Cytopathology of Hepatobiliary-Related Actinomycosis

2016 ◽  
Vol 60 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Juan Xing ◽  
Erika F. Rodriguez ◽  
Sara E. Monaco ◽  
Liron Pantanowitz
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Subsequent Development ◽  
Liver Lesion ◽  
Complementary Role ◽  
Filamentous Microorganisms ◽  
Actinomyces Species ◽  
Surgical History ◽  
History Of ◽  
Sulfur Granules

Background: The clinical diagnosis of hepatobiliary-related actinomycosis can be challenging owing to its rarity and variable presentation. Moreover, actinomycotic pseudotumors may mimic malignancy and result in unnecessary surgical resection. Herein, we present the clinical and cytopathological features of 3 cases with hepatobiliary-related actinomycosis. Cases: The first patient was a 73-year-old man who presented with an exophytic liver lesion. The second patient was a 78-year-old woman who presented with a biliary stricture. The third patient was an 88-year-old woman with a right flank mass extending to the liver. The aspirate smears in these 3 cases demonstrated ‘cotton ball' clusters of filamentous microorganisms and abscesses. The cell blocks of 2 of the patients showed sulfur granules with peripheral filamentous microorganisms positive with a Gram stain but negative with an acid fast stain, consistent with Actinomyces species. All patients were elderly and shared a past surgical history of laparoscopic cholecystectomy. Conclusion: These cases demonstrate the complementary role of cytology in the diagnosis of hepatobiliary actinomycosis. A cytologic diagnosis of actinomycosis is minimally invasive and quick. It can prompt proper culture medium selection and avoid unnecessary or extensive surgery. Based on our experience, laparoscopic cholecystectomy may be a precipitating factor for the subsequent development of hepatobiliary-related actinomycosis.

Remembrance of Things Past: Marxism and the Study of Popular Music

2019 ◽  
Vol 16 (1) ◽  
pp. 141-155
Author(s):  
SIMON FRITH
Keyword(s):  
Popular Music ◽  
Sociology Of Knowledge ◽  
Subsequent Development ◽  
Commercial Music ◽  
Popular Music Studies ◽  
History Of ◽  
Cultural Ideology ◽  
1960S And 1970S ◽  
The 1960S

AbstractThis article considers the role of Marxism in the history of popular music studies. Its approach combines the sociology of knowledge with a personal memoir and its argument is that in becoming a field of scholarly interest popular music studies drew from both Marxist theoretical arguments about cultural ideology in the 1950s and 1960s and from rock writers’ arguments about the role of music in shaping socialist bohemianism in the 1960s and 1970s. To take popular music seriously academically meant taking it seriously politically. Once established as an academic subject, however, popular music studies were absorbed into both established music departments and vocational, commercial music courses. Marxist ideas and ideologues were largely irrelevant to the subsequent development of popular music studies as a scholarly field.

Feasibility of Laparoscopic Intraoperative Cholangiogram in Patients with Intermediate Risk for Choledocholithiasis

2021 ◽  
Vol 8 (02) ◽  
pp. 108-114
Author(s):  
Adithya G.K. ◽  
Satya Prakash Jindal ◽  
Varun Madaan ◽  
Vachan Hukkeri ◽  
Rigved Gupta ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Liver Function ◽  
Liver Function Tests ◽  
Filling Defect ◽  
Primary Objective ◽  
Intermediate Risk ◽  
Intraoperative Cholangiogram ◽  
History Of ◽  
Technical Issues

BACKGROUND Intra-Operative Cholangiogram (IOC) is a procedure carried out during cholecystectomy with the primary objective of clearly delineating the biliary anatomy. Over decades, routine IOC became selective IOC and now it is being overtaken by less invasive investigations like MRCP and EUS. Role of IOC remains only to intraoperatively confirm or rule out bile duct injury in difficult cases. Laparoscopic IOC is a skilful procedure which requires training and extra added time during laparoscopic cholecystectomy. Once mastered it can be used in many situations for either anatomical reasons or to detect CBD pathology. METHODS All patients getting admitted for laparoscopic cholecystectomy with intermediate risk for choledocholithiasis were enrolled in the study from 2016 to 2019. Procedure was carried out with all necessary consents and precautions. All cases were performed by an experienced GI surgeon and followed up with proper protocol. RESULTS Fifty patients with known intermediate risk for choledocholithiasis underwent laparoscopic cholecystectomy with laparoscopic IOC. Procedure was successfully done in all patients except two, where cystic duct was very thin and cannulation was not possible. Forty-one (82%) patients had deranged liver function test and 9 patients (18%) had history of acute pancreatitis in the past as indications for the procedure. Two patients had dilated CBD (>6 mm) on ultrasound along with deranged liver function tests. An average of 12 minutes was taken to perform the procedure (range: 8 - 15 min). In cases where IOC took longer time was mainly due to technical issues (operability of C-arm). No IOC related complications occurred in any of the patients. Hospital stay was not prolonged in any of the patients due to IOC. None of the patients had any filling defect in CBD. All cases followed till date are asymptomatic. CONCLUSIONS It is a technically feasible procedure that can be performed with limited addition to OT time, minimal failure rate, and complications. All patients with limited criteria for intermediate risk of choledocholithiasis had a normal IOC with no evidence of biliary obstruction in follow up. KEYWORDS Laparoscopic Intraoperative Cholangiogram, Intermediate Risk, CBD Stones

scholarly journals One Day from the History of the Great Physical Auditorium: Nikolai I. Vavilov’s Report on 4 June, 1920

2020 ◽  
Vol 20 (4) ◽  
pp. 315-337
Author(s):  
Valery M. Anikin ◽  
◽  
Nataliya M. Panteeva ◽  
Keyword(s):  
Homologous Series ◽  
Subsequent Development ◽  
Global Scale ◽  
Scientific Activity ◽  
Scientific Publications ◽  
Periodic Law ◽  
History Of ◽  
The Law ◽  
Living Organisms

The Great Physical Auditorium of Saratov University is one of the best university lecture halls in Russia, it has a wonderful interior, large capacity and good acoustics. It also has a wonderful history. One outstanding event that took place in the Great Physical Auditorium 100 years ago is described in the article. On June 4, 1920, Nikolai I. Vavilov, professor of the agronomic faculty of Saratov University, made a presentation on «The law of homologous series in variation” to the participants of the III All-Russian Breeding Congress. The law determines the fundamental features of the evolution of plants and living organisms from a genetic standpoint. It influenced the subsequent development of biology, genetics, plant growing, breeding, biophysics and agrophysics on a global scale. The article describes the versatile activities of Nikolai I. Vavilov in 1918–1921 on the post of professor at Saratov University as a teacher, organizer of student practices and expeditions, as a deep scientist and analyst. His report was met with great enthusiasm by the participants of the Breeding congress. The law of homologous series in variation may be compared with the periodic law by Dmitry I. Mendeleev. The article was written by using the materials of the Breeding Congress, the Vavilov’s collection of the Saratov Regional Museum of Local Lore, the memoirs by the participants of the Congress, scientific publications reflecting the modern significance of the law by Nikolai I. Vavilov. More than 50 congress participants, captured in the historical photograph of June 4, 1920, are named. The article notes interesting parallels between the III All-Union Congress of Breeding in 1920 and the VI Congress of the Russian Association of Physicists in 1928, which was also held within the walls of the Great Physical Auditorium. Sergei I. Vavilov was secretary of the Physical congress. The outstanding role of the brothers Nikolai I. and Sergei I. Vavilovs by organization of scientific activity in Russia is emphasized. The topic of modern scientific conferences held at the Great Physical Auditorium is named. It is concluded that the Great Physical Auditorium of Saratov University has acquired the significance of one of the important communication scientific centers of Russia and the world.

Jewish Hymnography

1997 ◽  
Author(s):  
Leon J. Weinberger
Keyword(s):  
Western Europe ◽  
Eastern Mediterranean ◽  
Subsequent Development ◽  
General Reader ◽  
Religious Poetry ◽  
Source Book ◽  
Hebrew Poetry ◽  
Literary Forms ◽  
History Of

This book draws on a wealth of material, much of it previously available only in Hebrew, to trace the history of Jewish hymnography from its origins in the eastern Mediterranean to its subsequent development in Western Europe (Spain, Italy, Franco-Germany, and England) and Balkan Byzantium, on the Grecian periphery, under the Ottomans, and among the Karaites. Focusing on each region in turn, the book provides a general background to the role of the synagogue poets in the society of the time; characterizes the principal poets and describes their contribution; examines the principal genres and forms; and considers their distinctive language, style, and themes. The copious excerpts from the liturgy are presented in transliterated Hebrew and in English translation, and their salient characteristics are fully discussed to bring out the historical development of ideas and regional themes as well as literary forms. The book is a valuable source-book for students of synagogue liturgy, Jewish worship, and medieval Hebrew poetry. It provides new perspectives for students of religious poetry and forms of worship more generally, while enabling the general reader to acquire a much-enriched appreciation of the synagogue services.

The complementary role of microCT and histopathology in characterizing the natural history of stented arteries

2011 ◽  
Vol 9 (7) ◽  
pp. 939-948 ◽  
Author(s):  
Marc Vorpahl ◽  
Jason R Foerst ◽  
Malte Kelm ◽  
Aaron V Kaplan ◽  
Renu Virmani ◽  
...  
Keyword(s):  
Natural History ◽  
Complementary Role ◽  
History Of

scholarly journals Investigate the Exit of the Britain from European Union and Its Impacts on the International Community

2016 ◽  
Vol 10 (1) ◽  
pp. 56
Author(s):  
Mohammad Ehsan Chaboki
Keyword(s):  
European Union ◽  
Economic Consequences ◽  
The European Union ◽  
Negative Consequences ◽  
Economic Dimension ◽  
Complementary Role ◽  
History Of ◽  
Restrictive Measures ◽  
Second World

Although Europe is not a superpower, but it is a great world power, at least in the economic dimension and it has a decisive effect on many international issues. Means it has much to say in relation to trade, the environment, drug control, natural disasters, and serious illnesses and so on. But in the field of policy passing the restrictive measures that puts on its agenda, in the major and basic issues it inevitably should cooperate with US and follow it. Europe on these types of subjects, considers inevitably a complementary role of America for itself at least for some time. So a sense that at the time was applied in Germany is also true about the current Union: European Union is an economic giant and a political dwarf that lacks the characteristics of a great and perfect power. It seems that no issue had been raised as the importance of exit of Britain from the European Union and the effects that it will leave from the end of the Second World War up to now means more than 70 years. Location and history of Britain add to the importance of this issue. The exit of Britain apart from the business and economic consequences can create a political and psychological shock in European developments. As entering of Great Britain took place loudly within a decade (Eventually, in 1973), leaving this country is associated with a lot of coverage in 4 recent years. This issue has been become one of the concerns of circles of Britain and Europe. America and Canada have also repeatedly warned about the negative consequences of this exit that we will discuss it in this paper.

scholarly journals Learning from the radiological findings of dropped gall stone and/or appendicolith (its complication and management strategy)

2019 ◽  
Vol 5 (2) ◽  
pp. 20180096
Author(s):  
Yasir Jamil ◽  
Dr Nicholas Reading
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Management Strategy ◽  
Gall Stone ◽  
Abdominal Abscess ◽  
Radiological Findings ◽  
Management Options ◽  
Surgical Interventions ◽  
The Past ◽  
Surgical History ◽  
History Of

This case report the patient presented with intra-abdominal abscess with the past surgical history of laparoscopic cholecystectomy and appendectomy. Being a radiologist, it is important to keep patient’s previous surgical interventions in mind as it can change the management options.

Elaborating the role of reflection and individual differences in the study of folk-economic beliefs

2018 ◽  
Vol 41 ◽  
Author(s):  
Kevin Arceneaux
Keyword(s):  
Decision Making ◽  
Individual Differences ◽  
Cognitive Processes ◽  
Evolutionary History ◽  
Behavioral Responses ◽  
History Of ◽  
Economic Beliefs

AbstractIntuitions guide decision-making, and looking to the evolutionary history of humans illuminates why some behavioral responses are more intuitive than others. Yet a place remains for cognitive processes to second-guess intuitive responses – that is, to be reflective – and individual differences abound in automatic, intuitive processing as well.

The role of a family history of adenocarcinomas in patients with Barrett oesophagus

2001 ◽  
Vol 120 (5) ◽  
pp. A442-A442
Author(s):  
P TSIBOURIS ◽  
M HENDRICKSE ◽  
P ISAACS
Keyword(s):  
Family History ◽  
History Of ◽  
Barrett Oesophagus

Protective Factors and Suicidality in Members of Arab Kindred

Crisis ◽  
2012 ◽  
Vol 33 (2) ◽  
pp. 80-86 ◽  
Author(s):  
Sami Hamdan ◽  
Nadine Melhem ◽  
Israel Orbach ◽  
Ilana Farbstein ◽  
Mohammad El-Haib ◽  
...  
Keyword(s):  
Risk Factors ◽  
Protective Factors ◽  
Suicidal Behavior ◽  
Composite International Diagnostic Interview ◽  
Diagnostic Interview ◽  
Suicidal Risk ◽  
Arab Population ◽  
Psychiatric Interview ◽  
History Of

Background: Relatively little is known about the role of protective factors in an Arab population in the presence of suicidal risk factors. Aims: To examine the role of protective factors in a subsample of in large Arab Kindred participants in the presence of suicidal risk factors. Methods: We assessed protective and risk factors in a sample of 64 participants (16 suicidal and 48 nonsuicidal) between 15 and 55 years of age, using a comprehensive structured psychiatric interview, the Composite International Diagnostic Interview (CIDI), self-reported depression, anxiety, hopelessness, impulsivity, hostility, and suicidal behavior in first-degree and second-relatives. We also used the Religiosity Questionnaire and suicide attitude (SUIATT) and multidimensional perceived support scale. Results: Suicidal as opposed to nonsuicidal participants were more likely to have a lifetime history of major depressive disorder (MDD) (68.8% vs. 22.9% χ2 = 11.17, p = .001), an anxiety disorder (87.5% vs. 22.9, χ2 = 21.02, p < .001), or posttraumatic stress disorder (PTSD) (25% vs. 0.0%, Fisher’s, p = .003). Individuals who are otherwise at high risk for suicidality have a much lower risk when they experience higher perceived social support (3.31 ± 1.36 vs. 4.96 ± 1.40, t = 4.10, df = 62, p < .001), and they have the view that suicide is somehow unacceptable (1.83 ± .10 vs. 1.89 ± .07, t = 2.76, df = 60, p = .008). Conclusions: Taken together with other studies, these data suggest that the augmentation of protective factors could play a very important role in the prevention of incidental and recurrent suicidal behavior in Arab populations, where suicidal behavior in increasing rapidly.

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