarily be rate and rhythm control. However, cardioversion may be employed if the person is hemodynamically unstable, highly symptomatic, or persists for six weeks after discharge.
The heads of conference wanted the warrant sent to Fairfax and for him to forward it on. In the Commons it was ordered that the warrant of 10 June be sent to all Governors "for Preventing of the further Effusion of Christian Blood". Dugdale's diary for 30 May records: "This evening Sir Tho. Fairfax sent in a Trumpet to Oxford, with Articles concerning the delivery thereof".
"To Pitt" was first published in the 23 December 1794 Morning Chronicle. The poem to Prime Minister William Pitt was reprinted with a small revision in Coleridge's magazine The Watchman on 2 April 1796 and included in Coleridge's 1796 collection of poemsMays 2001 pp. 155, 160–161 under the name "Effusion 3, to Mercy". This edition was soon reprinted in The Universal Magazine for the October 1796 edition.Mays 2001 II p.
But she does not immediately confer all her gifts. My correspondent, who seems, with all his errours, worthy of advice, must be told, that he is calling too hastily for the last effusion of total insensibility. Whatever he may have been taught by unskilful Idlers to believe, labour is necessary in his initiation to idleness. He that never labours may know the pains of idleness, but not the pleasure.
Absorption: Once consumed, cefuroxime axetil is converted to the active compound cefuroxime by esterases of mucosal cells in the gastrointestinal tract. Cefuroxime is then released for systematic circulation. If cefuroxime axetil is given with food, absorption values can increase by 52% compared to fasting patients. Distribution: It has been reported that after cefuroxime axetil administration, it can be found in tonsil tissue, sinus tissue, bronchial tissue and middle ear effusion.
The goal of treatment of malignant pleural effusions is relief of shortness of breath. Occasionally, treatment of the underlying cancer can cause resolution of the effusion. This may be the case with types of cancer that respond well to chemotherapy, such as small cell carcinoma or lymphoma. Simple aspiration of pleural fluid can relieve shortness of breath rapidly but fluid and symptoms will usually recur within a couple of weeks.
Pleural cavity diseases include pleural mesothelioma which are mentioned above. A collection of fluid in the pleural cavity is known as a pleural effusion. This may be due to fluid shifting from the bloodstream into the pleural cavity due to conditions such as congestive heart failure and cirrhosis. It may also be due to inflammation of the pleura itself as can occur with infection, pulmonary embolus, tuberculosis, mesothelioma and other conditions.
Treatment for enteroviral infection is mainly supportive. In cases of pleurodynia, treatment consists of analgesics to relieve the severe pain that occurs in patients with the disease; in some severe cases, opiates may be needed. Treatment for aseptic meningitis caused by enteroviruses is also mainly symptomatic. In patients with enteroviral carditis, treatment consists of the prevention and treatment of complications such as arrhythmias, pericardial effusion, and cardiac failure.
It rises 305 meters above glaciated basement rocks. The tuya formed by effusion of flatlying flows within erratics on its summit and lack of erosional features attributable to glacial suggest that The Table was also formed during the early Holocene. Clinker Peak is a stratovolcano on the west shoulder of Mount Price on the west side of Garibaldi Lake. It has produced two large lava flows about 9,000 years ago.
As a complication of his heart surgery, Clinton underwent a follow-up surgery on March 10, 2005 for a left pleural effusion, removing scar tissue and fluid from his left chest cavity. On February 11, 2010, he was rushed to Columbia Presbyterian Hospital in New York City after complaining of chest pains, and had two coronary stents implanted in his heart. He has since recovered and become a vegan.
Left tension pneumothorax seen as a large, well-demarcated area devoid of lung markings with tracheal deviation and movement of the heart away from the affected side (mediastinal shift). There is also small pleural effusion on the left side. Mediastinal shift is the deviation of the mediastinal structures towards one side of the chest cavity, usually seen on chest radiograph. It indicates a severe asymmetry of intrathoracic pressures.
In hospitalised patients who develop respiratory symptoms and fever, one should consider the diagnosis. The likelihood increases when upon investigation symptoms are found of respiratory insufficiency, purulent secretions, newly developed infiltrate on the chest X-Ray, and increasing leucocyte count. If pneumonia is suspected material from sputum or tracheal aspirates are sent to the microbiology department for cultures. In case of pleural effusion, thoracentesis is performed for examination of pleural fluid.
Symptoms vary in severity between individuals. Very sensitive individuals can experience hives or other rashes. Particulate matter in polluted air and chemicals such as chlorine and detergents, which can normally be tolerated, can greatly aggravate the condition. Characteristic physical findings in individuals who have allergic rhinitis include conjunctival swelling and erythema, eyelid swelling, lower eyelid venous stasis, lateral crease on the nose, swollen nasal turbinates, and middle ear effusion.
Ultrasound and regular hormone checks mitigate risks throughout the process. However, there are still some risks with the procedure. Ovarian hyperstimulation syndrome (OHSS) occurs in 5-10% of cases.Ovulation Induction Risks and Overview Symptoms depend on whether the case is mild, moderate, or severe, and can range from bloating and nausea, through to shortness of breathe, pleural effusion, and excessive weight gain (more than 2 pounds per day).
Calu-3 is a human lung cancer cell line commonly used in cancer research and drug development. Calu-3 cells are epithelial and can act as respiratory models in preclinical applications. Calu-3 cells were first derived in 1975 by Germain Trempe and Jorgen Fogh of the Memorial Sloan Kettering Cancer Center. The cells were isolated from the pleural effusion of a 25-year-old Caucasian male with a lung adenocarcinoma.
One of the most feared complications of acute pericarditis is cardiac tamponade. Cardiac tamponade is accumulation of enough fluid in the pericardial space --- pericardial effusion --- to cause serious obstruction to the inflow of blood to the heart. Signs of cardiac tamponade include distended neck veins, muffled heart sounds when listening with a stethoscope, and low blood pressure (together known as Beck's triad). This condition can be fatal if not immediately treated.
Hydrothorax is a type of pleural effusion in which transudate accumulates in the pleural cavity. This condition is most likely to develop secondary to congestive heart failure, following an increase in hydrostatic pressure within the lungs. More rarely, hydrothorax can develop in 10% of patients with ascites which is called hepatic hydrothorax. It is often difficult to manage in end-stage liver failure and often fails to respond to therapy.
After discovering that Iain has a pericardial effusion, Connie attempts to take him to the trauma theatre, however, upon finding the locks are compromised, Connie calls Jac to ask if the theatre on Darwin is free. She and David Hide (Jason Durr) meet Fletch in the lift, which comes to a sudden stop. The lights then go out throughout the hospital, prompting the emergency lighting system to activate.
Cerebral hypoperfusion is the reduction of blood flow to all parts of the brain. The reduction could be to a particular part of the brain depending on the cause. It is most commonly due to heart failure from cardiac arrest or arrhythmias, or from reduced cardiac output as a result of myocardial infarction, pulmonary embolism, pericardial effusion, or bleeding. Hypoxemia (low blood oxygen content) may precipitate the hypoperfusion.
Complementary and alternative medicine is not recommended for otitis media with effusion because there is no evidence of benefit. Homeopathic treatments have not been proven to be effective for acute otitis media in a study with children. An osteopathic manipulation technique called the Galbreath technique was evaluated in one randomized controlled clinical trial; one reviewer concluded that it was promising, but a 2010 evidence report found the evidence inconclusive.
Furthermore, it has been demonstrated that patients with otitis media have more depression/anxiety-related disorders compared to individuals with normal hearing. Once the infections resolve and hearing thresholds return to normal, childhood otitis media may still cause minor and irreversible damage to the middle ear and cochlea. More research on the importance of screening all children under 4 years old for otitis media with effusion needs to be performed.
According to the Zohar, the moral perfection of man influences the ideal world of the Sefirot; for although the Sefirot accept everything from the Ein Sof (Heb. אין סוף, infinity), the Tree of Life itself is dependent upon man: he alone can bring about the divine effusion. This concept is somewhat akin to the concept of Tikkun olam. The dew that vivifies the universe flows from the just.
Asbestos is a mineral which was extensively used in the United States to fireproof buildings and textiles, among other items, in the 1950s-1980s. Workers are frequently exposed to asbestos during demolition and renovation work, which can cause asbestosis and/or mesothelioma. Asbestos exposure can also cause pleural effusion, diffuse pleural fibrosis, pleural plaques, and non-mesothelioma lung cancer. Smoking greatly increases the lung cancer risk of asbestos exposure.
Rheumatoid lung disease is a disease of the lung associated with RA, rheumatoid arthritis. Rheumatoid lung disease is characterized by pleural effusion, pulmonary fibrosis, lung nodules and pulmonary hypertension. Common symptoms associated with the disease include shortness of breath, cough, chest pain and fever. It is estimated that about one quarter of people with rheumatoid arthritis develop this disease, which are more likely to develop among elderly men with a history of smoking.
In anatomy, a potential space is a space between two adjacent structures that are normally pressed together (directly apposed). The pleural space, between the visceral and parietal pleura of the lung, is a potential space. Though it only contains a small amount of fluid normally, it can sometimes accumulate fluid or air that widens the space. The pericardial space is another potential space that may fill with fluid (effusion) in certain disease states (e.g.
Anorexia nervosa increases the risk of sudden cardiac death, though the precise cause is unknown. Cardiac complications include structural and functional changes to the heart. Some of these cardiovascular changes are mild and are reversible with treatment, while others may be life-threatening. Cardiac complications can include arrhythmias, abnormally slow heart beat, low blood pressure, decreased size of the heart muscle, reduced heart volume, mitral valve prolapse, myocardial fibrosis, and pericardial effusion.
Positive Rivalta test of a FIP-Aspiration. For visualisation the fluid was colored by Methylenic blue. Certain diseases can cause excessive accumulations of fluid in areas of the body such as the abdomen (ascites) or the pleural space around the lungs (pleural effusion) or the pericardial space around the heart. An estimate of the concentration of protein in such fluids can narrow the differential diagnosis and assist the clinician in establishing a diagnosis.
Dressler syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium (the outer lining of the heart). It consists of fever, pleuritic pain, pericarditis and/or a pericardial effusion. Dressler syndrome is also known as postmyocardial infarction syndrome and the term is sometimes used to refer to post- pericardiotomy pericarditis. It was first characterized by William Dressler at Maimonides Medical Center in 1956.
Tibial plateau fractures typically presents with knee effusion, swelling of the knee soft tissues and inability to bear weight. The knee may be deformed due to displacement and/or fragmentation of the tibia which leads to loss of its normal structural appearance. Blood in the soft tissues and knee joint (hemarthrosis) may lead to bruising and a doughy feel of the knee joint. Due to the tibial plateau's proximity to important vascular (i.e.
James Turrell: Early Light Works, November 13, 2004 – February 12, 2005 William Griffin, Los Angeles. In Shallow Space Constructions (1968) he used screened partitions, allowing a radiant effusion of concealed light to create an artificially flattened effect within the given space.James Turrell MoMA Collection, New York. That same year, he participated in the Los Angeles County Museum's Art and Technology Program, investigating perceptual phenomena with the artist Robert Irwin and psychologist Edward Wortz.
The HER2 gene product is over-expressed in SkBr3 cells SkBr3 cells were derived from a pleural effusion due to an adenocarcinoma originating in a 43-year-old caucasian female. The cell line over-expresses the HER2 gene product, which has been implicated in several breast cancer proliferation pathways. The SkBr3 cell line is autologous (derived from the same patient) with the AU565 cell line. The cells are considered biosafety level 1.
Both pahoehoe and aa lava types are common and the volcanic pile accumulated mostly by the quiet effusion of lavas. The pyroclastic lithologies become more common near the southern and eastern edges of the formation and represent lahars and beach to shallow marine reworked deposits. The formation contains flood basalts, which are found on western Axel Heiberg Island at Dragon Cliffs, tall. It contains columnar jointing units that are usually in diameter.
Chylothorax (fluid from lymph vessels leaking into the pleural cavity) may be identified by determining triglyceride and cholesterol levels, which are relatively high in lymph. A triglyceride level over 110 mg/dl and the presence of chylomicrons indicate a chylous effusion. The appearance is generally milky but can be serous. The main cause for chylothorax is rupture of the thoracic duct, most frequently as a result of trauma or malignancy (such as lymphoma).
Augustine Volcano is a stratovolcano consisting of a central complex of summit lava domes and flows surrounded by an apron of pyroclastic, lahar, avalanche, and ash deposits. The volcano is frequently active, with major eruptions recorded in 1883, 1935, 1963–64, 1976, 1986, and 2006. Minor eruptive events were reported in 1812, 1885, 1908, 1944, and 1971. The large eruptions are characterized by an explosive onset followed by the quieter effusion of lava.
This sign is a normal finding. In absence of a seashore sign or presence of a stratosphere sign, pneumothorax is likely. B-lines or "comet trails" are echogenic bright linear reflections beneath the pleura that are usually lost with any air between the probe and the lung tissue and therefore whose presence with seashore sign indicates absence of a pneumothorax. Sinusoid sign is another M-mode finding indicating presence of pleural effusion.
Amyloid deposition in the heart can cause both diastolic and systolic heart failure. Symptoms of cardiac amyloidosis include dyspnea on exertion, peripheral edema, ascites, thromboembolisms, and symmetric, sensory neuropathy, postural hypotension, periorbital bleeding, pericardial effusion, atrial arrhythmia, first/second degree heart blocks, atrial fibrillation, syncope, elevated neck veins and jugular venous pressure. For patients with light-chain amyloidosis, there is possibility of macroglossia, periorbital bruising, and loss of the third and fourth heart sound.
The focus of her work involves identifying the function of microRNAs that are encoded in the human herpesvirus Kaposi's sarcoma-associated herpesvirus (KSHV). KSHV causes tumors by infecting endothelial cells. Since the AIDS epidemic in Africa, KSHV is also known to attack and infect B lymphocytes, which results in a person having B cell lymphomas and effusion lymphoma. Prior to her laboratory experience at Duke University, the target for KSHV microRNAs were unknown.
Treatment depends on the underlying cause of the pleural effusion. Therapeutic aspiration may be sufficient; larger effusions may require insertion of an intercostal drain (either pigtail or surgical). When managing these chest tubes, it is important to make sure the chest tubes do not become occluded or clogged. A clogged chest tube in the setting of continued production of fluid will result in residual fluid left behind when the chest tube is removed.
Indications include cardiac tamponade, as well as the need to analyze the fluid surrounding the heart. Cardiac tamponade is a medical emergency in which excessive accumulation of fluid within the pericardium (pericardial effusion) creates increased pressure, which then prevents the heart from filling normally with blood. This can critically decrease the amount of blood that is pumped from the heart, which can be lethal. The removal of the excess fluid reverses this dangerous process.
Construction began in 1972. The westbound tunnel was completed in 1974, and opened to two-way traffic at the end of 1974, the same time as the autoroute between Bourgoin-Jallieu and Chambéry. Work had begun on the eastbound tunnel, however was delayed due to roughly 2000m² of sand and mud needing to be cleared out from the cavity. This cavity was then filled with a concrete dam to prevent any further effusion.
Sometimes the subcutaneous migration tracks of the larvae can be seen. Patients are commonly diagnosed with pneumonia, bronchospasms, chronic pulmonary inflammation, hypereosinophilia, hepatomegaly, hypergammaglobulinaemia (IgM, IgG, and IgE classes), leukocytosis, and elevated anti-A and –B isohaemagglutinins. Severe cases have occurred in people who are hypersensitive to allergens; in rare cases, epilepsy, inflammation of the heart, pleural effusion, respiratory failure, and death have resulted from VLM. Ocular larva migrans (OLM) is rare compared with VLM.
When used as an ingredient in food, antifoaming agents are intended to curb effusion or effervescence in preparation or serving. The agents are included in a variety of foods and in materials for food preparation; McDonald's includes polydimethylsiloxane (a type of silicone) in its oil to mitigate hazardous splashes of oil caused by foaming in fryers, so it has been listed as an ingredient in their chicken nuggets, french fries, and other fried menu items.
Levees are parallel ridges formed at the edges of lava flows. The cooler, outer margins of the flow solidify, leaving a central trough of molten, flowing lava. Partially collapsed lava tubes are visible as chains of pit craters. By examining the morphologies of lava flow structures on Ascraeus Mons, geologists are able to calculate the rheological properties of the lava and estimate the rate at which it poured out during eruption (effusion rate).
Children with recurrent episodes of acute otitis media and those with otitis media with effusion or chronic suppurative otitis media have higher risks of developing conductive and sensorineural hearing loss. Globally approximately 141 million people have mild hearing loss due to otitis media (2.1% of the population). This is more common in males (2.3%) than females (1.8%). This hearing loss is mainly due to fluid in the middle ear or rupture of the tympanic membrane.
The sack which surrounds the heart, called the pericardium, can become inflamed in a condition known as pericarditis. This condition typically causes chest pain that may spread to the back, and is often caused by a viral infection (glandular fever, cytomegalovirus, or coxsackievirus). Fluid can build up within the pericardial sack, referred to as a pericardial effusion. Pericardial effusions often occur secondary to pericarditis, kidney failure, or tumours, and frequently do not cause any symptoms.
In late November 1864, Boole walked, in heavy rain, from his home at Lichfield Cottage in Ballintemple to the university, a distance of three miles, and lectured wearing his wet clothes. He soon became ill, developing pneumonia. As his wife believed that remedies should resemble their cause, she wrapped him in wet blankets – the wet having brought on his illness. Boole's condition worsened and on 8 December 1864, he died of fever-induced pleural effusion.
For example, indocyanine green angiography may detect continuing choroidal inflammation in the eyes without clinical symptoms or signs. Ocular MRI may be helpful and auditory symptoms should undergo audiologic testing. Histopathology findings from eye and skin are discussed by Walton. The diagnosis of VKH is based on the clinical presentation; the diagnostic differential is extensive, and includes (among others) sympathetic ophthalmia, sarcoidosis, primary intraocular B-cell lymphoma, posterior scleritis, uveal effusion syndrome, tuberculosis, syphilis, and multifocal choroidopathy syndromes.
In July 1986, the conduit feeding magma to Puu Ōō ruptured, and the eruption abruptly shifted downrift to form the Kūpaianahā vent. With the new vent came a new style of eruption: continuous, quiet effusion from a lava lake replaced the episodic high fountaining. After a few weeks, a roof formed over the main lava outflow channel, which created a lava tube. The lava tube allowed the fluid pahoehoe lava to retain heat and flow long distances.
Quantity of air required for this purpose is 1–3% of main flow and blade temperature can be reduced by 200–300 °C. There are many techniques of cooling used in gas turbine blades; convection, film, transpiration cooling, cooling effusion, pin fin cooling etc. which fall under the categories of internal and external cooling. While all methods have their differences, they all work by using cooler air (often bled from the compressor) to remove heat from the turbine blades.
X-ray of the knee of a 12 year old male, with knee effusion extending into the suprapatellar bursa. In front there are five bursae: # the suprapatellar bursa or recess between the anterior surface of the lower part of the femur and the deep surface of the quadriceps femoris.Burgener (2002), p 390 It allows for movement of the quadriceps tendon over the distal end of the femur. In about 85% of individuals, this bursa communicates with the knee joint.
With its increased availability, ultrasound is now frequently used more in code situations, in which a person have lost most or all signs of life.Blaivas M, Fox J. Outcome in cardiac arrest patients found to have cardiac standstill on bedside emergency department echocardiogram. Acad Emerg Med. 2001;8:616–621. Practitioners may use the ultrasound to see if the heart is moving, beating in organized fashion or if it has a pericardial effusion or fluid around it.
Primary effusion lymphoma (PEL) is classified as a diffuse large B cell lymphoma. It is a rare malignancy of plasmablastic cells that occurs in individuals that are infected with the Kaposi's sarcoma-associated herpesvirus (i.e. KSHV/HHV8). Plamsmablasts are immature plasma cells, i.e. lymphocytes of the B-cell type that have differentiated into plasmablasts but because of their malignant nature do not differentiate into mature plasma cells but rather proliferate excessively and thereby cause life-threatening disease.
The twelve control aspirates from patients with benign prostatic hypertrophy showed negative staining, which further supports the specificity of CK18 in detecting epithelial tumour cells in bone marrow. In most cases of malignant disease complicated by effusion, neoplastic cells can be easily recognized. However, in some cases, malignant cells are not so easily seen or their presence is too doubtful to call it a positive report. The use of immuno-cytochemical techniques increases diagnostic accuracy in these cases.
Rhadinovirus (synonyms: Rhadinoviridae and gamma-2 herpesviruses) is a genus of viruses in the order Herpesvirales, in the family Herpesviridae, in the subfamily Gammaherpesvirinae. Humans and other mammals serve as natural hosts. There are currently nine species in this genus including the type species Saimiriine gammaherpesvirus 2. Diseases associated with this genus include: Kaposi's sarcoma, primary effusion lymphoma and multicentric Castleman's disease, caused by Human gammaherpesvirus 8 (HHV-8), also known as Kaposi's sarcoma-associated herpesvirus (KSHV).
East Week's senior management did not approve of the action and offered an apology to Shum. Magistrate Colin Mackintosh determined that Yuyun's actions were premeditated and done for financial gain and that the serious infringement of the patient's privacy warranted a custodial sentence. On that occasion, Shum was discharged from the hospital in July 2007. On 11 October 2007, Shum collapsed at home with pleural effusion, and was rushed to Queen Elizabeth Hospital (QE) for emergency treatment.
Retracted ear drum There are numerous indications for tympanostomy in the pediatric age group, the most frequent including chronic otitis media with effusion (OME) which is unresponsive to antibiotics, and recurrent otitis media. Adult indications differ somewhat and include Eustachian tube dysfunction with recurrent signs and symptoms, including fluctuating hearing loss, vertigo, tinnitus, and a severe retraction pocket in the tympanic membrane. Recurrent episodes of barotrauma, especially with flying, diving, or hyperbaric chamber treatment, may merit consideration.
When in the dry form the patient experience pains in their extremities, paresthesias, paralyses, and contractures due to being a paralytic type of disease. When beriberi is in its wet form the patient can expect swelling of the extremities and face along with an effusion of fluid into their joints, pleural cavity, and pericardial cavity. Beriberi in this form can lead to sudden death. New England fishermen first discovered the disease in Colonial America in the 19th century.
Owners of the affected dogs often discover that the dog has hemangiosarcoma only after the dog collapses. The tumor most often appears on the spleen, right heart base, or liver, although varieties also appear on or under the skin or in other locations. It is the most common tumor of the heart, and occurs in the right atrium or right auricular appendage. Here it can cause right-sided heart failure, arrhythmias, pericardial effusion, and cardiac tamponade.
A new eruption period started on 2 September 2013 with a phreatic explosion, which was followed by more events in the next few days. Strong but variable seismic activity, the observation of thermal anomalies in satellite images and the exhalation of gases characterized this eruption period. Lava effusion began in the summit crater in 2014 and increased after the 2014 Iquique earthquake, culminating in an explosive eruption on April 19, 2014. Volcanic activity decreased afterwards until September 2014.
In addition to The Outpost, Tapper is the author of Down and Dirty: The Plot to Steal the Presidency, based on the 2000 Presidential election, that The Washington Post called "lively", the Chicago Tribune "a churning effusion well worth reading" and The Daily Telegraph "engrossing". He also wrote Body Slam: The Jesse Ventura Story (St. Martin's Press) that was excerpted by The Washington Post Magazine. His comic strip Capitol Hell appeared in Roll Call from 1994 to 2003.
Namarunu was mainly formed during the upper Pliocene, but has some material from the Holocene. It is a trachytic shield volcano topped by more recent parasitic cones and lava flows. The basal trachyte dates to roughly 6.8 million years ago, while the uppermost basalts date to around 500,000 years ago. Large amounts of basalt were deposited in the Rift valley on the north, east and south of the volcano through effusion and explosions during the early Holocene.
Primary effusion lymphoma (PEL) is a DLBCL in which neoplastic B cells that resemble immunoblasts, plasmablasts, or Reed–Sternberg cells infiltrate the pleural, pericardial, or peritoneal membranes that surround the lungs, heart, and abdominal organs, respectively. This infiltration leads to the seeping of fluid into the cavities which are encased by these membranes, i.e. it leads to pleural effusions, pericardial effusions, and abdominal ascites. Some cases of PEL also involve the gastrointestinal tract and lymph nodes.
A similar phenomenon, pseudo-alternans, can be seen in bigeminal (premature ventricular contraction) PVC in the PR interval, alternans pre-excitation, and alternans bundle branch block. For the most part however, the most serious condition to rule out is tamponade. Electrical alternans with sinus tachycardia is a highly specific sign for large pericardial effusion. This is due to the swinging motion of the heart in the pericardial cavity causing a beat-to-beat variation in QRS axis and amplitude.
A caldera formed during the late Pleistocene, more than 0.9 million years ago. A postglacial caldera is located at the base of the presently active dominantly basaltic-to-andesitic cone at the northwest margin of the Pleistocene caldera. About 25 scoria cones dot Villarica's flanks. Plinian eruptions and pyroclastic flows have been produced during the Holocene from this dominantly basaltic volcano, but historical eruptions have consisted of largely mild-to- moderate explosive activity with occasional lava effusion.
According to the Australian Surveillance of Australian Workplace Based Respiratory Events (SABRE) scheme, DPT accounted for 22% of all asbestos-related diseases. It usually begins with an inflammation of the pleura that is accompanied by a pleural effusion. Most patients complain of exertional breathlessness, however, chest pain has been also associated with this disorder. DPT has a significant impact on pulmonary function, causing a decrease in forced vital capacity, reducing total lung capacity and diffusing capacity.
CXR demonstrating a mesothelioma coronal section (the section follows the plane that divides the body in a front and a back half). The mesothelioma is indicated by yellow arrows, the central pleural effusion (fluid collection) is marked with a yellow star. Red numbers: (1) right lung, (2) spine, (3) left lung, (4) ribs, (5) descending part of the aorta, (6) spleen, (7) left kidney, (8) right kidney, (9) liver. Micrograph of a pleural fluid cytopathology specimen showing mesothelioma.
The X-ray may reveal pleural thickening commonly seen after asbestos exposure and increases suspicion of mesothelioma. A CT (or CAT) scan or an MRI is usually performed. If a large amount of fluid is present, abnormal cells may be detected by cytopathology if this fluid is aspirated with a syringe. For pleural fluid, this is done by thoracentesis or tube thoracostomy (chest tube); for ascites, with paracentesis or ascitic drain; and for pericardial effusion with pericardiocentesis.
A retrospective case-controlled study found Yunnan Baiyao does not delay recurrence of clinical signs or improve survival in dogs with right atrial masses or pericardial effusion. There are multiple routes of drug administration. Yunnan Baiyao is sold in powder, tincture, plaster, paste, aerosol, or tablet form. The medicine, developed by Qu Huangzhang in 1902, is designated as one of two Class-1 protected traditional Chinese medicines which gives it 20 years of trade protection in China.
Hemopericardium refers to blood in the pericardial sac of the heart. It is clinically similar to a pericardial effusion, and, depending on the volume and rapidity with which it develops, may cause cardiac tamponade. The condition can be caused by full-thickness necrosis (death) of the myocardium (heart muscle) after myocardial infarction, chest trauma, and by over-prescription of anticoagulants. Other causes include ruptured aneurysm of sinus of Valsalva and other aneurysms of the aortic arch.
Led by Colonel John Coode, an army of 700 Puritans defeated a proprietorial army led by Colonel Darnall.Roark, Elisabeth Louise, p.78, Artists of colonial America Retrieved February 22, 2010 Darnall later wrote: "Wee being in this condition and no hope left of quieting the people thus enraged, to prevent effusion of blood, capitulated and surrendered." The victorious Coode and his Puritans set up a new government that outlawed Catholicism, and Darnall was deprived of all his official positions.
Pseudomyxoma peritonei (PMP) is a rare complication of mucinous tumours of appendiceal or ovarian origin that results in peritoneal and omental implants. The CT signs of pseudomyxoma peritonei are not specific, combining peritoneal effusion, peritoneal nodules and invasion of the greater omentum. Gelatinous deposits scalloping over the hepatic margins, loculated ascites and curvilinear calcification are pathognomonic features. The pressure of gelatinous material prevents the bowel loops floating towards the anterior abdominal wall, which may be useful sign in differentiating pseudomyxoma peritonei from ascites.
Osteochondritis dissecans (OCD or OD) is a joint disorder primarily of the subchondral bone in which cracks form in the articular cartilage and the underlying subchondral bone. OCD usually causes pain during and after sports. In later stages of the disorder there will be swelling of the affected joint which catches and locks during movement. Physical examination in the early stages does only show pain as symptom, in later stages there could be an effusion, tenderness, and a crackling sound with joint movement.
Mayon in satellite image Mayon's 48th modern-era eruption was on July 13, 2006, followed by quiet effusion of lava that started on July 14, 2006. Nearly 40,000 people were evacuated from the danger zone on the southeast flank of the volcano. After an ash explosion of September 1, 2006, a general decline in the overall activity of Mayon was established. The decrease in key parameters such as seismicity, sulfur dioxide emission rates and ground inflation all indicated a waning condition.
Arthroscopy is a surgical technique in which a joint is operated on using an endoscopic camera as opposed to open surgery on the joint. The meniscus can either be repaired or completely removed; this is described in further detail below. It should not be recommended for a degenerative meniscus tear, unless there is locking or catching of the knee, recurrent effusion or persistent pain. Evidence suggests that it is no better than conservative management in those with and without osteoarthritis.
Organomegaly: The liver may be enlarged, and less often the spleen or lymph nodes, though these organs usually function normally. Edema: Leakage of fluid into the tissues is a common and often severe problem. This may take several forms, including dependent peripheral edema, pulmonary edema, effusions such as pleural effusion or ascites, or generalized capillary leakage (anasarca). Endocrinopathy: In women, amenorrhea, and in men, gynecomastia, erectile dysfunction and testicular atrophy, are common early symptoms due to dysfunction of the gonadal axis.
As in humans, feline HCM is not present at birth but develops over time. It has been identified for the first time in cats as young as 6 months of age and at least as old as 7 years of age. Clinically, cats with hypertrophic cardiomyopathy commonly have a systolic anterior motion (SAM) of the mitral valve (see graphic). Cats with severe HCM often develop left heart failure (pulmonary edema; pleural effusion) because of severe diastolic dysfunction of the left ventricle.
Dilated cardiomyopathy on CXR Dilated cardiomyopathy on CT Generalized enlargement of the heart is seen upon normal chest X-ray. Pleural effusion may also be noticed, which is due to pulmonary venous hypertension. The electrocardiogram often shows sinus tachycardia or atrial fibrillation, ventricular arrhythmias, left atrial enlargement, and sometimes intraventricular conduction defects and low voltage. When left bundle-branch block (LBBB) is accompanied by right axis deviation (RAD), the rare combination is considered to be highly suggestive of dilated or congestive cardiomyopathy.
Volcanic activity at Taunshits involves the formation of lava domes and pyroclastic flows, similar to Bezymyanny or Shiveluch, but widespread andesitic lava effusion has also occurred at the lower levels of the edifice. Activity at Taunshits commenced late during the Pleistocene, less than 39,000 years before present considering that the ignimbrites generated by the Uzon eruption are found beneath lava flows from the volcano. The Pleistocene activity constructed the foot of the volcano, which has tuya characteristics. Activity decreased during the Holocene.
When created, LIPs often have an areal extent of a few million km2 and volumes on the order of 1 million km3. In most cases, the majority of a basaltic LIP's volume is emplaced in less than 1 million years. One of the conundra of such LIPs' origins is to understand how enormous volumes of basaltic magma are formed and erupted over such short time scales, with effusion rates up to an order of magnitude greater than mid-ocean ridge basalts.
Long suffered severe pulmonary embolisms in July 2010. He wrote, "While running to catch a bus on a New York street, I saw a blinding effusion of white light, amid which several spangled and bell-bottomed figures vaguely resembling ABBA beckoned me to an eternal disco complete with spinning ball. Yanked back from their blandishments by a superior fashion sense, I spent a couple of weeks in intensive care." Long resigned from Human Rights Watch the following month in order to recuperate.
The presence of the gastric bubble on the left with an abnormalagm of more than 2 cm can also suggest the diagnosis. Lateral decubitus views, with the patient lying on their side, can confirm the effusion as it will layer along the lateral chest wall. Subpulmonic space refers to the space below the lungs in which the subpulmonic fluid fills. Subpulmonic fluid is common particularly in trauma cases where the apparent hemidiaphragm appears defieted and the apex is displaced laterally.
Blunting can be related to a small amount of fluid in the pleural space or to pleural thickening and, by itself, is a non-specific finding (except in children, when even minor blunting may suggest active TB). In contrast a large pleural effusion, or the presence of a significant amount of fluid in the pleural space, may be a sign of active TB at any age. #Solitary calcified nodules or granuloma - Discrete calcified nodule or granuloma, or calcified lymph node.
Recurrent acute otitis media (AOM) and otitis media with effusion (OME) commonly occur in children with Turner syndrome during the preschool age, which can persist or develop later in childhood. The recurring AOM can also be a predisposition to cholesteatomas. People with the monosomy 45, X karyotype have an increased rate of hearing loss over other TS karyotype variants. Conductive hearing losses are more commonly seen with children than adults and becomes more of a sensorineural pattern once in the adolescence age.
Because middle ear effusion is found in many patients with PRS, tympanostomy (ventilation) tubes are often a treatment option.Handžić-Ćuk, 2007 One study with children showed that patients with PRS displayed a moderate and severe hearing loss most frequently. Planigraphs of temporal bones in these patients displayed an underdeveloped pneumatization of the mastoid bone in all PRS patients and in most patients with cleft palate (without PRS). There were no abnormalities of the inner or middle ear anatomy in patients with PRS.
Dullness to percussion over Traube's space may indicate splenomegaly, although this can also be a normal finding after a meal or indicates left pleural effusion. Assessing dullness to percussion may be more difficult in obese patients. A 1993 systematic review by The Rational Clinical Examination found that, as a test for splenomegaly, percussion over Traube's space yields a sensitivity and specificity of 62% and 72%, respectively. Specificity may be higher if the patient has not eaten in the last two hours.
In mid-1873, Barrow's health declined, and though he went to the intercolonial conference at Sydney as one of the South Australian delegates in the hope that change of scene might lead to its improvement, it continued to deteriorate; he died in Adelaide on 22 August 1874 of an effusion on the brain. He was married twice and left a widow, three sons and three daughters. Barrow left behind him a reputation in his own time as a speaker and journalist.
Oerter had struggled with high blood pressure his entire life, and in the 2000s, he became terminally ill with cardiovascular disease. On March 13, 2003, Oerter was briefly clinically dead; a change of blood pressure medications caused a fluid build-up (Pericardial effusion) around his heart. Oerter was inducted into the Suffolk Sports Hall of Fame on Long Island in the Track & Field Category with the Class of 1990. In 2005, Oerter was inducted into the Nassau County Sports Hall of Fame.
Keratoconus (a thin, cone-shaped cornea) and glaucoma (increased eye pressure) are also more common, as are refractive errors requiring glasses or contacts. Brushfield spots (small white or grayish/brown spots on the outer part of the iris) are present in 38 to 85% of individuals. Hearing problems are found in 50–90% of children with Down syndrome. This is often the result of otitis media with effusion which occurs in 50–70% and chronic ear infections which occur in 40 to 60%.
Bilateral chylothorax seen on a thoracic MRI CT scan showing extensive chylothorax caused by leakage from the thoracic duct Chest X-rays can detect a chylothorax. It appears as a dense, homogenous area that obscures the costophrenic and cardiophrenic angles. Ultrasounds can also detect a chylothorax, which appears as an echoic region that is isodense with no septation or loculation. However, neither a normal chest x-ray nor an ultrasound can differentiate a chylothorax from any other type of pleural effusion.
Shortly after Hyun arrived home from competing in the 1996 Summer Olympics, where he was one of the best players in the tournament, he received surgery on September 20, 1996 for the left ankle injury he incurred. Due to excessive training and strenuous athletic movements to the knees which started during Hyun’s college career, he suffers from a condition called knee effusion, which occurs when too much fluid accumulates in the knee. Since then Hyun has been experiencing pain in his left knee.
Pulmonary veno-occlusive disease can only be well diagnosed with a lung biopsy. CT scans may show characteristic findings such as ground-glass opacities in centrilobular distribution, and mediastinal lymphadenopathy, but these findings are non-specific and may be seen in other conditions. However, pulmonary hypertension (revealed via physical examination), in the presence of pleural effusion (done via CT scan) usually indicates a diagnosis of pulmonary veno-occlusive disease. The prognosis indicates usually a 2-year (24 month) life expectancy after diagnosis.
There are four slaty-grey lines from the costa, the first beyond half reaching one-third across the wing, the remaining three nearer the costa short. A wavy slaty-grey line or effusion is found beyond the second costal line to the inner margin at three- fourths. There is also a subterminal diffused band of the same colour, and a row of terminal spots forming a more or less interrupted line. The hindwings are fuscous drab, with the veins darker.
Fluid can build up within the pericardial sack, referred to as a pericardial effusion. Pericardial effusions often occur secondary to pericarditis, kidney failure, or tumours and frequently do not cause any symptoms. However, large effusions or effusions that accumulate rapidly can compress the heart in a condition known as cardiac tamponade, causing breathlessness and potentially fatal low blood pressure. Fluid can be removed from the pericardial space for diagnosis or to relieve tamponade using a syringe in a procedure called pericardiocentesis.
The criteria for a complicated parapneumonic effusion include the presence of pus, Gram stain–positive or culture-positive pleural fluid, pleural fluid pH <7.20, and pleural fluid LDH that is greater than three times the upper limit of normal of serum LDH. Diagnostic techniques available include plain film chest x-ray, computed tomography (CT), and ultrasound. Ultrasound can be useful in differentiating between empyema and other transudative and exudative effusions due in part to relative echogenicity of different organs such as the liver (often isoechogenic with empyema).
Radiograph with a deep lateral femoral notch (gray arrow) and an effusion (pink arrow) Measurement technique to determine the depth of the femoral notch on lateral x-rays In radiology, the deep lateral femoral notch sign is a finding on a lateral radiograph that is considered an indirect sign of a torn anterior cruciate ligament (ACL). It is an abnormal deepening of the lateral condylopatellar sulcus from an osteochondral impaction fracture. A depth greater than 1.5 mm is a reliable sign of a torn ACL.
The main adverse events related to this procedure are pericardial effusion, incomplete LAA closure, dislodgement of the device, blood clot formation on the device requiring prolonged oral anticoagulation, and the general risks of catheter-based techniques (such as air embolism). The left atrium anatomy can also preclude use of the device in some patients. Theoretical concerns surround the role of the LAA in thirst regulation and water retention because it is an important source of atrial natriuretic factor. Preserving the right atrial appendage might attenuate this effect.
Contemporary reviews were mixed. The anonymous critic in the Boston Notion suggested that Poe's work was better suited for readers of the future; people of the time should consider it "below the average of newspaper trash... wild, unmeaning, pointless, aimless... without anything of elevated fancy or fine humor". Alexander's Weekly Messenger, on the other hand, remarked that the stories were the "playful effusion of a remarkable and powerful intellect". Likewise, the New York Mirror complimented the author's intellectual capacity, his vivid descriptions, and his opulent imagination.
In the week prior to this, he had been hospitalized in order to have needle aspiration of pleural effusion in his right lung. On May 2, 2008, a positron emission tomography (PET) scan showed that he had very tiny ( or less) metastases in his lungs and in some of the lymph nodes in his chest. He also had metastases in his peritoneal and retroperitoneal cavities. On June 26, 2008, Pausch indicated that he was considering stopping further chemotherapy because of the potential adverse side effects.
During the acute phase, the rehab is focusing on the acute symptoms that occur right after the injury and are causing an impairment. The use of therapeutic exercises and appropriate therapeutic modalities is crucial during this phase to assist in repairing the impairments from the injury. The Neuromuscular Training Phase is used to focus on the patient regaining full strength in both the lower extremity and the core muscles. This phase begins when the patient regains full range of motion, no effusion, and adequate lower extremity strength.
Comparison between a normal costophrenic angle on the patient's right, and an obscured costophrenic angle (circled) on the patient's left, due to pneumonia with parapneumonic effusion. In anatomy, the costophrenic angles are the places where the diaphragm (-phrenic) meets the ribs (costo-). Each costophrenic angle can normally be seen as on chest x-ray as a sharply- pointed, downward indentation (dark) between each hemi-diaphragm (white) and the adjacent chest wall (white). A small portion of each lung normally reaches into the costophrenic angle.
The Cory Monzingo Foundation provides funding to MD Anderson Cancer Center and may also provide funding to other nonprofit cancer research organizations. In 2002, Nishio and al, established a novel human tumor cell line derived from the pleural effusion of a patient with a typical intra-abdominal DSRCT, called JN-DSRCT-1 that can now be used in research. St. Jude Children’s Research Hospital has, in 2018, make available resources from the Childhood Solid Tumor Network, that upon request gives access to patient-derived orthotopic xenografts.
The symptoms usually appear when there is inflammation of pharyngeal bursa causing Tornwaldt's cyst. This is caused by spontaneous drainage in the nasopharyngeal cavity or can also be caused because of involvement of nervous plexus. The symptoms are occipital headache, cough, middle ear effusion, cervical myalgia, halitosis ie bad breath. When there is an enlargement of the cyst it causes symptoms like nasal obstruction, post nasal discharge with foul smelling odour, blockage of Eustachian tube causing otalgia and secretory otitis media, retro orbital pain.
It is golden. Early 1980s, with her successor well established as a professional career Cantonese opera performer, Yam moved to Canada. In 1989, she died at home in Hong Kong due to pleural effusion. The 2004 emotional reunion backstage caught on tape was the best resonance of Yam's endorsement. Mrs. Ho何賢夫人陳瓊女士六月十六日辭世 from Macau passed away (age 98) on 16 June 2016 but wanted no attention from Cantonese opera community.
The most common side effects are infection, suppression of the bone marrow (decreasing numbers of leukocytes, erythrocytes, and thrombocytes), headache, hemorrhage (bleeding), pleural effusion (fluid around the lungs), dyspnea (difficulty breathing), diarrhea, vomiting, nausea (feeling sick), abdominal pain (belly ache), skin rash, musculoskeletal pain, tiredness, swelling in the legs and arms and in the face, fever. Neutropenia and myelosuppression were common toxic effects. Fifteen people (of 84, i.e. 18%) in the above-mentioned study developed pleural effusions, which was a suspected side effect of dasatinib.
Patients with Crouzon syndrome sometimes exhibit malformations of the external ear and/or the middle ear, such as malalignment of the pinna (Peterson-Falzone et al., 2001). Literature has suggested that persons with Crouzon syndrome typically have conductive hearing loss caused by middle ear effusion (or fluid in the middle ear) and perforation to ossicular fixation (ossicles), intratympanic bony masses (tympanic membrane), ossicular anomalies and closure of the oval window. Patients with a sensorineural hearing loss have also been reported but are less likely to occur.
After several months, untreated or inadequately treated people may go on to develop chronic symptoms that affect many parts of the body, including the joints, nerves, brain, eyes, and heart. Lyme arthritis occurs in up to 60% of untreated people, typically starting about six months after infection. It usually affects only one or a few joints, often a knee or possibly the hip, other large joints, or the temporomandibular joint. There is usually large joint effusion and swelling, but only mild or moderate pain.
Pericarditis can progress to pericardial effusion and eventually cardiac tamponade. This can be seen in people who are experiencing the classic signs of pericarditis but then show signs of relief, and progress to show signs of cardiac tamponade which include decreased alertness and lethargy, pulsus paradoxus (decrease of at least 10 mmHg of the systolic blood pressure upon inspiration), low blood pressure (due to decreased cardiac index), (jugular vein distention from right sided heart failure and fluid overload), distant heart sounds on auscultation, and equilibration of all the diastolic blood pressures on cardiac catheterization due to the constriction of the pericardium by the fluid. In such cases of cardiac tamponade, EKG or Holter monitor will then depict electrical alternans indicating wobbling of the heart in the fluid filled pericardium, and the capillary refill might decrease, as well as severe vascular collapse and altered mental status due to hypoperfusion of body organs by a heart that can not pump out blood effectively. The diagnosis of tamponade can be confirmed with trans-thoracic echocardiography (TTE), which should show a large pericardial effusion and diastolic collapse of the right ventricle and right atrium.
Difficulties in identifying the congenital stenosis of the vena cava makes diagnosis uncommon. Diagnosis of congenital stenosis of the inferior vena cava can be rarely discovered through abdominal CT examinations, and may present with an array of clinical findings dependent on the drainage patterns of the individuals. Further diagnostic tools such as a transthoracic echocardiogram can reveal the narrowing of the vena cava showing a low velocity of flow. Congenital stenosis of the vena cava can also present as acute respiratory failure and effusion of the right lung on chest X-rays.
Biopsy can be accomplished via bronchoscopy, transthoracic needle biopsy, and video-assisted thorascopic surgery (VATS). While sputum cytology has been shown to have limited utility, thoracentesis, or aspiration of pleural fluid with an ultrasound-guided needle, should be performed when pleural effusion is present. When malignant cells are identified in the pleural aspirate of patients highly suspect for lung cancer, a definitive diagnosis and staging (stage IV adenocarcinoma of the lung) is established. Adenocarcinoma of the lung tends to stain mucin positive as it is derived from the mucus-producing glands of the lungs.
Spheroids of human autologous matrix-associated chondrocytes, sold under the brand name Spherox, is a medication used to repair defects to the cartilage in the knee in adults who are experiencing knee pain and problems moving the knee. It is used where the affected area is no larger than . The most common side effects include arthralgia (joint pain) and joint effusion (accumulation of liquid in the knee), which can cause swelling of the joint. Spherox contains spheroids (spherical aggregates) of chondrocytes, cells found in healthy cartilage, that have been prepared from the patient's own tissues.
Intermittent hydrarthrosis (IH), also known as periodic synoviosis, periodic benign synovitis, or periodic hydrarthritis, is a chronic condition of unknown cause characterized by recurring, temporary episodes of fluid accumulation (effusion) in the knee. While the knee is mainly involved, occasionally other joints such as the elbow or ankle can additionally be affected. Fluid accumulation in the joint can be extensive causing discomfort and impairing movement, although affected joints are not usually very painful. While the condition is chronic, it does not appear to progress to more destructive damage of the joint.
Pleural empyema is a collection of pus in the pleural cavity caused by microorganisms, usually bacteria. Often it happens in the context of a pneumonia, injury, or chest surgery. It is one of the various kinds of pleural effusion. There are three stages: exudative, when there is an increase in pleural fluid with or without the presence of pus; fibrinopurulent, when fibrous septa form localized pus pockets; and the final organizing stage, when there is scarring of the pleura membranes with possible inability of the lung to expand.
Tarleton sent Captain David Kinlock forward to the rebel column, carrying a white flag, to demand Buford's surrender. Upon his arrival, Buford halted his march and formed a battle line while the parley took place. Tarleton greatly exaggerated the size of his force in his message--claiming he had 700 men--hoping to sway Buford's decision. The note also said, "Resistance being vain, to prevent the effusion of human blood, I make offers which can never be repeated", indicating that Tarleton would ask only once for Buford to surrender.
Complications include pericarditis, pericardial effusion, pleuritis, pulmonary infiltration, and very rarely pericardial tamponade. Of these cardiac tamponade is the most life-threatening complication. The pericardial fluid increases intra- pericardial pressure therefore preventing complete expansion of the atria and the ventricles upon the diastole. This causes equilibration of the pressure in all four heart chambers, and results in the common findings of the tamponade which are pulsus paradoxus, Beck's triad of hypotension, muffled heart sounds, and raised jugular venous pressure, as well as EKG or Holter monitor findings such as electrical alternans.
There are many more effects of colchicine that are currently under research, and some aspects of this metabolite are not fully understood. There was great hope that Colchicine could be a primary preventive measure in treating Post- Pericardiotomy Syndrome due to its anti-inflammatory effects. In the COPPS-2 trial, however, perioperative use of colchicine compared with placebo reduced the incidence of postpericardiotomy syndrome but not of postoperative AF or postoperative pericardial/pleural effusion. The increased risk of gastrointestinal adverse effects reduced the potential benefits of colchicine in this setting.
Kaposi's sarcoma-associated herpesvirus (KSHV) is the ninth known human herpesvirus; its formal name according to the International Committee on Taxonomy of Viruses (ICTV) is Human gammaherpesvirus 8, or HHV-8 in short. Like other herpesviruses, its informal names are used interchangeably with its formal ICTV name. This virus causes Kaposi's sarcoma, a cancer commonly occurring in AIDS patients, as well as primary effusion lymphoma, HHV-8-associated multicentric Castleman's disease and KSHV inflammatory cytokine syndrome. It is one of seven currently known human cancer viruses, or oncoviruses.
The entire lava cone could have been constructed in about 300 years at its present rate of lava production. Eruptive activity at Bagana is frequent and is characterized by non-explosive effusion of viscous lava that maintains a small lava dome in the summit crater, although explosive activity occasionally producing pyroclastic flows also occurs. Lava flows form dramatic, freshly preserved tongue-shaped lobes up to 50-m-thick with prominent levees that descend the volcano's flanks on all sides. Just north-east of Bagana is the volcano crater lake Billy Mitchell.
Sometimes, a chest x-ray is used to detect metastases in the chest or pleural effusion. Another test for metastatic disease, though it is infrequently used, is a barium enema, which can show if the rectosigmoid colon is involved in the disease. Positron emission tomography, bone scans, and paracentesis are of limited use; in fact, paracentesis can cause metastases to form at the needle insertion site and may not provide useful results. However, paracentesis can be used in cases where there is no pelvic mass and ascites is still present.
A chest tube (chest drain, thoracic catheter, tube thoracostomy, or intercostal drain) is a flexible plastic tube that is inserted through the chest wall and into the pleural space or mediastinum. It is used to remove air (pneumothorax), fluid (pleural effusion, blood, chyle), or pus (empyema) from the intrathoracic space. It is also known as a Bülau drain or an intercostal catheter. The concept of chest drainage was first advocated by Hippocrates when he described the treatment of empyema by means of incision, cautery, and insertion of metal tubes.
The surviving heterozygous Ts exhibit great variations of shortened, kinked and otherwise malformed tails. They also weigh less than their wild-type littermates but have otherwise a normal life span. Additionally, Ts mice develop a conductive hearing loss shortly after the onset of hearing at around 3–4 weeks of age. The hearing loss is the result of ectopic ossification along the round window ridge at the outside of the cochlea, massive deposition of cholesterol crystals in the middle ear cavity, an enlarged Eustachian tube and a chronic otitis media with effusion.
Roarke, p. 78. Darnall, heavily outnumbered, later wrote: "Wee being in this condition and no hope left of quieting the people thus enraged, to prevent effusion of blood, capitulated and surrendered." After this "Glorious Protestant Revolution" in Maryland, the victorious Coode and his Puritan allies set up a new government that outlawed Catholicism; Catholics would thereafter be forced to maintain secret chapels in their home in order to celebrate the Mass. In 1704, an Act was passed "to prevent the growth of Popery in this Province", preventing Catholics from holding political office.
Total magma production is about . The North Arch volcanic field has been the site of voluminous lava effusion and the formation of shallow magma chambers which gave rise to pit craters when they collapsed. Despite the great depth of the North Arch volcanic field, traces of explosive eruptions has been found there such as steep and low volcanic cones and deposits from fire fountaining; the formation of bubbles from volatile substances in the magma and processes involving supercritical fluids and magma-water interaction are probably involved in the explosive volcanism there.
Dr. Harvey Feigenbaum has reported that his impetus to start ASE in 1975 was to combat the skepticism cardiac ultrasound faced from the medical community. He reported that “as late as 1971 there was still considerable skepticism as to whether ultrasound was a useful technique for the detection of pericardial effusion.” The organization was established “to promote, maintain, and pursue excellence in the ultrasonic examination of the heart.” Since that time echocardiography has become a gold standard in cardiac care and has been increasingly adopted by an array of health practitioners to care for patients.
It has been the source of frequent explosive eruptions with occasional lava effusion that blankets the caldera floor. A lava flow in 1978 traveled through a narrow breach in the north caldera rim to within 2 km of the coast. A small lake occupies part of the caldera floor. Two volcanic centers are located on the NW flank: Lava Peak is of Pleistocene age; and, a cinder cone lower on the flank which produced a lava flow in 1852 that extended the shoreline of the island and forms Lava Point.
Vahram selected a body of 30,000 infantry and 20,000 cavalry, forming three divisions, which fought against the Byzantines, numbering 100,000.History of Armenia by Father Michael Chamich from B.C. 2247 to the Year of Christ 1780, or 1229 of the Armenian era – Page 124 by Mik'ayel Ch'amch'yants' A battle ensued in which the invaders were routed with great slaughter. The fight was so ferocious that the effusion of blood flowing into the Akhurian River is said to have coloured its waters completely red. The Byzantines left 20,000 dead behind.
He made it his business to break down the narrow prejudices and the still narrower self-satisfaction of his countrymen, without endangering his influence by a mere effusion of paradox. He was a brilliant writer, who would have been admired in any language, but whose appearance in a literature so stiff and dead as that of Holland in the fifties was dazzling enough to produce a sort of awe and stupefaction. The posthumous correspondence of Busken Huet has been published. Also, Huet used papers by Peter Thaborita for his description of Pier Gerlofs Donia.
There are many causes of chest pain, which can originate from the heart, lungs, gastrointestinal tract, aorta, and other muscles, bones and nerves surrounding the chest. In addition to myocardial infarction, other causes include angina, insufficient blood supply (ischemia) to the heart muscles without evidence of cell death, gastroesophageal reflux disease; pulmonary embolism, tumors of the lungs, pneumonia, rib fracture, costochondritis, heart failure and other musculoskeletal injuries. Rarer severe differential diagnoses include aortic dissection, esophageal rupture, tension pneumothorax, and pericardial effusion causing cardiac tamponade. The chest pain in an MI may mimic heartburn.
1 was used as a test piece in the 1964 session of the same contest. In 1976 he was elected a member of the Royal Academy of Belgium. Quinet’s music is very similar in style to Hindemith and is distinguished by formal clarity and the absence of lyrical effusion. His earlier works were more closely related to Absil's influence, but by the early 1950s his work began to display a more individual style as in Three Orchestral Pieces (1951), which is more reminiscent of French music with orchestration akin to Bartók.
Previous to Light's landmark study, which was based on work by Chandrasekhar, investigators unsuccessfully attempted to use other criteria, such as specific gravity, pH, and protein content of the fluid, to differentiate between transudates and exudates. Light's criteria are highly statistically sensitive for exudates (although not very statistically specific). More recent studies have examined other characteristics of pleural fluid that may help to determine whether the process producing the effusion is local (exudate) or systemic (transudate). The table above illustrates some of the results of these more recent studies.
Asbestos-related diseases are disorders of the lung and pleura caused by the inhalation of asbestos fibres. Asbestos-related diseases include non-malignant disorders such as asbestosis (pulmonary fibrosis due to asbestos), diffuse pleural thickening, pleural plaques, pleural effusion, rounded atelectasis and malignancies such as lung cancer and malignant mesothelioma. People who worked in jobs with high asbestos dust exposure are at the highest risk of developing asbestos-related disease. However, exposure to asbestos may also occur in the worker’s home due to dust that has accumulated on the worker's clothing (para- occupational exposure).
One Phase I/II Study of intraperitoneal administration of GL-ONC1 in patients with advanced peritoneal carcinomatosis has been completed. A Phase II study of intraperitoneal administration of GL-ONC1 (Olvi-Vec) in patients with platinum- resistant/refractory ovarian cancer has completed enrollment with follow-up ongoing.Holloway RW et al. (March 2020) In a Phase I study, intra-pleural administration of GL-ONC1 is being evaluated in patients with malignant pleural effusion, which is caused by cancer from malignant pleural mesothelioma, non-small cell lung cancer (NSCLC), or breast cancer.
Some people are born with a dysfunctional Eustachian tubeEustachian Tube Function and Dysfunction at Baylor College of Medicine that is much slimmer than usual. The cause may be genetic, but it has also been posited as a condition in which the patient did not fully recover from the effects of pressure on the middle ear during birth (retained birth compression). It is suggested that Eustachian tube dysfunction can result in a large amount of mucus accumulating in the middle ear, often impairing hearing to a degree. This condition is known as otitis media with effusion.
He was seen to enter it on 27 November, but was never again seen alive. After a time some neighbour gave the alarm, the doors were broken open, and his dead body was found extended on a mattress locked into a remote apartment. A poultice of tea-leaves was tied over the left ear, as if for the relief of pain, and a post-mortem examination showed death to have resulted from an effusion of blood on the brain. A verdict of ‘sudden death from natural causes’ was returned.
Dropsy is the morbid effusion of the serum of the blood into the cavities of the body and into the meshes of its tissues. It had been observed from the beginning of medicine, but up to the time of Richard Lower nothing was known of its morbid anatomy. He made the first step, which was the demonstration that dropsy of a limb always follows direct obstruction of its veins. Blackall's discovery came next, and was that dropsy is often associated with the presence of albumen in the urine.
Some xenoliths of calc-alkaline material are found in Aguas Calientes lavas, and magma mixing has generated lavas containing andesite inclusions in dacites. One eruption of Aguas Calientes postdates the first centre of Lascar and was originally linked to the Lascar Piedras Grandes eruption, before sampling on the deposits of this eruption indicated a relationship with the Lascar volcano itself. Effusion of lava ceased after the cone was built. One summit lava flow may be of Holocene age, but no evidence of historical activity is found (González-Ferrán 1985).
This is based on Graham's law, which states that the rate of effusion of a gas through a porous barrier is inversely proportional to the square root of the gas's molecular mass. In a container with a porous barrier containing a mixture of two gases, the lighter molecules will pass out of the container more rapidly than the heavier molecules. The gas leaving the container is slightly enriched in the lighter molecules, while the residual gas is slightly depleted. Simon's team conducted experiments with copper gauze as the barrier.
The nostalgia is even thicker and ickier than the wall-to-wall effusion that propels Nine's series of opportunistic programs dredged from the Bert Newton vaults. A must for viewers with cast-iron stomachs". Anderson's colleague Judy Adamson had a similar view. Of Annalise's documentary, she commented "In the show's eyes she is now a respected filmmaker, but her "documentary" is nothing more than grabs with former locals chatting about what they're doing now, how Ramsay Street changed their lives and then blowing kisses to those who still live there.
Marked Andante, the second movement is an eloquent, nocturne-like effusion, of which the principal thematic element is the expressive subject given out softly at the commencement by the clarinet, and bassoons, staccato, and the strings, pizzicato - this being taken up shortly and carried on by the solo instrument. An agreeably contrasting intermediary section follows, after which the expressive first theme returns - now in the harp and strings against flowing figurations in the solo instrument. And lastly, a free short conclusion passage that takes us to the third movement.
Dullness of the lung fields to finger percussion and reduced breath sounds at the bases of the lung may suggest the development of a pleural effusion (fluid collection between the lung and the chest wall). Though it can occur in isolated left- or right-sided heart failure, it is more common in biventricular failure because pleural veins drain into both the systemic and pulmonary venous systems. When unilateral, effusions are often right-sided. If a person with a failure of one ventricle lives long enough, it will tend to progress to failure of both ventricles.
Several months later, Eve is a shining Broadway star headed for Hollywood. At an awards banquet, she thanks Margo, Bill, Lloyd, and Karen with characteristic effusion, while all four stare back at her coldly. Eve skips a party in her honor, and returns home alone, where she encounters Phoebe (Barbara Bates)—a high-school-aged fan—who has slipped into her apartment and fallen asleep. The young girl professes her adoration and begins at once to insinuate herself into Eve's life, offering to pack Eve's trunk for Hollywood.
In 1994, they discovered a new human herpesvirus, KSHV, in a KS tumor and along with several collaborators showed that it was the etiologic agent of Kaposi's sarcoma, primary effusion lymphoma, and multicentric Castleman's disease. Moore was hired onto the faculty at Columbia and the Chang-Moore Laboratory secured research funding to investigate this new virus. They subsequently sequenced KSHV, identified oncogenes encoded by the virus, demonstrated transmission during transplantation and developed diagnostic tests to detect infection. His laboratory currently seeks to understand the role of tumor virus immunoevasion of the innate immune system as a cause for viral tumorigenesis.
She is daintily little, and yet exquisitely modelled, > and her light foot dances as if dancing were the mere effusion of airy joy, > expressed through merriment, but restrained by grace. ... Her voice is of no > great compass or power; but she sings with so much expression as to bring > out the full meaning of the words. ... Ambition may lurk beneath those > careless curls, and the young lady, perhaps, secretly longs to ... turn from > the dainty deliciousness of sparkling burlesque to gracious and coquettish > comedy. ... Loftus is still so young that much may be hoped from the future > career.
CT scan showing a cancerous tumor in the left lung Primary pulmonary sarcoma in an asymptomatic 72-year-old male. Performing a chest radiograph is one of the first investigative steps if a person reports symptoms that may be suggestive of lung cancer. This may reveal an obvious mass, the widening of the mediastinum (suggestive of spread to lymph nodes there), atelectasis (lung collapse), consolidation (pneumonia), or pleural effusion. CT imaging of the chest may reveal a spiculated mass which is highly suggestive of lung cancer, and is also used to provide more information about the type and extent of disease.
To perform this test, a transparent reagent tube (volume 10 ml) is filled with approximately 7–8 ml distilled water, to which 1 drop of acetic acid (98%) is added and mixed thoroughly. On the surface of this solution, 1 drop of the effusion fluid is carefully layered. If the drop disappears and the solution remains clear, the Rivalta's test is defined as negative. If the drop retains its shape, stays attached to the surface or slowly floats down to the bottom of the tube (drop- or jelly- fish-like), the Rivalta's test is defined as positive.
Dressler syndrome was historically a phenomenon complicating about 7% of myocardial infarctions, but in the era of percutaneous coronary intervention, it is very uncommon. The disease consists of a persistent low-grade fever, chest pain (usually pleuritic), pericarditis (usually evidenced by a pericardial friction rub, chest pain worsening when recumbent, and diffuse ST elevation with PR segment depression), and/or a pericardial effusion. The symptoms tend to occur 2–3 weeks after myocardial infarction but can also be delayed a few months. It tends to subside in a few days, and very rarely leads to pericardial tamponade.
Worldwide approximately 18% of cancer deaths are related to infectious diseases. This proportion ranges from a high of 25% in Africa to less than 10% in the developed world. Viruses are the usual infectious agents that cause cancer but cancer bacteria and parasites may also play a role. Oncoviruses (viruses that can cause cancer) include human papillomavirus (cervical cancer), Epstein–Barr virus (B-cell lymphoproliferative disease and nasopharyngeal carcinoma), Kaposi's sarcoma herpesvirus (Kaposi's sarcoma and primary effusion lymphomas), hepatitis B and hepatitis C viruses (hepatocellular carcinoma) and human T-cell leukemia virus-1 (T-cell leukemias).
It also appears to cause some cases of lymphoma, including Burkitt's lymphoma (this causal association is especially strong in Africa) and Hodgkin's disease, EBV has been found in a variety of other types of cancer cells, although its role in causing these other cancers is not well established. KSHV/HHV-8 causes all cases of Kaposi's sarcoma, and has been found in some cases of a cancer-related condition called Castleman's disease. Studies involving other kinds of cancer, particularly prostate cancer, have been inconsistent. Both of these herpesviruses are commonly found in cancerous cells of primary effusion lymphoma.
Rheumatoid pleuritis, a form of pleural effusion, is an uncommon complication of rheumatoid arthritis, occurring in 2-3% of patients (Walker and Wright, 1967; Naylor, 1990) Rheumatoid pleura most often appears as an erythematous exanthema, discoloration, or gray discoloration and may grow into a tender, inflamed mass. Rheumatoid patency is a nonspecific condition characterized by inflammation of the aorta or valve, so as to alter the blood-flow to the aortic valve. Rheumatoid patency typically occurs in older patients, and there is a significant risk for severe, late complications such as aortic valve stenosis, heart valve stenosis.
Osteoarthritis commonly affects the hands, feet, spine, and the large weight-bearing joints, such as the hips and knees, although in theory, any joint in the body can be affected. As osteoarthritis progresses, movement patterns (such as gait), are typically affected. Osteoarthritis is the most common cause of a joint effusion of the knee. In smaller joints, such as at the fingers, hard bony enlargements, called Heberden's nodes (on the distal interphalangeal joints) or Bouchard's nodes (on the proximal interphalangeal joints), may form, and though they are not necessarily painful, they do limit the movement of the fingers significantly.
Palliative care can entail treatment of symptoms and complications of the cancer, including pain, nausea, constipation, ascites, bowel obstruction, edema, pleural effusion, and mucositis. Especially if the cancer advances and becomes incurable, treatment of symptoms becomes one of the main goals of therapy. Palliative care can also entail helping with decision-making such as if or when hospice care is appropriate, and the preferred place for the patient at end of life care. Bowel obstruction can be treated with palliative surgery (colostomy, ileostomy, or internal bypass) or medicine, but surgery has been shown to increase survival time.
Symptoms are set into 3 categories: mild, moderate, and severe. Mild symptoms include abdominal bloating and feeling of fullness, nausea, diarrhea, and slight weight gain. Moderate symptoms include excessive weight gain (weight gain of greater than 2 pounds per day), increased abdominal girth, vomiting, diarrhea, darker urine, decreased urine output, excessive thirst, and skin and/or hair feeling dry (in addition to mild symptoms). Severe symptoms are fullness/bloating above the waist, shortness of breath, pleural effusion, urination significantly darker or has ceased, calf and chest pains, marked abdominal bloating or distention, and lower abdominal pains (in addition to mild and moderate symptoms).
Part of his address included the declaration that > We are assisting at a solemn function, the conferring of a new charter, the > charter of the modern conscience, on each race and nation as a member of the > world-system.... From this watch-tower of Humanity, we seem to hear the > measureless tread of generations behind and before, to witness the universal > march and procession of Humanity, at the opening of a new era... Michael Biddiss notes that Seal's opening words 'set the tone of effusion and euphoria' which pervaded much of the Congress as a whole.
Though laser myringotomies maintain patency slightly longer than cold-knife myringotomies (two to three weeks for laser and two to three days for cold knife without tube insertion), they have not proven to be more effective in the management of effusion. One randomized controlled study found that laser myringotomies are safe but less effective than ventilation tube in the treatment of chronic OME. Multiple occurrences in children, a strong history of allergies in children, the presence of thick mucoid effusions, and history of tympanostomy tube insertion in adults, make it likely that laser tympanostomy will be ineffective. Various tympanostomy tubes are available.
The most common symptom is mild to severe pain that is gradually progressive in the affected region and may be initially attributed to a minor injury or sports-related injury. Pain may be present for several weeks, months, or years. Other symptoms in order of most common to least commonly observed include swelling, a limp (when affected bone is in the lower extremity), joint stiffness, and a soft tissue mass. Physical findings include localized tenderness and a decreased range of motion in the involved bone and nearby joint, muscle atrophy, a palpable mass, soft tissue swelling, and joint effusion in the affected area.
The neurological complications per central nervous system lesions are increasingly reported. The neurological complications found are meningoencephalitis, subdural effusion, cerebral hypoperfusion, cerebral ischemia and infarct, cerebellar infarction, manifesting with seizures, chorea, hemiplegia, mental confusion, lethargy and coma, or even a cerebral infarction with no neurological manifestations. Other neurological complications from cranial nerve involvement are reported as ataxia, facial palsy, and sensorineural hearing loss. Behavioral changes are thought to be caused by localised cerebral hypoperfusion, can include attention deficits, learning deficits, emotional disorders (emotional lability, fear of night, and night terrors), and internalization problems (anxious, depressive or aggressive behavior).
John Rodgers, Captain of President reported to the Secretary of the Navy, that "when perceiving our opponent's Gaff & Colours down . . . I . . . embraced the earliest moment to stop our fire and prevent the further effusion of blood.". On 29 July 1812, at the start of the War of 1812, Lt. William M. Crane, USN, commanding officer of U.S. brig Nautilus, reported his capture by a British squadron in these words: "the chaseing ship put her helm up hoisted a broad pendant and English colours and ranged under my lee quarter—unable to resist I was compelled to strike the Flag of the United States.".
This clot tends to stick the parietal and visceral pleura together and has the potential to lead to scarring within the pleura, which if extensive leads to the condition known as a fibrothorax. Following the initial loss of blood, a small hemothorax may irritate the pleura, causing additional fluid to seep out, leading to a bloodstained pleural effusion. Furthermore, as enzymes in the pleural fluid begin to break down the clot, the protein concentration of the pleural fluid increases. As a result, the osmotic pressure of the pleural cavity increases, causing fluid to leak into the pleural cavity from the surrounding tissues.
The sensitivity and specificity of Light's criteria for detection of exudates have been measured in many studies and are usually reported to be around 98% and 80%, respectively. This means that although Light's criteria are relatively accurate, twenty percent of patients that are identified by Light's criteria as having exudative pleural effusions actually have transudative pleural effusions. Therefore, if a patient identified by Light's criteria as having an exudative pleural effusion appears clinically to have a condition that usually produces transudative effusions, additional testing is needed. In such cases, albumin levels in blood and pleural fluid are measured.
This sound should be distinguished from the sound of a murmur, which is similar but sounds more like a "swish" sound than a scratching sound. The pericardial rub is said to be generated from the friction generated by the two inflamed layers of the pericardium; however, even a large pericardial effusion does not necessarily present a rub. The rub is best heard during the maximal movement of the heart within the pericardial sac, namely, during atrial systole, ventricular systole, and the filling phase of early ventricular diastole. Fever may be present since this is an inflammatory process.
The engine has a wide-chord swept fan, two-stage low-pressure compressor and counter rotating high- pressure compressor based on a titanium impeller, for a takeoff thrust. The HF120 engine's components interact with greater efficiency by incorporating 3D aerodynamic design and its effusion-cooled combustor design emits few NOx, CO and HC. Noise levels are quieter than Stage 4 requirements. In May 2016 time between overhaul was 2,500 h and should mature to 5,000 h ; a midlife hot- section inspection isn't required and it should remain on wing 40% longer than other engines and have lower operating costs.
Lessons that Pitres gave at the amphitheater in Bordeaux on the following subjects were compiled and published: hysteria and hypnotism (1891), amnesic aphasia (1897), paraphasia (1898) and physical signs associated with pleural effusions (1902). His studies of peripheral neuritis were published in volume 36 of Augustin Nicolas Gilbert and Paul Carnot's Nouveau traité de médeine et de thérapeutique.World Cat Titles Maladies des nerfs périphériques et du sympathique With Leo Testut (1849–1925), he was co-author of Les nerfs en schémas, anatomie et physiopathologie (1925). His name became associated with pleural effusion and with tabes dorsalis.
He finally lures her into a situation where he can attempt to rape her, but she pushes him away so forcefully that he falls and sustains a head injury. Zélie knows at once that by the Code noir she will have to die: "Any slave who strikes his master, his mistress, the husband of his mistress, or their children, causing bruises or effusion of blood shall be punished by death." Although Georges begs Alfred to pardon her, Zélie is executed by hanging. Georges escapes to the depths of the forest, where he joins the slave rebels or Maroons and bides his time.
Patients should understand prior to the surgery that if bar displacement occurs soon after surgery, a second surgery will be immediately required which is even a more difficult recovery as the patient is already weakened and in pain. High impact trauma, such as car accidents can dislodge the bars, causing extreme pain. This is the reason for the restriction on driving, because a sudden defensive maneuver, such as a jerk of the steering wheel, could dislodge the bar up to six weeks directly after the surgery. Other complications which may occur include hemothorax, pleural effusion, pericarditis, wound infection and pneumonia and acquired scoliosis.
This variation in the shape of Io causes frictional heating in its interior. Without this tidal heating, Io might have been similar to the Moon, a world of similar size and mass, geologically dead and covered with numerous impact craters. Io's volcanism has led to the formation of hundreds of volcanic centres and extensive lava formations, making it the most volcanically active body in the Solar System. Three different types of volcanic eruptions have been identified, differing in duration, intensity, lava effusion rate, and whether the eruption occurs within a volcanic pit (known as a patera).
The cone has a height of and an elliptical base with a horseshoe shape, probably caused by the breaching of the western-side of the volcano as a result of the effusion of lava flows during the last eruptive phase of Croscat. A study published in 2011 at the Journal of Volcanology and Geothermal Research revealed that the Santa Margarida Volcano and the Croscat were the product of the same eruption event 11,500 years ago, alternating phreatomagmatic activity, between water and magma, and magmatic activity. The internal structure of the cone has been exposed by mining operations.
Roark, Elisabeth Louise, p.78, Artists of colonial America Retrieved February 22, 2010 Darnall, heavily outnumbered, later wrote: "Wee being in this condition and no hope left of quieting the people thus enraged, to prevent effusion of blood, capitulated and surrendered." After this "Protestant Revolution" in Maryland, The victorious Coode and his Protestants allies set up a new government that outlawed Catholicism; Catholics would thereafter be forced to maintain secret chapels in their home in order to celebrate the Mass. In 1704 an Act was passed "to prevent the growth of Popery in this Province", preventing Catholics from holding political office.
Of these legends, one of the most prominent was that he created a talking brazen head which could answer any question. The story appears in the anonymous 16th-century account of The Famous Historie of Fryer Bacon, in which Bacon speaks with a demon but causes the head to speak by "the continuall fume of the six hottest Simples",. testing his theory that speech is caused by "an effusion of vapors". Around 1589, Robert Greene adapted the story for the stage as The Honorable Historie of Frier Bacon and Frier Bongay, one of the most successful Elizabethan comedies.
The fabella sign is displacement of the fabella that is seen in cases of synovial effusion and popliteal fossa masses. The fabella is an accessory ossicle located inside the gastrocnemius lateral head tendon on the posterior side of the knee, in about 25% of people. It can thus serve as a surrogate radio-opaque marker of the posterior border of the knee's synovium. On a lateral radiograph of the knee, an increase in the distance from the fabella to the femur or to the tibia can be suggestive of fluid or of a mass within the synovial fossa.
There are several organic and psychological factors that can affect speech. Among these are: # Diseases and disorders of the lungs or the vocal cords, including paralysis, respiratory infections (bronchitis), vocal fold nodules and cancers of the lungs and throat. # Diseases and disorders of the brain, including alogia, aphasias, dysarthria, dystonia and speech processing disorders, where impaired motor planning, nerve transmission, phonological processing or perception of the message (as opposed to the actual sound) leads to poor speech production. # Hearing problems, such as otitis media with effusion, and listening problems, auditory processing disorders, can lead to phonological problems.
Other rarer conditions may also affect the blood supply of the lung, such as granulomatosis with polyangiitis, which causes inflammation of the small blood vessels of the lungs and kidneys. A lung contusion is a bruise caused by chest trauma. It results in hemorrhage of the alveoli causing a build-up of fluid which can impair breathing, and this can be either mild or severe. The function of the lungs can also be affected by compression from fluid in the pleural cavity pleural effusion, or other substances such as air (pneumothorax), blood (hemothorax), or rarer causes.
Risks of the procedures include mastoiditis, otitis media (acute or with effusion), shifting of the implanted device requiring a second procedure, damage to the facial nerve, damage to the chorda tympani, and wound infections. The rate of complications is about 12% for minor complications and 3% for major complications; major complications include infections, facial paralysis, and device failure. To avoid the risk of bacterial meningitis, which while low is about thirty times as high compared to people who don't undergo CI procedures, the FDA recommends vaccination prior to the procedure. The rate of transient facial nerve palsy is estimated to be approximately 1%.
They had support of two gunboats on the Ohio River, and refused to surrender.Civil War in Kentucky A message was sent by Confederate Major-General Nathan Bedford Forrest to Hicks asking for unconditional surrender. The letter reads as follows: > Colonel: > Having a force amply sufficient to carry your works and reduce the place, > and in order to avoid the unnecessary effusion of blood, I demand the > surrender of the fort and troops, with all public property. If you > surrender, you shall be treated as a prisoner of war; but if I have to storm > your works, you may expect no quarter.
A pleural effusion is sometimes present that is exudative, detectable by decreased percussion note, audible breath sounds, and vocal resonance. Strain on the right ventricle may be detected as a left parasternal heave, a loud pulmonary component of the second heart sound, and/or raised jugular venous pressure. A low-grade fever may be present, particularly if there is associated pulmonary hemorrhage or infarction. As smaller pulmonary emboli tend to lodge in more peripheral areas without collateral circulation, they are more likely to cause lung infarction and small effusions (both of which are painful), but not hypoxia, dyspnea or hemodynamic instability such as tachycardia.
Effects in a building after the tsunami of 2002, Stromboli.On December 30, two days after the start of the effusion phase, there was a partial collapse of one side of the volcano involved in the lava flow. The landslide event also affected submarine portions of the Sciara del Fuoco and caused a tidal wave whose maximum height was simulated around 10 m, the well-known tsunami of December 2002. The eruption lasted until the end of March, with small variations in the flow rate of lava and the positions of the eruptive mouths was accompanied by reduced or no explosive activity in the craters.
These include human papillomavirus (cervical carcinoma), Epstein–Barr virus (B-cell lymphoproliferative disease and nasopharyngeal carcinoma), Kaposi's sarcoma herpesvirus (Kaposi's sarcoma and primary effusion lymphomas), hepatitis B and hepatitis C viruses (hepatocellular carcinoma), and Human T-cell leukemia virus-1 (T-cell leukemias). In Western developed countries, human papillomavirus (HPV), hepatitis B virus (HBV) and hepatitis C virus (HCV) are the most common oncoviruses. In the United States, HPV causes most cervical cancers, as well as some cancers of the vagina, vulva, penis, anus, rectum, throat, tongue and tonsils. Among high-risk HPV viruses, the HPV E6 and E7 oncoproteins inactivate tumor suppressor genes when infecting cells.
These tubes are used to drain air and fluid until the patient heals enough to take them out (usually a few days). Complications such as pneumothorax, tension pneumothorax, or subcutaneous emphysema can occur if these chest tubes become clogged. Furthermore, complications such as pleural effusion or hemothorax can occur if the chest tubes fail to drain the fluid around the lung in the pleural space after a thoracotomy. Clinicians should be on the look out for chest tube clogging as these tubes have a tendency to become occluded with fibrinous material or clot in the post operative period, and when this happens, complications ensue.
" Coode raised an army against Maryland's Catholic leaders, which was helped by a rumor he spread warning that the Catholics had invited the native tribes to come and kill the Protestants. Coode's army of 700 men attacked the state house, a symbol of the proprietary government's authority and home to the colony's records. His army then marched into Saint Mary's City and forced the council to surrender power to them, defeating a proprietarial army led by Colonel Henry Darnall. Darnall later wrote: "Wee being in this condition and no hope left of quieting the people thus enraged, to prevent effusion of blood, capitulated and surrendered.
The flexion test is less useful to evaluate for subclinical joint disease, since a significant number of sound, unaffected horses can produce slightly positive results.Busschers, E. and Van Weeren, P. R. (2001), Use of the Flexion Test of the Distal Forelimb in the Sound Horse: Repeatability and Effect of Age, Gender, Weight, Height and Fetlock Joint Range of Motion. Journal of Veterinary Medicine, Series A, 48: 413–427. Additionally, forelimb flexion tests have been shown to have poor predictive value for future soundness or unsoundness, and are best interpreted in cases of clinical lameness, joint effusion, reduced range of motion, or pain on palpation.
'" Andrew Pulver of The Guardian was similarly negative, commenting, "Only the merest hint of amusement is to be found in this uninspired latest effusion from the conveyor belt that is Saturday Night Live." Entertainment Weekly Lisa Schwarzbaum called it a "naughty throwaway in all senses of the word throwaway-90 minutes of talented performers doing and saying dumb, crude stuff in pursuit of an elusive laugh." Chris Tilly of IGN UK gave it 3 out of 5 stars saying "When the film is funny, it's very funny." Jon Peters of KillerFilm gave it 3 out of 5 stars saying "It's consistently funny and it didn't need gray tape to do it.
When the Byzantine army arrived in the province of Shirak in 1041, local Armenian nobles (nakharars) assembled together against them under the command of the Pahlavuni general Vahram Pahlavouni. Vahram then selected a body of 30,000 infantry and 20,000 cavalry, forming three divisions, which fought against the Byzantines.History of Armenia by Father Michael Chamich from B.C. 2247 to the Year of Christ 1780, or 1229 of the Armenian era – Page 124 by Mik'ayel Ch'amch'yants' A battle ensued in which the invaders were routed with great slaughter. The fight was so ferocious that the effusion of blood flowing into the Akhurian River is said to have coloured its waters completely red.
Armadillo Peak caldera The lava domes, calderas, stratovolcanoes, subglacial mounds and cinder cones forming the volcanic complex were constructed in five phases, each of which began with the effusion of dark olivine basalt which formed the flat-lying shield volcanoes and concluded with the eruption of light-coloured magma. This cyclical behavior is attributed to the episodic rise of basic, mantle-derived alkali basalt both to the surface and partly into crustal reservoirs where the light-coloured magmas with very little aluminum were created by prolonged crystal fractionation. The silica- rich trachyte and comendite lavas are similar to those associated with the most violent eruptions on Earth.
Fluid in space between the lung and the chest wall is termed a pleural effusion. There needs to be at least 75 mL of pleural fluid in order to blunt the costophrenic angle on the lateral chest radiograph and 200 mL of pleural fluid in order to blunt the costophrenic angle on the posteroanterior chest radiograph. On a lateral decubitus, amounts as small as 50ml of fluid are possible. Pleural effusions typically have a meniscus visible on an erect chest radiograph, but loculated effusions (as occur with an empyema) may have a lenticular shape (the fluid making an obtuse angle with the chest wall).
The most promising but also the most challenging method of isotope separation was gaseous diffusion. Graham's law states that the rate of effusion of a gas is inversely proportional to the square root of its molecular mass, so in a box containing a semi-permeable membrane and a mixture of two gases, the lighter molecules will pass out of the container more rapidly than the heavier molecules. The gas leaving the container is somewhat enriched in the lighter molecules, while the residual gas is somewhat depleted. The idea was that such boxes could be formed into a cascade of pumps and membranes, with each successive stage containing a slightly more enriched mixture.
The original hotel started as two hotels on Fifth Avenue built by feuding relatives. The first hotel, the 13-story, 450-room Waldorf Hotel, designed by Henry Janeway Hardenbergh in the German Renaissance style, was opened on March 13, 1893, at the corner of Fifth Avenue and 33rd Street, on the site where millionaire developer William Waldorf Astor had his mansion. The original hotel stood high, with a frontage of about on Fifth Avenue, with an area of . The original hotel was described as having a "lofty stone and brick exterior", which was "animated by an effusion of balconies, alcoves, arcades, and loggias beneath a tile roof bedecked with gables and turrets".
Marcelino J, Carpten JD, Suwairi WM, Gutierrez OM, Schwartz S, Robbins C, Sood R, Makalowska I, Baxevanis A, Johnstone B, Laxer RM, Zemel L, Kim CA, Herd JK, Ihle J, Williams C, Johnson M, Raman V, Alonso LG, Brunoni D, Gerstein A, Papadopoulos N, Bahabri SA, Trent JM, Warman ML (1999) CACP, encoding a secreted proteoglycan, is mutated in camptodactyly-arthropathy-coxa vara-pericarditis syndrome. Nat Genet 23(3):319-322 Children with this syndrome often present with a joint effusion that is cool and resistant to anti-inflammatory therapy. The arthropathy principally involves large joints such as elbows, hips, knees, and ankles. Pericarditis may be a presenting feature or may occur later in the course of the disease.
18, 1997 Akhmatova often complained that the critics "walled her in" to their perception of her work in the early years of romantic passion, despite major changes of theme in the later years of The Terror. This was mainly due to the secret nature of her work after the public and critical effusion over her first volumes. The risks during the purges were very great. Many of her close friends and family were exiled, imprisoned or shot; her son was under constant threat of arrest, she was often under close surveillance. Following artistic repression and public condemnation by the state in the 1920s, many within literary and public circles, at home and abroad, thought she had died.
For pore diameters on the order of the mean-free-path of the fluid, flow will occur with contributions from the molecular regime as well as the viscous regime, obeying the dusty gas model according to the following equation: :Q_{total}=Q_S+Q_E Here, Q_{total} is the total volumetric flowrate and Q_E is the volumetric flowrate according to the law of effusion. As it turns out, for many gasses, we notice equal contributions from molecular and viscous regimes when the pore size is significantly larger than the mean-free-path of the fluid, for nitrogen this occurs at a pore diameter of 393 nm, 6.0× larger than the mean-free-path.
Five of the seven sessions of the peace juries that subsequently sat suggested the latter, the other the two decided it was the former date. It was probably the maid, Lovel, who gave Cooke and Gyse access to de Cantilupe's room. Having killed him, according to the later court records, they washed his corpse "with heated-up water so that they not be discredited by the effusion of the blood of his wounds". The hot water cauterised de Cantilupe's wounds and made his body easier to transport; it also, suggests Pedersen, implies that they had assistance from the house's domestic staff, and, by extension, that "entire household was involved in aiding and abetting the murder".
After an explosion at the bar and a tram derailment, Nick, Peter, and Ashley are trapped in the office. Peter is seriously hurt and taken to hospital where he and Leanne marry but moments later, Peter goes into cardiac arrest brought on by a pericardial effusion and has to be resuscitated. To Leanne's relief, he survives and successfully comes through surgery to stop internal bleeding but it is later revealed that he has damaged his spine and it could be some time before he can walk again. Noticing that Carla has romantic feelings for Peter, Leanne warns her to stay away from them and takes Peter on an impromptu honeymoon on New Year's Eve.
PEL was first described in 1989 as a malignant B cell-derived non-Hodgkin lymphoma that developed in three individuals afflicted with HIV/AIDS. In 1995, a group of researchers found DNA sequences that identified KSHV/HHV8 sequences in 8 lymphomas in the malignant cells of patients infected with the HIV; all 8 patients had effusions containing malignant cells in their pleural, pericardial, or peritoneal spaces and had malignant cells in their effusions that evidenced the Epstein-Barr viral genome. Nadir and colleagues termed this syndrome of findings pulmonary effusion lymphoma in 1996. During the years following these initial reports, several cases of PEL were found to be KSHV/HHV8-negative, i.e.
Effusion-based lymphoma, KSHV/HHV8-negative (also termed Type II PEL) has been described by some researchers. These cases closely resemble KSHV/HHV8-positive (also termed Type I PEL) but have yet to be defined by the World Health Organization (2017). Compared to Type I PEL, Type II PEL occurs more often in older individuals, is less often associated with EBV, and more often afflicts individuals who lack evidence of being immunocompromised. That is, the majority of HHV-8-negative EBL cases do not evidence a potentially PEL causative agent, such as HIV, EBV, HCV, or iatrogenic immunodeficiency, except for old age and, in 20% to 40% of cases, the presence of hepatitis C virus infection.
Relaxation atelectasis (also called passive atelectasis) is when a pleural effusion or a pneumothorax disrupts the contact between the parietal and visceral pleurae. Updated: Nov 28, 2017 Risk factors associated with increased likelihood of the development of atelectasis include: type of surgery (thoracic, cardiopulmonary surgeries), use of muscle relaxation, obesity, high oxygen, the lower lung segments. Factors not associated with the development of atelectasis include: age, presence of chronic obstructive pulmonary disease (COPD) or asthma, and type of anesthetic. In the early 1950s, in UK aviation medicine, the condition "acceleration atelectasis" was given the name "Hunter Lung" due to its prevalence in pilots of the transonic fighter jet, the Hawker Hunter, which used a 100 % oxygen supply.
The excess fluid, primarily salt and water, builds up in various locations in the body and leads to an increase in weight, swelling in the legs and arms (peripheral edema), and/or fluid in the abdomen (ascites). Eventually, the fluid enters the air spaces in the lungs (pulmonary edema) reduces the amount of oxygen that can enter the blood, and causes shortness of breath (dyspnea) or enters pleural space by transudation (pleural effusion which also causes dyspnea), which is the best indicator of estimating central venous pressure is increased. It can also cause swelling of the face. Fluid can also collect in the lungs when lying down at night, possibly making nighttime breathing and sleeping difficult (paroxysmal nocturnal dyspnea).
Other parts of a physical examination for suspected ovarian cancer can include a breast examination and a digital rectal exam. Palpation of the supraclavicular, axillary, and inguinal lymph nodes may reveal lymphadenopathy, which can be indicative of metastasis. Another indicator may be the presence of a pleural effusion, which can be noted on auscultation. When an ovarian malignancy is included in a list of diagnostic possibilities, a limited number of laboratory tests are indicated. A complete blood count and serum electrolyte test is usually obtained; when an ovarian cancer is present, these tests often show a high number of platelets (20–25% of people) and low blood sodium levels due to chemical signals secreted by the tumor.
The group recorded its planned debut album before the end of the year, although it was scrapped and remained unavailable until it was released as The Original Lost Elektra Sessions in 1995. Shortly after performing at the Newport Folk Festival in July 1965, the band expanded to a six-piece with the addition of keyboardist Mark Naftalin, who had performed with them at the show. With its new lineup in place, Butterfield and his band released its self-titled debut album in October 1965. Shortly after its release, however, Lay was hospitalised after contracting pleural effusion; he was replaced for one show by Billy Warren, who was then dismissed in favor of Billy Davenport, who joined in late December.
Electrical alternans is an electrocardiographic phenomenon of alternation of QRS complex amplitude or axis between beats and a possible wandering base- line. It is seen in cardiac tamponade and severe pericardial effusion and is thought to be related to changes in the ventricular electrical axis due to fluid in the pericardium, as the heart essentially wobbles in the fluid filled pericardial sac. The echocardiogram of the heart demonstrated the characteristic swinging along with alternating voltage on the ECG.Electrical Alternans with Pericardial Tamponade, New England Journal of Medicine, 20 August 2015, Generally electrical alternans can be seen with tamponade, and narrow AV junctional reentrant tachycardia with an accessory pathway (such as WPW syndrome).
On 8 June 1783, a 25 km (15.5 mi) long fissure with 130 craters opened with phreatomagmatic explosions because of the groundwater interacting with the rising basalt magma. Over a few days the eruptions became less explosive, Strombolian, and later Hawaiian in character, with high rates of lava effusion. This event is rated as 4 on the Volcanic Explosivity Index, but the eight-month emission of sulfuric aerosols resulted in one of the most important climatic and socially repercussive events of the last millennium.Brayshay and Grattan, 1999; Demarée and Ogilvie, 2001 The eruption, also known as the Skaftáreldar ("Skaftá fires") or Síðueldur produced an estimated of basalt lava, and the total volume of tephra emitted was .
There was also significant hardening of the arteries and plaque in his arteries (coronary atherosclerosis). He also had abnormally yellowish skin color, fatty liver, ascites (accumulation of protein-containing fluid in the abdomen), congested thyroid, congested and discolored kidneys, ischemic brain tissue (brain tissue that had lost blood supply), necrotic brain tissue and brain edema. Another abnormality was in his lungs, which were filled with yellow fluid and swollen (bronchopneumonia pleural effusion wih edema), had apparent fat emboli and micro-abscesses, and also displayed both acute and chronic inflammatory cells. However, the autopsy report was ultimately inconclusive on the cause and manner of his death, due to the hospital disposing of any specimens prior to his death.
The disease predominantly affects lymph nodes and the spleen, a pattern dissimilar to plasmablastic lymphoma of the oral cavity of AIDS which is not associated with HHV-8 infection. Despite traditional chemotherapy with CHOP (cyclophosphamide, doxorubicin, prednisone, vincristine), and the possible addition of antiviral therapy and inhibition of specific cellular targets including the use of rituximab, the prognosis in this lymphoma has been poor. This lymphoma subtype has sometimes been confused with plasmablastic lymphoma in the literature, although that is a dissimilar specific entity. Similarly, this subtype is considered distinct from other lymphomas which have a plasmablastic immunophenotype such as primary effusion lymphoma, ALK+ large B-cell lymphoma, and extracavitary HHV–8-positive lymphoma.
A lava field on Hekla in July 2000 The most recent eruption was relatively short; it started at 18:18 on 26 February 2000 and lasted until 8 March. It was a VEI 3 eruption producing a lava volume of 0.189 km3 DRE / 0.29 km3 and 107 m3 of tephra. The eruption went through four phases: #initial explosive stage #fire fountains #bursts of Strombolian eruption #effusion of lava Eruption activity was at a maximum in the first hour, and by the first night the fissure on Hekla had opened to a length of 6–7 km. The steam column rose to a height of almost 15 km, and ash was transported to Grímsey.
Chang moved to Columbia University to pursue her first academic appointment as a clinician-scientist. Although initially interested in using representational difference analysis to study the genetic origins of brain tumors, she applied this technique to Kaposi's sarcoma resulting in the discovery of this new human tumor virus. In 1994, she co-discovered KSHV,THE DOCTOR'S WORLD; Going Off the Beaten Path to Track Down Clues About AIDS also called human herpesvirus-8 (HHV-8), working with her husband Patrick S. Moore at Columbia University. Chang, Moore and collaborators subsequently showed that this virus was the etiologic agent of Kaposi's sarcoma and primary effusion lymphoma, while others showed it to be the cause of some forms of multicentric Castleman's disease.
Here they planted their cannon, and made preparations for the attack. They seemed, however, when everything was ready, still reluctant to proceed to extremities: and having remained several hours in a hostile position, an accommodation was effected between the parties by the intervention of some pacific people, who used their endeavors to prevent the effusion of blood. To the non-removalists was conceded the liberty of inspecting the defenses that had been prepared by their opponents, on condition that they should do them no injury; and they on their part agreed to abandon their design, and to return peaceably to their homes. The cannon, which had been pointed against the walls, was turned in another direction, and fired in celebration of the treaty. Col.
At this point, an evaluate may also be performed over the joint area for any joint effusion, or any thickening or hyperemia of the joint capsule. A line parallel to the long axis of the transducer can be drawn on the skin adjacent to the end of transducer in order to mark where the needle will be introduced. Once the patient’s skin is sterilized and initial needle entry is made adjacent to the mark, the probe can be returned quickly to the same location and orientation by aligning to the skin mark. The needle is directed toward the intended target by a freehand technique. The needle size, length and type should be selected based on the site, depth and patient’s body habitus.
The Little Rock City Council reacted with alarm at this sudden invasion of the capitol by the newly formed volunteer companies and called out its own militia unit, the Capitol Guards, and ordered them to patrol the streets and stand guard over the volunteer companies. Although generally opposed to secession, the Little Rock City Council fear that a battle might ensure within the city itself and passed an ordinance requesting the Governor assume control of the assembling volunteer forces and to seize the Arsenal "to prevent the effusion of blood". Governor Rector, now armed with the city council's request, took control of the military situation. The 13th Militia Regiment of Pulaski County was activated and Brigadier General Holt, the local militia brigade commander, was placed in command.
208–209 King George's attitude toward the colonies hardened, and the news may have contributed to his rejection of the Continental Congress' Olive Branch Petition, the last substantive political attempt at reconciliation. Sir James Adolphus Oughton, part of the Tory majority, wrote to Lord Dartmouth of the colonies, "the sooner they are made to Taste Distress the sooner will [Crown control over them] be produced, and the Effusion of Blood be put a stop to."Ketchum, p. 211 About a month after receiving Gage's report the Proclamation of Rebellion would be issued in response; this hardening of the British position would also lead to a hardening of previously weak support for the rebellion, especially in the southern colonies, in favor of independence.
A chyle fistula occurs when defect(s) of lymphatic vessel(s) result in leakage of lymphatic fluid, typically accumulating in the thoracic (pleural) or abdominal (peritoneal) cavities,Tessier, Deron J, MD, Chyle fistula eMedicine; Jan 10, 2008; accessed Feb 2008 leading to a chylous pleural effusion (chylothorax) or chylous ascites, respectively. Diagnosis of a chyle fistula may be accomplished by analysis of pleural/peritoneal fluid. Identifying the source (localizing the lymphatic defect) is often challenging, but may be accomplished with lymphangiography, which is occasionally associated with a serendipitous therapeutic effect (resolution of the leak), thought to be secondary to a sclerosant effect of the lymphangiography contrast. Due to the extreme friability of the lymphatic vessels, direct repair of defects is impractical.
Fotla Corona presents a variety of tectonic structures, including three farra of decreasing size from north to south (the largest in the north has a diameter of about 35 km) aligned along a line that intersects the corona in its part West. A rather complex fracture network is visible to the northeast, which among other volcanic structures are visible, probably due to effusion of lava through existing fractures, leading to the collapse of land located above. A set of volcanic domes aligned with the southern part of the circumference of the corona is visible, and a smooth land area in the center of the formation, perhaps the recent lava. These observations highlight the central role of volcanism in the genesis of coronae.
EBV has been implicated in several diseases, including infectious mononucleosis, Burkitt's lymphoma, Hodgkin's lymphoma, stomach cancer, nasopharyngeal carcinoma, multiple sclerosis, and lymphomatoid granulomatosis. Specifically, EBV infected B-cells have been shown to reside within the brain lesions of multiple sclerosis patients. Additional diseases that have been linked to EBV include Gianotti–Crosti syndrome, erythema multiforme, acute genital ulcers, oral hairy leukoplakia. The viral infection is also associated with, and often contributes to the development of, a wide range of non- malignant lymphoproliferative diseases such as severe hypersensitivity Mosquito bite allergy reactions, Epstein-Barr virus-positive mucocutaneous ulcers, and hydroa vacciniforme as well as malignant lymphoproliferative diseases such as Epstein–Barr virus-positive Burkitt lymphoma, Epstein–Barr virus-positive Hodgkin lymphoma, and primary effusion lymphoma.
In 1796 he released his first volume of poems entitled Poems on various subjects, which also included four poems by Charles Lamb as well as a collaboration with Robert Southey and a work suggested by his and Lamb's schoolfriend Robert Favell. Among the poems were Religious Musings, Monody on the Death of Chatterton and an early version of The Eolian Harp entitled Effusion 35. A second edition was printed in 1797, this time including an appendix of works by Lamb and Charles Lloyd, a young poet to whom Coleridge had become a private tutor. In 1796 he also privately printed Sonnets from Various Authors, including sonnets by Lamb, Lloyd, Southey and himself as well as older poets such as William Lisle Bowles.
Perforation of the right tympanic membrane resulting from a previous severe acute otitis media As its typical symptoms overlap with other conditions, such as acute external otitis, symptoms alone are not sufficient to predict whether acute otitis media is present; it has to be complemented by visualization of the tympanic membrane. Examiners may use a pneumatic otoscope with a rubber bulb attached to assess the mobility of the tympanic membrane. Other methods to diagnose otitis media is with a tympanometry, reflectometry or hearing test. In more severe cases, such as those with associated hearing loss or high fever, audiometry, tympanogram, temporal bone CT and MRI can be used to assess for associated complications, such as mastoid effusion, subperiosteal abscess formation, bony destruction, venous thrombosis or meningitis.
In a study looking at attention in APD patients, children with one ear blocked developed a strong right-ear advantage but were not able to modulate that advantage during directed-attention tasks. In the 1980s and 1990s, there was considerable interest in the role of chronic Otitis media (middle ear disease or 'glue ear') in causing APD and related language and literacy problems. Otitis media with effusion is a very common childhood disease that causes a fluctuating conductive hearing loss, and there was concern this may disrupt auditory development if it occurred during a sensitive period. Consistent with this, in a sample of young children with chronic ear infections recruited from a hospital otolargyngology department, increased rates of auditory difficulties were found later in childhood.
The latency-associated nuclear antigen (LANA-1) or latent nuclear antigen (LNA, LNA-1), is a Kaposi's sarcoma-associated herpesvirus (KSHV) latent protein initially found by Moore and colleagues as a speckled nuclear antigen present in primary effusion lymphoma cells that reacts with antibodies from patients with KS. It is the most immunodominant KSHV protein identified by Western-blotting as 222–234 kDa double bands migrate slower than the predicted molecular weight. LANA has been suspected of playing a crucial role in modulating viral and cellular gene expression. It is commonly used as an antigen in blood tests to detect antibodies in persons that have been exposed to KSHV. KSHV or Human herpesvirus 8 (HHV-8) has been identified as the etiological agent of Kaposi’s sarcoma (KS) and certain AIDS-associated lymphomas.
The second part of Cromwell's statement, that the massacre would "tend to prevent the effusion of blood for the future," is accepted to mean that such harshness, including such tactics as clubbing to death and the public displaying of heads, would discourage future resistance and prevent further loss of life.; ; Another of Cromwell's officers wrote, "such extraordinary severity was designed to discourage others from making opposition." Indeed, the neighbouring garrisons of Trim and Dundalk surrendered or fled when they heard the news of what had happened at Drogheda. Several recent analyses by historians, particularly by Tom Reilly, have claimed that Cromwell’s orders were not exceptionally cruel by the standards of the day, which were that a fortified town that refused an offer of surrender, and was subsequently taken by assault, was not entitled to quarter.
Small cell lung cancer is often treated as a systematic disease due to its tendency for early dissemination, thus, instead of the traditional TNM staging system, the Veterans' Administration Lung Study Group (VALSG) introduced a simplified 2-stage system in 1950s to divide small cell lung cancer into limited stage and extensive stage. As a result of the change in policy from targeting all nodal stations by radiotherapy ports to target only obviously involved nodal stations, the definition of the limited disease varies. According to a broad medical consensus, limited-stage small cell lung carcinoma is generally considered to be encompassed within a radiation portal. Variability in categorising small- cell lung cancer as limited or extensive occurs with reference to the extent of pleural effusion and nodal stations involvement.
However, CT is less used as a primary means of diagnosis within the trauma setting, as these scans require a critically ill person to be transported to a scanner, are slower, and require the subject to remain supine. Magnetic resonance imaging (MRI) can be used to differentiate between a hemothorax and other forms of pleural effusion, and can suggest how long the hemothorax has been present for. Fresh blood can be seen as a fluid with low T1 but high T2 signals, while blood that has been present for more than a few hours displays both low T1 and T2 signals. MRI is used infrequently in the trauma setting due to the prolonged time required to perform an MRI, and the deterioration in image quality that occurs with motion.
The preferred initial diagnostic testing is the ECG, which may demonstrate a 12-lead electrocardiogram with diffuse, non-specific, concave ("saddle-shaped"), ST- segment elevations in all leads except aVR and V1 and PR-segment depression possible in any lead except aVR; sinus tachycardia, and low-voltage QRS complexes can also be seen if there is subsymptomatic levels of pericardial effusion. The PR depression is often seen early in the process as the thin atria are affected more easily than the ventricles by the inflammatory process of the pericardium. Since the mid-19th century, retrospective diagnosis of pericarditis has been made upon the finding of adhesions of the pericardium. When pericarditis is diagnosed clinically, the underlying cause is often never known; it may be discovered in only 16–22 percent of people with acute pericarditis.
Rather, it is the physical structure of candies that contributes to the fountain effect. The structure of the Mentos is the most significant cause of the eruption due to nucleation. MythBusters reported that when fruit-flavored Mentos with a smooth waxy coating were tested in carbonated drink there was hardly a reaction, whereas mint-flavored Mentos (with no such coating) added to carbonated drink formed an energetic eruption, supporting the nucleation-site theory. According to MythBusters, the surface of the mint Mentos is covered with many small holes that increase the surface area available for reaction (and thus the quantity of reagents exposed to each other at any given time), thereby allowing CO2 bubbles to form with the rapidity and quantity necessary for the "jet"-, "geyser"-, or "eruption"-like nature of the effusion.
However, in 1934 he left MIT to work in the nascent forecasting bureau of Trans-World Airlines in Newark and then in Kansas City, where he stayed until 1934. That job was canceled in 1934 when TWA lost a government airmail contract, and Namias "was happy to return to part-time work at MIT and Blue Hill Observatory, even though he had to learn to live on student pay once again." John O. Roads, Jerome Namias; March 19, 1910 – February 10, 1997 (The National Academies Press) In 1934 Namias had determined to obtain a college degree, and had enrolled in the University of Minnesota, which had lower tuition than MIT. However, he had serious health problems (pleural effusion) during that year, and he returned to Fall River, to continue his self-education.
Plasmablastic lymphoma (PBL) is a type of large B-cell lymphoma recognized by the World Health Organization (WHO) in 2017 as belonging to a subgroup of lymphomas termed lymphoid neoplasms with plasmablastic differentiation. The other lymphoid neoplasms within this subgroup are: plasmablastic plasma cell lymphoma (or the plasmacytoma variant of this disease); primary effusion lymphoma that is Kaposi's sarcoma-associated herpesvirus positive or Karposi's sarcoma-associated Herpesvirus negative; anaplastic lymphoma kinase-positive large B-cell lymphoma; and human herpesvirus 8-positive diffuse large B-cell lymphoma, not otherwise specified. All of these lymphomas are malignancies of plasmablasts, i.e. B-cells that have differentiated into plasmablasts but because of their malignant nature: fail to differentiate further into mature plasma cells; proliferate excessively; and accumulate in and injure various tissues and organs.
The nave is barrel- vaulted, with small vaults over the windows. The aisles have groined vaulting. Among several items of art-historical interest in the church are: in the portico, to left and right of the main entrance, parts of a bronze memorial made in 1608 by Hans Krumpper for Duke Ferdinand of Bavaria, Infante of Spain; in the chancel, the high altar by Nikolaus Stuber (1730), with an altarpiece by Ulrich Loth depicting The Effusion of the Holy Ghost (1661) and two flanking figures of angels by Johann Georg Greiff (1729); in the right aisle, a series of wall paintings (1725) by Peter Jacob Horemans illustrating the Seven Gifts of the Holy Spirit; in the Kreuzkapelle, a late Gothic crucifix (1510); and, midway along the left aisle, an altar with an allegedly miraculous image of the Hammerthaler Madonna (15th century).
One factor that appears to improve the treatment of Type II PEL is the addition of rituximab (a monoclonal antibody directed against and killing CD20-bearing cell) to the intensive chemotherapy regimens used to treat Type I PEL: the malignant cells in Type II PEL commonly express CD20 whereas the malignant cells in Type I PEL rarely express this cell surface marker. However, there are several cases of KSHV/HHV8-negative EBL that presented with pericardial effusions without evidence of more extensive disease that have experienced complete responses and favorable prognoses without chemotherapy or other cancer treatment (including rituximab) after simple drainage of the effusion. These cases suggest that, in addition to the presence of rituximab-sensitive CD20-bearing malignant cells, Type II PEL may be a less severe disease than Type I PEL, at lease in certain cases.
The collapse of the stratovolcano left a caldera with a diameter of 3,3 km and a depth of 350m that was subsequently occupied by lava domes on its northern edge and covered by tephra layers from numerous volcanoes, both in the Almolonga field and others. Cerro Quemado is the largest (about 2 km3) and youngest lava dome complex formed by eight vents with viscous lava flows and plugs during four distinct volcanic phases - the first two involving effusion of lava and formation of new domes. Cerro Quemado underwent a flank collapse 1,150BP, generating a landslide that went 6 km SSW in the Llano de Pilar valley and occupied an area of 13 km2, generating a lateral blast that affected the neighbouring Volcán Siete Orejas volcano as well. A lava dome emerged inside the collapse scar subsequently.
Most patients with limited-stage small cell lung cancer will receive a CT scan of the chest and abdomen to search for abnormality within the lungs and lymph nodes, as well as abnormal areas in more distal organs such as adrenal glands and liver that might arise from the metastasis of lung cancer. For patient with limited-stage small cell lung cancer, a positron emission tomography (PET) scan is a useful diagnostic tool to investigate the extent of lymph node involvements, which can help determine treatment options. Though results of imaging test might be suggestive of lung cancer, the actual diagnosis is made by investigating the lung cells under the microscope via lab tests. The cells can be obtained from lung secretions (sputum cytology), fluid removed from pleural effusion (thoracentesis), or from a suspicious area (needle biopsy).
He died August 19, 1731, in the odor of sanctity. He was a man of a clear, well-balanced, fertile mind; his words breathed charity and righteousness; but great modesty, joined to simplicity, served to conceal his talents. His publications are: Effussions de coeur, ou entretiens spirituels et affectifs d'une ame avec Dieu sur chaque verset des Psaumes et des Cantiques de l'Eglise (Paris, 1716): — Meditations sur la regle de Saint- Benoit (Paris, 1717): — Entretiens spiritueels sur les Evangiles (Paris, 1720): — Entretiens spirituels pour servir de preparation a la mort (Paris, 1721): — Imitation de Jesus-Christ, a translation, with additional pieces (Paris, 1723): — Meditations Chretiennes sur les Evangiles (Paris, 1726): — Du bonheur d'un simple Religieux et d'une simple Religieuse, qui aiment leur etat leurs devoirs (Paris, 1728): — De l'esperance Chretienne (Paris, 1728): — Effusion de ceur sur le Cantique des Cantiques (Paris, 1730).
Once a pleural effusion is diagnosed, its cause must be determined. Pleural fluid is drawn out of the pleural space in a process called thoracentesis, and it should be done in almost all patients who have pleural fluid that is at least 10 mm in thickness on CT, ultrasonography, or lateral decubitus X-ray and that is new or of uncertain etiology. In general, the only patients who do not require thoracentesis are those who have heart failure with symmetric pleural effusions and no chest pain or fever; in these patients, diuresis can be tried, and thoracentesis is avoided unless effusions persist for more than 3 days. In a thoracentesis, a needle is inserted through the back of the chest wall in the sixth, seventh, or eighth intercostal space on the midaxillary line, into the pleural space.
Betta miniopinna is stenotopic to densely forested peat swamps and associated streams near Tanjong Bintan on Pulau Bintan (in which it is sympatric to B. spilotogena), characterized by an acidic blackwater habitat (of a pH of 4.9-6) formed as a consequence of the abundant decay of humic material and the effusion of tannins from decaying leaves. The substrate of these swamps consists of a soft mud, covered with submerged leaf litter and branches, and a dense system of submerged roots. It is apparent that these systems of peat swamps are desiccated over periods of several weeks in the absence of rain, forcing the fish to survive within the moist leaf litter. It has been documented- both in situ and ex situ - that this species utilizes a paternal bubblenesting habit, a typical mating behavior among its congeners.
For years, lymphocyte-variant hypereosinophilia was used to describe hypereosinophila associated with any one of several aberrant T cell Lymphoproliferative disorders.lymphocyte-variant hypereosinophilia In 1987, however, a 42-yr-old male patient was described who presented with cardiac failure, mitral heart valve regurgitation, pericardial effusion, splenomegaly, kidney dysfunction, non-specific skin lesions, a 6-year history of eosinophilia, and, on admission, an eosinophil blood count of 7,150 per microliter (normal <500/microliter), a level that was 50% of total white blood cells (normal <5%). Blood smears revealed that these eosinophils as well as other white blood cells were mature and normal in appearance. Bone marrow examination revealed greatly increased eosinophils (60% of nucleated cells) in all states of maturation but with a normal karyotype; tissue biopsies revealed eosinophil infiltrates in liver and skin as well as eosinophilic vasculitis.
Where internal TMJ disorders are concerned, ultrasound (US) imaging can be a useful alternative in assessing the position of the disc While having significant diagnostic sensitivity, US has inadequate specificity when identifying osteoarthrosis. Moreover, it is not accurate enough for the diagnosis of cortical and articular disc morphology based on the findings done related to morphological alterations. However, with US, identification of effusion in individuals with inflammatory conditions associated with pain is possible and confirmed by MRI US can be a useful alternative in initial investigation of internal TMJ dysfunctions especially in MRI contraindicated individuals despite its limitations. in addition to being less costly, US provides a quick and comfortable real-time imaging without exposing the individual to ionizing radiation US is commonly assessed in the differential diagnosis of alterations of glandular and neighbouring structures, such as the TMJ and the masseter muscle.
Joseph Carne-Ross (1846-1911) was a Portuguese-born physician and science- fiction author. He studied medicine at the University of Edinburgh, being awarded an MD in 1882 entitled 'Observations upon the modes of treatment of pleurisy with effusion: with special reference to the therapeutic value of thoracentesis'. He published a series of letters presenting the results of experiments using cinnamon to treat cancer, scarlet fever, measles and influenza in The Lancet medical journal in 1894. He was the author of the science-fiction novel Quintura: Its Singular People and Remarkable Customs (London: John and Robert Maxwell, 1886), which presents a description of an Island governed on classless but Eugenic lines by physicians, who also serve as the culture's police force, applying scientific advances in medicine to predict accurately when and where individuals are about to commit crimes.
These speakers include Phoebus, the classical sun god, who also represents poetry; and "the pilot of the Galilean Sea," St. Peter, whose "dread voice" momentarily banishes the pastoral mood of the poem while prophesying against the "corrupted clergy" of the Laudian church in England. The balance between conventional pastoral imagery and these other elements has, over time, created the impression that Lycidas is one of the most innovative pastoral elegies. In "The Life of Milton," the 18th-century literary critic and polymath Samuel Johnson infamously called the pastoral form "easy, vulgar, and therefore disgusting," and said of "Lycidas": :It is not to be considered as the effusion of real passion; for passion runs not after remote allusions and obscure opinions. Passion plucks no berries from the myrtle and ivy, nor calls upon Arethuse and Mincius, nor tells of rough satyrs and fauns with cloven heel.
Illustration depicting inflammation associated with allergic rhinitis The characteristic symptoms of allergic rhinitis are: rhinorrhea (excess nasal secretion), itching, sneezing fits, and nasal congestion and obstruction. Characteristic physical findings include conjunctival swelling and erythema, eyelid swelling with Dennie–Morgan folds, lower eyelid venous stasis (rings under the eyes known as "allergic shiners"), swollen nasal turbinates, and middle ear effusion. There can also be behavioral signs; in order to relieve the irritation or flow of mucus, people may wipe or rub their nose with the palm of their hand in an upward motion: an action known as the "nasal salute" or the "allergic salute". This may result in a crease running across the nose (or above each nostril if only one side of the nose is wiped at a time), commonly referred to as the "transverse nasal crease", and can lead to permanent physical deformity if repeated enough.
Rosmunda, the only one that could be of his own contrivance, and which is certainly the least happy effusion of his genius, is partly founded on the eighteenth novel of the third part of Bandello and partly on Prevost's Memoires d'un homme de qualite. Another characteristic common to every Alfieri's tragedy is that the main character is always a tragic "hero of freedom", whose ambition and need of revolution push him to fight tyranny and oppression wherever they exist. Usually, this is accomplished in the most radical manner, up to killing the tyrant and face the death himself afterwards. This desire of freedom always bring the hero in a dimension of solitude, pessimism and internal torment, but he keeps going despite knowing that the majority of the people around him can't understand or share his views and struggles, or that his goals are almost impossible to reach.
Epstein-Barr virus-associated lymphoproliferative diseases are a group of benign, premalignant, and malignant diseases of lymphoid cells, i.e. B cells, T cells, NK cells, and histiocytic-dendritic cells in which one or more of these cell types is infected with the Epstein-Barr virus (EBV). The virus may be responsible for the development and/or progression of these diseases. In addition to EBV- positive Hodgkin lymphomas, the World Health Organization (2016) includes the following lymphomas, when associated with EBV infection, in this group of diseases: Burkitt lymphoma; large B cell lymphoma, not otherwise specified; diffuse large B cell lymphoma associated with chronic inflammation; fibrin- associated diffuse large B cell lymphoma; primary effusion lymphoma; plasmablastic lymphoma; extranodal NK/T cell lymphoma, nasal type; peripheral T cell lymphoma, not otherwise specified; angioimmunoblastic T cell lymphoma; follicular T cell lymphoma; and systemic T cell lymphoma of childhood.
Meigs syndrome may mimic other conditions, since it is tumor arising from ovaries, pathology of any organs present in the abdomen may show a similar set of symptoms. These include various gynecological disorders of the uterus such as endometrial tumor, sarcoma, leiomyoma (pseudo-Meigs syndrome); fallopian tube disorders such as hydrosalpinx, granulomatous salpingitis, fallopian tube malignancy; ovarian disorders such as serous, mucinous, endometrioid, or clear cell carcinoma, Brenner tumor, granulosa cell tumor, stromal tumor, dysgerminoma, fibroma, or metastatic tumor to the ovary. Meigs syndrome is characterized by the presence of a benign solid ovarian tumor associated with ascites and right hydrothorax that disappear after tumor removal. Non-gynecological manifestations include: ascites, portal vein obstruction, inferior vena cava obstruction, hypoproteinaemia, thoracic duct obstruction, tuberculosis, amyloidosis, pancreatitis, ovarian hyperstimulation, exudate pleural effusion, congestive heart failure, metastatic tumors to the peritoneal surfaces, collagen-vascular disease, and cirrhosis of the liver.
There is also an equally apposite tantric usage to be found in the Hevajra Tantra where it describes the "mudra" (seal) as a ritual partner in a sex Rite as a girl "possessed of frankincense and camphor", a characterization that turns out to be an encrypted reference for blood and semen (red and white). Regardless, the religious and magical powers of female blood and male semen (the Twin Waters, or the Red and White) is standard in the more baroque forms of Tantraism. An example is found in the Yoni-Tantra (vagina Tantra) of the Kaulas that recommends that, "...the highest sadhaka (officiant) should mix in the water the effusion from yoni (vagina) and lingam (penis), and sipping this amrita (nectar), nourish himself with it." The idea of passing the smoke of incense through the eye holes of the skull is a reflection of the Buddhist belief that incense is pure until empowered by prayer or thought.
"Comte's secular religion is no vague effusion of humanistic piety, but a complete system of belief and ritual, with liturgy and sacraments, priesthood and pontiff, all organized around the public veneration of Humanity, the Nouveau Grand-Être Suprême (New Supreme Great Being), later to be supplemented in a positivist trinity by the Grand Fétish (the Earth) and the Grand Milieu (Destiny)" According to Davies (pp. 28–29), Comte's austere and "slightly dispiriting" philosophy of humanity viewed as alone in an indifferent universe (which can only be explained by "positive" science) and with nowhere to turn but to each other, was even more influential in Victorian England than the theories of Charles Darwin or Karl Marx. The early sociology of Herbert Spencer came about broadly as a reaction to Comte; writing after various developments in evolutionary biology, Spencer attempted (in vain) to reformulate the discipline in what we might now describe as socially Darwinistic terms.
In mid-July, the main stream of lava from fissure 8 changed course away from flowing around the northeast of Puʻu Kapoho crater following a breakout from a lava pond on July 9, redirecting to a new channel that traveled in a more direct southerly direction west of Puʻu Kapoho. The flow would cover more of the 1955 lava flow, and destroy more coastal features including Ahalanui Beach Park, its warm ponds, as well as Kua O Ka Lā Public Charter School's Lower Puna compound on July 11. By July 24, 2018, the western boundaries of the lava spill was within of Isaac Hale Beach Park. As of July 21, 2018, the lava flow from fissure 8 was estimated to be a steady , according to the U.S. Geological Survey, which also stated that the most likely scenario was that lava effusion would continue at a steady rate for several months to two years.
Although Comte's English followers, including George Eliot and Harriet Martineau, for the most part rejected the full gloomy panoply of his system, they liked the idea of a religion of humanity and his injunction to "vivre pour autrui" ("live for others"), from which comes the word "altruism"."Comte's secular religion is no vague effusion of humanistic piety, but a complete system of belief and ritual, with liturgy and sacraments, priesthood and pontiff, all organized around the public veneration of Humanity, the Nouveau Grand-Être Suprême (New Supreme Great Being), later to be supplemented in a positivist trinity by the Grand Fétish (the Earth) and the Grand Milieu (Destiny)" According to Davies (p. 28-29), Comte's austere and "slightly dispiriting" philosophy of humanity viewed as alone in an indifferent universe (which can only be explained by "positive" science) and with nowhere to turn but to each other, was even more influential in Victorian England than the theories of Charles Darwin or Karl Marx.
Patients with asymptomatic but not localized low grade FL, gastrointestinal tract FL, and pediatric-type follicular lymphoma have been served by careful follow-up without therapeutic intervention. Even high grade, aggressive, relapsed, or transformed FL may also be served with observation in patients who are asymptomatic. Findings in asymptomatic patients who have been recommended as triggers for starting treatment include one or more of the following: tumor size ≥7 cm in diameter; involvement of ≥3 nodes in 3 distinct areas, each of which is ≥3 cm in diameter; organ compression; presence of ascites or pleural effusion (i.e. build-up of fluid in the abdominal or pleural cavities); poor performance status due to the disease; elevated levels of serum lactose dehydrogenase or beta-2 microglobulin; presence of localized bone lesions; kidney involvement; reduced levels of circulating blood platelets or any of the various types of white blood cells; onset of significant pruritus (i.e.
Through its pertinent revelations, it is about the life and the mysteries of Pythagoras. From the first lines in the first chapter we learn that Pythagoras had the "invaluable honor" of revealing "the idea of the transmigration of souls, the key to the world." We also learn that this was a "fundamental truth" to the Hellenes people and to "Empedocles, Aeschylus, Plato, Virgil, Ovid, Porphyry and Lamblichus, who all drank deeply from this eternal source of truth. The sage Pherecydes, a visionary philosopher, was his master ; he went in search of the Truth in Egypt where he experienced the "midnight sun and the face of Hermes" ; he met Ezekiel in Chaldea, a titanic effusion of these "two poles of the world" ; that he explored "the secret sanctuaries of India" where he "met the true sages who were perfected men" ; and that finally, "he wanted to visit the sages of the Occident, the Druids with golden scythes" holding "the sayings of Ogmios.
Comte had proposed an atheistic culte founded on human principlesa secular Religion of Humanity (which worshiped the dead, since most humans who have ever lived are dead), complete with holidays and liturgy, modeled on the rituals of what was seen as a discredited and dilapidated Catholicism."Comte's secular religion is no vague effusion of humanistic piety, but a complete system of belief and ritual, with liturgy and sacraments, priesthood and pontiff, all organised around the public veneration of Humanity, the Nouveau Grand-Être Suprême (New Supreme Great Being), later to be supplemented in a positivist trinity by the Grand Fétish (the Earth) and the Grand Milieu (Destiny)". According to Davies (pp. 28–29), Comte's austere and "slightly dispiriting" philosophy of humanity viewed as alone in an indifferent universe (which can only be explained by "positive" science) and with nowhere to turn but to each other, was even more influential in Victorian England than the theories of Charles Darwin or Karl Marx.
The diagnosis of ALCL requires the examination by a pathologist of any enlarged lymph node, or any affected extranodal tissue where there the tumor is found, such as the intestine, the liver or bone in the case of systemic ALCL. For the case of cutaneous ALCL, a skin excision is recommended, and for the diagnosis of ALCL associated with breast implants, a cytologic specimen of the effusion around the breast implant or complete examination of the breast capsule surrounding the implant is required.Miranda RN, Aladily TN, Prince HM, Kanagal-Shamanna R, de Jong D, Fayad LE, Amin MB, Haideri N, Bhagat G, Brooks GS, Shifrin DA, O'Malley DP, Cheah CY, Bacchi CE, Gualco G, Li S, Keech JA Jr, Hochberg EP, Carty MJ, Hanson SE, Mustafa E, Sanchez S, Manning JT Jr, Xu-Monette ZY, Miranda AR, Fox P, Bassett RL, Castillo JJ, Beltran BE, de Boer JP, Chakhachiro Z, Ye D, Clark D, Young KH, Medeiros LJ. Breast implant-associated anaplastic large-cell lymphoma: long- term follow-up of 60 patients. J Clin Oncol.
Having been rescued by Cathcart, worthy of note is the obituary for Parker which indicates the sacrifice of the failed attack in which Cathcart had heroically acquitted himself. "The 26th instant at Deal, the gallant E. T. Parker, of the wounds he received in the second attack on the French flotilla off Boulogne. Every attention was paid to this meritorious Officer that his lamentable situation demanded. Earl St. Vincent, with that humanity which has ever marked his conduct, sent down his own surgeon to attend him; and great hopes were entertained for a time that not only his valuable life, but his limb would be saved; the flattering expectations of his friends were, however, disappointed; he suffered amputation very high in the thigh on the 16th instant, one of the arteries burst, and the great effusion of blood reduced him to so low a state, that he only languished till the morning of the 27th, when "His noble spirit sought the shades, to the great regret of every Briton, and particularly of his gallant Commander Lord Nelson.
By the Framingham criteria, diagnosis of congestive heart failure (heart failure with impaired pumping capability) requires the simultaneous presence of at least two of the following major criteria or one major criterion in conjunction with two of the minor criteria. Major criteria include an enlarged heart on a chest X-ray, an S3 gallop (a third heart sound), acute pulmonary edema, episodes of waking up from sleep gasping for air, crackles on lung auscultation, central venous pressure more than 16 cm at the right atrium, jugular vein distension, positive abdominojugular test, and weight loss more than 4.5 kg in 5 days in response to treatment (sometimes classified as a minor criterion). In turn citing: Minor criteria include an abnormally fast heart rate more than 120 beats per minute, nocturnal cough, difficulty breathing with physical activity, pleural effusion, a decrease in the vital capacity by one-third from maximum recorded, liver enlargement, and bilateral ankle edema. Minor criteria are acceptable only if they can not be attributed to another medical condition such as pulmonary hypertension, chronic lung disease, cirrhosis, ascites, or the nephrotic syndrome.
Furthermore, the possibility of > proselytisation and corruption of young men is a real danger even in the > case of these appellants and the taking of video recordings of such > activities suggest that secrecy may not be as strict as the appellants > claimed to your Lordships. If the only purpose of the activity is the sexual > gratification of one or both of the participants what then is the need of a > video recording? My Lords I have no doubt that it would not be in the public > interest that deliberate infliction of [ABH] during the course of homosexual > sado-masochistic activities should be held to be lawful...If it is to be > decided that such activities as the nailing by A of B's foreskin or scrotum > to a board or the insertion of hot wax into C's urethra followed by the > burning of his penis with a candle or the incising of D's scrotum with a > scalpel to the effusion of blood are injurious neither to B, C and D nor to > the public interest then it is for Parliament with its accumulated wisdom > and sources of information to declare them to be lawful.
Assume that the earth releases a huge volume of carbon dioxide during an interval of intense volcanism; global temperatures rise due to the greenhouse effect; global weathering rates and fluvial nutrient flux increase; organic productivity in the oceans increases; organic-carbon burial in the oceans increases (OAE begins); carbon dioxide is drawn down due to both burial of organic matter and weathering of silicate rocks (inverse greenhouse effect); global temperatures fall, and the ocean–atmosphere system returns to equilibrium (OAE ends). In this way, an oceanic anoxic event can be viewed as the Earth's response to the injection of excess carbon dioxide into the atmosphere and hydrosphere. One test of this notion is to look at the age of large igneous provinces (LIPs), the extrusion of which would presumably have been accompanied by rapid effusion of vast quantities of volcanogenic gases such as carbon dioxide. Intriguingly, the age of three LIPs (Karoo-Ferrar flood basalt, Caribbean large igneous province, Ontong Java Plateau) correlates uncannily well with that of the major Jurassic (early Toarcian) and Cretaceous (early Aptian and Cenomanian–Turonian) oceanic anoxic events, indicating that a causal link is feasible.
The oral form of the drug has boxed warnings concerning the risks of retinoic acid syndrome and leukocytosis. Other significant side effects include a risk of thrombosis, benign intracranial hypertension in children, high lipids (hypercholesterolemia and/or hypertriglyceridemia), and liver damage. There are many significant side effects from this drug that include malaise (66%), shivering (63%), hemorrhage (60%), infections (58%), peripheral edema (52%), pain (37%), chest discomfort (32%), edema (29%), disseminated intravascular coagulation (26%), weight increase (23%), injection site reactions (17%), anorexia (17%), weight decrease (17%), and myalgia (14%). Respiratory side effects usually signify retinoic acid syndrome, and include upper respiratory tract disorders (63%), dyspnea (60%), respiratory insufficiency (26%), pleural effusion (20%), pneumonia (14%), rales (14%), and expiratory wheezing (14%), and many others at less than 10%. Around 23% of people taking the drug have reported earache or a feeling of fullness in their ears. Gastrointestinal disorders include bleeding (34%), abdominal pain (31%), diarrhea (23%), constipation (17%), dyspepsia (14%), and swollen belly (11%) and many others at less than 10%. In the cardiovascular system, side effects include arrhythmias (23%), flushing (23%), hypotension (14%), hypertension (11%), phlebitis (11%), and cardiac failure (6%) and for 3% of patients: cardiac arrest, myocardial infarction, enlarged heart, heart murmur, ischemia, stroke, myocarditis, pericarditis, pulmonary hypertension, secondary cardiomyopathy. In the nervous system, side effects include dizziness (20%), paresthesias (17%), anxiety (17%), insomnia (14%), depression (14%), confusion (11%), and many others at less than 10% frequency.

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