Genital Tuberculosis as the Cause of Tuboovarian Abscess in an Immunosuppressed Patient

Background. Although tuberculosis (TB) is a major health problem worldwide, primary extrapulmonary tuberculosis (EPTB), and in particular female genital tract infection, remains a rare event. Case Report. A 35-year-old human immunodeficiency virus (HIV) seropositive woman of African descent with lower abdominal pain and fever of two days duration underwent surgery due to left adnexal mass suggesting pelvic inflammatory disease. The surgical situs showed a four quadrant peritonitis, consistent with the clinical symptoms of the patient, provoked by a tuboovarian abscess (TOA) on the left side. All routine diagnostic procedures failed to determine the causative organism/pathogen of the infection. Histopathological evaluation identified a necrotic granulomatous salpingitis and specific PCR analysis corroborated Mycobacterium tuberculosis (M. Tb). Consequently, antituberculotic therapy was provided. Conclusion. In the differential diagnosis of pelvic inflammatory disease, internal genital tuberculosis should be considered. Moreover, physicians should consider tuberculous infections early in the work-up of patients when immunosuppressive conditions are present

N-glycans of human amniotic fluid transferrin stimulate progesterone production in human first trimester trophoblast cells in vitro

Aims: During pregnancy, the placenta produces a variety of steroid hormones and proteins. Several of these substances have been shown to exert immunomodulatory effects. Progesterone is thought to mediate some of these effects by regulating uterine responsiveness. The aim of this study was to clarify the effect of amniotic fluid transferrin and its N-glycans on the release of progesterone by first trimester trophoblast cells in vitro. Methods: Cytotrophoblast cells were prepared from human first trimester placentae by trypsin-DNAse dispersion of villous tissue followed by a percoll gradient centrifugation and depletion of CD45 positive cells by magnetic cell sorting. Trophoblasts were incubated with varying concentrations (50-300 mug/ml) of transferrin from human amniotic fluid and serum as well as with N-glycans obtained from amniotic fluid transferrin. Culture supernatants were assayed for progesterone by enzyme-immunometric methods. Results: The release of progesterone increased in amniotic fluid transferrin- and N-glycan-treated trophoblast cell cultures compared to untreated trophoblast cells. There was no stimulating effect of serum transferrin on the progesterone production of trophoblast cells. Conclusions: The results suggest that amnion-transferrin and especially its N-glycans modulate the endocrine function of trophoblasts in culture by up regulating progesterone secretion

MTA3 (metastasis associated 1 family, member 3 )

Review on MTA3 (metastasis associated 1 family, member 3 ), with data on DNA, on the protein encoded, and where the gene is implicated

Humanities in Predoctoral Dental Education: A Scoping Review

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153732/1/jddjde019126.pd

Local E-Government in Cyprus: A Comparison of Perceptions Between Citizens and Decision Makers

This paper identifies attitudes and perceptions on e-government among two key populations: citizens of the Republic of Cyprus and local government decision makers. The research methodology is based on both secondary and primary data collection, with the latter including a questionnaire survey of the public and another of major local governments\u27 officials who were directly involved in the decision making of the services provided through local egovernment initiatives. The results of the surveys are analysed and cross-related The research has reached three principal clusters of conclusions. The first relates to a number of discrepancies found when comparing the public\u27s perceptions, needs and potentialities on e-government and the corresponding perceptions of the municipality decision makers. The second cluster relates to the wider potentialities of local e-government in Cyprus. The third cluster is provides directions and towards a successful local e-government implementation in Cyprus

The Association between Vitamin D Receptor Expression and Prolonged Overall Survival in Breast Cancer.

Summary In this study, we analyzed vitamin D receptor (VDR) expression and survival in a breast cancer patient cohort of 82 breast cancer patients. Immunohistochemical analysis was possible in 91.5% of the patients (75/82). Staining was evaluated using the semi-quantitative assay according to Remmele and Stegner (immunoreactivity score [IRS]). IRS 0–1 was negative/very low, IRS 2–4 was moderate to high, and IRS 6–12 was high. Statistical analysis was performed by Spearman’s correlation test (p<0.05 significant). Overall survival was analyzed using Kaplan-Meier estimations. Only 6 patients had a negative IRS. Moderate IRS values were present in 20 patients. Most of the patients had a high IRS (49). For survival analysis, data were dichotomized (IRS 0–4: negative to moderate and IRS 6–12: high VDR expression). In univariate analysis, VDR expression showed significant differences in progression-free survival (PFS) and overall survival (OS). Patients with high IRS scores showed significantly better PFS and OS than patients with moderate/negative IRS scores for VDR expression. Tumor size was significantly correlated to PFS. When analyzed separately, the three different IRS groups showed significant differences in VDR expression. The present data suggest that VDR expression in breast cancer tissue may be of clinical significance, and the results provide evidence that VDR may be a factor with prognostic relevance. (J Histochem Cytochem 60:121–129, 2012). Keywords: breast cancer, vitamin D receptor, immunohistochemistry, prognosi

Applying balanced scorecard methodology in public sector: The case of a vocational school in Greece

Balanced Scorecard is a very important tool for management and evaluation of the long-term organization strategy, which simultaneously observes the improvements at the efficient function, exploiting the most of the organization’s potentials and diffusing the progress to all the employees. The implementation of Balanced Scorecard took place at the 5th Laboratory Centre (LC) of East Attica during the school year 2016-17, after the goals had been set and the measurement indicators had been defined by the school’s administration stuff (School Head, Deputy School Head, Teachers responsible for LC Sectors, Teachers responsible for Direction Laboratories, Teachers Board). The results indicated that the vision, the objectives and the overall strategy of the organization had been clarified and communicated to all customers. The administrative control of the progress of the procedures was more effective and the daily actions were connected with the objectives of the organization. Also it is important that all employees aligned with the organization's long-term strategy, and, furthermore, redesigning the model was possible. In the long term the appropriate background for the ongoing development of the organization and its effectiveness improvement in a constantly changing environment was created

Applying balanced scorecard methodology in public sector: The case of a vocational school in Greece

Balanced Scorecard is a very important tool for management and evaluation of the long-term organization strategy, which simultaneously observes the improvements at the efficient function, exploiting the most of the organization’s potentials and diffusing the progress to all the employees. The implementation of Balanced Scorecard took place at the 5th Laboratory Centre (LC) of East Attica during the school year 2016-17, after the goals had been set and the measurement indicators had been defined by the school’s administration stuff (School Head, Deputy School Head, Teachers responsible for LC Sectors, Teachers responsible for Direction Laboratories, Teachers Board). The results indicated that the vision, the objectives and the overall strategy of the organization had been clarified and communicated to all customers. The administrative control of the progress of the procedures was more effective and the daily actions were connected with the objectives of the organization. Also it is important that all employees aligned with the organization's long-term strategy, and, furthermore, redesigning the model was possible. In the long term the appropriate background for the ongoing development of the organization and its effectiveness improvement in a constantly changing environment was created