Alas, Johnson's suspicions are only of a piece with other paranoid G.O.P. effusions.
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While Trump has a habit of praising dictators, his effusions for Kim are unusually florid.
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The bleacher bums behind me began to emit guttural effusions, a sort of existential, yowling yodel.
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Ordinarily, such marketing effusions don't withstand scrutiny, but the L.A. Phil's 2018-19 season invites superlatives.
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I confess I'm no fan of these home run effusions, whether driven by steroid or technique.
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Though Ms. Moore captured Katya's girlish effusions, she seemed less sure delving into the character's murky depths.
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In all of France, there was nothing remotely resembling the effusions of splendor and carnal beauty that grace its walls.
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Graham, who self-identifies as the staid and reasonable one next to Audra's effusions, has his own less-examined foibles.
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" Unwilling to end his effusions on even that felicitous note, Gorsuch concluded by offering, "Congratulations again on such a great start.
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There were regular cupping sessions, to "stimulate the lymphatic system and clear effusions in the knee," Baldwin explained early in the spring.
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Think of Michel Foucault's embrace of Ayatollah Khomeini, Noam Chomsky's excuses for the Khmer Rouge, or Naomi Klein's effusions for Venezuela's Hugo Chávez.
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He was swept up with enthusiasm for the heritage of French grand opera, with its massed choral scenes, romantic effusions and elaborate arias.
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It begins with spare melancholy before building to a final section that ties flowing Minimalist-style arpeggios with rhapsodic cello effusions: cool and warm, united.
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Precedents don't easily come to mind in front of Pelton's levitating motifs, subtle colors, effusions of light and the clear transparent space within which everything unfolds.
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Before coming into the room, I'd reviewed his labs and chest X-ray and found that he had significant bilateral pleural effusions secondary to his lung cancer.
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Giustinia departs, with kisses and effusions, leaving behind an envelope containing the generous sum of thirty euros for Harena, as well as an almost new beach dress.
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She, too, has a startling ability to go beyond: beyond the sentimental heart, the writerly niceties, the conventions that bind us, and the messy effusions of contemporary life.
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But Trump's rhetorical effusions on behalf of a repressive Communist dictator and a Saudi political crackdown are something else: An American presidency in the service of un-American values.
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Germaine Dulac, a French filmmaker best known for the surrealistic effusions of "The Seashell and the Clergyman," reveals a more distinctive sensibility in "The Smiling Madame Beudet," from 1923.
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The tenor role of Arnold, a young Swiss conspirator who has fallen in love with the Austrian princess Mathilde, is an arduous workout combining soaring lyrical effusions and heroic fervor.
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French intellectuals, in particular, were put off by Zamenhof's brotherhood-of-man effusions, as became clear at the first international congress, in 1905, which was held in Boulogne-sur-Mer.
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Since it's apparently futile to even begin to discuss the complexities of this 15-year-old star's creative effusions, let's stick to the more tangible matter of Willow's collection of foot coverings.
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There is one scene in "Genius" that captures something of the work that went into transforming Wolfe's graphomaniacal effusions into half-readable prose, as Tom and Max amble through the city paring down an overwritten passage sentence by sentence.
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Looking back at the 1983 speech, what is striking is not just the flattery, the praise, the repeated effusions of "I believe in you," it is the mastery with which a commander in chief elevates domestic gun rights into the wider mission of national security, peppering his prepared remarks with hushed asides about progress in the Middle East, foiled drug-running operations and the menace of communist espionage.
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Yet she was neither rigid nor predictable, eschewing a codified style in favor of a look that veered from the sleek understatement of a mock turtleneck cashmere caftan, or the slender one-shoulder gowns she favored in the '70s, to the more showy effusions of the Reagan era, as in the lavishly feathered cape she wore atop a filmy gown to a Metropolitan Museum of Art costume exhibition in 1985. Mrs.
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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.
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Larger pleural effusions opacify portions of the hemithorax and may cause mediastinal shift; effusions > 4 L may cause complete opacification of the hemithorax and mediastinal shift to the contralateral side.
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It is also useful in cats to differentiate between effusions due to FIP and effusions caused by other diseases.Hartmann et al., 2003 Not only the high protein content, but high concentrations of fibrinogen and inflammatory mediators lead to a positive reaction.
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Repeated, periodic joint effusions of the knee. Usually one knee is affected but sometimes both knees. Other joints may also be involved along with the knee. Effusions are large, restricting range of motion but significant pain is not a feature.
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Identification of pleural fluid biomarkers to distinguish malignant pleural effusions from other causes of exudative effusions would help diagnosis. Biomarkers that have been shown to be raised in malignant pleural effusions compared to benign disease include vascular endothelial growth factor (VEGF), endostatin, matrix metalloproteinases and tumour markers such as carcinoembryonic antigen. Pleural fluid mesothelin has a sensitivity of 71%, greater than that of cytology, and a specificity of 89% for the diagnosis of malignant mesothelioma.
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People with pleural effusions may show evidence of restriction in lung volumes due to the fluid. Analysis of the fluid in pleural effusions generally shows high levels of protein but low levels of cholesterol and lactate dehydrogenase, but about 30% of effusions are chylous (chylothorax) in that they have the characteristics of lymph. A lymphogram may be performed in people with lymphedema. This can show both under developed (hypoplastic) lymphatic ducts and dilated ducts.
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The poems, odes, songs, and other metrical effusions, of Samuel Woodworth. New York. 284pp. p 163.
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His poetic effusions were homely and graphic, both in their sprightful humour and more tender sentiment.
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In conclusion, it remains beyond doubt that treatment of empyema and complicated parapneumonic effusions is multidisciplinary.
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However, large effusions or effusions which 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.
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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.
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Superior vena cava syndrome occurs in 30–50%, and pleural or pericardial effusions occur in about one-third.
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Palpate the chest for subcutaneous emphysema and crepitus, and percuss for dullness, an indication of consolidations or effusions.
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Chyle does not generally cause pleural inflammation or fibrosis. Small stable chylous effusions rarely require intervention once the LAM diagnosis is made. Shortness of breath may mandate possibly repeated drainage. Sirolimus is effective for chylous effusions and most experts believe it should be used as the first line of therapy.
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Malignant pleural effusions are exudates. A low pleural fluid pH is associated with poorer survival and reduced pleurodesis efficacy.
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Trauma from ligamentous, osseous or meniscal injuries can result in an effusion. These are often hemarthrosis or bloody effusions.
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This retardation of the blood also occurs in lung lesions, such as chronic interstitial pneumonia, pleural effusions, and intrathoracic tumors.
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Magnetic resonance imaging (MRI), also called nuclear magnetic resonance (NMR) scanning, uses powerful magnets to show pleural effusions and tumors.
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However, it should be borne in mind that Light's criteria are still the most widely used criteria. The Rational Clinical Examination Series review found that bilateral effusions, symmetric and asymmetric, are the most common distribution in heart failure (60% of effusions in heart failure will be bilateral). When there is asymmetry in heart failure-associated pleural effusions (either unilateral or one side larger than the other), the right side is usually more involved than the left. The instruments pictured are accurately shaped, however most hospitals now use safer disposable trocars.
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Clinical factors predicting the diagnosis of malignant pleural effusions are symptoms lasting more than 1 month and the absence of fever.
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Symptoms are ascites, pleural and pericardial effusions, elevated ovarian tumour markers, enlarged pituitary gland and elevated prolactin and alpha-fetoprotein levels.
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Instruments for needle biopsy of the pleura. Definitions of the terms "transudate" and "exudate" are the source of much confusion. Briefly, transudate is produced through pressure filtration without capillary injury while exudate is "inflammatory fluid" leaking between cells. Transudative pleural effusions are defined as effusions that are caused by systemic factors that alter the pleural equilibrium, or Starling forces.
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Large acetabular cysts are common in this condition. Other features include periarticular osteopenia, squaring of metacarpals and phalanges and bilateral joint effusions.
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Cancer in a serous cavity is called a serous carcinoma. Cytopathology evaluation is recommended to evaluate the causes of effusions in these cavities.
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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.
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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.
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Dieng's misty location almost 2,093 m above sea level, its poisonous effusions and sulphur-coloured lakes make it a particularly auspicious place for religious tribute. The theory that poisonous effusions make it auspicious is now disputed as volcanic activity in this area from 7th to 9th century is yet to established, and records suggest the temple was abandoned after volcanic eruptions became common in central Java.
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Pleural fluid is secreted by the parietal layer of the pleura and reabsorbed by the lymphatics in the most dependent parts of the parietal pleura, primarily the diaphragmatic and mediastinal regions. Exudative pleural effusions occur when the pleura is damaged, e.g., by trauma, infection or malignancy, and transudative pleural effusions develop when there is either excessive production of pleural fluid or the resorption capacity is reduced.
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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.
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In PEL, the proliferating plasmablastoid cells commonly accumulate within body cavities to produce effusions (i.e. accumulations of fluid), primarily in the pleural, pericardial, or peritoneal cavities, without forming a contiguous tumor mass. In rare cases of these cavitary forms of PEL, the effusions develop in joints, the epidural space surrounding the brain and spinal cord, and underneath the capsule (i.e. tightly-woven collagen fibers) which forms around breast implants.
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There are few exceptions to this rule: Haemophilus influenzae meningitis is often associated with subdural effusions that are mistaken for subdural empyemas. These effusions resolve with antibiotics and require no surgical treatment. Tuberculosis can produce brain abscesses that look identical to conventional bacterial abscesses on CT imaging. Surgical drainage or aspiration is often necessary to identify Mycobacterium tuberculosis, but once the diagnosis is made no further surgical intervention is necessary.
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Indeed, attempts to culture breast cancer cell lines from primary tumors have been largely unsuccessful. This poor efficiency was often due to technical difficulties associated with the extraction of viable tumor cells from their surrounding stroma. Most of the available breast cancer cell lines issued from metastatic tumors, mainly from pleural effusions. Effusions provided generally large numbers of dissociated, viable tumor cells with little or no contamination by fibroblasts and other tumor stroma cells.
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ADA can also be used in the workup of lymphocytic pleural effusions or peritoneal ascites, in that such specimens with low ADA levels essentially excludes tuberculosis from consideration. Tuberculosis pleural effusions can now be diagnosed accurately by increased levels of pleural fluid adenosine deaminase, above 40 U per liter. Cladribine and Pentostatin are anti-neoplastic agents used in the treatment of hairy cell leukemia; their mechanism of action is inhibition of adenosine deaminase.
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Simple pleural effusions occur in up to 40% of bacterial pneumonias. They are usually small and resolve with appropriate antibiotic therapy. If however an empyema develops additional intervention is required.
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A suite of three pieces, composed in 1944. Choreographed by Merce Cunningham as Effusions avant l'heure / Games / Trio. The title references Cage's separation from his wife Xenia, which happened in 1945.
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Lickbarrow began publishing in the Westmorland Advertiser, a local newspaper, in November 1811 and quickly gained a following, which led to the release of Poetical Effusions by the newspaper's publisher in 1814. Effusions, funded by subscription—as were many literary works at the time—featured Sara Hutchinson, Wordsworth's sister-in-law and a friend and muse of Coleridge; William Wordsworth; Thomas de Quincey; and Robert Southey among its subscribers. William Axon, writing in Notes and Queries in 1908, recalled Effusions in elegiac tones: "[L]et us hope that the result of the publication was to make life easier for Isabella Lickbarrow, although it has not secured her the immortality of Sappho." Lickbarrow's poetry was versatile and evinced an interest in matters both at home and abroad.
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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.
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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.
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Alfred George Barrs, M.D., F.R.C.P. Hon. LL.D (1853 - 28 February 1934) was a physician and professor of medicine. He was among the first medical professionals to identify a link between tuberculosis and pleural effusions.
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This technique works has 4 aims: to avoid the risk of lymphatic effusions, to minimise the risk of haematomas, to reduce the risks of superior residual bulges and to limit the risk of necroses.
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For patients with malignant pleural effusions, it allows them to continue chemotherapy, if indicated. Generally, the tube is in for about 30 days and then it is removed when the space undergoes a spontaneous pleurodesis.
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207 It can be used to relieve pressure from pericardial effusions or for diagnostic purposes, showing the cause of abnormalities such as: Cancer, Cardiac perforation, Cardiac trauma, Congestive heart failure, Pericarditis rupture of a ventricular aneurysm.
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It is used in pleurodesis (fusion of the pleura because of incessant pleural effusions). For this purpose, povidone-iodine is equally effective and safe as talc, and may be preferred because of easy availability and low cost.
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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.
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He was in his 93rd year. In 1840 a collection of his poetry, which he had assembled himself, was published as Lyrica Urbanica (or The Social Effusions of the Celebrated Captain Charles Morris of the Late Lifeguards) in two volumes.
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Individuals with the cavitary form of PEL present with symptoms due to effusions in the pleural cavity (e.g. shortness of breath), pericardium (e.g. chest pain/discomfort, hypotension, shortness of breath), peritoneal cavity (e.g. abdominal swelling), or, much less often, joints (e.g.
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He died of yellow fever on board ship whilst sailing back and was buried at sea. The Life and Correspondence of M. G. Lewis, in two volumes, was published in 1839. The Effusions of Sensibility, his first novel, was never completed.
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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.
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Imaging the source of the leak with heavy T2-weighted MRI or contrast lymphangiography is an advised for refractory effusions. Some leaks are amenable to embolization through catheters threaded from groin lymph nodes into the thoracic duct. Thoracic duct ligation can be considered, but since thoracic effusions sometimes originate from ascites that are siphoned into the chest by the bellows action of the thorax, it is important to rule out an abdominal source before considering this option. Pleural symphysis may be required to prevent nutritional and lymphocyte deficiencies that can result from repeated taps or persistent drainage.
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According to Pentecostal historian H. Vinson Synan, "the basic premise of Pentecostalism, that one may receive later effusions of the Spirit after initiation/conversion, can be clearly traced in Christian history to the beginnings of the rite of confirmation in the Western churches".
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Thiotepa is used in the palliation of many neoplastic diseases. The best results are found in the treatment of adenocarcinoma of the breast, adenocarcinoma of the ovary, papillary thyroid cancer and bladder cancer. Thiotepa is used to control intracavitary effusions caused by serosal neoplastic deposits.
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The Incas appear to have practiced a procedure known as trepanation since the late Stone Age. During the Middle Ages in Al-Andalus from 936 to 1013 AD, Al- Zahrawi performed surgical treatments of head injuries, skull fractures, spinal injuries, hydrocephalus, subdural effusions and headache.
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Chylothorax is a rare but serious condition. It results from leakage of lymph fluid from the thoracic duct or one of its tributaries. There are many treatments, both surgical and conservative. About 2-3% of all fluid collections surrounding the lungs (pleural effusions) are chylothoraces.
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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).
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First described by Smith (1953), and elaborated upon by Cameron et al. (1976), internal pancreatic fistulas can result in pancreatic ascites, mediastinital pseudocysts, enzymatic mediastinitis, or pancreatic pleural effusions, depending on the flow of pancreatic secretions from a disrupted pancreatic duct or leakage from a pseudocyst.
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There is usually stiffness. Tenderness of the joint may or may not be present. Aspirated synovial fluid is usually sterile but will sometimes show elevated cell count (>100 cells/mL) with 50% being polymorphonuclear leukocytes. Onset of effusions are sudden with no particular trigger or stimulus.
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Al-Zahrawi pioneered techniques of neurosurgery and neurological diagnosis, treating head injuries, skull fractures, spinal injuries, hydrocephalus, subdural effusions and headache. The first clinical description of an operative procedure for hydrocephalus was given by Al- Zahrawi, who clearly describes the evacuation of superficial intracranial fluid in hydrocephalic children.
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Ultrasound is better than x-ray at detecting hip effusions in the limping child. BestBETs.org . Retrieved December 22, 2007 However, it cannot reliably distinguish between septic arthritis and transient synovitis. If septic arthritis needs to be ruled out, needle aspiration of the fluid can be performed under ultrasound guidance.
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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.
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Lung fibrosis is a recognized complication of rheumatoid arthritis. It is also a rare but well-recognized consequence of therapy (for example with methotrexate and leflunomide). Caplan's syndrome describes lung nodules in individuals with RA and additional exposure to coal dust. Exudative pleural effusions are also associated with RA.
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The Mid-Tertiary ignimbrite flare-up, was a dramatic period of volcanic eruptions in mid-Cenozoic time, approximately 25–40 million years ago, centered in the western United States. These eruptions are seen today as deposits of ignimbrite, the pyroclastic material that was laid down from these effusions.
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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.
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Rarely other manifestations can be seen on CT scans, including military nodular opacities, perihilar opacities (that mimic hilar lymphadenopathy), pleural effusions and pulmonary masses. Cavitation and aspergilloma are rarer findings, not exceeding 20% of patients, and likely represent a shift from ABPA to CPA if accompanied by pleural thickening or fibrocavitary disease.
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Once established, periods of remissions and relapse can persist indefinitely. While IH may remit spontaneously for most people the condition is long-lasting. Treatments as described above can be effective in reducing the frequency and degree of effusions. Deformative changes to joints are not a common feature of this mostly non-inflammatory condition.
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Her first works of verse were published in the Lancaster and Concord local papers at the age of fourteen. Educated at Lancaster Academy, her school compositions, chiefly in verse, were sent regularly to several papers and magazines in Boston, whose editors were pleased with the youthful effusions, and constantly encouraged her to write.
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In 1916 his work was made a Fellow of the International Institute of British Poetry. In November 1916, at the request of the Royal Normal College in London (now known as The Royal National College for the Blind), Grey sent them 200 copies of his “effusions” which were then printed in Braille type.
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A rise in hydrostatic pressure occurs in cardiac failure. A fall in osmotic pressure occurs in nephrotic syndrome and liver failure. Causes of edema which are generalized to the whole body can cause edema in multiple organs and peripherally. For example, severe heart failure can cause pulmonary edema, pleural effusions, ascites and peripheral edema.
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Elizabeth Norman McKay, Franz Schubert: A Biography, pp. 291–318; Peggy Woodford, Schubert, pp. 136–148. Schubert had been struggling with syphilis since 1822–23, and suffered from weakness, headaches and dizziness. However, he seems to have led a relatively normal life until September 1828, when new symptoms such as effusions of blood appeared.
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Blaivas M, Lyons M. The Effect of Ultrasound Guidance on the Perceived Difficulty of Emergency Nurse-Obtained Peripheral IV Access. Journal of Emergency Medicine 31(4):407–410. arterial cannulation, thoracentesis,Tayal VS, Nicks BA, Norton HJ. Emergency ultrasound evaluation of symptomatic nontraumatic pleural effusions. American Journal of Emergency Medicine. 2006. 24, 782–786.
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Some of these people required thoracentesis or pleurodesis to treat the effusions. Other adverse events included mild to moderate diarrhea, peripheral edema, and headache. A small number of people developed abnormal liver function tests which returned to normal without dose adjustments. Mild hypocalcemia was also noted, but did not appear to cause any significant problems.
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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.
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Initial diagnosis of cardiac tamponade can be challenging, as there is a broad differential diagnosis. The differential includes possible diagnoses based on symptoms, time course, mechanism of injury, patient history. Rapid onset cardiac tamponade may also appear similary to pleural effusions, shock, pulmonary embolism, and tension pneumothorax. If symptoms appeared more gradually, the differential diagnosis includes acute heart failure.
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Thus, hypoalbuminemia leads to abnormal distributions of fluids within the body and its compartments. As a result, associated symptoms include edema in the lower legs, ascites in the abdomen, and effusions around internal organs. Laboratory tests aimed at assessing liver function diagnose hypoalbuminemia. Once identified, it is a poor prognostic indicator for patients with a variety of different diseases.
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64, note 145 online. as the advice regarding wine (bad) and cabbage (good)Discussed in the course of Cato the Elder’s effusions on the virtues of cabbage, On Agriculture 157, Bill Thayer’s edition at LacusCurtius online. may reflect Pythagorean dietary discipline. Androcydes, if the same authority is meant, may not have confined himself to writing on medical topics.
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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.
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This could be looking for cardiac tamponade and acute valve regurgitation. Often, this may include examination of other organ systems such as lungs for effusions or the focused assessment with sonography for trauma. Interpretation of the exam can be done by anyone trained in reading echocardiograms. However, this is often limited to cardiologists for "formal reading" of these studies.
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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.
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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.
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Concurrently with this the summit crater continued its strombolian eruption. Explosive eruptions begun once again on May 2, 1963, and the eruption had definitely turned effusive by May 21. The last consequences of this cycle of eruptions were lahars that flowed down the volcano on May 24. In the two last weeks of February 1964, Villarrica produced small, violent lava effusions and tremors.
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Hodgkin's usually present in 40-50's with nodular sclerosing type (7), and non-Hodgkin's in all age groups. Can also be primary mediastinal B-cell lymphoma with exceptionally good prognosis. Common symptoms include fever, weight loss, night sweats, and compressive symptoms such as pain, dyspnea, wheezing, Superior vena cava syndrome, pleural effusions (10,11). Diagnosis usually by CT showing lobulated mass.
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To some critics, Manimekalai is more interesting than Silappadikaram, but in terms of literary evaluation, it seems inferior.Zvelebil 1974, p. 141 According to Panicker, there are effusions in Silappadikaram in the form of a song or a dance, which does not go well with western audience as they are assessed to be inspired on the spur of the moment.Panicker 2003, p.
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It is also administered intrapleurally to improve the drainage of complicated pleural effusions and empyemas. Urokinase is marketed as Kinlytic (formerly Abbokinase) and competes with recombinant tissue plasminogen activator (e.g., alteplase) as a thrombolytic drug. All plasminogen activators (urokinase, tPA) catalyze the production of plasmin, which in turn leads to the breakdown of the fibrin lattice structure in blood clots.
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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.
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Crane's poetry has been given significantly less scholarly attention than his fiction. In fact, none of Crane's poems were anthologized until 1926. When the poems were published, Crane was criticized for the unusual form of the poems and was said to have some nerve in presenting these "disjointed effusions" as poetry. The first reviewers found The Black Riders to be "artless and barbaric".
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It is known under the trade names Pyodine and Betadine, among a plethora of others. It is used in pleurodesis (fusion of the pleura because of incessant pleural effusions). For this purpose, povidone iodine is equally effective and safe as talc, and may be preferred because of easy availability and low cost. PVP is used in some contact lenses and their packaging solutions.
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Pleural effusions may also develop following the accumulation of other fluids within the pleural cavity; if the fluid is blood it is known as hemothorax (as in major chest injuries), if the fluid is pus it is known as pyothorax (resulting from chest infections), and if the fluid is lymph it is known as chylothorax (resulting from rupture of the thoracic duct).
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The condition only causes symptoms if the visceral pleura is affected. Although fibrothorax may not cause any symptoms, people affected by the disorder may report shortness of breath. Persistent, recurrent pleural effusions are a possible symptom, caused by the persistent cavity formed by the hardening pleura around the original fluid collection. Shortness of breath tends to develop gradually and may worsen over time.
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In classical cavitary cases, the diagnosis of PEL may be suspected based on its presentation as effusions in one or more bodily cavities in individuals with a history of the immunodeficiencies cited above. The diagnosis is supported by microscopic examination of cytologic smears taken from these effusions. These smears typically show plasmablasts and, in some cases, other malignant cells that have the morphology of anaplasts (i.e.large pleomorphic cells) or the Reed-Sternberg cells associated with Hodgkin disease. As detected by immunostaining methods, the malignant cells typically express molecular marker proteins such as CD45 (which is not expressed on mature plasma cells) as well as activation and plasma cell marker proteins such as CD30, MUC1, CD38, syndecan 1, and IRF4/MUM1; they do not express B-cell molecular marker proteins such as PAX5, CD19, CD29, or CD79a.
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Although her subjects thus included politics and foreign affairs, Lickbarrow also often wrote topographical poetry about locations in the Lake District and elsewhere, including Underbarrow Scar, Esthwaite Water, and South Stack Lighthouse (in Wales). Poetical Effusions was out of print from after its first publication to 2004, when it was released in an edited collection by the Wordsworth Trust. An anonymous contemporary reviewer of the Effusions wrote in the Monthly Review: "[t]he introduction to these verses is written with a simplicity and humility which are sufficient to mollify the severest critic; and the compositions, though not brilliant, display much chastened feeling, and a poetical perception of the beauties of nature." Feldman observes that the work "contains unusual variety for a first book," noting that it features poems on a number of different subjects and in various styles.
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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.
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Tuberculosis creates cavities visible in x-rays like this one in the patient's right upper lobe. CT scan of peritoneal tuberculosis, a form of extrapulmonary tuberculosis. The omentum and peritoneal surfaces are thickened (arrows). CC-BY 3.0 In active pulmonary TB, infiltrates or consolidations and/or cavities are often seen in the upper lungs with or without mediastinal or hilar lymphadenopathy or pleural effusions ( tuberculous pleurisy).
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This has led to the development of tunneled pleural catheters (e.g., Pleurx Catheters), which allow outpatient treatment of effusions. If an infection due to the catheter occurs, antibiotics are given and the catheter is generally left in. A Cochrane review concluded tentatively in favour of thoracoscopy to remove the fluid and blow talc into the pleural cavity (talc poudrage) compared to other commonly used methods.
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MacLachlan was born in Lochaber, and educated at Aberdeen University. He was librarian to University and Kings College, Aberdeen from 1800–1818, and headmaster of Aberdeen grammar school from 1810–1822. He translated the first eight books of Homer's Iliad into Gaelic. He also composed and published his own Gaelic Attempts in Verse (1807) and Metrical Effusions (1816), and contributed greatly to the 1828 Gaelic–English Dictionary.
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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.
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Isabella Lickbarrow ( – ) was an English poet from Kendal who is sometimes associated with the Lake Poets. She published two collections: Poetical Effusions (1814) and A Lament upon the Death of Her Royal Highness the Princess Charlotte; and Alfred, a Vision (1818). Her corpus covers a wide variety of subjects, but scholars have noted in particular her topographical poetry and political poetry about the Napoleonic Wars.
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Her father, originally a Quaker, subsequently became a Unitarian. She was a relative of John Dalton, who subscribed to Poetical Effusions, her first collection. A near-contemporary article in Notes and Queries claims Lickbarrow was "more than once an inmate of the Asylum for Lunatics, at Lancaster", but present-day scholars have not verified this claim. She died of tuberculosis in Kendal, in 1847.
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He also composed and published his own Gaelic Attempts in Verse (1807) and Metrical Effusions (1816), and contributed greatly to the 1828 Gaelic–English Dictionary. The poetry of Allan MacDonald (1859–1905) is mainly religious in nature. He composed hymns and verse in honour of the Blessed Virgin, the Christ Child, and the Eucharist. However, several secular poems and songs were also composed by him.
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An 1867 concert review remarks: "Mr Molloy's songs are (to use a common expression) 'for the drawing-room,' but there is more in them than in the generality of effusions written now-a-days for young lady amateurs, who cannot perceive the charm of a higher order of composition."Review headed "Mr. W. Bollen Harrison’s Concert", in: The Era, 22 Dec. 1867, p. 7.
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Mary was a sickly child, educated at the home of her father, a publisher. As she grew older, her health recovered and she pursued her own education, reading widely and enthusiastically. She soon devoted herself to nursing her mother and family and a young maid servant Elizabeth Haws. When Elizabeth died, Mary wrote her first poem, The Effusions of the Heart which her father offered to publish.
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Whether the benefits of treatment outweigh the risks for asymptomatic LAM patients with normal lung function is not clear, but some physicians consider treatment for declining patients who are approaching the abnormal range for FEV1. Sirolimus also appears to be effective for the treatment chylous effusions and lymphangioleiomyomatosis. The benefits of sirolimus only persist while treatment continues. The safety of long term therapy has not been studied.
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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.
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In small-cell lung carcinoma, the TNM classification is often used along with an additional categorization, the Veterans Administration Lung Cancer Study Group system. The VA scheme has two stages. Limited-stage disease is confined to an area that is tolerably treated by one radiotherapy area ("port"), but excludes cancers with pleural and pericardial effusions. All other small-cell lung cancers are extensive-stage in this scheme.
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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.
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In order to perform a duckwalk, the person has to be free of ligamentous tear, knee effusions, and meniscal tears. The person can also be asked to stand with both feet stuck together. This position is useful to observe for valgus or varus deformity of the knees which is suggestive of osteoarthritis. The circumference of each thigh can be measured to look for wasting of quadriceps muscles.
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Gross, 1998 With surgery, Hua Tuo was an ancient Chinese physician and surgical pioneer who is said to have performed neurosurgical procedures. In Al-Andalus from 936 to 1013 AD, Al-Zahrawi evaluated patients and performed surgical treatments of head injuries, skull fractures, spinal injuries, hydrocephalus, subdural effusions and headache. Concurrently in Persia, Avicenna also presented detailed knowledge about skull fractures and their surgical treatments.
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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.
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House decides that this is a sign of a left hippocampal lesion due to multiple sclerosis and wants a brain biopsy. Kutner suspects a pancreatic tumor and wants to perform an ERCP (endoscopic retrograde cholangiopancreatography). Both go to Cameron, who orders him to scan the patient's brain first. The MRI is normal, but when Kutner performs the ERCP, Sarah begins to have trouble breathing – she has pleural effusions.
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In the short term, children can have trouble with pleural effusions (fluid building up around the lungs). This can require a longer stay in the hospital for drainage with chest tubes. To address this risk, some surgeons make a fenestration from the venous circulation into the atrium. When the pressure in the veins is high, some of the oxygen-poor blood can escape through the fenestration to relieve the pressure.
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In countries where tuberculosis is common, this is also a common cause of pleural effusions. When cardiopulmonary status is compromised (i.e. when the fluid or air has its repercussions on the function of heart and lungs), due to air (significant pneumothorax), fluid (pleural fluid) or blood (hemothorax) outside the lung, then this procedure is usually replaced with tube thoracostomy, the placement of a large tube in the pleural space.
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Clutton's joints is a term describing the finding of symmetrical joint swelling seen in patients with congenital syphilis. It most commonly affects the knees, presenting with synovitis and joint effusions (collections of fluid within the joint capsules) lasting up to a year. It has also been reported affecting the ankles, elbows, wrists and fingers. It is usually painless, although pain in the absence of trauma can occur in a few cases.
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Upon the reclaimed marshland, the traditional division of fields (called ‘hopes’) was by drainage ditches (‘water-fences’). These soon develop effusions of phragmites reed, bramble, and wild sloe but are periodically redug and so do not grow into lasting hedges. The upland fields were formerly criss-crossed by lofty columns of elm. This tree is now decimated, but a continuously reviving (cloning) scrub prevails within hedgerows of more mixed character.
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The components of the Starling forces – hydrostatic pressure, permeability, and oncotic pressure (effective pressure due to the composition of the pleural fluid and blood) – are altered in many diseases, e.g., left ventricular failure, kidney failure, liver failure, and cirrhosis. Exudative pleural effusions, by contrast, are caused by alterations in local factors that influence the formation and absorption of pleural fluid (e.g., bacterial pneumonia, cancer, pulmonary embolism, and viral infection).
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No portrait of Ewin is known to be extant, but there is a print dated 1773 representing Mr. Stanley, grandson of the Earl of Derby, spitting in his face, for which affront the doctor prosecuted him. He was the subject of many effusions of undergraduate hate in both Latin and English, some of which were printed and hawked by ballad mongers about the town. Two are given by Cole.
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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).
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The first entry in the journal of her voyage bore the date 20 September 1832. The record has interest as a manifestation of character. Jewsbury enlivened the monotony of routine by directing attention to every striking change of weather and variety of appearance in the ocean, moon, stars, clouds, fog, and wildlife. However, her comic "Verses composed during a very discomposing breeze" and didactic "The Burden of the Sea" were not among her best effusions.
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These early productions were considered interesting for their natural language. There were also unfinished pieces and fragments, which were thought might add interest to the book. One or two poetical effusions were copied from Riker's Book of Poetry and Flowers, which was edited by Hooper a few months before her death. Hooper's prose writings have never been collected and published in a volume, excepting a few tales, entitled Scenes from Real Life.
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This procedure is indicated when unexplained fluid accumulates in the chest cavity outside the lung. In more than 90% of cases analysis of pleural fluid yields clinically useful information. If a large amount of fluid is present, then this procedure can also be used therapeutically to remove that fluid and improve patient comfort and lung function. The most common causes of pleural effusions are cancer, congestive heart failure, pneumonia, and recent surgery.
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When it occurs together with joint effusions, joint pains, and abnormal skin and bone growth it is known as hypertrophic osteoarthropathy. Clubbing is associated with lung cancer, lung infections, interstitial lung disease, cystic fibrosis, or cardiovascular disease. Clubbing may also run in families, and occur unassociated with other medical problems. The incidence of clubbing is unknown; it was present in about 1% of people admitted to an internal medicine unit of a hospital.
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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.
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Complete blood counts should be obtained before starting chemotherapy and in short intervals afterwards. Platelet counts should be done at the time of expected nadir (lowest number of platelets) and at least until remission starts (platelet counts greater than 50,000). The patients should be watched for signs of allergy, fluid retention and anemia during and after therapy with Neumega. Preexisting ascites and pericardial effusions should be monitored closely for signs of worsening.
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His activity in this respect varied according to circumstances, and the custom ceased to be obligatory after Pye's death. The office fell into some contempt before Robert Southey, but took on a new lustre from his personal distinction and that of successors Wordsworth and Tennyson. Wordsworth stipulated before accepting the honour that no formal effusions from him should be required. Due to his age, he became the only laureate to write no official poetry.
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Adsit was a regular contributor to the columns of the New York City Baptist Register, the Boston Recorder, the New- York Tribune and the Western Literary Messenger. Her earlier work was mostly in the line of poetic effusions and several series of "lay sermons" under the signature of "Probus." These sermons aroused intense antagonism in clerical circles, on account of their latitudinarianism on theologic questions. Heated and prolonged discussions followed each publication.
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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.
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Sterile talc powder (NDC 63256-200-05) is a sclerosing agent used in the procedure of pleurodesis. This can be helpful as a cancer treatment to prevent pleural effusions (an abnormal collection of fluid in the space between the lungs and the thoracic wall). It is inserted into the space via a chest tube, causing it to close up, so fluid cannot collect there. The finished product has been sterilized by gamma irradiation.
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The most common adverse effects of MWA for lung tumors include pain, fever, pneumothorax, and pleural effusions.[6-12] Rib fractures, following thermal ablation, particularly MWA, have been newly noted in the literature.[13] One of the limitations of thermal-based ablation therapies, including MWA, is the risk of marginal recurrences and/or residual disease. Residual or recurrent tumor is particularly likely in areas adjacent to heat sinks, such as larger blood vessels or airways.
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With pancreatitis or ileus, fluids may "leak out" into the peritoneal cavity, also causing depletion of the intracellular, interstitial or vascular compartments. Patients who undergo long, difficult operations in large surgical fields can collect third-space fluids and become intravascularly depleted despite large volumes of intravenous fluid and blood replacement. The precise volume of fluid in a patient's third spaces changes over time and is difficult to accurately quantify. Third spacing conditions may include peritonitis, pyometritis, and pleural effusions.
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Treatment options for such advanced diseases are limited to systemic chemotherapy, radiation, and supportive care measures. These may include management for shortness of breath due to recurrent, symptomatic malignant pleural effusions. However, the surgical removal of large pleural deposits with infusion of hyperthermic chemotherapy may offer significant survival and symptomatic benefit for patients in this disease category. The rationale for this approach is the simultaneous utilization of three different antineoplastic strategies: surgical resection, chemotherapy, and hyperthermia.
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Ascites can be relieved by repeated paracentesis or placement of a drain to increase comfort. Pleural effusions can be treated in a similar manner, with repeated thoracentesis, pleurodesis, or placement of a drain. Radiation therapy can be used as part of the palliative care of advanced ovarian cancer, since it can help to shrink tumors that are causing symptoms. Palliative radiotherapy typically lasts for only a few treatments, a much shorter course of therapy than non-palliative radiotherapy.
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Portable electronic system Chest tube drainage system diagram, with parts labeled in A chest drainage system is typically used to collect chest drainage (air, blood, effusions). Most commonly, drainage systems use three chambers which are based on the three-bottle system. The first chamber allows fluid that is drained from the chest to be collected. The second chamber functions as a "water seal", which acts as a one way valve allowing gas to escape, but not reenter the chest.
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Some attempts have been made to identify this Androcydes with the Androcydes who was physician to Alexander the Great.Gillian Clark, Iamblichus: On the Pythagorean Life (Liverpool University Press, 1989), p. 64, note 145 online. Pythagorean dietary discipline regarding wine (bad) and cabbage (good)Discussed in the course of Cato the Elder’s effusions on the virtues of cabbage, On Agriculture 157, Bill Thayer’s edition at LacusCurtius online. may be reflected in the physician’s advice to the notoriously wine-drinking conqueror.
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Islamic medicine in the middle ages was focused on how the mind and body interacted and emphasized a need to understand mental health. Circa 1000, Al-Zahrawi, living in Islamic Iberia, evaluated neurological patients and performed surgical treatments of head injuries, skull fractures, spinal injuries, hydrocephalus, subdural effusions and headache. In Persia, Avicenna (Ibn-Sina) presented detailed knowledge about skull fractures and their surgical treatments. Avicenna is regarded by some as the father of modern medicine.
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Pleural effusions are seen on CT in 12% of patients with S-LAM and 6% of patients with TSC-LAM. Other CT features include linear densities (29%), hilar or mediastinal lymphadenopathy (9%), pneumothorax, lymphangiomyoma, and thoracic duct dilation. Ground-glass opacities (12%) suggest the presence of interstitial edema due to lymphatic congestion. In patients with TSC, nodular densities on HRCT may represent multifocal micronodular pneumocyte hyperplasia (MMPH) made up of clusters of hyperplastic type II pneumocytes.
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Yttrium currently has no known biological role, and it can be highly toxic to humans, animals and plants. Water-soluble compounds of yttrium are considered mildly toxic, while its insoluble compounds are non-toxic. In experiments on animals, yttrium and its compounds caused lung and liver damage, though toxicity varies with different yttrium compounds. In rats, inhalation of yttrium citrate caused pulmonary edema and dyspnea, while inhalation of yttrium chloride caused liver edema, pleural effusions, and pulmonary hyperemia.
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Tympanostomy tube. In chronic cases of otitis media with effusions present for months, surgery is sometimes performed to insert a grommet, called a "tympanostomy tube" into the eardrum to allow air to pass through into the middle ear, and thus release any pressure buildup and help clear excess fluid within. This is also a correcting measure for a patulous Eustachian tube (when air moves to and from the middle ear with each breath making the eardrum flap).
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Lumican is highly expressed in pleural effusions (lung fluid) of patients with adenocarcinoma. Its expression was low in cancer cells but high in the extracellular matrix surrounding the tumor. Lumican expression was not associated with tumor grade or stage. In about half the patients with pancreatic ductal adenocarcinoma tested, lumican in the extracellular matrix around the tumor was associated with a reduction in metastatic recurrence after surgery and with a three-fold longer survival than patients without stromal lumican.
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The relation to asbestos was identified when, a few months later, two consecutive patients appeared with massive pleural effusions that proved to be malignant mesothelioma. These were only the first of a series of mesotheliomas; seven in five years (1981–1985). This rate is roughly 300-times that expected in a non-asbestos exposed community.Constantopoulos SH, Malamou- Mitsi V, Goudevenos JA, Papathanasiou MP, Pavlidis NA, Papadimitriou CS. High incidence of malignant pleural mesothelioma in neighbouring villages of Northwest Greece.
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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.
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Small-sized clinical trials have shown positive results with (1) chemical and (2) radioactive synovectomy. (1) Setti et al. treated 53 patients with rifampicin RV (600 mg intra-articular injections weekly for approximately 6 weeks) with good results at 1 year follow-up. (2) Top and Cross used single doses of intra-articular radioactive gold in 18 patients with persistent effusions of mixed causes including 3 with IH. All 3 patients with IH responded well to treatment at one-year follow-up.
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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.
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Given the difficulties in culturing anaerobic bacteria the frequency of the latter (including mixed infections) might be underestimated. The risk of empyema in children seems to be comparable to adults. Using the United States Kids’ Inpatient Database the incidence is calculated to be around 1.5% in children hospitalized for community acquired pneumonia, although percentages up to 30% have been reported in individual hospitals, a difference which may be explained by an transient endemic of highly invasive serotype or overdiagnosis of small parapneumonic effusions.
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Characteristic imaging features on chest radiographs and computed tomography (CT) of people who are symptomatic include asymmetric peripheral ground-glass opacities without pleural effusions. The University of Montreal and Mila created the "COVID-19 Image Data Collection" in March which is a public data repository of chest imaging. The Medical Imaging Databank in Valencian Region released a large dataset of chest imaging from Spain. The Italian Radiological Society is compiling an international online database of imaging findings for confirmed cases.
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Caldera Pico de Orizaba evolved in three stages, the most recent initiated about 16,000 years ago during the late Pleistocene and Holocene. Citlaltépetl consists of three superimposed stratovolcanoes and dome intrusions which are: Torrecillas (650–250 ka), Espolón de Oro (210– 16 ka), and Citlaltépetl (16 ka to present). The volcano was formed by thick andesitic and dacitic lavas that followed repetitive explosive eruptions and lava effusions which created the iconic cone structure. The volcano is currently dormant but not extinct.
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Many experience cough and shortness of breath. Forty percent of cases develop pleural effusions, which are collections of fluid in the pleural cavity (the space that contains the lungs and normally only has a minimal amount of fluid in it). About half of all people with yellow nail syndrome have either recurrent chest infections or a chronic lung condition known as bronchiectasis which causes chronic production of sputum with episodes of worsening. Forty percent of people with yellow nail syndrome have chronic sinusitis.
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VEGF-D levels correlate with the severity of LAM, evaluated as a measure of CT grade (the abundance of chylous effusions and lymphatic involvement). VEGF-D is a secreted homodimeric glycoprotein and a member of the VEGF family of growth factors, is known for its role in cancer lymphangiogenesis and metastasis. Proteolytic processing of VEGF-D affects cognate binding to VEGFR3. Histopathologically, LAM lesions are surrounded by cells that stain for VEGFR3, the lymphatic vessel endothelial hyaluronan receptor 1 (LYVE-1) and podoplanin.
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The Crystal Reference Encyclopedia (2005) The fervent effusions of his poems became immensely popular, so that when, after a short trip to Paris, Herwegh journeyed through Germany in 1842, he was greeted with enthusiasm everywhere. King Friedrich Wilhelm IV. gave him an audience, and assured him that he liked nothing better than an energetic opposition. But Herwegh overstepped all the bounds of conventionality in a letter to the King, and was hurried out of Prussia. At Zürich, he found no pleasant reception.
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A TTE is a clinical tool to evaluate the structure and function of the heart. All four chambers and all four valves can be assessed by TTE, but the quality and visibility of these structures varies from person to person. Other structures visible on TTE include the aorta, the pericardium, pleural effusions, ascites, and inferior vena cava. It can be used to detect a heart attack, enlargement/hypertrophy of the heart and infiltration of the heart from an abnormal substance (e.g. amyloidosis).
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She loved the twilight and moonlight, and often spoke of death. Many of her brightest effusions ended with a sigh; and with all this, very consistently, there was a mingling of religious hope and faith. Her poetry lacking wit or humor, it would, at most, find sentiment or fancies uttered in melodious rhythm. Light, varied fancy, tender sentiment, a persistent note of pathos, a prompt and facile rhythm -— these were the qualities that won for Welby at the beginning a generous welcome.
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Al-Zahrawi sewed up the wound and the girl recovered, thereby proving that an incision in the larynx could heal. In describing this important case-history he wrote: Al-Zahrawi also pioneered neurosurgery and neurological diagnosis. He is known to have performed surgical treatments of head injuries, skull fractures, spinal injuries, hydrocephalus, subdural effusions and headache. The first clinical description of an operative procedure for hydrocephalus was given by Al-Zahrawi who clearly describes the evacuation of superficial intracranial fluid in hydrocephalic children.
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In 1937, he wrote: > "... since my early days I have striven to interpret the East to the West, > and Europe to Asia. Through this, I believe, lies the way of mutual sympathy > between the nations; and such can only be accomplished by means of reading > the effusions of one another's Great Minds; because if we but endeavour to > understand about our fellow men, good will can come as the gentle dawn of > peace."Shah, Sirdar Ikbal Ali (1975). The Book of Oriental Literature.
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Symptoms such as difficulty breathing and chest pain may be present if the disease is present in the ribs, scapula, or thoracic vertebrae. These may indicate that the disease has spread from the bone into the chest cavity. The breathing problems may be misdiagnosed as asthma, because the damage done to the lungs can cause the same types of changes to lung function testing as seen in asthma. Extension of the lesions into the chest may lead to the development of chylous pleural and pericardial effusions.
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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).
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"Third spacing" is the abnormal accumulation of fluid into an extracellular and extravascular space. In medicine, the term is often used with regard to loss of fluid into interstitial spaces, such as with burns or edema, but it can also refer to fluid shifts into a body cavity (transcellular space), such as ascites and pleural effusions. With regard to severe burns, fluids may pool on the burn site (i.e. fluid lying outside of the interstitial tissue, exposed to evaporation) and cause depletion of the fluids.
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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.
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Hawkshaw was author of an octavo volume entitled Poems upon Several Occasions, which was ‘printed by J. Heptinstall for Henry Dickinson, Bookseller in Cambridge,’ in 1693. In the dedicatory letter to ‘the Learned and Ingineous Dr. Willoughby,’ prefixed to the volume, the poet describes his effusions as ‘the essays but of a very young pen, a few by-thoughts in my vacancies from Irish studies.’ He also published in 1709 The Reasonableness of constant Communion with the Church of England represented to the Dissenters.
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Physical withdrawal is not dangerous. Physiological changes caused by cocaine withdrawal include vivid and unpleasant dreams, insomnia or hypersomnia, increased appetite and psychomotor retardation or agitation. Physical side effects from chronic smoking of cocaine include coughing up blood, bronchospasm, itching, fever, diffuse alveolar infiltrates without effusions, pulmonary and systemic eosinophilia, chest pain, lung trauma, sore throat, asthma, hoarse voice, dyspnea (shortness of breath), and an aching, flu-like syndrome. Cocaine constricts blood vessels, dilates pupils, and increases body temperature, heart rate, and blood pressure.
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There are effusions in Cilappatikāram in the form of a song or a dance, which does not go well with the Western audience as they are assessed to be inspired on the spur of the moment.Paniker 2003, p. 7 Calcutta review claims that the three works on a whole have no plot and insufficient length characterization for an epic genre. They believe plot of Cīvaka Cintāmaṇi is monotonous and deficient in variety in strength and character and does not stand the quality of an epic.
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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.
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A decrease implies hypoventilation, as can occur with restrictive lung disease, pleural effusions or atelectasis. Underexpansion can also cause interstitial markings due to parenchymal crowding, which can mimic the appearance of interstitial lung disease. Enlargement of the right descending pulmonary artery can indirectly reflect changes of pulmonary hypertension, with a size greater than 16 mm abnormal in men and 15 mm in women. Appropriate penetration of the film can be assessed by faint visualization of the thoracic spines and lung markings behind the heart.
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McDowell and Woods, pp. 204-205. Burke invited Mackintosh to spend Christmas with him at his home in Beaconsfield, where he was struck by Burke's "astonishing effusions of his mind in conversation. Perfectly free from all taint of affectation...Minutely and accurately informed, to a wonderful exactness, with respect to every fact relative to the French Revolution".Lock, p. 560. When Mackintosh visited Paris in 1802 during the Peace of Amiens, he responded to compliments from French admirers of his defence of their revolution by saying: “Messieurs, vous m’avez si bien refuté”.
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Common names include marri and Port Gregory gum, and a long- standing usage has been red gum due to the red sap effusions often found on trunks. Red gum was recorded as a name in use by the Swan River colonists in 1835. Other species of Corymbia (then Eucalyptus) were referred to as 'red gum', so to avoid ambiguity the Forestry Department of the Western Australian government nominated the extant name marri in the 1920s. Corymbia calophylla is still commonly known as a 'eucalypt', despite the transfer to the new genus.
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In 1909 Troisier and Georges Roux described experimental research they had conducted on the tetanus toxin at a meeting of the Société Médicale des Hôpitaux. Troiser was one of the French researchers who undertook a thorough study of pigments of bilirubin or a similar substance in haemorrhagic effusions. He published a doctoral thesis describing his work and that of others until 1910. His thesis was titled Rôle des Hémolysines dans les genèse des pigments biliaires et de l'urobiline (role of hemolysin in the genesis of bile pigments and Urobilin).
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For an overview, see Gerald Graff, Professing Literature, Chicago and London: The University of Chicago Press, 1987. It was felt, especially by creative writers and by literary critics outside the academy, that the special aesthetic experience of poetry and literary language was lost in the welter of extraneous erudition and emotional effusions. Heather Dubrow notes that the prevailing focus of literary scholarship was on "the study of ethical values and philosophical issues through literature, the tracing of literary history, and ... political criticism". Literature was approached and literary scholarship did not focus on analysis of texts.
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Angioimmunoblastic T cell lymphoma (ATIL) is a systemic malignancy of mature follicular B helper T cells (TFH cells). ATIL is often manifested soon after individuals ingest antibiotics or have an infection or allergic reaction. The disease presents with generalized swelling of lymph nodes, enlarged liver and spleen, skin lesions (rash, or, less commonly, nodules, plaques, purpura, and urticarial), bone marrow involvement, and B symptoms of fever, weight loss, and night sweats. Individuals may also present with arthralgias, arthritis, pleural effusions, ascites, lung lesions, and neurological and gastrointestinal disturbances.
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Secondly, various imaging and diagnostic technological methods are utilised to detect defects to the heart and other organs, such as valvular dysfunction and arrhythmias by usage of echocardiography. Chest radiographs may indicate pleural effusions and/or fibrosis, and neurological tests such as CT scans can show strokes and increased cerebrospinal fluid pressure. A proportion of patients have a mutation involving the PDGFRA and FIP1L1 genes on the fourth chromosome, leading to a tyrosine kinase fusion protein. Testing for this mutation is now routine practice, as its presence indicates response to imatinib, a tyrosine kinase inhibitor.
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Routine evacuation keeps the pleura together, resulting in physical agitation by the catheter, which slowly causes the pleura to scar together. This method, though the minimally invasive and minimal cost solution, takes an average of about 30 days to achieve pleurodesis and is therefore the slowest means of achieving pleurodesis among other modalities. Sterile talc powder, administered intrapleurally via a chest tube, is indicated as a sclerosing agent to decrease the recurrence of malignant pleural effusions in symptomatic patients. It is usually performed at the time of a diagnostic thoracoscopy.
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Another post-mortem from 2011 summarized the death as being caused by "traumatic application of the blunt hard object (objects)" as confirmed by "abrasions, ecchymomas, blood effusions into the soft tissues". Journalist Owen Matthews described Magnitsky's suffering in Moscow's Butyrka prison: > According to [Magnitsky's] heartbreaking prison diary, investigators > repeatedly tried to persuade him to give testimony against Hermitage and > drop the accusations against the police and tax authorities. When Magnitsky > refused, he was moved to more and more horrible sections of the prison, and > ultimately denied the medical treatment which could have saved his life.
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This fluid can lead to complications such as hypoxia due to lung collapse from the fluid, or fibrothorax if scarring occurs. Repeated effusions may require chemical (talc, bleomycin, tetracycline/doxycycline), or surgical pleurodesis, in which the two pleural surfaces are scarred to each other so that no fluid can accumulate between them. This is a surgical procedure that involves inserting a chest tube, then either mechanically abrading the pleura or inserting the chemicals to induce a scar. This requires the chest tube to stay in until the fluid drainage stops.
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Due to his upbringing in Safed, he came under the extensive influence of Lurianic Kabbalah. As may be seen from his works, he was a versatile scholar, and he corresponded with many contemporary rabbis, among others with Bezaleel Ashkenazi, Yom-Ṭob Ẓahalon, Moses Hamon, and Menahem Ḥefeẓ. His poetic effusions were exceptionally numerous, and many of them were translated into Persian. While still young he composed many hymns, to Arabic and Turkish tunes, with the intention, as he says in the preface to his Zemirot Yisrael, of turning the Jewish youth from profane songs.
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The Eloesser flap is still utilized for patients with chronic empyemas who have not improved despite being treated with antibiotics and first line surgical procedures to remove pus and re-expand the lung such as decortication or video-assisted thoracoscopic surgery. Often they are thought to be too ill for more definitive procedures such as a major thoracotomy or muscle flap transposition. In a recent case series, the most common reasons to need an Eloesser flap were parapneumonic effusions and postresection empyemas, with only 9% done for tuberculosis.
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UCD commonly presents without symptoms; however, people with the disease may experience enlarged lymph nodes in a single lymph node region or report symptoms related to compression of neighboring structures by enlarged lymph nodes, such as difficulty breathing and pain or pressure in the abdomen or chest. Systemic symptoms (fever, night sweats, weight loss, fatigue), extravascular fluid accumulation (peripheral edema, ascites, pleural effusions), and enlargement of the liver and/or spleen, all of which are commonly seen in HHV-8-associated MCD and iMCD, are uncommon in UCD.
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Pathogenesis in pulmonary hypertension due to left heart disease (WHO Group II) is completely different in that constriction or damage to the pulmonary blood vessels is not the issue. Instead, the left heart fails to pump blood efficiently, leading to pooling of blood in the lungs and back pressure within the pulmonary system. This causes pulmonary edema and pleural effusions. In the absence of pulmonary blood vessel narrowing, the increased back pressure is described as 'isolated post-capillary pulmonary hypertension' (older terms include 'passive' or 'proportionate' pulmonary hypertension or 'pulmonary venous hypertension').
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When older, she attended the academy in Bradford and, for a term or two, that at St. Johnsbury, Vermont. The last time she appeared in the schoolroom, was at the close of the academic year. She was so frail that she was obliged to lean upon another student while she read her essay out loud. Page wrote verses while yet a child, and when about twelve years of age, some of her poetic effusions found their way into the local paper, much to her regret in later years.
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Notices of passing events, interesting to the religious public; brief reviews of rare and popular works; poetical effusions, and everything which would tend to render a publication of the kind entertaining and useful, would continue to be included in its columns. Its tone was mild, generous and charitable; but at the same time, distinct, manly and firm. The proprietor stated there would be an aim to make its style chaste, and its literary character generally such as shall command respect. It would advocate the rights of women, and earnestly contend for female education.
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Correspondence between Thomas and Bell often contained conversations about Jesus Christ. Cowherd was himself a Methodist and was called "quite preachy". Their son-in-law, J.B. Parker, described Thomas's home as "Just a typical English family, enjoying its own fireside and historical and magazine reading, with Thomas H. Cowherd inclined to poetical effusions and enjoying considerable prominence as a contributor to the press and later publishing a volume of his poems." The Bells were frequent visitors to their home, and Cowherd's wife was accomplished at producing home-brew from the family's mammoth vines.
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Soon, which was written by special request for the "Fulton Street [Noon] Prayer Meeting", about 1857. In addition to the foregoing, there were four hymns by her in Parish Hymns (Philadelphia), 1843,; and there may be many others in various collections which were uncredited. At the age of seventy, two years before her death, she wrote out, in a small volume, a fair copy of her numerous hymns and other poetical effusions, noting the occasion, time and place of such compositions, and the date of their first publication.
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Risk factors such as season, allergy predisposition and presence of older siblings are known to be determinants of recurrent otitis media and persistent middle-ear effusions (MEE). History of recurrence, environmental exposure to tobacco smoke, use of daycare, and lack of breastfeeding have all been associated with increased risk of development, recurrence, and persistent MEE. Pacifier use has been associated with more frequent episodes of AOM. Long-term antibiotics, while they decrease rates of infection during treatment, have an unknown effect on long-term outcomes such as hearing loss.
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The medications most commonly associated with pleural fibrosis are the ergot alkaloids bromocriptine, pergolide, and methysergide. Fibrothorax may also occur without a clear underlying cause, in which case it is known as idiopathic fibrothorax. A technique called pleurodesis can be used to intentionally create scar tissue within the pleural space, usually as a treatment for repeated episodes of a punctured lung, known as a pneumothorax, or for pleural effusions caused by cancer. While this procedure usually generates only limited scar tissue, in rare cases a fibrothorax can develop.
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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.
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For elementary school Pérez-Carreño attended the Bouquet school and high school at the Federal College of Valencia. He graduated with a bachelor's degree from the Central University of Venezuela with his thesis called Calor animal (Animal heat). In 1920 he re-entered the university to study medicine and before graduating he worked as a clinical monitor. He earned a Ph.D. in Medical Sciences in October 1926 with the presentation of the thesis Autoseroterapia de los derrames (Auto-serum therapy of effusions) and then devoted himself largely as a teacher.
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Intrapleural tissue plasminogen activator (tPA) combined with deoxyribonuclease has been shown to increase pleural drainage, decrease hospital length of stay, and decrease need for surgery in parapneumonic effusions and empyema. One studied protocol used a dose of DNase (Pulmozyme, Roche) of 5 mg, and a dose of t-PA (Actilyse, Boehringer Ingelheim) of 10 mg. Intrapleural medications are each given twice daily for 3 days, and each administration was followed by clamping of the drain to permit the drug to remain in the pleural space for 1 hour. Treatment with DNase alone or t-PA alone was ineffective.
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Valerius Aedituus was a Roman poet of the 1st century BCE. He is known for his epigrams; otherwise there is very little information, what there is being in the form of literary references.From : In the ninth chapter of the nineteenth book of the Noctes Atticae a certain rhetorician Julianus, when challenged to point out anything in the Latin language worthy of being compared with the graceful effusions of Anacreon, and other bards of that class among the Greeks, quotes two short epigrams by Valerius Aedituus, who is simply described as " veteris poetae," one by Porcius Licinius, and one by Quintus Catulus.
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After the cardinal's death (1520), he was thrown on his own devices. At the time of the election of Adrian VI he circulated witty lampoons, for which he was obliged for a time to leave Rome. Later he returned to accept a situation as clerk or secretary to Gian Matteo Giberti, datary to Clement VII. The duties of his office, for which Berni was in every way unfit, were exceedingly irksome to the poet, who, however, made himself celebrated at Rome as the most witty and inventive of a certain club of literary men, who devoted themselves to light and sparkling effusions.
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TAILS is a 2D or 3D proteomics based assay for the labeling and isolation of N-terminal peptides, developed by a group at the University of British Columbia. The TAILS method is designed for comparison of multiple protease treated cells and control proteome cells. Samples can be derived from a variety of sources including tissue, fibroblasts, cancer cells and from fluid effusions. This assay isolates the N-terminal peptides by removing the internal tryptic peptides via ultrafiltration leaving the labeled mature N-terminal and neo-N-Terminal peptides to be analyzed by tandem mass spectrometry (MS/MS).
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Patients with primary plasma cell leukemia present with clinical findings that are less commonly found in multiple myeloma, e.g. they often have hepatomegaly, splenomegaly, lymphadenopathy, nerve and central nervous system defects, bleeding tendencies secondary to thrombocytopenia, and pleural effusions. They are less likely than multiple myeloma patients to have lytic bone lesions. In several studies of patients with either form of plasma cell leukemia, the disease was associated with clonal IgG in 28% to 56% of cases, IgA in 4% to 7% of cases, and a light chain in 23% to 44% of cases; 0-12% of patients had no myeloma protein.
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The symptoms caused by enlarged adenoids are mostly due to where this lymphoid tissue is located. The adenoids are in the midline of the nasopharynx, and the Eustachian tubes open from either ear to the right and left of them. In children with excessive middle ear infections and chronic middle ear fluid, there is a high bacterial count in the adenoids as compared to children without problematic otitis media, even if the size of the adenoids is small. The adenoids in these cases provide a reservoir of pathogenic bacteria that cause ear infections and subsequent middle ear effusions (fluid).
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Pitting edema of the lower extremities commonly seen in conditions associated hypoalbuminemia. Patients with hypoalbuminemia are more likely to present with it as a sign of an underlying disease process than as a primary disease process. By itself, hypoalbuminemia decreases the total protein concentration in blood plasma, also known as the colloid osmotic pressure, which causes fluid to exit the blood vessels into tissues to equalize the concentrations. This leads to fluid-induced swelling of the extremities known as edema, build- up of fluid in the abdomen known as ascites, and fluid surrounding internal organs known as effusions.
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Chest tube clogging can lead to retained blood around the heart and lungs that can contribute to complications and increase mortality. If a chest tube clogs when the patient is still bleeding they can become hypotensive from tamponade, or develop a large hemothorax. If there is not enough to cause a mechanical compression of the heart or lungs, the resulting inflammatory response to the retained blood can lead to pleural and pericardial effusions and contribute to the triggering of postoperative atrial fibrillation in susceptible individuals. A common complication after thoracic surgery that arises within 30–50% of patients are air leaks.
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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.
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According to Griswold (1852), her most distinguishing characteristic was sprightliness. Her poetical vein seldom rose above the fanciful, but in her vivacity there was both wit and cheerfulness. She needed apparently but the provocation of a wider social inspiration to become very clever and apt in jeux d'esprit and epigrams, as a few specimens which found their way into the journals amply indicated. It was however in such pieces as "Jack Frost", "The Pebble and the Acorn", and other effusions devoted to graceful details of nature, or suggestive incidents in life, that the public recognised the graceful play of her muse.
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201 After quoting the poem in full, the writer claimed, "If Blake had lived in Germany, by this time he would have had commentators of the highest order upon every one of his effusions; but here, so little attention is paid to works of the mind". Ralph Vaughan Williams set the poem to music in his 1958 song cycle Ten Blake Songs. The poem was set to music in 1965 by Benjamin Britten as part of his song cycle Songs and Proverbs of William Blake. Andrew Stauffer, in 2009, claimed that the poem is "Blake's best-known depiction of personal anger's destructive effects".
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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.
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To wean her from her sorrows, her parents encouraged her to continue the practice, and this was the origin of the first work she published, The Southern Harp. At first, she had no idea of publishing these little effusions, but having written quite a number of them, she was advised to print a few for the use of herself and friends. The work, however grew under her hands, until finally, becoming much interested in the design, she decided to publish, not only the words, but the music. She visited New York for this purpose in 1840, and the work appeared early in 1841.
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In what became standard practice for black authors writing in the 18th and early 19th centuries (including Olaudah Equiano and Venture Smith), Wheatley included in her book an apologetic and deferential preface, explaining how the poems "were written originally for the Amusement of the Author, as they were the products of her leisure Moments." her humble upbringings and asks that "the Critic will not severely censure their Defects; and we presume they have too much Merit to be cast aside with Contempt, as worthless and trifling Effusions." Referenced 28 April 2010. 17 March 2005. Referenced 29 April 2010.
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Emphasis in original. The Telegraph wrote, > Few Melodists have gained more celebrity or been so universally admired, ... > The many effusions from the pen of this gentleman independent of his vocal > powers, is sufficient proof of his being a man of considerable talent and > originality—you should hear him sing his national air "on a wing that beamed > in glory" [and it would be] unnecessary for us to enlarge on his merits as a > vocalist—for his Melodies display a feeling of Patriotism which attracts the > attention of every beholder.Bedford Enquirer, quoted in the January 18, > 1834Harrisburg Pennsylvania Telegraph. Quoted in Cockrell, Demons, 98.
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He believed himself to be a prize fighter and that he had two wives, Patty and Mary. He started to claim he was Lord Byron. Allen wrote about Clare to The Times in 1840: > It is most singular that ever since he came... the moment he gets pen or > pencil in hand he begins to write most poetical effusions. Yet he has never > been able to obtain in conversation, nor even in writing prose, the > appearance of sanity for two minutes or two lines together, and yet there is > no indication of insanity in any of his poetry.
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In 1890 he published a paper on the tubercular origins of some pleural effusions, one of the first medical professionals to link the two. As well as publishing articles in journals such as the BMJ and British Journal of Dermatology, Barrs also edited Braithwaite's Retrospect of Medicine. Leeds University, where Alfred Barrs worked and taught. Alfred Barrs began his career as a physician at Leeds General Infirmary Barrs taught Physiology at Leeds University (he was the university's first Demonstrator of Physiology) before becoming Chair of Medicine from 1899 to 1910, when he became Professor of Clinical Medicine.
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As an admirer of your music, I don't like to miss your concert. The odd fact is, however, that I have at last decided to visit Africa, and I have accepted an assignment from HOLIDAY to go and hover over the sources of the Nile in a helicopter and to write impressions or effusions. I leave just before Thanksgiving and return after Christmas, which lets me out of a couple of trying holidays, but makes it impossible for me to hear you, alas. We shall keep in touch, I hope, and see a good deal of each other yet.
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Two short hymns to Artemis and Dionysus, consisting of eight and eleven lines respectively, stand first amongst his few undisputed remains, as printed by recent editors. But hymns, especially when addressed to such deities as Aphrodite, Eros and Dionysus, are not so very unlike what we call "Anacreontic" poetry as to make the contrast of style as great as the word might seem to imply. The tone of Anacreon's lyric effusions has probably led to an unjust estimate, by both ancients and moderns, of the poet's personal character. The "triple worship" of the Muses, Wine and Love, ascribed to him as his religion in an old Greek epigram,Greek Anthology. iii.
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Patient was hospitalized in October 1993 with sepsis, acute kidney injury, acute rhabdomyolysis, and suspected disseminated intravascular coagulation: an overactivity of clotting proteins that can lead to eventual hemorrhage as the proteins are degraded. Self-reported history of illness included a four day prodrome of fever, malaise, vomiting, muscle aches, chills, and abdominal pain. By the third day of illness, the patient's fever had reached , blood pressure acutely narrow and hypotensive (74/50 mmHg), elevated breathing rate (24 breaths/min), and exhibited abnormal hematological and chemical profiles. Patient went on to develop acute kidney failure along with pulmonary edema, alveolar edema with small pleural effusions, and resulting severe hypoxia.
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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.
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Daviess’s writings, especially poetry, were not the result of her training in Belles-lettres, but rather the overflow of feeling and fancy that would not be repressed. Her coming before the public was not with the intention of ever writing professionally, nor the pursuit of fame. A bridal compliment to a friend was so kindly received, that, by request from one and another editor, Daviess published many works in various newspapers, seldom under her own name, but signed by such a pen name as the passing fancy suggested. Her effusions were extensively copied, and complimented for their smooth flow of rhyme and almost redundant beauty of expression.
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Currently, the LARS ligament is the most comparable to both autografts and other synthetic grafts. Rate of knee injury among patients with failed ligament augmentation and reconstruction system Complications that commonly occur in the artificial ligaments after the first ten years are breakage, wear debris, synovitis, recurrent instability, osteolysis and chronic effusions. Complications do not commonly surface right after the surgery or after a relatively short term, and in a few cases, start to show up after the first ten years. Follow-up research is required to study the performance of certain synthetic materials for artificial ligament and to monitor the health of patients.
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Clinical pathology is concerned with the diagnosis of disease based on the laboratory analysis of bodily fluids such as blood, urine or cavitary effusions, or tissue aspirates using the tools of chemistry, microbiology, hematology and molecular pathology. The Indian, European, Japanese and American Colleges of Veterinary Pathologists certify veterinary clinical pathologists. The American College of Veterinary Pathologists certification exam consists of four parts: General Pathology (shared with the Anatomic Pathology certifying examination), Cytology and Surgical Pathology, Hematology, and Clinical Chemistry. The credential, DACVP (Diplomate, American College of Veterinary Pathologists) is usually followed by a parenthetical notation of "(Clinical Pathology)" to distinguish DACVP counterparts certified for anatomic pathology.
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During his ten years of patient study, Auenbrugger confirmed his observations on the diagnostic value of percussion by comparison with post-mortem specimens, and besides made a number of experimental researches on dead bodies. He injected fluid into the pleural cavity, and showed that it was perfectly possible by percussion to tell exactly the limits of the fluid present, and thus to decide when and where efforts should be made for its removal. His name is also associated with Auenbrugger's sign, a bulging of the epigastric region in the thorax, in cases of large effusions of the pericardium, the membrane which envelops the heart. His later studies were devoted to tuberculosis.
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Gilliland's Dramatic Synopsis, says Emery's delineation of Orson in Colman's the Iron Chest is "a fine picture of savage nature characterised by a peculiar justice of colouring". Emery was about five feet nine inches, robustly built, with a light complexion and light blue eyes. He looked like one of his own farmers, sang well with a low tenor voice, composed the music and words of a few songs, and for his benefit wrote annually comic effusions, one of which, a song entitled York, you're wanted, enjoyed a long reputation. He had considerable powers of painting, and exhibited between 1801 and 1817 nineteen pictures, chiefly sea pieces, at the Royal Academy.
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Bob White is also a Fellow of St Edmund's College, Cambridge, prior to which he was a student and Research Fellow at Emmanuel College, Cambridge. A Fellow of the Geological Society, and a member of the American Geophysical Union and several other professional bodies; he serves on numerous of their committees. He leads a research group investigating the Earth's dynamic crust. His most cited paper (White & McKenzie 1989) used geophysical evidence in conjunction with models of melt generation beneath rifts to show that the largest and most rapid effusions of volcanic rock on the earth, known as flood basalts, result from continental rifting above mantle plumes.
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A large mass of historical information and genealogical notes, and hundreds of pages of moral and religious prose, remain among her manuscripts. Many of her poetical effusions relating to the private affairs of family and life are part of her collection. The most precious papers are a number of pieces written within a few months before her death, the themes being of the coming life. A large collection of autographs —many of them not names alone, but letters of distinguished men and women- attest her interest in that department of antiquarian research; and a valuable assortment of ancient and modern coins had been assiduously gathered during her last fifty years.
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Traumatised when they were children - she by the erotic effusions of her parents, he by a repulsive experience of sexual initiation built by the fathers - Elli has become a nymphomaniac, and Marco a homosexual. Perhaps to find a way out from their deviations, perhaps to support each other, the two marry. Their marriage, however, does not solve their problems, nor are things made any easier by the unexpected return of George, the English antiquarian "friend" of Marco, who now tries to seduce Marco. Marco kills the girl who loves him, whom he has rejected, and then throws himself from a tower, under the eyes of Elli and George.
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Edward Atkyns Bray (1778–1857) was a British poet, vicar, and miscellaneous writer. Bray was the only son of Edward Bray, solicitor, and manager of the Devonshire estates of the Duke of Bedford, was born at the Abbey House, Tavistock, 18 Dec 1778. His mother, Mary, a daughter of Dr. Brandreth of Houghton Regis, and the widow of Arthur Turner, would not allow her son to be sent to a public school, and he was educated by himself, a circumstance which engendered in him habits of isolation and restraint. At an early age he cultivated poetry, two small selections from his effusions circulating among his friends before he was twenty-three.
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This transformation of relationships between individuals is a concept Shirky builds on in Cognitive Surplus. A central concern Shirky had in mind when writing it was in illuminating the difference between communal and civic values, and how the Internet is a vehicle for both. In particular, he was interested in showing “effusions of people pooling their spare time and talent” and showing how we can create a culture “that celebrates the creation of civic value”. Shirky has stated that he is interested in exploring "the changes in the way people collaborate" that are spurred on by technology and new media, and these changes are a large part of what Cognitive Surplus is devoted to examining.
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The critic for the Sydney Morning Herald wrote that: > In the imagination of most authors who dramatise the lives of concert > pianists, not much can happen before flying fingers take off on the > Revolutionary Study, or soulful eyes gaze out over the Liebestraum. "Concord > of Sweet Sounds... while it is centred on a concert pianist, for the most > part happily avoids such effusions... It contains several portraits of typed > concert-world people, but its observations, even if they are conventional, > are apt and convincing. The actors were admirably chosen in a splendidly > fluent production by Henri Safran. "Henry Gilbert, as a veteran concert star > facing retirement, was mild but dominating, with craggy, proud head and much > silver hair.
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LD is roughly defined as a locoregional tumor burden confined to one hemithorax that can be encompassed within a single, tolerable radiation field, and without detectable distant metastases beyond the chest or supraclavicular lymph nodes. A patient is assigned an ED stage when the tumor burden is greater than that defined under LD criteria — either far advanced locoregional disease, malignant effusions from the pleura or pericardium, or distant metastases. However, more recent data reviewing outcomes in very large numbers of SCLC patients suggests that the TNM staging system used for NSCLC is also reliable and valid when applied to SCLC patients, and that more current versions may allow better treatment decisionmaking and prognostication in SCLC than with the old dichotomous staging protocol.
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The news of such effusions of joy reached and upset the king, who was staying at the Royal Palace of Portici, urging him to send a telegram in the late afternoon of September 6, which canceled the transfer order. To the protests of Filangieri, Francis II replied with another telegram, in which he deplored the excessive displays of joy that were planned and ordered the postponement of the transfer. As per provisions of the King, the students spent the 7th on the road, having lunch at the Bridges of the Valley and returning to the city without further celebrations. In this period were some Nunziatella alumni played an important role in the history of the Kingdom of the Two Sicilies.
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Douglas E. Gerber, Greek iambic Poetry, Loeb Classical Library (1999), page 9 About 580 BC he transplanted the Megarian comedy (if the rude extempore jests and buffoonery deserve the name) into the Attic deme of Icaria, the cradle also of Greek tragedy and the oldest seat of the worship of Dionysus. According to the Parian Chronicle, there appears to have been a competition on this occasion, in which the prize was a basket of figs and an amphora of wine. Susarion's improvements in his native farces did not include a separate actor or a regular plot, but probably consisted in substituting metrical compositions for the old extempore effusions of the chorus. These were intended for recitation, and not committed to writing.
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Humor, pathos, and satire sought to stir the feelings of the public. Much of the poetry of the Revolution is to be found in the columns of the newspapers, from the vivid and popular satires and narratives of Philip Freneau to the saddest effusions of the most commonplace schoolmaster.for full details see Gillian B. Anderson, Freedom's Voice in Poetry and Song. Part 1, An Inventory of Political and Patriotic Lyrics in Colonial American Newspapers, 1773-1783. Part 2, Song Book (1977), 888pp The newspapers of the Revolution were an effective force working towards the unification of sentiment, the awakening of a consciousness of a common purpose, interest, and destiny among the separate colonies, and of a determination to see the war through to a successful issue.
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Cobbett's books were printed in a cheap > form; the labourers read them, and thenceforward became deliberate and > systematic in their proceedings. Nor were there wanting men of their own > class, to encourage and direct the new converts. The Sunday Schools of the > preceding thirty years had produced many working men of sufficient talent to > become readers, writers, and speakers in the village meetings for > parliamentary reform. Some also were found to possess a rude poetic talent, > which rendered their effusions popular, and bestowed an additional charm on > their assemblages; and by such various means, anxious listeners at first, > and then zealous proselytes, were drawn from the cottages of quiet nooks and > dingles, to the weekly readings and discussions of the Hampden clubs.
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During many years Sauerwein carried on his battle against what he termed German hyper- nationalism, and this battle was mainly fought from Norway — a country that became his second homeland. He felt unsafe in Germany and described his sojourns in Norway as an exile of his own choice. Moreover, in Norway, he had access to a free press and by the turn of the previous century, he was often given space in Norwegian publications to reports of the conditions in Lithuania and Lusatia. Out of the last thirty years of his life (1874–1904), Sauerwein spent 11 in Norway — mostly in Dovre, which he characterized as “my winter sanatorium and laboratory of mental effusions”, but he also stayed increasingly in the capital Christiania (Oslo).
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This means that her brain does not get normal levels of oxygenated blood (the explanation for this causing unilateral brain damage is impossible due to the Circle of Willis). It also disrupts normal pulmonary blood flow resulting in the pleural effusions and causes excessive turbulence in the bloodstream causing the damaged platelets. At Cuddy's house, Cameron decides to quit, saying that she will always say "yes" to House due to their relationship, and that any other person would always say "no" – Cuddy is the only one that can do the job. Finally, Foreman decides to risk his medical career for Thirteen's sake and switches her from the placebo to the real drug, while Cuddy is shown rushing to work again, leaving Rachel at home with a caregiver (but not before giving her baby a kiss).
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All these activities were undoubtedly motivated as much by economic necessity as by Owenite socialist conviction. Employment opportunities for single women such as Macauley were few and far between, and the small sums paid by the Owenites to their publicists would have been very welcome. Writing for publication was a more typical resource for such women—and Macauley also turned her hand to this, penning small volumes of essays on edifying topics, ‘poetic effusions’, and other such ladylike potboilers, while at the same time also producing a steady stream of pamphlets denouncing her enemies in the theatre, attacking the magistracy, and defending various patrons against scurrilous detractors—the traditional stuff of Grub Street hacks. But ‘literary pursuits are the most arduous of any … and subject to the most mortifications—particularly for females’, as she complained.
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Wogan then took service as a colonel in the Spanish army, and in 1723 distinguished himself at the relief of Santa Cruz, besieged by the Moors under the Bey Bigotellos. He was promoted to the rank of brigadier-general and made governor of La Mancha. Thence he sent to Jonathan Swift in 1732 a cask of Spanish wine and a parcel of his writings. Swift wrote him in return a characteristic letter deploring that he did not see his way to get Wogan's effusions published: ‘Dublin booksellers,’ he says, ‘have not the least notion of paying for copy.’ On 27 February 1733 Wogan despatched to Swift, in his capacity as the ‘mentor and champion of the Irish nation,’ a long budget of grievances (printed in Scott's Swift, xvii. 447–97).
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Later, at his poetry- writing class, Enderby finds little to admire in his students' undisciplined effusions and tries to impress on them that poetry arises from craftsmanlike effort, not emotional self-indulgence. The students, however, just look at him pityingly and ask him when he plans to leave. As the title suggests, The Clockwork Testament also gives the author a chance to explore his own bemusement over Stanley Kubrick's film adaptation of A Clockwork Orange: Burgess came to hate the film that made him famous. This autobiographical element is most apparent in the talk show scene, where Enderby's fellow guests (an actress and a psychologist) attack the poet for his involvement in a film version of "The Wreck of the Deutschland", which has been accused of inspiring violence against nuns.
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1748–9, and both were convicted on Coffey's evidence. While awaiting execution in Newgate, Gahagan translated Pope's ‘Messiah’ and ‘Temple of Fame’ into Latin verse, and this was published immediately (1749), with a dedication to the Duke of Newcastle, praying for pardon. Gahagan also addressed Prince George to the same effect in English verse, while Connor wrote a poetic appeal in English to the Duchess of Queensberry. These effusions are printed in the ‘Newgate Calendar.’ But all efforts failed, and the young men were hanged at Tyburn on Monday, 20 Feb. 1748–9. Some verses lamenting Gahagan's fate are quoted in the ‘Newgate Calendar.’ In the preface to the collected edition of Christopher Smart's poems, ‘unfortunate Gahagan’ is described as Smart's immediate predecessor in the successful writing of Latin verse.
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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.
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' During the winter of 1791-2 Collins gave his performance at the Lyceum Theatre in London on fifty-two nights, and with that striking tribute to his popularity he quit the London stage. In January 1793, he was amusing Birmingham audiences by his recitations, and in that year he was so far settled in that town as to occupy a house in Great Brook Street, Ashted. By these performances he obtained a 'well-earned easy competency,' and it must have been with some portion of his gains that he acquired an interest with a Mr. Swinney in a newspaper called The Birmingham Chronicle. Many of the poetic effusions of Collins were inspired by local events, and many of them were published in his paper, from the pages of which, as he complains, they were reproduced without acknowledgment.
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The transition from the monumental to the purely literary character of the epigram was favoured by the exhaustion of more lofty forms of poetry, the general increase, from the general diffusion of culture, of accomplished writers and tasteful readers, but, above all, by the changed political circumstances of the times, which induced many who would otherwise have engaged in public affairs to addict themselves to literary pursuits. These causes came into full operation during the Alexandrian era, in which we find every description of epigrammatic composition perfectly developed. About 60 BC, the sophist and poet Meleager of Gadara undertook to combine the choicest effusions of his predecessors into a single body of fugitive poetry. Collections of monumental inscriptions, or of poems on particular subjects, had previously been formed by Polemon Periegetes and others; but Meleager first gave the principle a comprehensive application.
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The best of his effusions have preserved a certain freshness because of the neatness with which they are turned, but it can scarcely be said that they have any pretension to be called poetry. They were inspired by incidents in the private life of the day, and were largely addressed to a few friends of exalted rank, who were hardly less witty than the author himself, such as the Duc de Nevers, the Marquis de Lassay, the Duchesse de Bouillon and the Marquis de La Fare. In the collections of Chaulieu's works, which were very often reprinted, side by side with his own pieces will be found petits vers de société indited by these great friends of his, and often quite as well-turned as his own. To write such verses, indeed, was almost an accomplishment of good breeding.
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All igneous magmas contain dissolved gases (water, carbonic acid, hydrogen sulfide, chlorine, fluorine, boric acid, etc.). Of these water is the principal, and was formerly believed to have percolated downwards from the Earth's surface to the heated rocks below, but is now generally admitted to be an integral part of the magma. Many peculiarities of the structure of the plutonic rocks as contrasted with the lavas may reasonably be accounted for by the operation of these gases, which were unable to escape as the deep-seated masses slowly cooled, while they were promptly given up by the superficial effusions. The acid plutonic or intrusive rocks have never been reproduced by laboratory experiments, and the only successful attempts to obtain their minerals artificially have been those in which special provision was made for the retention of the "mineralizing" gases in the crucibles or sealed tubes employed.
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X-Ray showing pulmonary oedema MPR) There is no single test for confirming that breathlessness is caused by pulmonary edema – there are many causes of shortness of breath. Low oxygen saturation and disturbed arterial blood gas readings support the proposed diagnosis by suggesting a pulmonary shunt. A chest X-ray will show fluid in the alveolar walls, Kerley B lines, increased vascular shadowing in a classical batwing peri-hilum pattern, upper lobe diversion (increased blood flow to the superior parts of the lung), and possibly pleural effusions. In contrast, patchy alveolar infiltrates are more typically associated with noncardiogenic edema Lung ultrasound, employed by a healthcare provider at the point of care, is also a useful tool to diagnose pulmonary edema; not only is it accurate, but it may quantify the degree of lung water, track changes over time, and differentiate between cardiogenic and non-cardiogenic edema.
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Reference to the sources of smog, along with the earliest extant use of "pea- soup" as a descriptor, is found in a report by John Sartain published in 1820 on life as a young artist, recounting what it was like to > slink home through a fog as thick and as yellow as the pea-soup of the > eating house; return to your painting room ... having opened your window at > going out, to find the stink of the paint rendered worse, if possible, by > the entrance of the fog, which, being a compound from the effusions of gas > pipes, tan yards, chimneys, dyers, blanket scourers, breweries, sugar > bakers, and soap boilers, may easily be imagined not to improve the smell of > a painting room! John Sartain (1820). Annals of the fine arts. London, > Sherwood, Neely, and Jones, digitised by Moore College of Art, Philadelphia, > p.
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The great advantage of VATS over sternotomy or thoracotomy is avoidance of muscle division and bone fractures that allows for diminished duration and intensity of pain and a shorter time to return to full activity. VATS came into widespread use beginning in the early 1990s. Operations that traditionally were carried out with thoracotomy or sternotomy that today can be performed with VATS include: biopsy for diagnosis of pulmonary, pleural or mediastinal pathology; decortication for empyema; pleurodesis for recurrent pleural effusions or spontaneous pneumothorax; surgical stapler assisted wedge resection of lung masses; resection of mediastinal or pleural masses; thoracic sympathectomy for hyperhidrosis; operations for diaphragmatic hernias or paralysis; esophageal resection or resection of esophageal masses or diverticula; and VATS lobectomy/mediastinal lymphadenectomy for lung cancer. The instrumentation for VATS includes the use of a camera-linked 5 mm or 10 mm fiber-optic scope, with or without a 30-degree angle of visualization, and either conventional thoracic instruments or laparoscopic instruments.
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The praises which these gentlemen bestowed > last year on this unfortunate man's illustrations to Blair's Grave have, in > feeding his vanity, stimulated him to publish his madness more largely, and > thus again exposed him, if not to the derision, at least to the pity of the > public. ... Thus encouraged, the poor man fancies himself a great master, > and has painted a few wretched pictures, some of which are unintelligible > allegory, others an attempt at sober character by caricature representation, > and the whole "blotted and blurred," and very badly drawn. These he calls an > Exhibition, of which he has published a Catalogue, or rather a farrago of > nonsense, unintelligibleness, and egregious vanity, the wild effusions of a > distempered brain. One of the pictures represents Chaucer's Pilgrims, and is > in every respect a striking contrast to the admirable picture of the same > subject by Mr. Stothard, from which an exquisite print is forthcoming from > the hand of Schiavonetti.
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222 The Critical Review described the work as a "politically poetical poem ... liberally pouring forth the effusions of patriotic zeal". John Scott, an associate of Hunt, claimed in the Champion that the "poetical prisoner, seated on a wooden bench, within hearing of the clank of fetters, and with a bare and monotonous brick wall before his sight" was able to create a work that was "full of healthful English feeling" and was "prima facie evidence in favor of the kind and pure character of [Hunt's] mind". In a letter to Hunt from Henry Robertson and Charles Ollier, they said, "In our admiration of its abundant beauties we were unanimous, whether we viewed it for its fancy, for the fine human feeling that it excites, or for the grand abstractions that abound particularly towards the close of the poem. Our hearts and imaginations were alike delighted, and we found the true ends of poetry answered".
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The milder > effusions of his genius abound in sentiment and pathos, equal at least to > many of the more lauded poetical pieces of the day; and had he prosecuted > with ardour that gift with which he was favoured, he might have laid claim > to a palm which a less qualified muse may now possess. His humour was > unbounded, and was of such a nature that it delighted all who had the honour > of his acquaintance, without hurting the feelings of any. He was a firm > patriot, a universal philanthropist, and a warm friend: noble, generous, > honest, modest, unassuming, feeling: he was a man who mixed with opposite > parties, and was equally beloved by all. It may be thought by those who > shared not the pleasures of his society, that this outline of Mr. Beattie's > character and qualities is a laboured panegyric; and we confess that, of an > individual at a distance, we should have suspected so, but to those who knew > him, it will appear only an attempt to draw the contour of a picture which > every one admired in its natural perfection.
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The Oldstyle letters were well received in New York—and despite the use of the pseudonym, Irving's identity as Oldstyle was not a secret.Jones, 20 The public enjoyed them, and Chronicle co-publisher Aaron Burr was impressed enough to send copies of the first five letters to his daughter Theodosia, remarking that they "would not, perhaps, merit so high an honour as that of being perused by your eyes and touched by your fair hands, but that [they are] the production of a youth of about nineteen, the youngest brother of Dr. Peter Irving of New York."Memoirs of Aaron Burr, with Miscellaneous Selections of His Correspondence, ed M.L. Davis (New York, 1837); cited in Letters of Jonathan Oldstyle, 40n5 Irving also had an admirer in Charles Brockden Brown, who unsuccessfully tried to track down Oldstyle to ask his assistance with The Literary Magazine, and American Register that Brown would shortly be editing in Philadelphia.Jones, 21 William Dunlap, manager of New York's Park Theater, also thought highly of Oldstyle, later calling Irving's letters "pleasant effusions," but noted politely at the time that the irritation Oldstyle was provoking in his actors was "excessive".
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