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Contribution of endosonography in an uncommon case of pancreatic cysts

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World Journal of Gastrointestinal Endoscopy 2013年第10期5卷 519-522页

作者： Ana Lúcia sousa diamantino sousa Pedro Figueiredo Pedro Pinto Marques Horácio Guerreiro Department of Gastroenterology Hospital de Faro E.P.E. Department of Gastroenterology Hospital Garcia de Orta

Here we present the case of a 35-year-old female patient with long standing dyspepsia and imaging studies showing the presence of multiple cysts in the head and tail of the pancreas. The patient underwent endosonography that confirmed the presence of multiple simple cysts throughout the entirety of the pancreas without dilation of the pancreatic duct. The majority of the cysts were less than one centimeter in size, and the largest cyst showed a honeycomb *** of aspirates from the two largest cysts was compatible with benign pancreatic cysts. Endosonography also revealed cysts within the left kidney and spleen. Genetic testing confirmed Von Hippel-Lindau disease. We highlight this case because it is unusual for Von Hippel-Lindau disease, a rare clinical entity, to present solely with cysts in the absence of more common manifestations, such as hemangioblastomas in the central nervous system and malignancy.

关键词： Von Hippel-Lindau disease Endosonography Pancreatic cysts Hereditary disease Cysts

Managing spondylitis tuberculosis in a patient with underlying diabetes and hypothyroidism:A case report

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World Journal of Clinical Cases 2022年第21期10卷 7451-7458页

作者： Bernadette Dian Novita Ari Christy Muliono Sumi Wijaya Imelda Theodora Yudy Tjahjono Vincentius diamantino Supit Vincentius Michael Willianto Department of Pharmacology and Therapy Faculty of MedicineWidya Mandala Surabaya Catholic UniversitySurabaya 60113East JavaIndonesia Department of Internal Medicine Faculty of MedicineWidya Mandala Surabaya Catholic UniversitySurabaya 60113Indonesia Department of Internal Medicine Premier Surabaya HospitalSurabaya 60111Indonesia Department of Internal Medicine Gotong Royong Surabaya HospitalSurabaya 60110Indonesia Faculty of Pharmacy Widya Mandala Surabaya Catholic UniversitySurabaya 60113Indonesia Department of Pathology Anatomy Faculty of MedicineWidya Mandala Surabaya Catholic UniversitySurabaya 60113Indonesia Department of Emergency Medicine Gotong Royong Surabaya HospitalSurabaya 60110Indonesia Department of General Medicine Faculty of MedicineWidya Mandala Surabaya Catholic UniversitySurabaya 60113Indonesia

BACKGROUND Tuberculosis(TB)remains one of the highest Asia’s health *** TB in diabetes mellitus(DM)and hypothyroidism patients is a rare case of extrapulmonary ***,there is a lack of therapeutic guidelines to treat spondylitis TB,particularly with type 2 DM(T2DM)and hypothyroidism as *** we present a case of spondylitis TB with T2DM and hypothyroidism in a relatively young patient and its therapeutic *** SUMMARY We report the case of a 35-year-old male patient from Surabaya,*** on anamnesis,physical examination,and magnetic resonance imaging,the patient has been categorized in stage II of spondylitis TB with grade 1 ***,the patient also had a high HbA1c level,high thyroid stimulating hormone,and low free T_(4)(FT_(4)),which indicated T2DM and hypothyroidism.A granulomatous process was observed in the histopathological *** antituberculosis drugs isoniazid and rifampicin were *** addition,insulin,empagliflozin,and linagliptin were given to control hyperglycemia conditions,and also levothyroxine to control *** The outcome was *** patient was able to do daily activities without pain and maintained normal glycemic and thyroid *** such cases,we recommend the treatment of spondylitis TB by spinal surgery,together with T2DM and hypothyroidism therapies,to improve the patients’*** early and non-invasive diagnoses and therapy are necessary.

关键词： Spondylitis tuberculosis Type 2 diabetes mellitus Hypothyroidism Case report

Turbulent Energy Budgets of a Ground Vortex Flow

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Journal of Mechanics Engineering and Automation 2013年第5期3卷 311-324页

作者： Jorge M.M. Barata Pedro J.C.T. Santos André R.R. Silva diamantino F.G. Durāo Dept. of Aerospace Science University of Beira Interior Covilhgā 6200-001 Portugal Lusiada Institute for Research and Development Universidade Lusiada Lisbon 1349-001 Portugal

Turbulent kinetic energy budgets are presented for a highly curved flow generated by the collision of plane wall turbulent jet with a low-velocity boundary layer. The different terms are obtained in the vertical plane of symmetry by quadratic interpolation of the LDV （Laser Doppler Velocimetry） measurements, for a wall jet-to-boundary layer velocity ratio of 2. The results, which have relevance to flows encountered in powered-lift aircraft operating in ground effect, quantify the structure of the complex ground vortex flow. The analysis of turbulent energy equation terms using the measured data revealed that production by normal and shear stresses are both very important to the turbulent structure of the impact zone of the ground vortex. This is an indication that the modeling of turbulence of a ground vortex requires a good representation of the production by normal stresses which is most important in the collision zone.

关键词： V/STOL (vertical/short take-off and landing) ground vortex turbulence complex flows.

Laser Doppler Measurements of Twin Impinging Jets Aligned with a Crossflow

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Journal of Physical Science and Application 2014年第7期4卷 403-411页

作者： Jorge M.M. Barata Pedro S.D. Carvalho Femando M.S.P. Neves1, Andr6 R.R. Silva1, Diana F.C. VieiraI anddiamantino F.G. Duro Andre R.R. Silva Diana F.C. Vieira diamantino F.G. Durao Departmentof Aerospace Sciences University of Beira Interior Covilha 6200-001 Portugal Instituto Lusiada de Investigacao e Desenvolvimento Universidade Lusiada Lisbon 1349-001 Portugal

This paper presents a detailed analysis of the complex flow beneath two impinging jets aligned with a low-velocity crossflow which is relevant for the future F-35 VSTOL configuration, and provides a quantitative picture of the main features of interest for impingement type of flows. The experiments were carried out for a Reynolds number based on the jet exit conditions of Rej = 4.3 × 10^4, an impingement height of 20.1 jet diameters and for a velocity ratio between the jet exit and the crossflow VR = V/Uo of 22.5. The rear jet is located at S = 6 D downstream of the first jet. The results show a large penetration of the first （upstream）jet that is deflected by the crossflow and impinges on the ground, giving rise to a ground vortex due to the collision of the radial wall and the crossflow that wraps around the impinging point like a scarf. The rear jet （located downstream） it is not so affected by the crossflow in terms of deflection, but due to the downstream wall jet that flows radially from the impinging point of the first jet it does not reach the ground. The results indicate a new flow pattern not yet reported so far, that for a VSTOL aircraft operating in ground vicinity with front wind or small forward movement may result in enhanced under pressures in the aft part of the aircraft causing a suction down force and a change of the pitching moment towards the ground.

关键词： VSTOL ground vortex turbulence complex flows.