A Very Rare Presentation of Multiple Myeloma: Unilateral Raccoon Eye

Multiple myeloma (MM), the second most common hematological malignancy, is caused by the accumulation of monoclonal plasma cells in bone marrow. It accounts for 10–15% of deaths from hematological malignancies and approximately 2% of deaths from cancer. The median age at presentation is 70 years old. The diagnosis is incidental in 30% of cases. MM is often discovered through routine blood screening with a large gap between the total protein and the albumin levels.Two thirds of patients complain of bone pain, especially lower back pain. MM could be diagnosed after a pathologic fracture occurs in one third of patients. Presentation with symptoms related to hyperviscosity, hypercalcemia and bleeding tendency could also be observed. A rare presentation of MM is peri-orbital ecchymotic lesion (raccoon eye). Here, we report a 64 years old, male patient presented with unilateral raccoon eye and high erythrocyte sedimentation rate (ESR) to internal medicine outpatient. The patient was referred to hematology outpatient and was diagnosed with multiple myeloma

FORMULATION OF SOME GAUSSIAN INTEGRALS OVER R(N) VIA GENERATING-FUNCTIONS

This paper deals with the analytic formulation of the integrals over R(n) with the weight function exp(x(T)Cx) where the integrand is the product of quadratic forms x(T) A(j)x, j = 1,...,p, for arbitrary n x n symmetric matrices A(j). The technique is based on generating functions. First some functions are defined to generate these integrals for the special case A(j) = A(j) = A...A, and then practical formulas for the general case are derived

New 6-phenylimidazo[2,1-b]thiazole derivatives: Synthesis and antifungal activity

New benzylidene-(6-phenylimidazo[2,1-b]thiazol-3-yl)-acetic acid hydrazides, 4-alkyl- 1-((6-phenylimidazo[2,1-b]thiazol-3-yl)-acetyl)-3-thiosemicarbazides, 2-aryl-3-((6-phenylimidazo[2,1-b]thiazol-3-yl)-acetamido)-4-thiazolidinones, and 3-alkyl-2-(((6-phenylimidazo[2,1-b]thiazol-3-yl)-acetyl)-hydrazono)-4-thiazolidinones, were synthesized from 6-phenylimidazo[2,1-b]thiazole-3-acetic acid hydrazide and evaluated for antifungal activity against three dermatophyte strains using ketoconazole as standard. Several of them were found as effective as the standard against Trichophyton rubrum and Microsporum audounii (MIC = 6 mu g/cm(3)), whereas the activity of N-benzylidene-(6-phenylimidazo[2,1-b]-thiazol-3-yl)-acetic acid hydrazide against M. audounii was superior to the standard (MIC = 3 mu g/cm(3)). 2-(4-Methylphenyl)-3-((6-phenylimidazo[2,1-b]thiazol-3-yl)-acetamido)-4-thiazolidinone and 2-(4-chlorophenyl)-3-((6-phenylimidazo[2,1-b]thiazol-3-yl)- acetamido)-4-thiazolidinone showed the highest activity against Trichophyton mentagrophytes var. erinacei NCPF-375 (MIC = 3 mu g/cm(3))

Synthesis and antimicrobial properties of new 4-(alkylidene/arylidene)-amino-5-(2-furanyl)-2,4-dihydro-3H-1,2,4-triazole-3-thiones and 6-aryl-3-(2-furanyl)-7H-1,2,4-triazolo[3,4-b][1,3,4]thiadiazines

A series of 4-(alkylidene/arylidene)amino-5-(2-furanyl)-2,4-dihydro-3H-1,2,4-triazole-3-thiones (2) and 6-aryl-3-(2-furanyl)-7H-1,2,4-triazolo[3,4-b][1,3,4] thiadiazines (3) were synthesized. The configuration of 2g was assigned on the basis of H-1-NMR data. Of the new derivatives tested, only 2b, 2g, and 4f were found to be active against Staphylococcus aureus and/or Staphylococcus epidermidis (MIC 125-1.95 mu g/ml), whereas all exhibited varying degrees of antifungal activity (MIC 25-0.8 mu g/ml)

Synthesis and antimicrobial activity of new tetrahydro-2H-1,3,5-thiadizine-2-thione derivatives

A series of 3,5-disubstituted tetrahydro-2H-1,3,5-thiadiazine-2-thiones was synthesized and evaluated for antibacterial and antifungal activity. All of the tested compounds were found active against,Staphylococcus aureus and Staphylococcus epidermidis. The compounds were also active against yeast-like fungi and molds where the anticandidal activity of 3a against Candida albicans was superior to the standards miconazole and clotrimazole

Case presentation of a patient with left renal vein (nutcracker) syndrome

Nutcracker syndrome (NCS) is a vascular compression disease involving the compression of the left renal vein between the superior mesentery artery (SMA) and the aorta. The case is presented of a 33-year-old female patient with a 10-year history of hypertension and abdominal pain in whom NCS was diagnosed

Synthesis and hypnotic activity of new 4-thiazolidinone and 2-thioxo-4,5-imidazolidinedione derivatives

Conventionally accessible 4-[(2-(3,4-dimethoxyphenyl)ethyl] -3-thiosemicarbazide .(2) was converted to new 1-substituted benzylidene/furfurylidene-4- [2-(3,4-dimethoxyphenyl)ethyl] -3-thiosemicarbazides (3) which furnished 2-(substituted benzylidene/furfurylidene)hydrazono-3-[2-(3,4-dimethoxyphenyl)ethyl]thiazolidin-4-ones (4) and 1-(substituted benzylidene/furfurylidene)-amino-3-[2-(3,4-dimethoxyphenyl)ethyl]-2-thioxo-4, 5-imidazolidinediones (5) on reaction with chloroacetic acid and oxalyl chloride, respectively. The structure of 5 was confirmed by X-ray diffraction performed on 5a. 4 and 5 were evaluated for their potentiating effects on pentobarbital induced hypnosis. Most of the compounds caused remarkable increases in pentobarbital sleeping time

The technology of ancient lime mortars from the Żejtun Roman Villa (Malta)

Studies on original mortars can greatly assist archaeological interpretations, as elucidating the composition of such mortars gives clues on the origin of raw materials, manufacturing technology, and the construction phases of a site. This article presents the multi-analytical characterisation of 24 mortars and plasters from the Żejtun Roman Villa, Malta, to support archaeological hypotheses on the history of the construction of the site. The samples, belonging to at least three distinct phases included in the stratigraphy of the Żejtun archaeological site, were analysed using polarised light microscopy (PLM), scanning electron microscopy (SEM–EDS), X-ray diffraction (XRD), thermogravimetry (TGA/DSC), X-ray fluorescence (XRF), ion chromatography (IC), and stable isotope analysis (13C and 18O). The assessment of the results through correlations with archaeological evidence identifies five types of mortars with varying degrees of hydraulicity. These are associated with different development phases of the site and distinctive uses and were mainly produced using local resources, except in the Early Roman period when natural pozzolanic raw materials started being used. As there are no natural pozzolans on the Maltese Islands, it is hypothesised that the pozzolanic materials used as aggregate in the mortars were imported to the Islands from neighbouring volcanic regions. This volcanic aggregate was especially abundant in one of the mortar types, which was used mainly as a bedding mortar for floors

The effect of thrombosis-related laboratory values on mortality in COVID-19 infection

OBJECTIVE: COVID-19 may cause thrombosis in both venous and arterial systems. Familiarity with the signs and symptoms of thrombosis and its treatment is essential in treating COVID-19 infection and its complications. D-Dimer and mean platelet volume (MPV) are measurements related to the development of thrombosis. This study investigates whether MPV and D-Dimer values could be used to determine the risk of thrombosis and mortality in the COVID-19 early stages. PATIENTS AND METHODS: 424 patients who were COVID-19 positive, according to the World Health Organization (WHO) guidelines, were randomly and retrospectively included in the study. Demographic and clinical characteristics such as age, gender, and length of hospitalization were obtained from the digital records of participants. Participants were divided into living and deceased groups. The patients’ biochemical, hormonal, and hematological parameters were analyzed retrospectively. RESULTS: White blood cells (WBC), neutrophils, and monocytes were significantly different in the two groups (p-value <0.001), and their values were lower in the living group than in the deceased group. MPV median values did not differ according to prognosis (p-value = 0.994). While the median value was 9.9 in the survivors, it was 10 in the deceased. Creatinine, procalcitonin, ferritin, and the number of hospitalization days in living patients were significantly lower than in patients who died (p-value <0.001). Median values of D-dimer (mg/L) differ according to prognosis (p-value <0.001). While the median value was 0.63 in the survivors, it was found as 438 in the deceased. CONCLUSIONS: Our results did not show any significant relationship between the mortality of COVID-19 patients and their MPV levels. However, a significant association between D-Dimer and mortality in COVID-19 patients was observed