Brazilian Consensus on Non-Cystic Fibrosis Bronchiectasis Biomarkers
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Diagnostic Issues in Systemic Lupus Erythematosis
266 Postgrad Med J 2001;77:266–285 Postgrad Med J: first published as 10.1136/pmj.77.906.268 on 1 April 2001. Downloaded from SELF ASSESSMENT QUESTIONS Diagnostic issues in systemic lupus erythematosis N Sofat, C Higgens Answers on p 274. A 24 year old woman was diagnosed with sys- (4) What other tests (apart from 24 hour urine temic lupus erythematosis (SLE) based on a creatinine clearance) are available to measure few months’ history of a photosensitive skin the glomerular filtration rate? rash, predominantly on her face, arthralgia The patient had a 24 hour urinary protein col- involving both hands and wrists, a positive lection, which showed a 24 hour protein measure- antinuclear antibody (ANA) test and a raised ment of 1.8 g. There was no evidence of cellular antinative double stranded DNA antibody casts on urine microscopy. Her blood results were binding level. She was treated with oral as below (normal values are in parentheses): hydroxychloroquine 400 mg daily and short x Sodium 134 mmol/l (135–145) courses of prednisolone during flare-ups. x Potassium 4.5 mmol/l (3.5–5.0) She was reviewed in clinic for her regular x Urea 7.0 mmol/l (2.5–6.7) follow up appointment when she was found to x Creatinine 173 µmol/l (70–115) be hypertensive on repeated measurements of x Haemoglobin 108 g/l (115–160) her blood pressure, an average value being x White cell count 4.5 × 109/l (4.0–11.0) 150/90 mm Hg. She was also urine dipstick x Platelets 130 × 109/l (150–400) positive for blood and protein. -
The Diseases of Airway-Tracheal Diverticulum: a Review of the Literature
Review Article The diseases of airway-tracheal diverticulum: a review of the literature Asli Tanrivermis Sayit, Muzaffer Elmali, Dilek Saglam, Cetin Celenk Department of Radiology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey Contributions: (I) Conception and design: A Tanrivermis Sayit; (II) Administrative support: M Elmali, C Celenk; (III) Provision of study materials or patients: A Tanrivermis Sayit; (IV) Collection and assembly of data: A Tanrivermis Sayit, D Saglam; (V) Data analysis and interpretation: A Tanrivermis Sayit, M Elmali, C Celenk; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Asli Tanrivermis Sayit. Department of Radiology, Faculty of Medicine, Ondokuz Mayis University, 55139, Atakum/Samsun, Turkey. Email: [email protected]. Abstract: Tracheal diverticulum (DV) is a type of paratracheal air cyst (PTAC) that is often asymptomatic and usually detected incidentally by imaging methods. Tracheal DV are divided into two subgroups: congenital and acquired. Dysphagia, odynophagia, neck pain, hoarseness, hemoptysis, choking, and recurrent episodes of hiccups and burping can also be seen in symptomatic patients. Thin-section multidetector computed tomography (MDCT) is useful for diagnosis of tracheal diverticulum. The relationship between DV and tracheal lumen can be demonstrated by axial, coronal, and sagittal reformat multiplanar images. Bronchoscopy can also be used in diagnosis for tracheal DV. However, the connection between DV and tracheal lumen can not be shown easily with bronchoscopy. Conservative treatment is the preferred treatment in asymptomatic patients. Surgical or conservative treatment can be performed for symptomatic patients, depending on patient age and physical condition. Keywords: Trachea; diverticulum (DV); thorax; multidetector computed tomography; tracheal diseases; chronic obstructive pulmonary disease (CODP) Submitted Sep 17, 2016. -
Sacred Smoking
FLORIDA’SBANNER INDIAN BANNER HERITAGE BANNER TRAIL •• BANNERPALEO-INDIAN BANNER ROCK BANNER ART? • • THE BANNER IMPORTANCE BANNER OF SALT american archaeologySUMMER 2014 a quarterly publication of The Archaeological Conservancy Vol. 18 No. 2 SACRED SMOKING $3.95 $3.95 SUMMER 2014 americana quarterly publication of The Archaeological archaeology Conservancy Vol. 18 No. 2 COVER FEATURE 12 HOLY SMOKE ON BY DAVID MALAKOFF M A H Archaeologists are examining the pivitol role tobacco has played in Native American culture. HLEE AS 19 THE SIGNIFICANCE OF SALT BY TAMARA STEWART , PHOTO BY BY , PHOTO M By considering ethnographic evidence, researchers EU S have arrived at a new interpretation of archaeological data from the Verde Salt Mine, which speaks of the importance of salt to Native Americans. 25 ON THE TRAIL OF FLORIDA’S INDIAN HERITAGE TION, SOUTH FLORIDA MU TION, SOUTH FLORIDA C BY SUSAN LADIKA A trip through the Tampa Bay area reveals some of Florida’s rich history. ALLANT COLLE ALLANT T 25 33 ROCK ART REVELATIONS? BY ALEXANDRA WITZE Can rock art tell us as much about the first Americans as stone tools? 38 THE HERO TWINS IN THE MIMBRES REGION BY MARC THOMPSON, PATRICIA A. GILMAN, AND KRISTINA C. WYCKOFF Researchers believe the Mimbres people of the Southwest painted images from a Mesoamerican creation story on their pottery. 44 new acquisition A PRESERVATION COLLABORATION The Conservancy joins forces with several other preservation groups to save an ancient earthwork complex. 46 new acquisition SAVING UTAH’S PAST The Conservancy obtains two preserves in southern Utah. 48 point acquisition A TIME OF CONFLICT The Parkin phase of the Mississippian period was marked by warfare. -
Memoria 2016
MEMORIA de ACTIVIDADES 2016 MEMORIA DE ACTIVIDADES 2016 3 PRESIDENTE TERTULIAS DE SOCIOS Javier Gómez-Navarro Navarrete QUÉ ES LA SOCIEDAD Una vez al mes se celebran tertulias abiertas a socios de la SGE, a simpatizantes y al público en VICEPRESIDENTES GEOGRÁFICA ESPAÑOLA Pío Cabanillas Alonso, Francisco J. Gan general. En estas tertulias se habla de viajes, expediciones, y, en general de actividades con interés Pampols, Francisco Soria Cirugeda. ESPÍRITUS INQUIETOS Y ROMÁNTICOS geográfico o antropológico. Se invita a exponer un tema de debate a personas que hayan destacado por haber realizado alguna de las actividades mencionadas. A la exposición prosigue un debate sobre SECRETARIA GENERAL Aventureros románticos, viajeros inquietos, observadores curiosos… el viejo el tema tratado, en el que pueden participar todos los asistentes que lo deseen. Lola Escudero espíritu de los Livingstone, Burton o de nuestro Manuel Iradier, sigue aún vivo y por increíble que parezca, aún hay fronteras y retos para la exploración. TESORERA La Sociedad Geográfica Española es heredera de esta larga tradición Carmen Martín de Lucas exploradora. Ha conseguido unir a gentes provenientes de todos los ámbitos VOCALES para recuperar la memoria de los grandes exploradores y descubridores Javier Alonso-Iñarra, Carmen Arenas españoles y dar a conocer al mundo las aportaciones de los actuales MADRID Benítez, Juan Luis Arsuaga Ferreras, geógrafos, intelectuales y viajeros de nuestro país. 6 de abril. “La Geografía de Julio Verne”, con Eduardo 7 de noviembre. “Mongolia, la tierra del horizonte infinito”, Diego Azqueta Bernar, Pep Bernadas Martínez de Pisón. Instituto Geográfico Nacional. con Raúl Martín. Pangea The Travel Store. -
Some of the Ancestors & Descendants of James & George Ashford
SCME OF THE ANCESTORS AND DESCENDANTS OF JAMES AND GEORGE ASHFORD JR. OF FAIRFIELD COUNTY SOUTH CAROLINA BY CHARLIE RABB ASHFORD SR. 1956 208 N. Montgomery Stn Starkville, Mississippi TO MI MOTHER AND TO THE MMQRI OF MI FATHER PREFACE The challenge to make this study came after learning my great grandfather, John Rabb Ashford, came to Mississippi, from Eairfield County, South Carolina and was buried at Old Concord Cemetery in Choctaw County. In the process of uncovering facts about the Ashfords coming to Mississippi, other interesting facts revealed themselves. I learned that John Rabb Ashford was the son of James Ashford, James had a bro ther, George5 they married sisters, and both had descendants in Missis sippi. This publication deals with some of the ancestors and descen dants of James and George Ashford, Jr. of Fairfield County, South Carolina• It would not have been possible to complete this study to this point, without the assistance and cooperation of friends and members of the family. I wish to express by appreciation for each and every one's help. A list of all those who furnished information would be too long to make individual mention, but would like to give special recognition to Miss Iris Ashford, my sister, for her encouragement and much faithful research; to Mary Lou (Ashford) Castles (Mrs. R. A.), of Rion, South Carolina, for collecting information on more than forty families in the George Ashford, Jr. line; to Miss Jessie Mae Ashford, of Malvem, Arkansas and Washington, D. C., for valuable research in Virginia, Maryland, and Washington, D. -
ED071097.Pdf
DOCUMENT RESUME ED 071 097 CS 200 333 TITLE Annotated Index to the "English Journal," 1944-1963. INSTITUTION National Council of Teachers of English, Champaign, PUB DATE 64 NOTE 185p. AVAILABLE FROMNational Council of Teachers of English, 1111 Renyon Road, Urbana, Ill. 61801 (Stock No. 47808, paper, $2.95 non-member, $2.65 member; cloth, $4.50 non-member, $4.05 member) EDRS PRICE MF-$0.65 HC -$6.58 DESCRIPTORS *Annotated Bibliographies; Educational Resources; English Education; *English Instruction; *Indexes (Locaters); Periodicals; Resource Guides; *Scholarly Journals; *Secondary School Teachers ABSTRACT Biblidgraphical information and annotations for the articles published in the "English Journal" between 1944-63are organized under 306 general topical headings arranged alphabetically and cross referenced. Both author and topic indexes to the annotations are provided. (See also ED 067 664 for 1st Supplement which covers 1964-1970.) (This document previously announced as ED 067 664.) (SW) U.S. DEPARTMENT OF HEALTH. f.N... EDUCATION & WELFARE OFFICE OF EDUCATION Cr% THIS DOCUMENT HAS BEEN REPRO. C.) DUCED EXACTLY AS RECEIVED FROM THE PERSON OR ORGANIZATION ORIG- 1:f INATING IT POINTS OF VIEW OR OPIN IONS STATED DO NOT NECESSARILY r REPRESENT OFFICIAL OFFICE OF EDU C) CATION POSITION OR POLICY [11 Annotated Index to the English Journal 1944-1963 Anthony Frederick, S.M. Editorial Chairman and the Committee ona Bibliography of English Journal Articles NATIONAL COUNCIL OF TEACHERS OF ENGLISH Copyright 1964 National Council of Teachers of English 508 South Sixth Street, Champaign, Illinois 61822 PERMISSION TO REPRODUCE THIS COPY RIGHTED MATERIAL HAS BEEN GRLNTED "National Council of Teachers of English TO ERIC AND ORGANIZATIONS OPERATING UNDER AGREEMENTS WITH THE US OFFICE OF EDUCATION FURTHER REPRODUCTION OUTSIDE THE ERIC SYSTEM REQUIRES PER MISSION OF THE COPYRIGHT OWNER English Journal, official publication for secondary school teachers of English, has been published by the National Council of Teachers of English since 1912. -
Tracheobronchomegaly
Thorax: first published as 10.1136/thx.23.3.320 on 1 May 1968. Downloaded from Thorax (1968), 23, 320. Tracheobronchomegaly ZAKI AL-MALLAH1 AND 0. P. QUANTOCK From the University of Mosul, Iraq, and Sully Hospital, Wales Two cases of the rare condition of tracheobronchomegaly are reported. They occurred in people of completely different racial origin and residence. They showed the characteristic features of this condition-loud, rasping, prolonged, remarkably ineffective cough, abnormally wide trachea and major bronchi, laxity of the cartilaginous rings and membranous part of these airways demonstrable on straight chest radiographs and bronchoscopy and confirmed at bronchography. Evidence is submitted of congenital aetiology. Tracheobronchomegaly is a rare congenital apparently healthy young man with no finger club- abnormality with marked widening of the trachea bing. There were scattered wheezes and bilateral basal and major bronchi, in most cases associated with crepitations, mainly anteriorly. No abnormality was chronic recurrent respiratory tract infection. This detected in any other system. The tuberculin test (100 T.U.) was negative and a chest radiograph rare syndrome was first described by Mounier- showed small nodular opacities in the right lung: Kuhn in 1932, but was then given different names these subsequently cleared. Bronchoscopy showed until Katz, LeVine, and Herman (1962), in an reddening and oedema of the mucosa which was excellent review, clearly defined this entity and covered with thick, mucopurulent secretions. No suggested the name tracheobronchomegaly. We intrinsic lesion was seen in the tracheobronchial have been unable to find a report of this syndrome passages, but an abnormal mobility of the posterior http://thorax.bmj.com/ in the British literature and are therefore present- tracheal wall was noted. -
Family Income Mediates the Effect of Parental Education on Adolescents
brain sciences Article Family Income Mediates the Effect of Parental Education on Adolescents’ Hippocampus Activation During an N-Back Memory Task Shervin Assari 1,* , Shanika Boyce 2, Mohsen Bazargan 1,3 and Cleopatra H. Caldwell 4,5 1 Department of Family Medicine, Charles R Drew University of Medicine and Science, Los Angeles, CA 90059, USA; [email protected] 2 Department of Pediatrics, Charles R Drew University of Medicine and Science, Los Angeles, CA 90059, USA; [email protected] 3 Department of Family Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA 4 Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI 48104, USA; [email protected] 5 Center for Research on Ethnicity, Culture, and Health (CRECH), School of Public Health, University of Michigan, Ann Arbor, MI 48104, USA * Correspondence: [email protected]; Tel.: +1-734-232-0445; Fax: +1-734-615-8739 Received: 30 June 2020; Accepted: 3 August 2020; Published: 5 August 2020 Abstract: Introduction: Hippocampus, a medial temporal lobe structure, has significant implications in memory formation and learning. Although hippocampus activity is believed to be affected by socioeconomic status (SES), limited knowledge exists on which SES indicators influence hippocampus function. Purpose: This study explored the separate and combined effects of three SES indicators, namely parental education, family income, and neighborhood income, on adolescents’ hippocampus activation during an N-Back memory task. As some of the effects of parental education may be through income, we also tested if the effect of parental education on hippocampus activation during our N-Back memory task is mediated by family or neighborhood income. -
Tracheobronchomalacia and Excessive Dynamic Airway Collapse
Blackwell Publishing AsiaMelbourne, AustraliaRESRespirology1323-77992006 Blackwell Publishing Asia Pty Ltd? 2006114388406Review ArticleTBM and EDACSD Murgu and HG Colt Respirology (2006) 11, 388–406 doi: 10.1111/j.1400-1843.2006.00862.x REVIEW ARTICLE Tracheobronchomalacia and excessive dynamic airway collapse Septimiu D. MURGU AND Henri G. COLT Pulmonary and Critical Care Medicine, Department of Medicine, University of California School of Medicine, Irvine, CA, USA Tracheobronchomalacia and excessive dynamic airway collapse MURGU SD, COLT HG. Respirology 2006; 11: 388–406 Abstract: Tracheobronchomalacia and excessive dynamic airway collapse are two separate forms of dynamic central airway obstruction that may or may not coexist. These entities are increasingly recognized as asthma and COPD imitators. The understanding of these disease processes, however, has been compromised over the years because of uncertainties regarding their definitions, patho- genesis and aetiology. To date, there is no standardized classification, diagnosis or management algorithm. In this article we comprehensively review the aetiology, morphopathology, physiology, diagnosis and treatment of these entities. Key words: airflow dynamics, bronchomalacia, excessive dynamic airway collapse, tracheobron- chomalacia, tracheomalacia. INTRODUCTION first is that most published studies are case series and retrospective descriptions, many of which report a The purpose of this systematic review is to clarify con- single investigator’s experience with diagnosis and founding issues pertaining to the definition, patho- management. In fact, it is puzzling that despite the physiology, histopathology, aetiology, diagnosis, relative frequency with which TBM and EDAC are pre- classification and treatment of acquired and idio- sumably encountered, multi-institutional or prospec- pathic forms of adult tracheobronchomalacia (TBM) tive studies have not been published. -
Broncoscopia Diagnóstica Y Terapéutica
Cubierta Neumo 15/3/07 11:45 Página 1 Monografías NEUMOMADRID VOLUMEN X / 2007 VOLUMEN X / 2007 VOLUMEN Broncoscopia diagnóstica y terapéutica PRUDENCIO DÍAZ-AGERO ÁLVAREZ JAVIER FLANDES ALDEYTURRIAGA BRONCOSCOPIA DIAGNÓSTICA Y TERAPÉUTICA DIAGNÓSTICA BRONCOSCOPIA Fecha de elaboración: Marzo 2007 COD. SYM/03/0207/M RESPIRATORIO Monografías NEUMOMADRID Monografías Monografías NEUMOMADRID VOLUMEN X / 2007 BRONCOSCOPIA DIAGNÓSTICA Y TERAPÉUTICA Prudencio Díaz-Agero Álvarez Javier Flandes Aldeyturriaga Reservados todos los derechos. Ni la totalidad ni parte de este libro pueden reproducirse o transmitirse por ningún procedimiento electrónico o mecánico, incluyendo fotocopias, grabación magnética o cualquier almacenamiento de información y sistema de recuperación, sin el previo permiso escrito del editor. © NEUMOMADRID. Príncipe de Vergara, 112. 28002 Madrid Edita: ERGON. C/ Arboleda, 1. 28220 Majadahonda (Madrid). ISBN: 978-84-8473-562-5 Depósito Legal: M-13890-2007 Monografías de la Sociedad Madrileña de Neumología y Cirugía Torácica VOLUMEN X / 2007 BRONCOSCOPIA DIAGNÓSTICA Y TERAPÉUTICA Prudencio Díaz-Agero Álvarez Javier Flandes Aldeyturriaga Junta Directiva Comité Científico Presidente: Dr. Rodolfo Álvarez-Sala Walther Presidente: Dr. Javier de Miguel Díez Vicepresidente Neumólogo: Dra. Mª Josefa Díaz de Atauri y Secretario: Dr. Juan Luis Rodríguez Hermosa Rodríguez de los Ríos Vocales: Vicepresidente Cirujano Torácico: Dr. Yatwah Pun Tam Dra. Eva Arias Arias Secretario: Dr. Federico González Aragoneses Dr. Prudencio Díaz-Agero Álvarez Tesorero: Dra. Pilar Navío Martín Dr. José Luis García Satué Vocal Congresos: Dra. Myriam Calle Rubio Dr. Javier Ignacio Gaudó Navarro Vocal Científico: Dr. Javier de Miguel Díez Dra. Rosa Mª Girón Moreno Vocal Grupos de Trabajo: Dra. Mª Jesús Rodríguez Nieto Dr. Fulgencio González Garrido Vocal Pediatría: Dra. -
Improving Airways Patency and Ventilation Through Optimal
JMIR RESEARCH PROTOCOLS Lima et al Protocol Improving Airways Patency and Ventilation Through Optimal Positive Pressure Identified by Noninvasive Mechanical Ventilation Titration in Mounier-Kuhn Syndrome: Protocol for an Interventional, Open-Label, Single-Arm Clinical Trial Evelise Lima*, MD; Maria Aparecida Miyuki Nakamura*, PhD; Pedro Rodrigues Genta*, PhD, MD; Ascedio José Rodrigues*, MD; Rodrigo Abensur Athanazio*, PhD, MD; Samia Rached*, MD; Eduardo Leite Vieira Costa*, PhD, MD; Rafael Stelmach*, PhD, MD Pulmonary Division-Heart Institute (InCor), Hospital das Clínicas da Faculdade de Medicina de São Paulo, São Paulo, Brazil *all authors contributed equally Corresponding Author: Evelise Lima, MD Pulmonary Division-Heart Institute (InCor) Hospital das Clínicas da Faculdade de Medicina de São Paulo Dr. Eneas de Carvalho Aguiar, 44 São Paulo Brazil Phone: 55 1126615612 Email: [email protected] Abstract Background: Mounier-Kuhn syndrome or congenital tracheobronchomegaly is a rare disease characterized by dilation of the trachea and the main bronchi within the thoracic cavity. The predominant signs and symptoms of the disease include coughing, purulent and abundant expectoration, dyspnea, snoring, wheezing, and recurrent respiratory infection. Symptoms of the disease in some patients are believed to be pathological manifestations arising due to resident tracheobronchomalacia. Although treatment options used for the management of this disease include inhaled bronchodilators, corticosteroids, and hypertonic solution, there is no consensus on the treatment. The use of continuous positive airway pressure (CPAP) has been reported as a potential therapeutic option for tracheobronchomalacia, but no prospective studies have demonstrated its efficacy in this condition. Objective: The purpose of this is to identify the presence of tracheobronchomalacia and an optimal CPAP pressure that reduces the tracheobronchial collapse in patients with Mounier-Kuhn syndrome and to analyze the repercussion in pulmonary ventilation. -
Mortality and Disability from Tobacco-Related Diseases in Brazil
DOI: 10.1590/1980-5497201700050007 ORIGINAL ARTICLE / ARTIGO ORIGINAL Mortality and disability from tobacco-related diseases in Brazil, 1990 to 2015 Mortalidade e incapacidade por doenças relacionadas à exposição ao tabaco no Brasil, 1990 a 2015 Bruno Piassi de São JoséI, Ricardo de Amorim CorrêaII, Deborah Carvalho MaltaIII, Valéria Maria de Azeredo PassosII, Elisabeth Barboza FrançaIV, Renato Azeredo TeixeiraV, Paulo Augusto Moreira CamargosVI ABSTRACT: Introduction: The global tobacco epidemic has taken pandemic proportions, with about 1.3 billion users and 6 million annual deaths. This study aimed to analyze the trends in mortality from chronic obstructive pulmonary disease (COPD) and lung, lips, oral cavity, pharynx, and esophagus cancer in Brazil between 1990 and 2015. Methods: The study was made possible through a partnership between the Metrics and Health Assessment Institute (IHME), University of Washington, Ministry of Health and the GBD Brazil technical group, using estimates from the Global Disease Charge 2015 study. Results: The mortality rates due to COPD fell; in 1990, it was 64.5/100,000 inhabitants and in 2015, 44.5, a decrease of 31%. For the various types of cancer related to smoking, the decrease was in a lower proportion than for COPD. For lung cancer, rates were 18.7/100,000 inhabitants in 1990 to 18.3 in 2015. For women, there is an upward curve for lung cancer from 1990 to 2015, with an increase of 20.7%. Discussion: The study points to smoking as a risk factor for premature mortality and disability due to COPD and cancer. The significant reduction in tobacco prevalence in recent decades could explain reductions in tobacco-related disease trends.