73 research outputs found

    Splenic peliosis with spontaneous splenic rupture: report of two cases

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    BACKGROUND: Peliosis is a rare condition characterised by multiple cyst-like, blood-filled cavities within the parenchyma of solid organs. Most commonly affecting the liver, isolated splenic peliosis is an even more unique phenomenon. Patients with the condition are often asymptomatic. However, this potentially lethal condition can present with spontaneous organ rupture. We present two such cases, discuss their management and review what is currently known in the existing literature. CASE PRESENTATION: A previously well twenty-six year old woman presented with abdominal pain following a trivial episode of coughing. A diagnosis of spontaneous splenic rupture was made following clinical and radiological examination. She underwent emergency splenectomy and made a full, uneventful recovery. Histopathological examination confirmed splenic peliosis. The second case describes an eighty six year old lady who sustained a trivial fall and developed pain in her left side. A CT confirmed splenic rupture. She became haemodynamically unstable during her admission and underwent emergency splenectomy. Histopathological examination revealed splenic peliosis. She went on to make an uneventful recovery. CONCLUSION: Splenic peliosis is very rare. It has a number of associations including immunosuppression, drug therapy and infection. Although patients are often asymptomatic, life-threatening spontaneous organ rupture may occur. If the diagnosis of peliosis is confirmed, additional investigations should be considered to detect its presence in other organs. Furthermore, the presence of the condition may be relevant if further medical or surgical intervention is planned

    Linking early-life NMDAR hypofunction and oxidative stress in schizophrenia pathogenesis.

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    Molecular, genetic and pathological evidence suggests that deficits in GABAergic parvalbumin-positive interneurons contribute to schizophrenia pathophysiology through alterations in the brain's excitation-inhibition balance that result in impaired behaviour and cognition. Although the factors that trigger these deficits are diverse, there is increasing evidence that they converge on a common pathological hub that involves NMDA receptor hypofunction and oxidative stress. These factors have been separately linked to schizophrenia pathogenesis, but evidence now suggests that they are mechanistically interdependent and contribute to a common schizophrenia-associated pathology

    Neuroinflammation, Neuroautoimmunity, and the Co-Morbidities of Complex Regional Pain Syndrome

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    Breakthrough in cardiac arrest: reports from the 4th Paris International Conference

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    A Library-Based Approach to Task Parallelism in a Data-Parallel Language

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    The data-parallel language High Performance Fortran (HPF) does not allow efficient expression of mixed task/data-parallel computations or the coupling of separately compiled data-parallel modules. In this paper, we show how these common parallel program structures can be represented, with only minor extensions to the HPF model, by using a coordination library based on the Message Passing Interface (MPI). This library allows data-parallel tasks to exchange distributed data structures using calls to simple communication functions. We present microbenchmark results that characterize the performance of this library and that quantify the impact of optimizations that allow reuse of communication schedules in common situations. In addition, results from two-dimensional FFT, convolution, and multiblock programs demonstrate that the HPF/MPI library can provide performance superior to that of pure HPF. We conclude that this synergistic combination of two parallel programming standards represents..
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