Lymphangioma is a malformation composed of a mass of dilated lymph vessels typically found in the cervical region in children. Mediastinal lymphangioma is a rare condition and accounts for 0.01% to 4.5% of all mediastinal tumors. Only 4 cases of mediastinal lymphangioma involving the heart and great vessels in adults have been described in the available literature. Extremely rarely, lymphangiomas occur as a generalized lymphangiomatosis. We present a case of a woman who coughed up small amounts of fresh blood during 6 months and showed signs of cardiac failure. Several years previously, the patient underwent surgical removal of cystic lymphangiomas from the left ovary, both fallopian tubes and small intestine. A chest radiograph showed an 8-cm round shadow located in the middle lobe. A computerized tomography (CT) scan of the chest with contrast verified the existence of a cyst in the anterior mediastinum. The radiologist suggested that the cyst could have originated in the pericardium. One small cyst also appeared in the projection of the left cardiophrenic sinus. A CT scan with contrast of the patient’s abdomen showed multiple cystic formations in the liver, spleen, kidneys, and left parapelvic region. A fine-needle biopsy of the mediastinal tumor verified the cystic lymphangioma, which was then completely removed surgically. A pathohistological examination confirmed the existence of cystic lymphangioma. The patient was discharged after a period of recovery.

This study evaluated brain natriuretic peptide (BNP) release in acute myocardial infarction (AMI), absolute values as well as pattern of its release. There are two different patterns of BNP release in AMI; monophasic pattern--concentration in the first measurement is higher than in the second one, and biphasic pattern--concentration in the first measurement is lower than in the second one. We observed significance of biphasic and monophasic pattern of BNP release related to diagnostic and prognostic value. We included in this prospective observational study total of 75 AMI patients, 52 males and 23 females, average age of 62.3 +/- 10.9 years with range of 42 to 79 years. BNP was measured and pattern of its release was evaluated. In AMI group BNP levels were significantly higher than in controls (462.88 pg/mL vs. 35.36 pg/mL, p < 0.001). We found statistically significant real negative correlation (p < 0.05) between BNP concentration and left ventricle ejection fraction (LVEF) with high correlation coefficient (r = -0.684). BNP concentrations were significantly higher among patients in Killip class II and III compared to Killip class I; Killip class I BNP = 226.18 pg/mL vs. Killip class II 622.51 pg/mL vs. Killip class III 1530.28 pg/mL, p < 0.001. BNP concentrations were significantly higher in patients with; (i) myocardial infarction vs. controls; (BNP 835.80 pg/mL vs. 243.03 pg/mL); (ii) in pts with positive major adverse cardiac events (MACE) vs. negative MACE (BNP 779.08 pg/mL vs. 242.28 pg/mL, p < 0.001); (iii) in pts with positive compared to negative left ventricle (LV) remodelling (BNP 840.77 pg/mL vs. 341.41 pg/mL, p < 0.001). Group with biphasic pattern of BNP release had significantly higher BNP concentration compared to monophasic pattern group. In biphasic pattern group we found significant presence of lower LVEF, Killip class II and III, LV remodelling and MACE. We found that BNP is strong marker of adverse cardiac events in patients presenting with a myocardial infarction. In our AMI group we found significant elevation of BNP and it is suspected that second peak secretion is not only due to systolic dysfunction and subsequent remodeling of LV but also due to impact of ischaemia. Patients with biphasic pattern probably have worse prognosis due to severe coronary heart disease. Besides its diagnostic role as a simple blood marker of systolic function, BNP is also important prognostic marker who helps making clinical decision about early invasive vs. conservative management.

Goal was to compare the results of surgical and non-surgical treatments of combat injuries of genitourinary system and to compare our data with data collected in the recent studies. The study was designed as a retrospective review of data collected in prospective databases. The data extracted from inpatients' medical records included demographics, mechanisms and type of injury, distribution of the lesions, clinical presentation features, applied diagnostic studies, treatment modalities, types of complication and results of treatment. Among 4.125 patients treated in the Mostar War Hospital, 111 had injury of genitourinary tract: 62 underwent a surgical and 49 non-surgical treatment. Mortality among operated patients was 16 (26%). Complications were noted in 47 patients (42%); in 33 (70%) were manifested as early complications, and 14 (30) as delayed ones (p = 0.006). Among the surgically treated patients, 40 (36%) had some complication, in comparison to 8 (7.2%) patients with complications among non-surgically treated patients; which represent a statistically significant difference (p < 0.05). In this study, there was a surprisingly high number of non-surgically treated patients, and this sub-group of UGT trauma patients had in some ways the superior treatment results in comparison with surgically treated patients. Conservatively treated patients had lower rate of complications, no mortality, and no patients with permanent disability.

The mildest inflammatory changes postoperatively were found in the staple group followed by those in the Hem-O-Lok group.

This paper describes the design and initial evaluation of Dewey, a do-it-yourself (DIY) robot prototype aimed to help users manage break-taking in the workplace. We describe the application domain, prototyping and technical implementation, and evaluation of Dewey in a real office environment to show how research using simple prototypes can provide valuable insights into user needs and practices at the early stages of socially assistive robot design.

Dynamic Contrast-Enhanced Magnetic Resonance Imaging (DCE-MRI) is becoming an indispensable tool to non-invasively study tumor characteristics. However, many different DCE-analysis methods are currently being used. To compare and validate different methods, histology is the gold standard. For this purpose, exact co-localization between histology and MRI images is a prerequisite. In this study a methodology is developed to validate DCE-data with histology with an emphasis on correct registration of DCE-MRI and histological data. A pancreatic tumor was grown in a rat model. The tumor was dissected after MR imaging, embedded in paraffin, and cut into thin slices. These slices were stained with haematoxylin and eosin, digitized and stacked in a 3D volume. Next, the 3D histology was registered to ex-vivo SWI-weighted MR images, which in turn were registered to in-vivo SWI and DCE images to achieve correct co-localization. Semi-quantitative and quantitative parameters were calculated. Preliminary results suggest that both pharmacokinetic and heuristic DCE-parameters can discriminate between vital and non-vital tumor regions. The developed method offers the basis for an accurate spatial correlation between DCE-MRI derived parametric maps and histology, and facilitates the evaluation of different DCE-MRI analysis methods.

We declare no conflict of interest. Systematic reporting of infectious diseases by health workers and laboratories provides basic data needed for evaluating public health conditions.1 Primary care physicians (n = 277) involved in routine infectious disease reporting were involved in this study aiming to determine their attitudes towards infectious disease reporting and to measure their medical knowledge, which is important for infectious disease notification. Most of the incorrect answers towards knowledge on diagnoses registered in Autonomous Province of Vojvodina in the previous year were related to tetanus (61.0% incorrect answers – examinees thought the disease was not notified in the previous year at all); psittacosis (59.2%); Q fever (56.1%); hemorrhagic fever with renal syndrome (54.1%); brucellosis (44.0%); and leptospirosis (38.4%). All of these diseases are zoonosis and all of them require hospitalization and can be fatal. Lyme’s disease is widespread in AP Vojvodina. Yet, 14.4% of physicians were not aware of the prevalence of Lyme’s disease. With regards to unregistered infectious diseases in the AP Vojvodina in the previous year (and in many cases, even decades back), the most incorrect answers were related to measles (41.5%) and pertussis (19.1%). There was a single case of measles reported in the AP Vojvodina since 2000 with the exception of the measles outbreak in 2007 (22 cases). Cases of pertussis are diagnosed very rarely and not every year. On the other hand, it must be mentioned that more than 8% of physicians thought that diphtheria was still present in Vojvodina (it was eliminated in 1976), and about 5% of physicians thought human rabies was still present in Vojvodina (was eliminated in 1964).The worst results for familiarity with diseases that require mandatory reporting were obtained for congenital rubella syndrome (40.1% of incorrect answers), followed by streptococcal pneumonia, diseases caused by H. influenzae, lambliasis, and abdominal typhus. Closer collaboration and improved communication between public health officials and primary health physicians, and the appointment of personnel dedicated to the notification and reporting of infectious diseases in addition to improved training of primary care physicians could advance infectious disease reporting and thus increase infectious disease surveillance.2,3,4 [Braz J Infect Dis 2011;15(2):188]©Elsevier Editora Ltda.