Intralesion Triamcinolon Injection Therapy on Esophageal Stricture as Side Effect of Long Term Use Biphosphonate

Systemic Lupus Erythematous (SLE) is a chronic inflammatory disease that affect almost any organ system. Patient with SLE is at risk of osteoporosis. Biphosphonate is one of osteoporosis treatments. However, esophageal stricture (ES) caused by continuous esophageal inflammation as a result of long-term use Biphosphonate can occur. Intralesion Triamcinolone Injection (ITI) becomes one of ES therapy by inhibiting inflammatory response to injury and decrease subsequent collagen formation. ITI inhibits transcription of matrix protein genes, including fibronectin and procollagen. It also reduces the synthesis of α2-macroglobulin, an inhibitor of collagenase activity. A 43 year old woman was diagnosed with SLE. She was treated with Risedronic Acid (bisphosphonate class) 35 mg once a week. After 8 months, she started complaining difficulty to swallow. Symptom was getting worse 6 months later. One-third distal ES with inflammation process was found with endoscopy. ITI 150 mg was given in inflammation area. She was scheduled to follow up after 7 days for re-endoscopy. Endoscopy showed that inflammation process had been improved. Six months later, she had again complained difficulty to swallow and we found that she still consumed Risedonic Acid. ITI 150 mg was given because inflammation and ES was found with endoscopy. After 7 days, endoscopy showed that there was no ES and inflammation process had been improved. She was advised to stop Risedronic Acid consumption

Electronic structure of the double perovskite Ba2Er(Nb,Sb)O 6

In this work, we present a detailed study of the structural and the electronic structure of the double perovskite Ba2Er(Nb,Sb)O 6. All calculations were performed with the Full-Potential Linear Augmented Plane Wave method (FP-LAPW) based on the Density Functional Theory (DFT). From the minimization of energy as a function of volume using the Murnaghan's state equation has been obtained the equilibrium lattice parameter and the bulk modulus of these compounds. The study of the electronic structure was based in the analysis of the electronic density of states (DOS), and the density of charge, showing that these compounds have a total magnetic moment of 3.0 μB per formula unit due to Er atoms.Fil: Gil Rebaza, Arles Víctor. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - La Plata. Instituto de Física La Plata. Universidad Nacional de La Plata. Facultad de Ciencias Exactas. Instituto de Física La Plata; ArgentinaFil: Deluque Toro, Crispulo Enrique. Universidad Popular del Cesar; ColombiaFil: Téllez Landínez, D. A. Universidad Nacional de Colombia; ColombiaFil: Roa Rojas, J.. Universidad Nacional de Colombia; Colombi

LES JUIFS ET LE NOUVEAU MESSIE DE L’ART

Transcript of LES JUIFS ET LE NOUVEAU MESSIE DE L’ART by Ch. Beauquier, appearing in L'ART MUSICAL, 8 avril 1869, pp. 149-150

Sistema de reconocimiento de iris implementado en un procesador digital de señales

Los sistemas de seguridad para el control de acceso a lugares restringidos se han convertido en estos últimos años en un tema de bastante importancia, no solo para las grandes empresas, sino también para la gente del común, que quiere mantener a salvo y bajo su protección sus bienes más preciados de manos inescrupulosas; problema que se ha visto durante toda la historia de la humanidad. Debido a lo anterior, en este proyecto se decidió desarrollar en MatLab® e implementar en el ADSP-BF533 EZ-Kit Lite® de Analog Devices un sistema de reconocimiento de iris que hace uso de la Transformada Wavelet de Haar 2D y las herramientas del procesamiento digital de imágenes como los filtros espaciales, detector de bordes y análisis de envolvente convexa, para segmentar, normalizar, codificar y validar la imagen del iris de un sujeto de prueba tomado de la base datos CASIA Iris Databa V4.0 contra el sujeto previamente registrado en el sistema. Los algoritmos creados para MatLab® están desarrollados utilizando solo funciones lógicas y matemáticas básicas, es decir, sin el uso de toolbox especializados en el procesamiento digital de imágenes; esto, con el objetivo de poder desarrollar primeramente en MatLab® y posteriormente implementar los mismos algoritmos en el DSP. Igualmente esto se realizó con el objetivo de finalmente evaluar el rendimiento del sistema en ambas plataformas y obtener un punto de comparación entre ambos sistemas. Posteriormente se procedió a realizar un conjunto de pruebas tanto en MatLab® como en el ADSP-BF533 EZ-Kit Lite®, utilizando el método de validación cruzada Leave One Out para determinar el porcentaje de aceptabilidad y confiabilidad del sistema de reconocimiento de iris; las cuales arrojaron un mejor resultado en ambas pruebas para el sistema desarrollado en MatLab®; sin embargo el sistema desarrollado en el DSP ofrece ventajas significativas de implementación real al ser este un sistema embebido especialmente diseñado para el procesamiento digital de imágenes

Relationship Between Vascular Endothelial Growth Factor and Severity of Hepatocellular Carcinoma

Background: Severity of hepatocellular carcinoma (HCC) that is assessed using Barcelona Clinic Liver Cancer (BCLC) classification is a main prognostic factor of hepatocellular carcinoma. Assessment of the serum level of Vascular Endothelial Growth Factor (VEGF) is considered to reflect the severity of HCC. However, there is still no fundamental basis of the association of severity of HCC with the serum VEGF level. The objective of this study is to know the relationship between serum VEGF levels with the severity of HCC by assessing the average difference of serum VEGF level in various severity of HCC.Method: This study was a cross sectional study to identify the association between serum VEGF levels with the severity of HCC based on BCLC classification. This study was performed in Cipto Mangunkusumo Hospital between January and May 2015. Statistical tests used to evaluate the association between serum VEGF level with BCLC classification was one-way ANOVA analysis, and continued with post hoc Tukey Schaffe analysis.Results: A total of 61 subjects with HCC were included into this study. In this study, we did not find subjects with stage 0 BCLC. The average of serum VEGF level in stage A BCLC was 288.26 ± 156.6 pg/mL; stage B BCLC: 434 ± 164.8 pg/mL; stage C BCLC: 785.57 ± 194.25 pg/mL; stage D BCLC: 1537.97 ± 660.62 pg/mL. One-way ANOVA analysis showed significant difference (P < 0.001) between serum VEGF level and HCC severity based on BCLC classification. Post hoc Tukey Schaffe analysis showed the presence of significant difference between stage A and C BCLC (p < 0.05) and stage A and D BCLC (p < 0.001), stage B and D BCLC (p < 0.001), and stage C and D BCLC (p < 0.001). There was no significant difference between stage A and B BCLC, and between stage B and C BCLC.Conclusion: It was found that serum VEGF level increased in accordance to the HCC severity based on BCLC classification, particularly for stage B BCLC and above

Intralesion Triamcinolon Injection Therapy on Esophageal Stricture as Side Effect of Long Term Use Biphosphonate

Systemic Lupus Erythematous (SLE) is a chronic inflammatory disease that affect almost any organ system. Patient with SLE is at risk of osteoporosis. Biphosphonate is one of osteoporosis treatments. However, esophageal stricture (ES) caused by continuous esophageal inflammation as a result of long-term use Biphosphonate can occur. Intralesion Triamcinolone Injection (ITI) becomes one of ES therapy by inhibiting inflammatory response to injury and decrease subsequent collagen formation. ITI inhibits transcription of matrix protein genes, including fibronectin and procollagen. It also reduces the synthesis of  α2-macroglobulin, an inhibitor of collagenase activity. A 43 year old woman was diagnosed with SLE. She was treated with Risedronic Acid (bisphosphonate class) 35 mg once a week. After 8 months, she started complaining difficulty to swallow. Symptom was getting worse 6 months later. One-third distal ES with inflammation process was found with endoscopy. ITI 150 mg was given in inflammation area. She was scheduled to follow up after 7 days for re-endoscopy.  Endoscopy showed that inflammation process had been improved. Six months later, she had again complained difficulty to swallow and we found that she still consumed Risedonic Acid. ITI 150 mg was given because inflammation and ES was found with endoscopy.  After 7 days, endoscopy showed that there was no ES and inflammation process had been improved. She was advised to stop Risedronic Acid consumption

Mission and Conversion in the Changing Context of India with the Growth of Hindutva Movement – the Christian Response

Ek is inderdaad dankbaar teenoor God en prof. Pieter Verster vir hierdie geleentheid om weer ’n keer na Suid-Afrika te kom, en deel te neem aan internasionale interaksie oor ’n tema wat uitermate belangrik is binne ons Indiese, asook die globale konteks vandag. Sending en bekering is ’n besonder brandende kwessie in hedendaagse Indië. Wat ek hier aanbied is ’n Indiese gevallestudie, met die doel om ’n globale verstaan van ons situasie teweeg te bring en ’n oproep om vennootskapsluiting te doen om die Indiese kerklike sending aan Indië, die grootste demokrasie op aarde vandag, te bevorder. Ten einde ons in ’n historiese perspektief in te lei oor die wyse waarop die sendinggeskiedenis in Indië ontwikkel het, en om die status van bekering in die Indiese situasie te bestudeer, sal ek die gegewens kronologies-omlynd aanbied

The Church’s Response to the HIV/AIDS Epidemic in India

I gratefully remember working with Reverend Charles in a rehabilitation centre in the US and later with my HIV-positive friends in India. Their laughter, courage and resilience reminded me that it is not they who are HIV-positive but it is we who are all HIV-positive. In this article I would like to reflect on the cultural context of HIV/AIDS in India, its prevalence and the Church’s response to this epidemic

Towards a Distributed Systems Model based on Multi-Agent Systems for Reproducing Self-properties

271-288 p. :ilustraciones, libro electrónicoEn este capítulo, presentamos un modelo preliminar de un sistema distribuido (algunos los algoritmos y principios están modelados) que ha sido inspirado por sistemas multi-agentes. Los agentes pueden comunicarse de manera local y establecer una cooperación.Capítulo 11In this chapter, we introduce a preliminary model of a distributed system (some algorithms and principles are modelled) which has been inspired by multi-agent systems. Agents can communicate in a local fashion and establish a cooperation process in order to compute some desired functions as a traditional distributed system, producing an output that is transparent to an end user. Each agent can sense new information, and acts following certain information in a decentralized way. As a result, the output of the implemented functions achieves the same result as a traditional distributed system by using local behaviours. Finally, we show that it is possible to define crashes in the proposed model in a local, natural and easy way. The purpose of doing this is to use this simulated model to introduce behaviours to agents that allow the system to recover from failures by itself, in turn, achieving self-* properties.ISBN: 978958580477