Superior mesenteric artery syndrome presenting with acute massive gastric dilatation

A 14-year-old girl presenting with acute massive gastric dilatation secondary to duodenal obstruction by the superior mesenteric artery is described. The diagnosis was facilitated by contrast-enhanced abdominal computerized tomography. She was successfully treated by gastrostomy and subsequent duodenal derotation. This unique presentation of the superior mesenteric artery syndrome is discussed.     

The significance of gastric helicobacteriosis in the genesis hemorrhage from duodenal peptic ulcer

Based on a comprehensive analysis of findings from examination and surgical treatment of 196 patients with bleeding pyloroduodenal ulcers, it was found out that patients with concurrent helicobacteriosis of the stomach are prone to more unfavourable course of their illness, which fact is evidenced by a greater loss of blood and higher risk for bleeding recurrences. A classification is proposed by the authors, taking advantage of the data from endoscopic, microscopic and immunoenzymatic techniques, with the purpose of providing an assessment of degree of severity of helicobacteriosis of the stomach.     

Epidemiology of toxic shock syndrome toxin-1 production in Staphylococcus aureus strains isolated in Denmark between 1959 and 1990

A total of 436 Staphylococcus aureus bacteremia strains isolated between 1959 and 1990 were tested for the production of toxic shock syndrome toxin-1 (TSST-1) by a semiquantitative reversed passive latex agglutination test. TSST-1 production was found in 147/260 (57%) of phage group I strains, excluding the "80" complex, and in 17/176 (10%) of non-group I strains. Strains of the 52, 52A, 80, 81 complex ("80" complex), constituting a subgroup of group I, did not have the same high frequency of TSST-1 production as the rest of group I strains (4% versus 57%). The "80" complex has almost disappeared in Denmark. TSST-1 production was found with the same high frequency among group I strains from the beginning (1959) and throughout the observation period. The TSST-1 production was associated with the phages 29 and/or 52, which in turn lysed 95% of group I strains. The TSST-1 production was quantitatively greater in the phage group I strains than in the non-group I strains. TSST-1 production of the bacteremia strains was not correlated to the clinical parameters: mortality, age, gender, bacterial focus, underlying diseases, or whether the infection was hospital or community acquired.     

Somatic mosaicism in a patient with neurofibromatosis type 1

Using loss of heterozygosity analysis, a method designed to detect moderate to large gene deletions, we have identified a new-mutation neurofibromatosis type 1 (NF1) patient who is somatically mosaic for a large maternally derived deletion in the NF1 gene region. The deletion extends at least from exon 4 near the 5' end of the gene to intron 39 near the 3' end. The gene-coding region is, therefore, mostly or entirely deleted, encompassing a loss of > or = 100 kb. We hypothesize that the deletion occurred at a relatively early developmental timepoint, since signs of NF1 in this patient are not confined to a specific body region, as seen in "segmental" NF, and since both mesodermally and ectodermally derived cells are affected. This report provides the first molecular evidence of somatic mosaicism in NF1 and, taken together with a recent report of germ-line mosaicism in NF1, adds credence to the concept that mosaicism plays an important role in phenotypic and genetic aspects of NF1 and may even be a relatively common phenomenon.     

Classification for predicting offender affiliation with murder victims

The National Incident-Based Reporting System (NIBRS) is used by law enforcement to record a detailed picture of crime incidents, including data on offenses, victims and suspected arrestees. Such incident data lends itself to the use of data mining to uncover hidden patterns that can provide meaningful insights to law enforcement and policy makers. In this paper we analyze all homicide data recorded over one year in the NIBRS database, and use classification to predict the relationships between murder victims and the offenders. We evaluate different ways for formulating classification problems for this prediction and compare four classification methods: decision tree, random forest, support vector machine and neural network. Our results show that by setting up binary classification problems to discriminate each type of victim–offender relationship versus all others good classification accuracy can be obtained, especially by the support vector machine method and the random forest approach. Furthermore, our results show that interesting structural insight can be obtain by performing attribute selection and by using transparent decision tree models.     

Optimization-based feature selection with adaptive instance sampling

Preprocessing the data to filter out redundant and irrelevant features is one of the most important steps in the data mining process. Careful feature selection may improve both the computational time of inducing subsequent models and the quality of those models. Using fewer features often leads to simpler and easier to interpret models, and selecting important feature can lead to important insights into the application. The feature selection problem is inherently a combinatorial optimization problem. This paper builds on a metaheuristic called the nested partitions method that has been shown to be particularly effective for the feature selection problem. Specifically, we focus on the scalability of the method and show that its performance is vastly improved by incorporating random sampling of instances. Furthermore, we develop an adaptive variant of the algorithm that dynamically determines the required sample rate. The adaptive algorithm is shown to perform very well when applied to a set of standard test problems.     

MODELLING OF MICROSTRUCTURE EVOLUTION AND PROPERTIES OF LOW-CARBON STEELS

1.IntroductionMicrostructureprocessmodelsareincreasinglyonhotstriprollingofste.l[1--7].Thesemodelsfrequentlyincorporateagreatdealofempiricismwithcomparativelytightprocessrangesofapplicability.Morefundamentallybasedprocessmodelsarerequiredtodeveloppredictivetoolstooptimizetheproductionforawiderangeofmilldesignsandprocessingconditions.Theprocessofhotstriprollingoflow--carbonsteelscanbesubdividedintothreeprin-cipalstages:(i)reheating,(n)rollingand(iii)cooling(watercoolingontherun--outtableandsubs…     

Successful innominate thromboembolectomy of a paradoxic embolus

A 54 year-old man had symptoms of acute right hemispheric cerebral ischemia. He was initially considered for participation in a trial of early thrombolysis in stroke, but an innominate artery embolus was found with no apparent arterial source. The embolus was removed by means of a combined brachial and carotid bifurcation approach to protect the cerebral vasculature from embolic fragmentation during extraction. Further investigation revealed deep venous thrombosis, evidence of pulmonary emboli, and a patent foramen ovale, supporting a diagnosis of paradoxic embolus. Additional treatment included anticoagulation and placement of an inferior vena caval filter. The unusual condition of paradoxic embolus is reviewed, and the management of this patient is discussed.     

Differential diagnosis of the transplant rejection and herpesvirus-related infections in kidney transplant recipients

An algorythm of differential diagnosis conduction of the transplant rejection reaction and the diseases caused by herpes viruses in recipients after the kidney transplantation was elaborated, basing on the analysis of results of the clinical, laboratory, immunological and serological examination methods.