Intrathoracic lipoblastoma in a 15-month-old infant

Lipoblastoma is a rare tumor of infancy. It originates from the white fetal fat in soft tissue. The most common location of this rare tumor is extremity and to best of our knowledge less than 10 cases of intrathoracic and mediastinal lipoblastoma has been reported in the English literature. Herein we present our experience with a 15-month-old boy infant who presented with severe dyspnea. Imaging studies showed a mass in the thoracic cavity and mediastinum which was diagnosed as lipoblastoma after pathologic examination of the resected mass. Lipoblastoma has been considered as a tumor of soft tissue, but it should also be considered as a rare cause of intrathoracic masses of young children

Diffuse Hepatic and Spleen Uptake of Tc-99m MDP on Bone Scintigraphy Resembling Liver-Spleen Scintigraphy in a Patient of Plasma Cell Tumor

The present case demonstrates a diffuse intense hepatic and, to a lesser degree, spleen, Tc-99m MDP uptake on a routine bone scintigraphy resembling liver-spleen imaging.A49-year-old female with a history of anaplastic plasma cell tumor and suffering from bone pain was referred for bone scintigraphy to evaluate possible bone metastases.The bone scintigraphy showed diffuse hepatic and spleen uptake of Tc-99m MDP resembling liver-spleen imaging. Furthermore, bone uptake of Tc-99m MDP was significantly diminished and there were no abnormal foci throughout the skeleton. The bone scintigraphy of the present case of an anaplastic plasma cell tumor suggests the possible presence of amyloidosis

Regional Cerebral Blood-Flow with 99mTc-ECD Brain Perfusion SPECT in Landau-Kleffner Syndrome: Report of Two Cases

Objective: Technetium-99m ethyl cysteinate dimer (99mTc ECD) single photon emission computed tomography (SPECT) of the brain was used to detect abnormal regional cerebral blood flow (rCBF) in patients with primary Sjögren's syndrome (pSS) and normal findings on brain magnetic resonance imaging (MRI). Methods: 99mTc ECD brain SPECT was performed to detect brain lesions showing hypoperfusion in 32 female patients with pSS and definite neuropsychiatric symptoms or signs. Seventeen female patients with pSS without neuropsychiatric symptoms and signs were included as a control group for comparison. All of the 49 patients with pSS had normal findings on brain MRI. Results: 99mTc ECD brain SPECT showed brain regions with hypoperfusion in 18 (56.3%) of the 32 patients, and parietal lobes were the most common areas with such lesions. By contrast, 99mTc ECD brain SPECT showed brain regions with hypoperfusion in only three (17.6%) of the 17 patients with pSS without neuropsychiatric symptoms or signs. Conclusion: This study suggests that 99mTc ECD SPECT is a sensitive tool for detecting regions of hypoperfusion in the brains of patients with pSS and neuropsychiatric symptoms or signs and normal findings on brain MRI. However, a review of the literature showed that the 99mTc ECD SPECT findings in patients with pSS were non-specific

Mechanical Strength of Saline Sandy Soils Stabilized with Alkali-Activated Cements

This is the final version. Available on open access from MDPI via the DOI in this recordData Availability Statement: Data that support the findings of this study are available from the corresponding author upon reasonable request.Saline soils usually cannot satisfy the requirements of engineering projects because of their inappropriate geotechnical properties. For this reason, they have always been known as one of the problematic soils worldwide. Moreover, the lack of access to normal water has intensified the use of saline water resources such as seawater in many construction and mining projects. Although cement stabilization is frequently used to improve the engineering properties of saline soils, Portland cement’s usage as a binder is constrained by its negative consequences, particularly on the environment. In this line, the effects of NaCl on the microstructural and mechanical properties of alkali-activated volcanic ash/slag-stabilized sandy soil were investigated in this study. Moreover, the effects of binder type, slag replacement, curing time, curing condition, and NaCl content on the mechanical strength of stabilized soils were examined. In addition, microstructural analyses, including XRD, FTIR, and SEM–EDS mapping tests, were performed to understand the physical and chemical interaction of chloride ions and alkali-activated cements. The results show that alkali-activated slag can be a sustainable alternative to Portland cement for soil stabilization projects in saline environments. The increase in sodium chloride (NaCl) content up to 1 wt.% caused the strength development up to 244% in specimens with 50 and 100 wt.% slag, and adding more NaCl had no significant effect on the strength in all curing conditions. Microstructural investigations showed that the replacement of volcanic ash with slag resulted in the formation of C-S-H and C-A-S-H gels that reduced the porosity of the samples and increased mechanical strength. Furthermore, surface adsorption and chemical encapsulation mechanisms co-occurred in stabilized soil samples containing slag and volcanic ash.National Elites Foundation, IranEuropean Union Horizon 2020MatSoi

Mechanical strength of saline sandy soils stabilized with alkali-activated cements

Saline soils usually cannot satisfy the requirements of engineering projects because of their inappropriate geotechnical properties. For this reason, they have always been known as one of the problematic soils worldwide. Moreover, the lack of access to normal water has intensified the use of saline water resources such as seawater in many construction and mining projects. Although cement stabilization is frequently used to improve the engineering properties of saline soils, Portland cement’s usage as a binder is constrained by its negative consequences, particularly on the environment. In this line, the effects of NaCl on the microstructural and mechanical properties of alkali-activated volcanic ash/slag-stabilized sandy soil were investigated in this study. Moreover, the effects of binder type, slag replacement, curing time, curing condition, and NaCl content on the mechanical strength of stabilized soils were examined. In addition, microstructural analyses, including XRD, FTIR, and SEM–EDS mapping tests, were performed to understand the physical and chemical interaction of chloride ions and alkali-activated cements. The results show that alkali-activated slag can be a sustainable alternative to Portland cement for soil stabilization projects in saline environments. The increase in sodium chloride (NaCl) content up to 1 wt.% caused the strength development up to 244% in specimens with 50 and 100 wt.% slag, and adding more NaCl had no significant effect on the strength in all curing conditions. Microstructural investigations showed that the replacement of volcanic ash with slag resulted in the formation of C-S-H and C-A-S-H gels that reduced the porosity of the samples and increased mechanical strength. Furthermore, surface adsorption and chemical encapsulation mechanisms co-occurred in stabilized soil samples containing slag and volcanic ash

New Load Shedding Method for Dealing with Critical Conditions of Smart Network Caused by Fault-Induced Delayed Voltage Recovery

The phenomenon of Fault-Induced Delayed Voltage Recovery (FIDVR) appears in networks with high penetration of induction motor loads because the increase in requested reactive powers of motor loads after clearing the fault prevents the rapid return of the bus voltage to the pre-fault level. Load shedding is one of the effective ways to deal with the FIDVR phenomenon, which causes the amount of demand to approach the production of reactive power. In this paper, a wide-area load-shedding method is presented, which performs based on network conditions and loads. Since the introduced indicators for determining the locations and amounts of loads to be shed are based on the values of bus voltages, loads currents, and network impedance matrix; therefore, the proposed method can effectively shed the loads and deal effectively with FIDVR. The voltage estimation process is an important tool to predict the voltages at future moments and is defined based on the modified Gauss-Seidel load flow and the three-order model of the induction motor. This tool enables the proposed method to understand the effect of applying load shedding on voltage recovery and prevents the application of unnecessary ones

Brain Single Photon Emission Computed Tomography With Tc-99m MIBI or Tc-99m ECD in Comparison to MRI in Multiple Sclerosis

Purpose: To evaluate whether or not brain single photon emission computed tomography (SPECT) with Tc-99m MIBI or Tc-99m ECD (ethyl cysteinate dimer) can detect any abnormality in patients with definite multiple sclerosis (MS). We then compared these values with the results of T1, T2, and fluid-attenuated inversion recovery in magnetic resonance imaging (MRI). Materials and Methods: A total of 16 patients with proved MS were enrolled in the study, and the MRI with and without gadolinium contrast and also brain SPECT with Tc-99m MIBI (8 cases) or Tc-99m ECD (8 other cases) were performed. Results: MRI studies was performed in 16 patients (13 women and 3 men, aged 16-38 years) and an average of 10.47, 3.7, 5.3, 1.7, and 0.9 lesions was found in respect in periventricular white matter, juxtacortical white matter, corpus callosum, cerebellar peduncles, and brainstem, whereas brain SPECT with Tc-99m MIBI or Tc-99m ECD detected no abnormality. In addition, 6 cases had some degree of contrast enhancement. Conclusions: It seems that brain SPECT with Tc-99m MIBI or Tc-99m ECD would not improve this insufficiency. The small sizes of some plaques, particularly in chronic atrophic form of lesions, and the possibility of deeper anatomic positions of plaques can explain to some extent why the MS lesions were impossible to delineate on brain scan, although additional studies are needed. Copyright © 2010 by Lippincott Williams & Wilkins

Association between health-related quality of life and impaired glucose metabolism in Iran: The Qazvin Metabolic Diseases Study

Aim To evaluate the association between health-related quality of life and glucose metabolism status in a study population in Qazvin, Iran. Methods This cross-sectional study was conducted in 1044 people (aged 20–78 years old) between September 2010 and April 2011 in Qazvin, Iran. An oral glucose tolerance test was performed for each participant who had never been diagnosed with diabetes. Participants were characterized as having normal glucose metabolism, pre-diabetes or diabetes according to American Diabetes Association criteria. The short-form 36 questionnaire was used to measure quality of life. Data were analysed using a chi-squared test, ANOVA and ANCOVA. Results A total of 530 (51.7%) of the participants were women, and 24.1 and 11.6% of the participants were categorized as having prediabetes and diabetes mellitus, respectively. Except for the role emotional domain, there was a gradual decrease in the mean scores of every domain of the short-form 36 scale across the three study groups. The mean scores in the physical domains were significantly different among the participants with normal glucose metabolism and those with diabetes. After adding age as covariate, there were no significant differences between the categories in any of the domains. Conclusion There is no association between quality of life domains and glucose metabolism status in Iranian subjects. More longitudinal studies are necessary to investigate the natural history of pre-diabetes, diabetes and quality of life. Diabet. Med. 31; 754–758 (2014

Toward a More Accurate Web Service Selection Using Modified Interval DEA Models with Undesirable Outputs

With the growing number of Web services on the internet, there is a challenge to select the best Web service which can offer more quality-of-service (QoS) values at the lowest price. Another challenge is the uncertainty of QoS values over time due to the unpredictable nature of the internet. In this paper, we modify the interval data envelopment analysis (DEA) models [Wang, Greatbanks and Yang (2005)] for QoS-aware Web service selection considering the uncertainty of QoS attributes in the presence of desirable and undesirable factors. We conduct a set of experiments using a synthesized dataset to show the capabilities of the proposed models. The experimental results show that the correlation between the proposed models and the interval DEA models is significant. Also, the proposed models provide almost robust results and represent more stable behavior than the interval DEA models against QoS variations. Finally, we demonstrate the usefulness of the proposed models for QoS-aware Web service composition. Experimental results indicate that the proposed models significantly improve the fitness of the resultant compositions when they filter out unsatisfactory candidate services for each abstract service in the preprocessing phase. These models help users to select the best possible cloud service considering the dynamic internet environment and they help service providers to improve their Web services in the marke