Clinical Dilemma in the Treatment of a Patient with Microangiopathic Haemolytic Anaemia, Thrombocytopaenia and Severe Hypertension

While haemolytic uraemic syndrome in children is predominantly associated with Shiga toxin -producing Escherichia coli (typically 0157:H7), some cases occur without associated diarrhoea, or as the manifestation of an underlying disorder other than infection. Haemolytic uraemic syndrome is characterised by microangiopathic anaemia, thrombocytopaenia and renal failure, on occasion accompanied by severe hypertension. Malignant hypertension is a syndrome that sometimes exhibits the same laboratory abnormalities as haemolytic uraemic syndrome as it may share the same pathological findings: thrombotic microangiopathy. As clinical features of both entities overlap, the distinction between them can be very difficult. However, differentiation is essential for the treatment decision, since early plasma exchange dramatically reduces mortality in haemolytic uraemic syndrome not associated with diarrhoea. An increasing number of genetic causes of this pathology have been described and may be very useful in differentiating it from thrombotic microangiopathy due to other aetiologies. Despite advances in the understanding of the pathophysiology of haemolytic uraemic syndrome not associated with diarrhoea, the management often remains empirical. We describe a patient with simultaneous microangiopathic haemolytic anaemia, thrombocytopaenia and severe hypertension managed in the acute period of illness with plasma exchange

The Closest Damped Lyman Alpha System

A difficulty of studying damped Lyman alpha systems is that they are distant, so one knows little about the interstellar medium of the galaxy. Here we report upon a damped Lyman alpha system in the nearby galaxy NGC 4203, which is so close (v_helio = 1117 km/s) and bright (B_o = 11.62) that its HI disk has been mapped. The absorption lines are detected against Ton 1480, which lies only 1.9' (12 h_50 kpc) from the center of NGC 4203. Observations were obtained with the Faint Object Spectrograph on HST (G270H grating) over the 2222-3277 Angstrom region with 200 km/s resolution. Low ionization lines of Fe, Mn, and Mg were detected, leading to metallicities of -2.29, -2.4, which are typical of other damped Lyman alpha systems, but well below the stellar metallicity of this type of galaxy. Most notably, the velocity of the lines is 1160 +- 10 km/s, which is identical to the HI rotational velocity of 1170 km/s at that location in NGC 4203, supporting the view that these absorption line systems can be associated with the rotating disks of galaxies. In addition, the line widths of the Mg lines give an upper limit to the velocity dispersion of 167 km/s, to the 99% confidence level.Comment: 4 pages LaTeX, including 1 figure and 1 table, uses emulateapj.sty. Accepted for publication by Astrophysical Journal Letter

Test code for the assessment and improvement of Reynolds stress models

An existing two-dimensional, compressible flow, Navier-Stokes computer code, containing a full Reynolds stress turbulence model, was adapted for use as a test bed for assessing and improving turbulence models based on turbulence simulation experiments. To date, the results of using the code in comparison with simulated channel flow and over an oscillating flat plate have shown that the turbulence model used in the code needs improvement for these flows. It is also shown that direct simulation of turbulent flows over a range of Reynolds numbers are needed to guide subsequent improvement of turbulence models

Evidence for a Physically Compact Narrow-Line Region in the Seyfert 1 Galaxy NGC 5548

We have combined HST/FOS and ground-based spectra of the Seyfert 1 galaxy NGC 5548 to study the narrow emission lines over the 1200 -- 10,000 angstrom region. All of the spectra were obtained when the broad emission line and continuum fluxes were at an historic low level, allowing us to accurately determine the contribution of the narrow-line region (NLR) to the emission lines. We have generated multicomponent photoionization models to investigate the relative strength of the high ionization lines compared to those in Seyfert 2 galaxies, and the weakness of the narrow Mg II 2800 line. We present evidence for a high ionization component of NLR gas that is very close to the nucleus (~1 pc). This component must be optically thin to ionizing radiation at the Lyman edge (tau = 2.5) to avoid producing [O I] and Mg II in a partially ionized zone. The very high ionization lines (N V, [Ne V], [Fe VII], [Fe X]) are stronger than the predictions of our standard model, and we show that this may be due to supersolar abundances and/or a ``blue bump'' in the extreme ultraviolet (although recent observations do not support the latter). An outer component of NLR gas (at only ~70 pc from the continuum source) is needed to produce the low ionization lines. We show that the outer component may contain dust, which further reduces the Mg II flux by depletion and by absorption of the resonance photons after multiple scatterings. We show that the majority of the emission in the NLR of NGC 5548 must arise within about ~70 pc from the nucleus. Thus, the NLR in this Seyfert 1 galaxy is very physically compact, compared to the typical NLR in Seyfert 2 galaxies.Comment: 38 pages, Latex, includes 2 figures (postscript), to appear in Ap

Temperature Fluctuations and Abundances in HII Galaxies

There is evidence for temperature fluctuations in Planetary Nebulae and in Galactic HII regions. If such fluctuations occur in the low-metallicity, extragalactic HII regions used to probe the primordial helium abundance, the derived 4He mass fraction, Y_P, could be systematically different from the true primordial value. For cooler, mainly high-metallicity HII regions the derived helium abundance may be nearly unchanged but the oxygen abundance could have been seriously underestimated. For hotter, mainly low-metallicity HII regions the oxygen abundance is likely accurate but the helium abundance could be underestimated. The net effect is to tilt the Y vs. Z relation, making it flatter and resulting in a higher inferred Y_P. Although this effect could be large, there are no data which allow us to estimate the size of the temperature fluctuations for the extragalactic HII regions. Therefore, we have explored this effect via Monte Carlos in which the abundances derived from a fiducial data set are modified by \Delta-T chosen from a distribution with 0 < \Delta-T < \Delta-T_max where \Delta-T_max is varied from 500K to 4000K. It is interesting that although this effect shifts the locations of the HII regions in Y vs. O/H plane, it does not introduce any significant additional dispersion.Comment: 11 pages, 9 postscript figures; submitted to the Ap

Avaliação do efeito de doses de calcário dolomítico no crescimento de plantas de helicônia cv. golden torch em latossolo amarelo de textura média.

FERTBIO 2006