A case of antiphospholipid syndrome following gastric signet ring cell adenocarcinoma

Objective: Rare disease Background: Antiphospholipid syndrome (APS) is a rare autoimmune disease characterized by arterial, venous, and small-vessel thrombosis, pregnancy-related morbidity and the presence of antiphospholipid antibodies such as an-ticardiolipin antibody, and/or anti-beta2-glycoprotein I. In the recent years, APS was observed in patients with solid tumors and the renal cancer, lung carcinoma and breast tumors were the most common tumors linked with APS. Case Report: A 53-year-old female presented with pain and pitting edema of left lower extremity that had begun 6 months prior to hospitalization. Deep vein thrombosis (DVT) in the popliteal vein diagnosed by Doppler ultrasonogra-phy and the patient was treated with heparin followed by warfarin. Following subdural hematoma, anticoagu-lant therapy was stopped, and the patient underwent craniotomy. One month later, the patient returned with pain and DVT diagnosed in its right leg. Laboratory tests showed high levels of lupus anticoagulant, IgM and IgG anticardiolipin antibodies. Following a high alkaline phosphatase, diffuse bone marrow involvement was found by whole body bone scan. Looking to find primary tumor, a large infilterable lesion in gastric was seen by endoscopic images, and biopsy histopathology showed a signet ring cell adenocarcinoma. The patient re-fused chemotherapy and died 6 months after diagnosis. Conclusions: APS is associated with gastric signet ring cell adenocarcinoma. © Am J Case Rep, 2020

How Can We Identify Hijacked Journals?

By developing research and academic centers, the number of performed research articles has also increased. On the other hand, publishing the results of these articles in scientific journals shall also grow. In the meantime, researchers are trying to publish the findings of their research in journals which have been approved by one or more International indices so that such findings can be seen. In order to enhance the academic standards of Universities, proper journal choice will be of interest to researchers, especially those that are indexed in websites such as Thomson Reuters. However, certain forgery frauds researchers by launching fake Web sites that have been named by academic journal titles. In this paper, we introduce an approach to identify this type of journals that will be applicable by researchers in various academic disciplines

Subcritical Crack Growth in Ceramic Composites at High Temperature Measured Using Digital Image Correlation

An in situ experimental technique is described that allows high resolution, high sensitivity determination of displacements and full-field strains during high temperature mechanical testing. The technique is used to investigate elevated temperature crack growth in SiC/Nicalon sub f composites. At 1150 degrees C, the reinforcing fibers have a higher creep susceptibility than the matrix. Fiber creep leads to relaxation of crack bridging tractions, resulting in subcritical crack growth. Differential image analysis is used to measure the crack opening displacement profile u(x) of an advancing, bridged crack. With appropriate modeling, such data can be used to determine the traction law, from which the mechanics of cracking and failure may be determined

High shear granulation: an investigation into the granule consolidation mechanism

The mechanisms of early granule growth are difficult to study and poorly understood. Consolidation and layering play a critical role in the growth process. However, little is known about the kinetics. In this work, a novel consolidation-only granulator (COG) was used to study dynamic consolidation and layering only, eliminating other granulation mechanisms. Prenucleated granule growth was studied over time. Based on experimental data and literature models, a mechanistic layering kernel for population balance modelling was developed. Granule growth kinetics were qualitatively predicted by a previously reported model; growth behaviour was linear with the square root of time to a certain critical size, after which growth stopped. X-ray computed tomography revealed that consolidation mainly occurred in the outer layers of the granules. The results greatly advance understanding of consolidation and layered growth, and the new model opens the way for improved predictive modelling and design of granulation processes and products

The currency ratio in Tanzania: an econometric analysis

This study tested some key hypotheses on the determinants of the currency ratio in Tanzania. The econometric results suggest that real income is, as theorized, negatively related to and a significant determinant of the currency ratio in Tanzania. The estimated income elasticity coefficient, found to be far less than unity, suggests there is poor substitution between currency and demand deposits in Tanzania. The results also showed that expected inflation was negatively related to the currency ratio in Tanzania. While the structural adjustment programme was found to increase and shift upward the currency ratio function in Tanzania, the liberalization of the financial sector was found to shift decrease and shift downward the currency ratio function. Most institutional variables were found to lack the expected sign and significance in explaining the currency ratio in Tanzania, probably because of inadequacy of the proxies used

Baseline characteristics of patients in the reduction of events with darbepoetin alfa in heart failure trial (RED-HF)

<p>Aims: This report describes the baseline characteristics of patients in the Reduction of Events with Darbepoetin alfa in Heart Failure trial (RED-HF) which is testing the hypothesis that anaemia correction with darbepoetin alfa will reduce the composite endpoint of death from any cause or hospital admission for worsening heart failure, and improve other outcomes.</p> <p>Methods and results: Key demographic, clinical, and laboratory findings, along with baseline treatment, are reported and compared with those of patients in other recent clinical trials in heart failure. Compared with other recent trials, RED-HF enrolled more elderly [mean age 70 (SD 11.4) years], female (41%), and black (9%) patients. RED-HF patients more often had diabetes (46%) and renal impairment (72% had an estimated glomerular filtration rate <60 mL/min/1.73 m2). Patients in RED-HF had heart failure of longer duration [5.3 (5.4) years], worse NYHA class (35% II, 63% III, and 2% IV), and more signs of congestion. Mean EF was 30% (6.8%). RED-HF patients were well treated at randomization, and pharmacological therapy at baseline was broadly similar to that of other recent trials, taking account of study-specific inclusion/exclusion criteria. Median (interquartile range) haemoglobin at baseline was 112 (106–117) g/L.</p> <p>Conclusion: The anaemic patients enrolled in RED-HF were older, moderately to markedly symptomatic, and had extensive co-morbidity.</p&gt

A review of the positive and negative effects of cardiovascular drugs on sexual function: a proposed table for use in clinical practice

Several antihypertensive drugs, such as diuretics and β-blockers, can negatively affect sexual function, leading to diminished quality of life and often to noncompliance with the therapy. Other drug classes, however, such as angiotensin II receptor blockers (ARBs) are able to improve patients’ sexual function. Sufficient knowledge about the effects of these widely used antihypertensive drugs will make it possible for cardiologists and general practitioners to spare and even improve patients’ sexual health by switching to different classes of cardiac medication. Nevertheless, previous data (part I) indicate that most cardiologists lack knowledge about the effects cardiovascular agents can have on sexual function and will thus not be able to provide the necessary holistic patient care with regard to prescribing these drugs. To be able to improve healthcare on this point, we aimed to provide a practical overview, for use by cardiologists as well as other healthcare professionals, dealing with sexual dysfunction in their clinical practices. Therefore, a systematic review of the literature was performed. The eight most widely used classes of antihypertensive drugs have been categorised in a clear table, marking whether they have a positive, negative or no effect on sexual function