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Refractory Ascites Revealing an Ovarian Yolk Sac Tumor with Intraperitoneal Rupture

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Open Journal of Pathology 2023年第2期13卷 93-99页

作者： Vahatra Joëlle Razafimahefa Herilalao elisabeth Razafindrafara Tojo Rémi Rafaralahivoavy Tsitohery Francine Andriamampionona Nantenaina Soa Randrianjafisamindrakotroka Department of Pathology CHU Andrainjato Fianarantsoa Madagascar Department of Pathology Soavinandriana Hospital Center Antananarivo Antananarivo Madagascar Department of Radiology CHU Andrainjato Fianarantsoa Madagascar Department of Pathology Medical School of Antananarivo Antananarivo Madagascar

Yolk sac tumors of the ovary are rare entities that account for 2% - 5% of all ovarian tumors. They represent the second most common histological variant of malignant germ cell tumors of the ovary after dysgerminomas. Yolk sac tumors are most commonly encountered in women in the second and third decades. Microscopically, they are highly polymorphic and can present in a pure form or associated with another contingent of germ cell tumor. We report the case of a 26-year-old woman, who underwent surgery for a large right ovarian tumor rupturing into the peritoneal cavity. The ovarian tumor was revealed by ascites of great abundance and abdomino-pelvic pain. On histological examination, the diagnosis of yolk sac tumor in its pure and polyvesicular vitelline pattern was made. Through this observation, we propose to discuss the anatomoclinical particularities of these tumors by emphasizing the importance of histology for the diagnosis as well as the need of an early and appropriate management.

关键词： Germ Cell Tumor Yolk Sac Tumor Ovary Abdominal Distension Schiller-Duval Ascite

急性肾损伤和肝肾综合征:肝硬化中肾功能异常的综述

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Gastroenterology Report 2017年第2期5卷 127-137,I0002页

作者： Theresa Bucsics elisabeth Krones Division of Gastroenterology and Hepatology Department of Internal Medicine IIIMedical University of ViennaViennaAustria Vienna Hepatic Hemodynamic Laboratory Medical University of ViennaViennaAustria Division of Gastroenterology and Hepatology Department of Internal MedicineMedical University of GrazGrazAustria

肾功能异常是肝硬化的常见并发症,对临床表现和预后有着极为重要的影响。肝硬化患者易出现急性肾损伤(AKI);肝肾综合征(HRS)则是肾功能异常的一种特殊类型。肾前性AKI、肝肾综合征型AKI(HRS-AKI,以往称为1型)和急性肾小管坏死(ATN)是肝... 详细信息

肾功能异常是肝硬化的常见并发症,对临床表现和预后有着极为重要的影响。肝硬化患者易出现急性肾损伤(AKI);肝肾综合征(HRS)则是肾功能异常的一种特殊类型。肾前性AKI、肝肾综合征型AKI(HRS-AKI,以往称为1型)和急性肾小管坏死(ATN)是肝硬化中AKI最常见的类型。由于治疗策略不同,准确区分这些AKI类型是必要的。血浆容量扩张治疗对肾前性AKI有较好的效果,但HRS-AKI和ATN病死率较高,需要不同的治疗措施。最近,一些诊断标准(如以2.5mg/dL为界值的血肌酐水平诊断HRS-AKI)已被摒弃,用以HRS-AKI及其他类型的AKI进行早期诊断和治疗的新的尿液标志物则成为了研究热点。本文从病理生理、诊断、治疗策略方面对HRS-AKI与其他类型AKI的临床差异进行了全面探讨。

关键词：肝硬化急性肾损伤肝肾综合征

Influence of Climate Change on Winter Wheat Growth in North China During 1950-2000

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Acta meteorologica Sinica 2005年第4期19卷 501-510页

作者：宋艳玲 elisabeth SIMELTON 陈德亮董文杰 Laboratory for Climate Studies of China Meteorological Administration National Climate Center Beijing 100081 China Regional Climate Group Earth Sciences Centre Gteborg University Sweden Laboratory for Climate Studies of China Meteorological Administration National Climate Center Beijing 100081 China Regional Climate Group Earth Sciences Centre Gteborg University Sweden

The crop model World Food Studies (WOFOST) was tuned and validated withmeteorological as well as winter wheat growth and yield data at 24 stations in 5 provinces of NorthChina from 1997 to 2003. The parameterization obtained by the tuning was then used to model theimpacts of climate change on winter wheat growth for all stations using long-term weather data from1950 to 2000. Two simulations were made, one with all meteorological data (rainfed) and the otherwithout water stress (potential). The results indicate that the flowering and maturity datesoccurred 3.3 and 3 days earlier in the 1990s than that in the 1960s due to a 0.65℃ temperatureincrease. The simulated rainfed yields show that the average drought induced yields (potential minusrainfed yields) have decreased by 9.7% over the last 50 years. This is to be compared with a 0.02%decrease in yield if the precipitation limit is lifted. Although the precipitation during thegrowing season has decreased over the last 50 years, the drought effects on the rainfed yieldsremained to be practically unchanged as the spring precipitation did not decrease markedly.

关键词： crop growth model world food studies (WOFOST) climate change winter wheat north China

TeachingmA Way of Implementing Statistical Methods for Ordinal Data to Researchers

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Journal of Mathematics and System Science 2012年第1期2卷 8-12页

作者： elisabeth Svensson Department of Statistics Orebro University Orebro SE- 701 82 Sweden

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Als der Krieg kam

德语学习 2009年第1期 12-15页

作者： elisabeth Borchers

Als der Krieg kam, war ich sehr stolz auf den Krieg. Vater war von einem Tag auf den anderen ein Hauptmann geworden. Der Rock seiner Uniform fiel schwer und glatt, die Stiefel hatten so weiche Falten, und blankgeputzt lag das Silber auf der weiβen Kommode. Ich mochte gern neben ihm hergehen, jeder Schritt war eilig und wichtig geworden. Es war August und schon Abend.

关键词： der Als der Krieg kam

Sperm banking before gonadotoxic treatment:is it worth the effort?

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Asian Journal of Andrology 2021年第5期23卷 490-494页

作者： Kilian Vomstein elisabeth Reiser Germar M Pinggera Peter Toerzsoek Susanne Deininger Thomas Kriesche Wolfgang Biasio Lukas Lusuardi Bettina Toth Department of Gynecological Endocrinology and Reproductive Medicine Medical University InnsbruckInnsbruck 6020Austria Department of Urology Medical University InnsbruckInnsbruck 6020Austria Department of Urology and Andrology University Hospital of SalzburgSalzburg 5020Austria

We aimed to compare the sperm quality in different cancer types and benign diseases before gonadotoxic treatment,and assess the usage rate of cryopreserved sperm for assisted reproductive treatment(ART).This retrospective study was conducted at two university clinics between January 2008 and July 2018.A total of 545 patients suffering from cancer or benign diseases were included in the *** pretreatment sperm analyses were based on the World Health Organization(WHO)*** with testicular malignancy(TM)showed a significantly lower sperm count(median[interquartile range]:18.7×10^(6)[5.3×10^(6)-43.0×10^(6)]ml^(-1);P=0.03)as well as total sperm count(42.4×10^(6)[13.3×10^(6)-108.5×10^(6)]per ejaculate;P=0.007)compared to other malignant and benign *** addition,patients with nonseminomatous TM showed the lowest sperm count(14.3×10^(6)[6.0×10^(6)-29.9×10^(6)]ml^(-1),vs seminomas:16.5 x 106[4.6×10^(6)-20.3×10^(6)]ml^(-1);P=0.001).With reference to the WHO 2010 guidelines,approximately 48.0%of the patients with TM and 23.0%with hematological malignancies(HM)had *** the observation period,only 29 patients(5.3%)used their frozen sperms for 48 ART cycles,resulting in 15 clinical pregnancies and 10 live *** sperm quality varies with the type of underlying disease,with TM and HM patients showing the lowest sperm *** to the observed low usage rate of cryopreserved sperm,further patient interviews and sperm analyses should be included in the routine oncologic protocols to avoid unnecessary storage ***,sperm banking is worth the effort as it provides hope for men who cannot reproduce naturally after gonadotoxic treatment.

关键词： cryopreservation fertility gonadotoxic treatment sperm count testicular disease

Demons-Meigs Syndrome with a High CA 125 Level: A Case Report at Soavinandriana Center Hospital Antananarivo

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Open Journal of Pathology 2023年第2期13卷 73-78页

作者： Razafindrafara Herilalao elisabeth Razafimahefa Vahatra Joëlle Rakotondrainibe Fenohery Nalisoa Randimbinirina Zakarimanana Lucas Rabarison Manoahasina Ranaliarinosy Randrianjafisamindrakotroka Nantenaina Soa Department of Pathology Soavinandriana Center Hospital (CENHOSOA) Antananarivo Madagascar Department of Pathology University Hospital Andrainjato Fianarantsoa Madagascar Department of Pathology Anosiala University Hospital Antananarivo Madagascar Department of Surgery Soavinandriana Center Hospital (CENHOSOA) Antananarivo Madagascar Department of Pathology Joseph Ravoahangy Andrianavalona University Hospital Antananarivo Madagascar

Introduction: Demons-Meigs syndrome combines a benign tumor of the ovary with ascites and pleural effusion. It is a rare disease and the pathophysiological mechanism is not yet well understood. The aim of our study is to report a case of Demons-Meigs syndrome, to determine its different characteristics and to make clinicians aware of the malignant predictive value of CA 125 in front of an ovarian tumor. Observation: The patient was 42 years old and had no previous history. She presented with intense abdominal pain of sudden onset, prompting a medical consultation. On clinical examination, the abdomen was distended with signs of peritoneal effusion and right pleural effusion. Ultrasound revealed a well-circumscribed, ovarian mass with an internal fluid component and hypervascularization on Doppler. The CA 125 level was elevated (293.9 U/ml). Exploratory laparotomy revealed two bilateral, firm, solid ovarian tumors without vegetation or peritoneal lesions. Macroscopically, one of the tumors was well circumscribed, lobulated with a smooth outer surface. It measured 20 × 17 × 8 cm and weighed 1400 g. The other tumor measured 19 × 11 × 5 cm, weighed 1090 g and had the same characteristics as the other tumor. Histologically, both tumors were a proliferation of fibroblastic spindle cells organized in short intersecting or storiform bundles, without cyto-nuclear atypia or excess mitoses. The diagnosis retained was bilateral ovarian fibroma in the context of a Demons-Meigs syndrome. Conclusion: Demons-Meigs syndrome is a rare entity. The concomitant elevation of the CA 125 level is not always an indicator of ovarian cancer. The curative treatment is surgical based on tumor removal ensuring the disappearance of peritoneal and pleural effusions.

关键词： Ovarian Tumor Demons-Meigs Syndrome Ascite Pleural Effusion CA 125 Madagascar

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文化遗产与人类安全关联议题

中国文化遗产 2022年第4期110卷 110-111页

作者： Marie elisabeth Berg Christensen 赵毓西北大学文化遗产学院

世界范围内的冲突已经从围绕国家边界与领土的地缘政治冲突转向不断增加的、以文化价值为导向的文化标识和身份政治冲突。文化遗产被视为当代国际安全观念中不断热议的话题。文章通过概述关键的历史事件和危急情况，研究关于武装冲突中...

世界范围内的冲突已经从围绕国家边界与领土的地缘政治冲突转向不断增加的、以文化价值为导向的文化标识和身份政治冲突。文化遗产被视为当代国际安全观念中不断热议的话题。文章通过概述关键的历史事件和危急情况，研究关于武装冲突中的文化遗产保护观念的发展变化。研究表明，在二战之后尤其是冷战时期，保护文化遗产逐渐与构建和平、解决冲突、相互容忍、增强社会的韧性与复原力等目标相关联。

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Constructing Three-Phase Capillary Pressure Functions by Parameter Matching Using a Modified Ensemble Kalman Filter

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Communications in Computational Physics 2009年第6期6卷 24-48页

作者： Randi Holm Roland Kaufmann elisabeth Iren Dale Sigurd Aanonsen Gunnar E.Fladmark Magne Espedal Arne Skauge Centre for Integrated Petroleum Research/University of Bergen P.O.Box 78005020 BergenNorway

Usually extended two-phase capillary pressures are used in three-phase simulations,because three-phase capillary pressures are not possible or hard to *** this work three-phase capillary pressure surfaces are created by at pore network *** input parameters to this network model are found by matching two-phase capillary pressure *** matching is done with a slightly modified EnKF *** with three-phase capillary pressures are created and used as input to flow simulations.

关键词： Ensemble Kalman Filter(EnKF) three-phase porous media flow capillary pressure parameter matching