Emphysematous cystitis: An unusual disease of the Genito-Urinary system suspected on imaging

Emphysematous cystitis is a rare disease entity caused by gas fermenting bacterial and fungal pathogens. Clinical symptoms are nonspecific and diagnostic clues often arise from the unanticipated imaging findings. We report a case of 52-year-old male who presented with fever, dysuria and gross hematuria who was found to have emphysematous cystitis

From the Heart of The Ghoul: C and N Abundances in the Corona of Algol B

Chandra Low Energy Transmission Grating Spectrograph observations of Algol have been used to determine the abundances of C and N in the secondary star for the first time. The analysis was performed relative to similar observations of an adopted "standard" star HR 1099. It is demonstrated that HR 1099 and Algol are coronal twins in many respects and that their X-ray spectra are very similar in nearly all details, except for the observed strengths of C and N lines. The H-like transitions of C and N in the coronae of Algol and HR 1099 demonstrate that the surface abundances of Algol B have been strongly modified by CN-processing, as shown earlier by Schmitt & Ness (2002). It is found that N is enhanced in Algol B by a factor of 3 compared to HR 1099. No C lines are detected in the Algol spectrum, indicating a C depletion relative to HR 1099 by a factor of 10 or more. These C and N abundances indicate that Algol B must have lost at least half of its initial mass, and are consistent with predictions of evolutionary models that include non-conservative mass transfer and angular momentum loss through magnetic activity. Little or no dredge-up of material subjected to CN-processing has occurred on the subgiant component of HR 1099. It is concluded that Fe is very likely depleted in the coronae of both Algol and HR 1099 relative to their photospheres by 0.5 dex, and C, N and O by 0.3 dex. Instead, Ne is enhanced by up to 0.5 dex.Comment: 17 pages, 4 figures, ApJ accepte

Perceived stigma among patients receiving antiretroviral treatment: A prospective randomised trial comparing an m-DOT strategy with standardof- care in Kenya

HIV and AIDS remain highly stigmatised. Modified directly observed therapy (m-DOT) supports antiretroviral treatment (ART) adherence but little is known about its association with perceived stigma in resource-constrained settings. In 2003, 234 HIV-infected adults enrolled in a two-arm randomised trial comparing a health centre-based m-DOT strategy with standard self-administration of ART. Data on perceived stigma were collected using Berger’s HIV stigma scale prior to starting ART and after 12 months. Thiswas a secondary analysis to examine whether perceived stigma was related to treatment delivery. Perceived stigma scores declined after 12 months of treatment from a mean of 44.9 (sd=7.6) to a mean of 41.4 (sd=7.7), (t=6.14,

Zygosity diagnosis in young twins by parental report

this paper is twofold. First, the validity of zygosity classification across childhood is examined in a large sample. One might expect the physical dissimilarity between dizygotic twins to become more obvious as they grow up. If so, the accuracy of classification is likely to improve with increasing age of the participants. A few studies have reported on this issue by evaluating the precision of zygosity diagnosis between samples varying in age, 8,19,23 and by test--retest estimatio

Are quit attempts among U.S. female nurses who smoke different from female smokers in the general population? An analysis of the 2006/2007 tobacco use supplement to the current population survey

<p>Abstract</p> <p>Background</p> <p>Smoking is a significant women's health issue. Examining smoking behaviors among occupational groups with a high prevalence of women may reveal the culture of smoking behavior and quit efforts of female smokers. The purpose of this study was to examine how smoking and quitting characteristics (i.e., ever and recent quit attempts) among females in the occupation of nursing are similar or different to those of women in the general population.</p> <p>Methods</p> <p>Cross-sectional data from the Tobacco Use Supplement of the Current Population Survey 2006/2007 were used to compare smoking behaviors of nurses (n = 2, 566) to those of non-healthcare professional women (n = 93, 717). Smoking characteristics included years of smoking, number of cigarettes, and time to first cigarette with smoking within the first 30 minutes as an indicator of nicotine dependence. Logistic regression models using replicate weights were used to determine correlates of ever and previous 12 months quit attempts.</p> <p>Results</p> <p>Nurses had a lower smoking prevalence than other women (12.1% vs 16.6%, <it>p </it>< 0.0001); were more likely to have ever made a quit attempt (77% vs 68%, <it>p </it>= 0.0002); but not in the previous 12 months (42% vs 43%, <it>p </it>= 0.77). Among those who ever made a quit attempt, nurses who smoked within 30 minutes of waking, were more likely to have made a quit attempt compared to other women (OR = 3.1, 95% CI: 1.9, 5.1). When considering quit attempts within the last 12 months, nurses whose first cigarette was after 30 minutes of waking were less likely to have made a quit attempt compared to other females (OR = 0.69, 95% CI: 0.49, 0.98). There were no other significant differences in ever/recent quitting.</p> <p>Conclusions</p> <p>Smoking prevalence among female nurses was lower than among women who were not in healthcare occupations, as expected. The lack of difference in recent quit efforts among female nurses as compared to other female smokers has not been previously reported. The link between lower level of nicotine dependence, as reflected by the longer time to first cigarette, and lower quit attempts among nurses needs further exploration.</p

The Shortest Period Detached Binary White Dwarf System

We identify SDSS J010657.39-100003.3 (hereafter J0106-1000) as the shortest period detached binary white dwarf (WD) system currently known. We targeted J0106-1000 as part of our radial velocity program to search for companions around known extremely low-mass (ELM, ~ 0.2 Msol) WDs using the 6.5m MMT. We detect peak-to-peak radial velocity variations of 740 km/s with an orbital period of 39.1 min. The mass function and optical photometry rule out a main-sequence star companion. Follow-up high-speed photometric observations obtained at the McDonald 2.1m telescope reveal ellipsoidal variations from the distorted primary but no eclipses. This is the first example of a tidally distorted WD. Modeling the lightcurve, we constrain the inclination angle of the system to be 67 +- 13 deg. J0106-1000 contains a pair of WDs (0.17 Msol primary + 0.43 Msol invisible secondary) at a separation of 0.32 Rsol. The two WDs will merge in 37 Myr and most likely form a core He-burning single subdwarf star. J0106-1000 is the shortest timescale merger system currently known. The gravitational wave strain from J0106-1000 is at the detection limit of the Laser Interferometer Space Antenna (LISA). However, accurate ephemeris and orbital period measurements may enable LISA to detect J0106-1000 above the Galactic background noise.Comment: MNRAS Letters, in pres

Power of lower extremities and age were the main determinants on the agility test for adults in a cohort of men aged 66-91 years

Study Design: Cross-sectional study. Objective: To evaluate the relationship between agility and personal factors, muscle strength and power, mobility, self-reported balance and physical activity among older men. Methods: Agility was measured by using the Agility Test for Adults (ATA). We studied 100 Finnish male former elite athletes (endurance n = 50; power n = 50) and 50 matched controls aged 66 to 91 years (mean age 75.5 years). The associations between agility and other variables were similar between three groups; thus, multiple linear regression analyses were done by using the pooled data of the participants. Results: On the basis of multiple linear regression analyses, combination of age (p = .02), self-reported Activities-specific Balance Confidence scale (ABC scale), jumping height (p = .001) and self-rated health explained 26% of the variance in execution time of ATA (R-2 = 0.26; p = .000002) among elderly men. Conclusion: Power of lower extremities and age were the main determinants of the results of ATA in a cohort of men aged 66-91 years. From a clinical point of view, power of lower extremities measured by test demanding explosive power plays an important role to maintain or enhance capacity of agility.Peer reviewe

The population of close double white dwarfs in the Galaxy

We present a new model for the Galactic population of close double white dwarfs. The model accounts for the suggestion of the avoidance of a substantial spiral-in during mass transfer between a giant and a main-sequence star of comparable mass and for detailed cooling models. It agrees well with the observations of the local sample of white dwarfs if the initial binary fraction is close to 50% and an ad hoc assumption is made that white dwarfs with mass less than about 0.3 solar mass cool faster than the models suggest. About 1000 white dwarfs brighter than V=15 have to be surveyed for detection of a pair which has total mass greater than the Chandrasekhar mass and will merge within 10 Gyr.Comment: 15 pages, 7 figures, to appear in Proc. ``The influence of binaries on stellar population studies'', Brussels, August 2000 (Kluwer, D. Vanbeveren ed.

The relationship between smoking and quality of life in advanced lung cancer patients: a prospective longitudinal study.

PURPOSE: Smoking is a major cause of lung cancer, and continued smoking may compromise treatment efficacy and quality of life (health-related quality of life (HRQoL)) in patients with advanced lung cancer. Our aims were to determine (i) preference for treatments which promote quality over length of life depending on smoking status, (ii) the relationship between HRQoL and smoking status at diagnosis (T1), after controlling for demographic and clinical variables, and (iii) changes in HRQoL 6 months after diagnosis (T2) depending on smoking status. METHODS: Two hundred ninety-six patients with advanced lung cancer were given questionnaires to assess HRQoL (EORTC QLQ-C30), time-trade-off for life quality versus quantity (QQQ) and smoking history (current, former or never smoker) at diagnosis (T1) and 6 months later (T2). Medical data were extracted from case records. RESULTS: Questionnaires were returned by 202 (68.2 %) patients at T1 and 114 (53.3 %) at T2. Patients favoured treatments that would enhance quality of life over increased longevity. Those who continued smoking after diagnosis reported worse HRQoL than former smokers or those who never smoked. Smoking status was a significant independent predictor of coughing in T1 (worse in smokers) and cognitive functioning in T2 (better in never smokers). CONCLUSIONS: Smoking by patients with advanced lung cancer is associated with worse symptoms on diagnosis and poorer HRQoL for those who continue smoking. The results have implications to help staff explain the consequences of smoking to patients