Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman's Disease) as cause of isolated hilar lymphadenopathy and complete remission after high dose steroid

Rosai-Dorfman's Disease, also known as sinus histiocytosis with massive lymphadenopathy (SHML), is a rare histiocytic proliferative disorder and a distinct clinico-pathological feature of unknown origin. Painless cervical lymphadenopathy is the most common clinical presentation. Different treatment modalities have been tried with variable responses, however, there is no consensus on the best modality of treatment. Here, we present a case report of SHML causing isolated hilar lymphadenopathy with complete remission for more than 6 years, after a short course of high dose steroid (dexamethasone 20 mg daily for 3 days).     

HPLC和络合-UV法测定特非那丁颗粒剂的含量

目的：用ＨＰＬＣ和电荷转移络合ＵＶ法分别测定特非那丁粒剂的含量,并对测定结果进行比较,方法：ＨＰＬＣ法,色谱柱：ＳｐｈｅｒｉｓｏｒｂＣ８（１５０＊４．６ｍｍ,５μｍ）;流动相：甲醇－０．１ｍｏｌ／Ｌ三乙胺磷酸缓冲液（８０：２０）,检测波长２３５ｎｍ。电荷转移络合ＵＶ法,利用碘与ＴＦＮ在氯仿中形成电荷转移络合物的原理,在紫外２９４ｎｍ的波长处测定ＴＦＮ的含量。结果：两法测定的线性范围和平均回收率分别     

治疗性单克隆抗体药动学相互作用的风险评估策略

生物制剂可用于治疗各种疾病,包括肿瘤、风湿、胃肠道疾病、皮肤科疾病、呼吸道疾病、激素缺乏症和感染。尽管近来批准了很多生物制品,但有关其药物间相互作用临床研究还不多。单克隆抗体是最主要的一类治疗性生物制品,本文介绍评价其药物间相互作用的风险评估策略,指出了评估中的关键因素,并建议将相互作用风险评估作为治疗性生物制品综合药物开发的一部分。     

Ovarian abnormality in a pathological case caused by <Emphasis Type="Italic">Myxidium</Emphasis> sp. (Myxozoa,Myxosporea) in onespot snapper fish <Emphasis Type="Italic">Lutjanus monostigma</Emphasis> (Teleostei,Lutjanidae) from the Red Sea

To date, Myxidium elmatboulii Ali, Abdel-Baki et Sakran, 2006 (Myxozoa, Myxosporea) is the only species of the genus known from the Red Sea, and was originally described as a coelozoic parasite in the gall bladder of the belonid fish, Tylosurus choram. A Myxidium sp. closely similar to M. elmatboulii is described herein for the first time as a histozoic parasite in the ovary of the onespot snapper fish, Lutjanus monostigma (Teleostei, Lutjanidae) from the Red Sea coast of Saudi Arabia. The infected ovary was morphologically abnormal, with two protruding digitiform black cysts at its distal end, densely packed with mature plasmodia suspended in a mucoid liquid. Histological examination revealed that the cysts were extended deeply within the ovary, and each was surrounded by a capsule consisting of a relatively thick layer of fibrous connective tissues of host origin (host tissue reaction), and followed internally by a distinct black layer composed of melanomacrophages encircling the parasite mass; this layer clearly indicates the ability of this myxosporean parasite to induce a strong immune inflammatory response in the ovary of L. monostigma. Many small or developing cysts with the same characteristics were seen scattered in the connective tissue between the ovarian follicles. Plasmodia or spores of the parasite were not seen within the oocytes or within its developmental stages. The cysts occupied a considerable part of the ovary, and some areas of the ovarian tissues appeared to be vacuolated or degenerated. Thus, the typical ovarian structure of L. monostigma was greatly affected and lost its normal architecture. Therefore, the infection caused by this Myxidium sp. is presumed to negatively affect the reproductive capacity of the fish host.     

Advance medical directives: a proposed new approach and terminology from an Islamic perspective

Advance directives are specific competent consumers’ wishes about future medical plans in the event that they become incompetent. Awareness of a patient’s autonomy particularly, in relation to their right to refuse or withdraw treatment, a right for the patient to die from natural causes and interest in end of life issues were among the main reasons for developing and legalizing advance medical directives in developed countries. However, in many circumstances cultural and religious aspects are among many factors that can hamper implementation of advance directives. Islam and Muslims in general have a good understanding of death and dying. Islam allows the withholding or withdrawal of treatments in some cases where the intervention is considered futile. However, there is lack of literature and debate about such issues from an Islamic point of view. This article provides the Islamic perspective with regards to advance medical directive with the hope that it will generate more thoughts and evoke further discussion on this important topic.     

Factors associated with delivery complications in rural Bangladesh

Objectives There are only a few studies on maternal morbidity, delivery complications and maternal mortality in Bangladesh. This study analyzes data from a follow-up study conducted by the Bangladesh Institute of Research for Health and Technologies (BIRPERHT) on maternal morbidity in rural Bangladesh in 1993. Methods A total of 1020 pregnant women were interviewed in the follow-up component of the study. The survey collected information on socioeconomic and demographic characteristics, pregnancy-related care and practice, morbidity during the period of follow-up as well as in the past, information concerning complications at the time of delivery and during the postpartum period. For the purpose of this study, we selected 993 pregnant women with at least one antenatal follow-up. Both bivariate and multivariate analyses were conducted to identify the potential risk factors for complication during delivery and duration of labor. Results and conclusions It appears that complications during the antenatal period can result in various complications at the time of delivery. Some of the important findings are: hemorrhage during the antenatal period increases the risk of excessive hemorrhage during delivery, the risk of obstructed labor increases significantly if abdominal pain is observed during the antenatal period, prolonged labor appears to be significantly higher for the first pregnancy, and pregnancies suffering from abdominal pain during pregnancy tend to have a higher risk of prolonged labor during delivery. The duration of labor appears to be negatively associated with the number of previous pregnancies, being longest for the first pregnancies. The duration of labor pain is significantly higher for the respondents who reported the index pregnancy as undesired, and, similarly, the respondents who were reported to be involved with gainful employment would have a shorter duration of labor pain than those having no involvement with gainful employment.