40 research outputs found
Lung adenocarcinoma with peculiar growth to the pulmonary artery and thrombus formation: report of a case
<p>Abstract</p> <p>Background</p> <p>Cases of pulmonary artery masses have only rarely been reported, and the optimal type of the diagnosis and treatment is controversial.</p> <p>Case Presentation</p> <p>An 81-year-old woman was found to have an abnormal shadow on chest X-ray film. Computed tomography showed an irregularly bordered tumor centered in the hilar region extending from segment 6 to the middle lobe of the right lung. Pulmonary angiography showed complete occlusion of the trunk at the periphery proximal to the bifurcation of the posterior ascending branch. Based on bronchoscopic biopsy of the tumor, an adenocarcinoma was diagnosed. Middle and lower lobectomy was performed. Histopathologically, the adenocarcinoma had invaded the tunica intima of the pulmonary artery and also replaced the endothelium in the same region. Although a large thrombus was found at the vessel invasion site of the adenocarcinoma in the pulmonary artery, there were no malignant findings in the thrombus itself.</p> <p>Conclusions</p> <p>This is the first reported case of radical resection of a lung cancer with invasion along the pulmonary artery wherein a benign thrombus had formed. In general, surgery would be the treatment of choice for a pulmonary artery mass.</p
Thermodynamic analysis of black hole solutions in gravitating nonlinear electrodynamics
We perform a general study of the thermodynamic properties of static
electrically charged black hole solutions of nonlinear electrodynamics
minimally coupled to gravitation in three space dimensions. The Lagrangian
densities governing the dynamics of these models in flat space are defined as
arbitrary functions of the gauge field invariants, constrained by some
requirements for physical admissibility. The exhaustive classification of these
theories in flat space, in terms of the behaviour of the Lagrangian densities
in vacuum and on the boundary of their domain of definition, defines twelve
families of admissible models. When these models are coupled to gravity, the
flat space classification leads to a complete characterization of the
associated sets of gravitating electrostatic spherically symmetric solutions by
their central and asymptotic behaviours. We focus on nine of these families,
which support asymptotically Schwarzschild-like black hole configurations, for
which the thermodynamic analysis is possible and pertinent. In this way, the
thermodynamic laws are extended to the sets of black hole solutions of these
families, for which the generic behaviours of the relevant state variables are
classified and thoroughly analyzed in terms of the aforementioned boundary
properties of the Lagrangians. Moreover, we find universal scaling laws (which
hold and are the same for all the black hole solutions of models belonging to
any of the nine families) running the thermodynamic variables with the electric
charge and the horizon radius. These scale transformations form a one-parameter
multiplicative group, leading to universal "renormalization group"-like
first-order differential equations. The beams of characteristics of these
equations generate the full set of black hole states associated to any of these
gravitating nonlinear electrodynamics...Comment: 51 single column pages, 19 postscript figures, 2 tables, GRG tex
style; minor corrections added; final version appearing in General Relativity
and Gravitatio
Imaging findings in noncraniofacial childhood rhabdomyosarcoma
Rhabdomyosarcoma (RMS) is the most common soft-tissue sarcoma of childhood. This paper is focuses on imaging for diagnosis, staging, and follow-up of noncraniofacial RMS
The Confrontation between General Relativity and Experiment
The status of experimental tests of general relativity and of theoretical
frameworks for analysing them is reviewed. Einstein's equivalence principle
(EEP) is well supported by experiments such as the Eotvos experiment, tests of
special relativity, and the gravitational redshift experiment. Future tests of
EEP and of the inverse square law are searching for new interactions arising
from unification or quantum gravity. Tests of general relativity at the
post-Newtonian level have reached high precision, including the light
deflection, the Shapiro time delay, the perihelion advance of Mercury, and the
Nordtvedt effect in lunar motion. Gravitational-wave damping has been detected
in an amount that agrees with general relativity to better than half a percent
using the Hulse-Taylor binary pulsar, and other binary pulsar systems have
yielded other tests, especially of strong-field effects. When direct
observation of gravitational radiation from astrophysical sources begins, new
tests of general relativity will be possible.Comment: 89 pages, 8 figures; an update of the Living Review article
originally published in 2001; final published version incorporating referees'
suggestion
WSES guidelines for management of Clostridium difficile infection in surgical patients
In the last two decades there have been dramatic changes in the epidemiology of Clostridium difficile infection (CDI), with increases in incidence and severity of disease in many countries worldwide. The incidence of CDI has also increased in surgical patients. Optimization of management of C difficile, has therefore become increasingly urgent. An international multidisciplinary panel of experts prepared evidenced-based World Society of Emergency Surgery (WSES) guidelines for management of CDI in surgical patients.Peer reviewe