An Unusual Treatment for Chronic Myelomonocytic Leukemia

A 76-year-old female with a past medical history of an extraosseous chondrasrcoma status-post-resection thirty years prior, hypertension, hyperlipidemia, and hypothyroidsimm presented to her primary care physicial with fatigue, two weeks of dyspnea on exertion, lightheadedness, and nausea

Discontinuous Galerkin spatial discretisation of the neutron transport equation with pyramid finite elements and a discrete ordinate (SN) angular approximation

In finite element analysis it is well known that hexahedral elements are the preferred type of three dimensional element because of their accuracy and convergence properties. However, in general it is not possible to mesh complex geometry problems using purely hexahedral meshes. Indeed for highly complex geometries a mixture of hexahedra and tetrahedra is often required. However, in order to geometrically link hexahedra and tetrahedra, in a conforming finite element mesh, pyramid elements will be required. Until recently the basis functions of pyramid elements were not fully understood from a mathematical or computational perspective. Indeed only first-order pyramid basis functions were rigorously derived and used within the field of finite elements. This paper makes use of a method developed by Bergot that enables the generation of second and higher-order basis functions, applying them to finite element discretisations of the neutron transport equation in order to solve nuclear reactor physics, radiation shielding and nuclear criticality problems. The results demonstrate that the pyramid elements perform well in almost all cases in terms of both solution accuracy and convergence properties

Phenome-Based Analysis as a Means for Discovering Context-Dependent Clinical Reference Ranges

Abstract Robust electronic medical records (EMR's

Acute Ethanol Effects on Focal Cerebral Ischemia in Nonfasted Rats

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66417/1/j.1530-0277.1997.tb03832.x.pd

Transactivation of EGFR by LPS induces COX-2 expression in enterocytes

Necrotizing enterocolitis (NEC) is the leading cause of gastrointestinal morbidity and mortality in preterm infants. NEC is characterized by an exaggerated inflammatory response to bacterial flora leading to bowel necrosis. Bacterial lipopolysaccharide (LPS) mediates inflammation through TLR4 activation and is a key molecule in the pathogenesis of NEC. However, LPS also induces cyclooxygenase-2 (COX-2), which promotes intestinal barrier restitution through stimulation of intestinal cell survival, proliferation, and migration. Epidermal growth factor receptor (EGFR) activation prevents experimental NEC and may play a critical role in LPS-stimulated COX-2 production. We hypothesized that EGFR is required for LPS induction of COX-2 expression. Our data show that inhibiting EGFR kinase activity blocks LPS-induced COX-2 expression in small intestinal epithelial cells. LPS induction of COX-2 requires Src-family kinase signaling while LPS transactivation of EGFR requires matrix metalloprotease (MMP) activity. EGFR tyrosine kinase inhibitors block LPS stimulation of mitogen-activated protein kinase ERK, suggesting an important role of the MAPK/ERK pathway in EGFR-mediated COX-2 expression. LPS stimulates proliferation of IEC-6 cells, but this stimulation is inhibited with either the EGFR kinase inhibitor AG1478, or the selective COX-2 inhibitor Celecoxib. Taken together, these data show that EGFR plays an important role in LPS-induction of COX-2 expression in enterocytes, which may be one mechanism for EGF in inhibition of NEC