Enucleation of the solitary epithelial cyst of pancreatic head in an adult: A case report and review of the literature

Solitary true pancreatic cyst is a rare entity, and only a few cases are reported in the literature. We report a case of a 35‑year‑old woman who had a cyst in the head of the pancreas and gall stones and presented with complaints of pain in the epigastric region. The patient underwent open cholecystectomy with aspiration of the pancreatic cyst at some other private hospital. After 4 months, she presented to us with no relief in pain. Repeat contrast‑enhanced computed tomography of the abdomen showed recurrence of the cyst. The patient underwent enucleation of the cyst at our hospital. During a 2‑year follow‑up after the enucleation, she remained asymptomatic

Quantitative Assessment of Liver Stiffness Using Ultrasound Shear Wave Elastography in Patients With Chronic Graftâ Versusâ Host Disease After Allogeneic Hematopoietic Stem Cell Transplantation: A Pilot Study

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/147792/1/jum14717_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/147792/2/jum14717.pd

Low-temperature dielectric measurements of confined water in porous granites

The dielectric behavior of rocks affected by the known phase transition of supercooled water is the main problem we analyzed. Three different granitic rocks were used to perform dielectric measurements in the frequency range from 100 Hz to 1 MHz and temperatures 100–350 K. Thin cylindrical samples were prepared, and circular electrodes were established using silver conductive paint. A clear change in the dielectric measurements appears at T∼220K for one of the samples. This coincides with the known phase transition of supercooled water. Tightly bounded water confined in the pores of the rock do not crystallize at 273 K, but form a metastable liquid down to 200–220 K maintaining water polarization. Below this temperature, water molecules solidify and polarizability decreases. The rock presenting the most sizable change has a very low specific surface area of ∼0.09m2g−1, has connected porosity of ∼1.10%, and has the smallest degree of alteration. In addition, geochemical analyzes reveal a low percentage of hydration water in its structure confirming the role of pore water in this change. A comparison between water-saturated, oven-dried, and vacuum-dried samples was done. Finally, a logarithmic dependency of the critical temperature for the supercooled water phase transition with the measuring frequency was found

Shelf life evaluation of restructured chicken meat blocks extended with sorghum flour and potato at refrigerated storage (4±1•C)

Abstract This study was conducted to evaluate the Shelf life of restructured chicken meat blocks extended with sorghum flour and potato at refrigerated storage (4±1•C). Sorghum flour (1:1 hydration, w/w) at 9% level and potato (boiled and mashed) at 6% level were incorporated by replacing the lean meat in pre-standardized formulation. Storage quality with respect to physico-chemical [pH and Thiobarbituric Acid (TBA) value], microbiological [Psychrophilic count (PC), Total plate count (TPC) and coliform count] and sensory properties of control and extended products were studied. The products were aerobically packaged in low density polyethylene (LDPE) pouches and analysed at regular interval of 0, 5, 10 and 15 days during refrigerated storage (4±1•C). The storage period did not bring about any significant changes in pH of the products but TBA values, PC and TPC showed linear increasing trend from 0 to 15 th day of refrigerated storage in treatment products as well as control. Mesophilic and psychrotrophic counts did not exceed log 10 3.12 and 2.98 cfu/g, log 10 2.86 and 2.63 cfu/g, log 10 2.63 and 2.95 cfu/g for control, SF and potato treated RCMB, respectively. Coliforms were not detected in control and treated RCMB during the storage period of 15 days. The sensory scores of treated samples and control for appearance, flavour, binding, texture, juiciness and overall acceptability showed a progressive decline with increase in storage period but the scores were rated above good. The products retained good to very good acceptability for 15 days without any marked loss of physico-chemical, microbiological and sensory quality

Relative costs and effectiveness of treating uncomplicated malaria in two rural districts in Zambia: implications for nationwide scale-up of home-based management

<p>Abstract</p> <p>Background</p> <p>Malaria case management is one of the key strategies to control malaria. Various studies have demonstrated the feasibility of home management of malaria (HMM). However, data on the costs and effectiveness of artemisinin-based combination therapy (ACT) and rapid diagnostic tests via HMM is limited.</p> <p>Method</p> <p>Cost-effectiveness of home management versus health facility-based management of uncomplicated malaria in two rural districts in Zambia was analysed from a providers' perspective. The sample included 16 community health workers (CHWs) and 15 health facilities. The outcome measure was the cost per case appropriately diagnosed and treated. Costs of scaling-up HMM nationwide were estimated based on the CHW utilisation rates observed in the study.</p> <p>Results</p> <p>HMM was more cost effective than facility-based management of uncomplicated malaria. The cost per case correctly diagnosed and treated was USD 4.22 for HMM and USD 6.12 for facility level. Utilization and adherence to diagnostic and treatment guidelines was higher in HMM than at a health facility.</p> <p>Conclusion</p> <p>HMM using ACT and RDTs was more efficient at appropriately diagnosing and treating malaria than the health facility level. Scaling up this intervention requires significant investments.</p

Early onset obesity and adrenal insufficiency associated with a homozygous POMC mutation

Isolated hypocortisolism due to ACTH deficiency is a rare condition that can be caused by homozygous or compound heterozygous mutations in the gene encoding proopiomelanocortin (POMC). Loss of function mutations of POMC gene typically results in adrenal insufficiency, obesity and red hair. We describe an 18 month old Hispanic female with congenital adrenal insufficiency, a novel POMC mutation and atypical clinical features. The patient presented at the age of 9 months with hypoglycemia and the endocrine evaluation resulted in a diagnosis of ACTH deficiency. She developed extreme weight gain prompting sequence analysis of POMC, which revealed a homozygous c.231C > A change which is predicted to result in a premature termination codon. The case we report had obesity, hypocortisolism but lacked red hair which is typical for subjects with POMC mutations. Mutations of POMC should be considered in individuals with severe early onset obesity and adrenal insufficiency even when they lack the typical pigmentary phenotype

Arrested spinodal decomposition in polymer brush collapsing in poor solvent

We study the Brownian dynamics of flexible and semiflexible polymer chains densely grafted on a flat substrate, upon rapid quenching of the system when the quality of solvent becomes poor and chains attempt collapse into a globular state. The collapse process of such a polymer brush differs from individual chains, both in its kinetics and its structural morphology. We find that the resulting collapsed brush does not form a homogeneous dense layer, in spite of all chain monomers equally attracting each other via a model Lennard-Jones potential. Instead, a very distinct inhomogeneous density distribution in the plane forms, with a characteristic length scale dependent on the quenching depth (or equivalently, the strength of monomer attraction) and the geometric parameters of the brush. This structure is identical to the spinodal-decomposition structure, however, due to the grafting constraint we find no subsequent coarsening: the established random bundling with characteristic periodicity remains as the apparently equilibrium structure. We compare this finding with a recent field-theoretical model of bundling in a semiflexible polymer brush.This work was funded by the Osk. Huttunen Foundation (Finland) and the Cambridge Theory of Condensed Matter Grant from EPSRC. Simulations were performed using the Darwin supercomputer of the University of Cambridge High Performance Computing Service provided by Dell Inc. using Strategic Research Infrastructure funding from the Higher Education Funding Council for England.This is the accepted manuscript. The final version is available at http://pubs.acs.org/doi/abs/10.1021/ma501985r