Post-infection immunocomplex glomerulonephritis and Legionnaires' disease in a patient with adult Still's disease during treatment with interleukin 1 receptor antagonist anakinra: a case report

<p>Abstract</p> <p>Introduction</p> <p>Legionellosis is a systemic disease that primarily affects the lungs. However, dysfunction in many organ systems, including the kidneys, has also been described. There are only a few reported cases of renal dysfunction in patients with legionellosis.</p> <p>Case presentation</p> <p>A 27-year-old Caucasian woman with known adult Still's disease was admitted to our hospital for community-acquired pneumonia, due to <it>Legionella </it>infection, with acute renal failure. Although her respiratory symptoms responded well to antibiotic treatment, her renal function worsened, with severe proteinuria and edema. A renal biopsy showed extracapillary and endocapillary proliferative glomerulonephritis with accompanying chronic and acute interstitial nephritis. This was consistent with a post-infection immunocomplex glomerulonephritis. After initiation of steroid therapy, her renal function improved. Additionally, therapy with diuretics and an angiotensin-converting enzyme inhibitor was initiated because of persistent proteinuria. Under this treatment regimen, her severe edema and proteinuria disappeared.</p> <p>Conclusion</p> <p>To the best of our knowledge, there is only a handful of reported cases of post-infection glomerulonephritis with a nephrotic syndrome in a patient with legionellosis. Our findings suggest that, in patients with Legionnaires' disease with renal failure, post-infection immunocomplex glomerulonephritis should be considered and steroid therapy may be an effective modality to treat the renal complication.</p

Preliminary Report on the Seismological and Engineering Aspects of the January 17, 1994 Northridge Earthquake

This report on the seismological and engineering aspects of the 17 January, 1994, Northridge earthquake was printed on 24 January, 1994, one week after the main event. Its purpose is to provide a brief overview of preliminary observations related to the earthquake. The primary audience is seismologists, engineers and related professionals in the earthquake hazard and earthquake risk mitigation field. The report is preliminary in the sense that significant data collection and analysis remain to be completed. Reports containing more complete data and analysis may be issued at a later date. Immediately following the 17 January, 1994, Northridge earthquake, the Earthquake Engineering Research Center dispatched a reconnaissance team to the epicentral region. This report, issued one week after the earthquake, provides an overview of the seismological and engineering aspects of the earthquake and associated aftershocks. A slide set containing approximately 1 00 slides obtained during the reconnaissance, including all slides and photographs in this report, is being prepared. Copies of the set are available at cost. To obtain a set, write to EERC Reports, 1301 S. 46th Street, Richmond, California 94804, e-mail to [email protected], call510-231-9468, or fax 510-231-9461.National Science Foundation///Virginia, Estados UnidosUCR::Vicerrectoría de Docencia::Ingeniería::Facultad de Ingeniería::Escuela de Ingeniería Civi

Towards a Critique of Educative Violence: Walter Benjamin and ‘Second Education’

Although modern systems of mass education are typically defined in their opposition to violence, it has been argued that it is only through an insistent and critical focus upon violence that radical thought can be sustained. This article seeks to take up this challenge in relation to Walter Benjamin’s lesser-known writings on education. Benjamin retained throughout his life a deep suspicion about academic institutions and about the pedagogic, social and economic violence implicated in the idea of cultural transmission. He nonetheless remained committed to the possibility of another kind of revolutionary potential inherent to true education and, when he comes to speak of this in his Critique of Violence, it is remarkable that he describes it as manifesting an educative violence. This article argues that Benjamin’s philosophy works toward a critique of educative violence that results in a distinction between a ‘first’ and ‘second’ kind of education and asks whether destruction might have a positive role to play within pedagogical theories in contrast to current valorisations of creativity and productivity

Dynamic response of Dam-Reservoir systems : review and a semi-analytical proposal

This paper presents a review of current techniques employed for dynamic analysis of concrete gravity dams under seismic action. Traditional procedures applied in design bureaus, such as the Pseudo-Static method, often neglect structural dynamic properties, as well as ground amplification effects. A practical alternative arises with the Pseudo-Dynamic method, which considers a simplified spectrum response in the fundamental mode. The authors propose a self-contained development and detailed examples of this latter method, including a comparison with finite element models using transient response of fluid-structure systems. It is verified that application of the traditional procedure should be done carefully and limited to extremely rigid dams. On the other hand, the proposed development is straightforward and in agreement with finite element results for general cases where dam flexibility plays an important role

Prediction of Protein Modification Sites of Pyrrolidone Carboxylic Acid Using mRMR Feature Selection and Analysis

Pyrrolidone carboxylic acid (PCA) is formed during a common post-translational modification (PTM) of extracellular and multi-pass membrane proteins. In this study, we developed a new predictor to predict the modification sites of PCA based on maximum relevance minimum redundancy (mRMR) and incremental feature selection (IFS). We incorporated 727 features that belonged to 7 kinds of protein properties to predict the modification sites, including sequence conservation, residual disorder, amino acid factor, secondary structure and solvent accessibility, gain/loss of amino acid during evolution, propensity of amino acid to be conserved at protein-protein interface and protein surface, and deviation of side chain carbon atom number. Among these 727 features, 244 features were selected by mRMR and IFS as the optimized features for the prediction, with which the prediction model achieved a maximum of MCC of 0.7812. Feature analysis showed that all feature types contributed to the modification process. Further site-specific feature analysis showed that the features derived from PCA's surrounding sites contributed more to the determination of PCA sites than other sites. The detailed feature analysis in this paper might provide important clues for understanding the mechanism of the PCA formation and guide relevant experimental validations

Seismic soil-structure interaction in buildings. II: Empirical findings

System identification analyses are used to evaluate soil-structure interaction effects for 77 strong motion data sets at 57 building sites that encompass a wide range of structural and geotechnical conditions. Kinematic interaction effects on the "input" motion at the bases of structures are found to be relatively modest in many cases, whereas inertial interaction effects on the structural response to these motions can be significant. To quantify inertial interaction effects, fixed- and flexible-base modal vibration parameters are used to evaluate first-mode period lengthening ratios T-tilde /T and foundation damping factors zeta-tilde0. The response of some structures is dominated by inertial interaction (e.g., T-tilde /T [approximate] 4, zeta-tilde0 [approximate] 30%), whereas others undergo negligible soil-structure interaction (e.g., T-tilde /T [approximate] 1, zeta-tilde0 [approximate] 0). Simplified analytical formulations described in the companion paper by Stewart et al. are used to predict inertial interaction effects. The predictions are found to be reasonably accurate relative to empirical results, with some limitations for deeply embedded and long-period structures. A collective examination of the empirical and predicted results reveals a pronounced influence of structure-to-soil stiffness ratio on inertial interaction, as well as secondary influences from structure aspect ratio and foundation embedment, type, shape, and flexibility