Reported herein is the case of a young gravid woman, who initially presented with vague systemic symptoms that evolved into a disseminated cryptococcosis, which was resistant to standard parenteral antifungal therapy and resulted in abortion. Experience from this case suggests that cryptococcal infection should be considered in the differential diagnosis of pregnant women presenting with vague systemic symptoms such as fever, abdominal pain, and generalized lymphadenopathy. (C) 2009 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.”
“Purpose: To explore how nurses experienced catastrophic upper gastrointestinal bleeding in hepatocellular
carcinoma (HCC) patients.
Methods: A qualitative descriptive method was used. Data were collected by semi- structured interviews. Twenty-one GSK2126458 ic50 registered nurses who had taken care of HCC patients with catastrophic upper gastrointestinal VX-661 nmr bleeding were purposely recruited from the Department of Hepatobiliary Cancer, Tianjin Medical University Cancer Institute and Hospital located in mainland China.
Results:
Four themes explicated from the study were: feelings expressed during the process of rescuing the lives of patients, feelings expressed from succeeding or failing to save the lives of patients, feelings expressed from family members response to nurses’ actions, the impact of the experience on the personal life, work and philosophy of life of the nurse subjects.
Conclusions: The findings of this study indicate that it is necessary for PCI-34051 cell line nursing leaders to take effective measures to improve nurses’ nursing skills, to provide more education in care of the dying, to offer nurses services that address their psychosocial health and to provide them with emotional support. (C) 2012 Elsevier Ltd. All rights reserved.”
“Objective. This study attempted to clarify whether differential immunocytokeratin expression occurs in cystic and epithelialized noncystic lesions.
Study
design. From January 2003 to June 2004, periapical surgery was carried out on 70 teeth, collecting 70 histologic samples. Serial sections of original histologic slices were prepared for immunostaining. The antibodies used were against cytokeratins CK7, AE1, AE3, AE1-3, and CAM52. The intensity of staining was evaluated as follows: 0 = no cells stained; 1 = weak staining (11%-25%); 2 = moderate staining (26%-75%); and 3 = intense staining (>= 76%).
Results. Ten epithelized granulomas and 6 cysts were included. Intense staining was seen for AE1 and AE1-3 in the 2 types of lesion; staining with AE3 was moderate for epithelized granulomas and cysts. CK7 demonstrated a light reactivity in the outermost epithelial layer. CAM52 showed weak staining for the epithelized granuloma and moderate for the cyst.
Conclusions.