Mesenteric Pseudocyst of the Small Bowel in Gastric Cancer Patient: A Case Report

Mesenteric pseudocyst is rare. This term is used to describe the abdominal cystic mass, without the origin of abdominal organ. We presented a case of mesenteric pseudocyst of the small bowel in a 70-year-old man. Esophago-gastro-duodenoscopy showed a 3.5 cm sized excavated lesion on the posterior wall of angle. Endocopic biopsy confirmed a histologic diagnosis of the poorly differentiated adenocarcinoma, which includes the signet ring cell component. Abdominal computed tomography scan showed a focal mucosal enhancement in the posterior wall of angle of the stomach, a 2.4 cm sized enhancing mass on the distal small bowel loop, without distant metastases or ascites in rectal shelf, and multiple gallbladder stones. The patient underwent subtotal gastrectomy with gastroduodenostomy, segmental resection of the small bowel, and cholecystectomy. The final pathological diagnosis was mesenteric pseudocyst. This is the first case report describing incidentally detected mesenteric pseudocyst of the small bowel in gastric cancer patients

A Case of Urine Leakage: An Unusual Complication after Renal Biopsy

Renal biopsy is a crucial method in the diagnosis and treatment of acute renal failure of unknown origin, nephrotic syndrome, suspicious interstitial nephritis, and glomerulonephritis as a possible cause of hematuria or proteinuria. Complications occur in 2% to 8% of patients after percutaneous renal biopsy. Complications include gross hematuria, perirenal hematoma, arteriovenous fistula, aneurysm, injury of other organs, and urine leakage. Urine leakage as a complication after kidney biopsy is rare. We experienced a case of urine leakage into the intra-abdominal cavity after renal biopsy

Cardiac tamponade caused by tuberculosis pericarditis in renal transplant recipients

A 50-year-old male, renal transplant recipient, was admitted with fever and chest discomfort. At admission, chest radiologic finding was negative and echocardiography showed minimal pericardial effusion. After 2 days of admission, chest pain worsened and blood pressure fell to 60/40 mmHg. Emergency echocardiography showed a large amount of pericardial effusion compressing the entire heart. Pericardiocentesis was performed immediately. Mycobacterium tuberculosis was isolated from pericardial fluid. Tuberculosis pericarditis should be considered as the cause of cardiac tamponade in renal transplant recipients, even with the absence of pericardial effusion in the initial study or suggestive history

Atopic Dermatitis-Like Skin Lesions Reduced by Topical Application and Intraperitoneal Injection of Hirsutenone in NC/Nga Mice

Atopic dermatitis (AD) is a common inflammatory skin disease. The increasing prevalence and severity of AD have prompted the developments of safer, more effective drugs. Although topical corticosteroids have been used as first line therapy for AD, their potential side effects limit their clinical applications. To investigate the effect of hirsutenone (HIR), a diarylheptanoid compound, on AD-like skin lesions and other factors related to immune response is the aim of this paper Th2-related cytokines (IL-4, IL-5, IL-13), eosinophil, IgE inflammatory factors (COX-2, iNOS) levels were reduced in blood, lymphocytes, and tissue after HIR treatment. These results suggest that HIR might be an effective treatment for AD

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

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A Vector-Controlled Distributed Generator Model for a Power Flow Based on a Three-Phase Current Injection Method

This paper proposes a vector-controlled distributed generator (DG) model for a power flow based on a three-phase current injection method (TCIM). In order to represent the DG models in the power flow, steady-state phase current output equations are formulated. Using these equations, the TCIM power flow formulation is modified to include the DG models. In the proposed power flow, a DG-connected bus is modeled as either a load bus (PQ bus) or a voltage-controlled bus (PV bus), depending on the control mode of the reactive power. However, unlike conventional bus models, the values of the DG-connected bus models are represented by three-phase quantities: three-phase active and reactive power output for a PQ bus, and three-phase active power and positive-sequence voltage for a PV bus. In addition, a method is proposed for representing the reactive power limit of a voltage-control-mode DG by using the q-axis current limit. Utilizing a modified IEEE 13-bus test system, the accuracy of the proposed method is verified by comparison to the power systems computer aided design (PSCAD) model. Furthermore, the effect of the number of DGs on the convergence rate is analyzed, using the IEEE 123-bus test system

A Conservation Voltage Reduction Scheme for a Distribution Systems with Intermittent Distributed Generators

In this paper, a conservation voltage reduction (CVR) scheme is proposed for a distribution system with intermittent distributed generators (DGs), such as photovoltaics and wind turbines. The CVR is a scheme designed to reduce energy consumption by lowering the voltages supplied to customers. Therefore, an unexpected under-voltage violation can occur due to the variation of active power output from the intermittent DGs. In order to prevent the under-voltage violation and improve the CVR effect, a new reactive power controller which complies with the IEEE Std. 1547TM, and a parameter determination method for the controller are proposed. In addition, an optimal power flow (OPF) problem to determine references for the resources of CVR is formulated with consideration of the intermittent DGs. The proposed method is validated using a modified IEEE 123-node test feeder. With the proposed method, the voltages of the test system are maintained to be greater than the lower bound, even though the active power outputs of the DGs are varied. Moreover, the CVR effect is improved compared to that used with the conventional reactive power control methods