Intravascular Lymphoma as an Uncommon Cause of Anasarca

Objectives: To report a case of intravascular lymphoma (IVL) in a Caucasian patient who presented with anasarca as his sole clinical sign. Material and Methods: A man presented with anasarca-type oedema and fatigue. After excluding heart failure, hepatic cirrhosis, nephrotic syndrome, hypothyroidism, AL-amyloidosis and adverse drug reaction which can all cause oedema, we turned our attention to capillary permeability disorders. Results: Closer review of the bone marrow aspirate demonstrated haemophagocytic histiocytosis, while core, renal and duodenal biopsies showed a B-cell IVL. Conclusion: The differential diagnosis of anasarca, a relatively common clinical sign, should include IVL although the diagnosis may still be challenging

Classifications of environmental quality effects: the case of canadian cities

Amenities are goods and services that make certain locations attractive for living and working. Quality of life on the other hand can be perceived as an expression of well-being and its importance is demonstrated by a number of publications that have been developed and rank quality of life across cities and states based on their observable characteristics. Amenities’ assessments are employed in order to produce an index to rate quality of life. It is increasingly accepted that well- being cannot be entirely based on measures of income, wealth and consumption. Other indicators more qualitative (i.e. environment) should be considered. In the broader context, quality of life measures traditional economic goods such as food and accomodation but also more qualitative factors such as environmental and social (i.e. fresh air, low criminality). Environmental factors located in a given place can be considered as part of the wealth of the region in which they are located. A classification of the effects of environmental quality on consumers’ utility and producers’ costs that is based on housing prices and income differentials is useful because it provides information about the relative attractiveness to them of the total bundle of environmental and other attributes indigenous to each region. A theory is presented for this kind of analysis and classifications producing a qualitative evaluation of cities. The methodology used a number of Canadidan cities as a case study. An amenity-productivity classification was produced and cities were eventually classified as Low/High Amenity and Low/High Productivity providing useful information as to their relative attractiveness to firms and households

Standards of Living Inequalities and Allocation of Funding: The Case of Greece

An analysis of consumer’s decision making indicates that the weights used for the regional variables considered and included in an index should not vary across regions. Given this, a regional index is computed for the 10 major regions of Greece assuming that all variables incorporated in it are equally weighted. Regional indices are then compared with the per capita European Union funding and finally, the actual versus the planned spending of the European Union funding is analysed.regional inequalities, funding, standards of living

Multicriteria analysis-based total university evaluation: the case of the Greek departments of economics

Different methodologies for the assessment of universities have been developed over the years using criteria such as research, teaching and social input, which have been an issue of controversy. University rankings have received a lot of criticism but are still very popular for a number of parties such as academics, students, parents, funders, employers and society. Greek universities have not been ranked, up to date. The present paper presents a methodology for ranking universities based on research and education and uses the Greek departments of economics as a case study. The results allow the interested party to judge the overall performance (research and education) of the department or the research/education performance accordingly depending on the party's needs.university evaluation; university rankings; economics departments; Greece; university assessment; Greek universities; research assessment; educational assessment; research performance; education performance.

Students' perceptions on environmental management of HEIs and the role of social capital: A case study in the University of the Aegean

Purpose – The aim of the present study is to contribute to the discussion introducing the concept of social capital as a significant parameter influencing students' perceptions concerning greening initiatives in HEIs. Design/methodology/approach – A theoretical analysis is presented concerning the possible links of social capital components with students' perceptions on environmental management initiatives. Furthermore, the results of an empirical study are presented exploring these issues from the perspective of students, both through quantitative and qualitative social research methods. Findings – The empirical study reveals that students' social capital is connected with their perceptions for the environmental management of the university. Social implications – The paper underlines the importance of examining and taking into consideration social factors prior to the implementation of environmental management initiatives in HEIs, in order to increase their effectiveness. Originality/value – The paper is a first attempt to empirically explore the influence of students' social capital on their perceptions for environmental management initiatives in higher education institutions

Anomalous Origin of Left Coronary Artery Diagnosed by a Lung Scan

Anomalous origin of the left coronary artery from the pulmonary trunk is suspected with electrocardiographic evidence of myocardial infarction in patients with left ventricular failure and cardiomegaly; the diagnosis is made by selective angiography. 1 , 3 Visualization of the myocardium on a lung scan in the case reported below provided the necessary information for the diagnosis before the patient's condition permitted catherization. Case History A two-month-old girl, clinically normal at birth, was referred to our hospital after a two-week history of progressive dyspnea and nonproductive cough without fever. Clinical examination revealed cardiomegaly, a Grade 2 of 6 apical systolic murmur, dyspnea, tachypnea . . 

Maternal Smoking During Pregnancy and Sudden Infant Death Using the National Maternal and Infant Health Survey: A Case-Case Study

We utilized data from the National Maternal and Infant Health Survey (NMHIS) to analyze the risk of SIDS and other infant deaths among women who smoke during pregnancy adjusting for potentially modifiable risk factors such as sec-ondhand smoke exposure and breastfeeding. The following variables were assessed with respect to risk for SIDS and other infant deaths: smoking exposure, level of education, infant and maternal age, infant and maternal birthweight, maternal BMI, gender, secondhand smoke exposure, breast feeding, prenatal vitamins, WIC, multiple gestation, sleep apnea monitor prescription, sleep apnea incidents and maternal alcohol use. Univariate analysis and multivariate lo-gistic regression were performed to identify variables significantly associated with the odds of mortality from SIDS. Analysis utilized weighted estimates using SUDAAN 9.0.0 to adjust for design effects. A p-value < 0.01 was considered statistically significant. Women who smoked during pregnancy were 1.83 times more likely to give birth to an infant that died from SIDS versus some other cause of death, OR (95%) = 1.83(1.33, 2.51). Other Race infants and Black in-fants were more likely to suffer SIDS mortality than White infants, but the result was not significant in the final model. Other modifiable risk factors, such as secondhand smoke exposure and breast feeding, were not significant predictors of SIDS mortality. Independent of sociodemographic variables and other potential risk factors for SIDS death, maternal smoking was associated with an increased risk of SIDS death versus other death. This study highlights the importanc