Increased frequency and nocturia in a middle aged male may not always be due to benign prostatic hypertrophy: a case report

Primary signet ring cell carcinoma of urinary bladder is a rare type of bladder tumor and carries a very high mortality rate. It may have a clinical presentation similar to common diseases like benign prostatic hypertrophy and the management options are extremely limited. We report a case of 58-year-old Caucasian male who presented with a 5 month history of increased frequency of urination, nocturia and weight loss without any fever or hematuria. He was found to have an increased creatinine of 2.8 mg/dl and a prostate specific antigen level of 0.18 ng/ml. His azotemia was thought to be secondary to BPH. A Foley catheter was initially placed with a plan for outpatient follow up. On removal of the catheter his problems persisted and he returned to the hospital. Diagnostic work up including abdominal ultrasonography, computed tomography scan, retrograde pyelogram, cystography and cystoscopic biopsies revealed the diagnosis of primary signet ring cell carcinoma of urinary bladder. Although cystectomy was planned, our patient passed away before this could be done

Challenges In The Simultaneous Development And Deployment Of A Large Integrated Modelling System

Many of our natural resource management issues cannot be adequately informed by a single discipline or sub-discipline, and require an integration of information from multiple natural and human systems. As we are unable to observe and monitor more than a few important indicators there is a strong reliance on supplementing observed information with modelled information. Following a period of record drought in the 1990’s, the Australian government recognised the need for better quality, more integrated, and nationally consistent water information. The Australian Water Resources Assessment system (AWRA) is an integrated hydrological modelling system developed by CSIRO and Australian Bureau of Meteorology (the Bureau) as part of the Water Information Research and Development Alliance (WIRADA) to support the development of two new water information products produced by the Bureau. This paper outlines the informatics, systems implementation and integration challenges in the development and deployment of the proto-operational AWRA system. A key challenge of model integration is how you access and repurpose data, how you reconcile semantic differences between both models and disparate input data sources, how you translate terms when passing between often conceptually different modelling components and how you ensure consistent identity between real world objects. The rapid development of AWRA and simultaneous transfer to an operational environment also raised many additional challenges, such as supporting multiple technologies and differing development rates of each model component, while still maintaining a working system. Additionally the continentally sized model extent, combined with techniques relatively new to the hydrologic domain, such as data assimilation and continental calibration, have introduced significant computational overheads. While an in-house fit for purpose operational build of AWRA is currently under development within the Bureau, the research challenges undertaken early in AWRA’s development still hold many valuable lessons. We have found that the use of file standards such as NetCDF, services-based modelling, and scientific workflow technologies such as ‘The WorkBench’ combined with strong model governance has mostly reduced the burden of system development and deployment and exposes some important lessons for future integrated modelling and systems integration efforts

Increased frequency and nocturia in a middle aged male may not always be due to Benign Prostatic Hypertrophy (BPH): a case report

Primary signet ring cell carcinoma of urinary bladder is a rare type of bladder tumor and carries a very high mortality rate. It may have a clinical presentation similar to common diseases like Benign Prostatic Hypertrophy (BPH) and the management options are extremely limited. We report a case of 58 year old Caucasian male who presented with a 5 month history of increased frequency of urination, nocturia and weight loss without any fever or hematuria. He was found to have an increased creatinine of 2.8 mg/dl and a prostate specific antigen level of 0.18 ng/ml. His azotemia was thought to be secondary to BPH. A foley catheter was initially placed with a plan for outpatient follow up. On removal of the catheter his problems persisted and he returned to the hospital. Diagnostic work up including abdominal ultrasonography, computed tomography (CT) scan, retrograde pyelogram, cystography and cystoscopic biopsies revealed the diagnosis of primary signet ring cell carcinoma of urinary bladder. Although cystectomy was planned, our patient passed away before this could be done

Left Hemisphere Specialization for Oro-Facial Movements of Learned Vocal Signals by Captive Chimpanzees

The left hemisphere of the human brain is dominant in the production of speech and signed language. Whether similar lateralization of function for communicative signal production is present in other primates remains a topic of considerable debate. In the current study, we examined whether oro-facial movements associated with the production of learned attention-getting sounds are differentially lateralized compared to facial expressions associated with the production of species-typical emotional vocalizations in chimpanzees.Still images captured from digital video were used to quantify oro-facial asymmetries in the production of two attention-getting sounds and two species-typical vocalizations in a sample of captive chimpanzees. Comparisons of mouth asymmetries during production of these sounds revealed significant rightward biased asymmetries for the attention-getting sounds and significant leftward biased asymmetries for the species-typical sounds.These results suggest that the motor control of oro-facial movements associated with the production of learned sounds is lateralized to the left hemisphere in chimpanzees. Furthermore, the findings suggest that the antecedents for lateralization of human speech may have been present in the common ancestor of chimpanzees and humans approximately 5 mya and are not unique to the human lineage

Finishing the euchromatic sequence of the human genome

The sequence of the human genome encodes the genetic instructions for human physiology, as well as rich information about human evolution. In 2001, the International Human Genome Sequencing Consortium reported a draft sequence of the euchromatic portion of the human genome. Since then, the international collaboration has worked to convert this draft into a genome sequence with high accuracy and nearly complete coverage. Here, we report the result of this finishing process. The current genome sequence (Build 35) contains 2.85 billion nucleotides interrupted by only 341 gaps. It covers ∼99% of the euchromatic genome and is accurate to an error rate of ∼1 event per 100,000 bases. Many of the remaining euchromatic gaps are associated with segmental duplications and will require focused work with new methods. The near-complete sequence, the first for a vertebrate, greatly improves the precision of biological analyses of the human genome including studies of gene number, birth and death. Notably, the human enome seems to encode only 20,000-25,000 protein-coding genes. The genome sequence reported here should serve as a firm foundation for biomedical research in the decades ahead