The first-ever case of a 54-year-old woman who overdosed on non-steroidal anti-inflammatory drugs in an attempt at suicide.Before that incident,she had not been treated for coexisting diseases such as rheumatoid arthr...The first-ever case of a 54-year-old woman who overdosed on non-steroidal anti-inflammatory drugs in an attempt at suicide.Before that incident,she had not been treated for coexisting diseases such as rheumatoid arthritis or depression.At the time of admission to the General Surgery Department,the patient reported pains in the epigastric region with accompanying nausea and vomiting with mucous content as well as the inability to ingest food orally.Despite parenteral and enteral feeding,the patient exhibited a drop in body mass.The histopathologic examination of a sample taken from the stomach during gastroscopy showed some non-specific necrotic and inflammatory masses with granulation.Intraoperatively,a very small,infiltrated stomach with an initial section of duodenum was identified.A total stomach resection together with the reconstruction of digestive tract continuity was performed using the Roux-Y method.Histopathologic examination of the stomach revealed a deep,chronic and exacerbated inflammatory condition with an extensive ulceration over the entire length of the stomach,reaching up to the pylorus.Additionally,numerous lymphatic glands with inflammatory reaction changes were observed.展开更多
Purpose： The purpose of this clinical case study is to attract attention to the fact that behind a diagnosis of hypertension a young patient was really diagnosed with a rare systemic vasculitis - polyarteristis nodos...Purpose： The purpose of this clinical case study is to attract attention to the fact that behind a diagnosis of hypertension a young patient was really diagnosed with a rare systemic vasculitis - polyarteristis nodosa. Topic： Polyarteritis nodosa is a disease more frequent in young men with a preceding acute viral hepatitis B which is AgHbs positive. The characteristic of this disease is the presence of many aneurysms at different sites of the small and medium size artery. It is possible for a palpable purpuric rash to appear at any time in the evolution of the disease. The histopathological examination represents the goal of the diagnosis. Method： The principals methods was to attain the desired result, a cerebral MRI was initially performed in order to view any brain malformations and also for excluded an ischemic or hemorrhagic stroke attack , this was followed via a cerebral vascular angiography, an abdominal ultrasound and CT scan, the results of which led to a renal artery angiography being performed, this led to the need to perform a cerebral artery angiography and finally a histopathological examination of the skin of the legs （biopsy）. Achievement： Through the above listed paramedical examinations I was able to prove the existence of multiple aneurysms in the cerebral arteries, renal arteries and small growth of the left kidney, this being a direct result of the aneurysms, this also meant disruption in kidney blood flow meaning, an increase in systemic blood pressure which was the manifest primary symptom the this young patient such as transitory stroke attack. The skin biopsy finally gave a certain diagnosis of Polyarteritis Nodosa.展开更多
The first component of a building implemented in a virtual prototype concerning the management of a building is a lighting system. It was applied in a study case. The interactive application allows the examination of ...The first component of a building implemented in a virtual prototype concerning the management of a building is a lighting system. It was applied in a study case. The interactive application allows the examination of the physical model, visualizing, for each element modeled in three-dimensions （3D） and linked to a database, the corresponding technical information concerned with the use of the material, calculated for different points in time during their life. The control of a lamp stock, the constant updating of lifetime information and the planning of periodical local inspections are attended on the prototype. This is an important mean of cooperation between collaborators involved in the building management.展开更多
文摘The first-ever case of a 54-year-old woman who overdosed on non-steroidal anti-inflammatory drugs in an attempt at suicide.Before that incident,she had not been treated for coexisting diseases such as rheumatoid arthritis or depression.At the time of admission to the General Surgery Department,the patient reported pains in the epigastric region with accompanying nausea and vomiting with mucous content as well as the inability to ingest food orally.Despite parenteral and enteral feeding,the patient exhibited a drop in body mass.The histopathologic examination of a sample taken from the stomach during gastroscopy showed some non-specific necrotic and inflammatory masses with granulation.Intraoperatively,a very small,infiltrated stomach with an initial section of duodenum was identified.A total stomach resection together with the reconstruction of digestive tract continuity was performed using the Roux-Y method.Histopathologic examination of the stomach revealed a deep,chronic and exacerbated inflammatory condition with an extensive ulceration over the entire length of the stomach,reaching up to the pylorus.Additionally,numerous lymphatic glands with inflammatory reaction changes were observed.
文摘Purpose： The purpose of this clinical case study is to attract attention to the fact that behind a diagnosis of hypertension a young patient was really diagnosed with a rare systemic vasculitis - polyarteristis nodosa. Topic： Polyarteritis nodosa is a disease more frequent in young men with a preceding acute viral hepatitis B which is AgHbs positive. The characteristic of this disease is the presence of many aneurysms at different sites of the small and medium size artery. It is possible for a palpable purpuric rash to appear at any time in the evolution of the disease. The histopathological examination represents the goal of the diagnosis. Method： The principals methods was to attain the desired result, a cerebral MRI was initially performed in order to view any brain malformations and also for excluded an ischemic or hemorrhagic stroke attack , this was followed via a cerebral vascular angiography, an abdominal ultrasound and CT scan, the results of which led to a renal artery angiography being performed, this led to the need to perform a cerebral artery angiography and finally a histopathological examination of the skin of the legs （biopsy）. Achievement： Through the above listed paramedical examinations I was able to prove the existence of multiple aneurysms in the cerebral arteries, renal arteries and small growth of the left kidney, this being a direct result of the aneurysms, this also meant disruption in kidney blood flow meaning, an increase in systemic blood pressure which was the manifest primary symptom the this young patient such as transitory stroke attack. The skin biopsy finally gave a certain diagnosis of Polyarteritis Nodosa.
文摘The first component of a building implemented in a virtual prototype concerning the management of a building is a lighting system. It was applied in a study case. The interactive application allows the examination of the physical model, visualizing, for each element modeled in three-dimensions （3D） and linked to a database, the corresponding technical information concerned with the use of the material, calculated for different points in time during their life. The control of a lamp stock, the constant updating of lifetime information and the planning of periodical local inspections are attended on the prototype. This is an important mean of cooperation between collaborators involved in the building management.
