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Disseminated strongyloidiasis in an immunocompromised host:A case report

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Asian Pacific Journal of Tropical Biomedicine 2017年第6期7卷 587-590页

作者： Nurul Suhaiza Hassanudin Zubaidah Abdul Wahab Khalid Ibrahim Fadzilah Mohd nor Microbiology Unit Department of PathologyHospital Sg.Buloh Director Office Hospital Sg.Buloh Microbiology Discipline Faculty of MedicineUniversiti Teknologi MARASg.Buloh CampusJalan Hospital Integrative Pharmacogenomics Institute (iPROMISE) Level 7FF3Universiti Teknologi MARAPuncak Alam Campus

Infections caused by Strongyloides stercoralis(***) in human are generally asymptomatic,however in immunocompromised individual,hyperinfection may develop with dissemination of larvae to extra-intestinal *** diagnosis could be easily missed due to asymptomatic presentation and insufficient exposure towards the infection itself,which may lead to low index of suspicion as a *** this report,a case of a Malaysian male with underlying diabetes mellitus,hypertension,cerebrovascular accident,bullous pemphigus and syndrome of inappropriate antidiuretic hormone secretion who initially complained of generalized body weakness and poor appetite without any history suggestive of sepsis is ***,he developed septicemic shock later,and *** larvae was incidentally found in the tracheal aspirate that was sent to look for acid fast *** of aggressive resuscitation,the patient succumbed due to pulmonary hemorrhage and acute respiratory distress *** was revealed that the current case has alarmed us via incidental finding of *** larvae in the tracheal aspirate,indicating that the importance of the disease should be emphasized in certain parts of the world and population respectively.

关键词： Disseminated strongyloidiasis Immunocompromised host Hyperinfection Strongyloides stercoralis

Cystic Tumours of the Pancreas – a Rare and Diverse Type of Tumours

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Journal of Cancer Therapy 2012年第4期3卷 222-229页

作者： dag Hoem Asgaut Viste Department of Surgery Haukeland University Hospital Bergen Norway Department of Surgical Sciences University of Bergen Norway

Objective: Increasing incidence of non-inflammatory cystic lesions of the pancreas challenges work-up algorithms, surgery and surveillance. We have reviewed our experience with these tumours in accordance with International Consensus Guidelines and evaluated the outcome. Patients and Methods: From 1999 to 2009, 34 cases referred to Haukeland University Hospital were operated upon;ten were serous (SCN), twenty-one IPMNs, one MCN, and two solid pseudopapillary neoplasms (SPPN). A thorough medical history was supplemented by CT, MRI, and us before each case were discussed in a MDT to decide on the best subsequent care. Results: All SCN and SPPN patients had benign histopathology, and no deaths were reported. Survival for malignant IPMN was, 2 years: 75%, and 5 years: 67%, where after no deaths were registered in the observation period. Presence of jaundice had the highest impact on survival (p = 0.0009), followed by weight loss (p = 0.005) and dilatation of the common bile duct (p = 0.04). In the IPMN group two had pancreatic juice leakage, and reoperation was performed in one. Conclusions: All SCN turned out benign which justify a high threshold for resection unless unacceptable symptoms dominate. For branch duct IPMNs resections of asymptomatic and smaller lesions (<3 cm) should be avoided but kept under surveillance, whereas symptomatic and lager lesions together with main duct IPMNs lodge a substantial malignant potential and should be resected. Symptomatic or large SPPNs can be, or turn, malignant which require resection.

关键词： Cystic Pancreatic Tumours Incidentalomas Clinical Features Complications Prognostic Factors Survival

利用美国贝类观察和海底监视计划中的双壳类及沉积物中PCB浓度证实富营养化的可能影响

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AMBIO－人类环境杂志 2000年第4期29卷 245-251页

作者： N.Johan Persson Johan Axelman dag Broman 聂善明斯德哥尔摩大学环境研究所斯德哥摩大学环境研究所

为了探讨富营养化与疏水性有机污染物的可能相互作用,对3种双壳类及沉积物中的PCB农度(C_(PCB))数据进行了分析。它们与沉积物中的总有机碳含量(TOC_(sed))存在相关性,而后者被认为代表了采样点的营养状态。几乎所有双壳类干重及沉积物... 详细信息

为了探讨富营养化与疏水性有机污染物的可能相互作用,对3种双壳类及沉积物中的PCB农度(C_(PCB))数据进行了分析。它们与沉积物中的总有机碳含量(TOC_(sed))存在相关性,而后者被认为代表了采样点的营养状态。几乎所有双壳类干重及沉积物中的C_(PCB)均与TOC_(sed)呈正线性相关。就沉积物而言,这简单地反映了这些化合物与TOC的高度亲合性,而对双壳类来说,这种相关性则不易解释。双壳类中PCB的同源物浓度间的差值也与TOC_(sed)呈正线性相关。为查明这些野外数据,利用一个模型盒来模拟贫营养、中营养、富营养和超营养海洋环境中PCB的迁移转化。计算结果正确地定性预示出沉积物中C_(PCB)的变化。当水体中营养状态由贫营养上升至超营养状态时,此模型预示PCBs的逸散度下降,而不能解释野外研究数据中观测到的双壳类中C_(PCB)升高的现象。有人已经提出双壳类中PCB类型的变化可能受水体中藻类生长动态的影响。而这将有选择地加速低氯联苯的同源物从水体中流失,因而,使它们在双壳类中的浓度下降。

关键词：海底监视计划贝类双壳类 PCB 富营养比沉积物

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尼达洛斯主教座堂,一座历史纪念物的营造

住区 2014年第3期 7-16页

作者：达格·尼尔森许东明侯小青王韬挪威科技大学(NTNU)建筑与艺术学院挪威科技大学建筑与艺术学院

尼达洛斯主教座堂——挪威特隆赫姆的中世纪大教堂,规模与复杂程度在欧洲北陲罕见,其衰败与重建的历史精采纷呈,是显示过去150年保护与修复理论变化的活教材。今天,公众中鲜有人了解大教堂结构的很大一部分是现代重建。而于1869年开工前... 详细信息

尼达洛斯主教座堂——挪威特隆赫姆的中世纪大教堂,规模与复杂程度在欧洲北陲罕见,其衰败与重建的历史精采纷呈,是显示过去150年保护与修复理论变化的活教材。今天,公众中鲜有人了解大教堂结构的很大一部分是现代重建。而于1869年开工前,即有批评者告诫修复工程或将制造一个伪撰的纪念物。然而,(修复)工作予我们今天所见的精采室内效果则是基于对后来所发现墙垣断片的精心缀辑,呈现出其十三世纪时状况的真实可信印象。问题出现在没有发现残存遗迹的室外上部。这些部分留给后继建筑师想象,并受到持续争议。这是挪威最重要的历史纪念建筑,体现了国家象征意义的丰富多样性。对于十九世纪的国家建造者,该主教座堂被诠释为国家圣殿,代表着由强劲繁荣经衰落而又重新创建的国家历史。从构思重建基于缺乏佐证的类推,它继而成为一个与历史遗存相和谐的"诚实"建筑设计创造,而今天则可评价作一个建筑修复历史的纪念物。

关键词：特隆赫姆(尼达洛斯)主教座堂历史纪念物修复维护和维修真实性

急性髓细胞白血病微分化型流式细胞术免疫分型分析

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白血病．淋巴瘤 2008年第6期17卷 430-432页

作者：中美联合上海市白血病协作组中美联合上海市白血病协作组

目的探讨流式细胞术（FCM）检测免疫表型在诊断急性髓细胞白血病微分化型（AML—M0）中的意义。方法采用多色FCM分析14例AML—M0病例的各相关抗原表达情况。结果14例AML—M0中，仅1例依据骨髓细胞形态学作出诊断，其余13例均依靠FCM作... 详细信息

目的探讨流式细胞术（FCM）检测免疫表型在诊断急性髓细胞白血病微分化型（AML—M0）中的意义。方法采用多色FCM分析14例AML—M0病例的各相关抗原表达情况。结果14例AML—M0中，仅1例依据骨髓细胞形态学作出诊断，其余13例均依靠FCM作出明确诊断。在AML—M0中，髓系抗原CD33 14例（100％）表达阳性，CD13和CD117 9例（64％）表达阳性，CD34和HLA—DR12例（86％）表达阳性，一般成熟髓系相关抗原如CD16、CD10、CD14等均阴性，B和T淋巴细胞特异抗原如CD79a和CD3均为阴性，少数原始细胞表达细胞内髓过氧化物酶（MPO）、TdT。常常表达一些淋系但并不特异的抗原如CD7、CD2或CD19，但比淋巴细胞白血病表达的荧光强度弱。结论FCM免疫分型在AML—M0诊断中至关重要。

关键词：白血病粒细胞急性微分化型免疫分型