Polyarteritis Nodosa, a vanishing vasculitis since its main cause has been identified

The polyarteritis nodosa is a vasculitis for which the main cause had been identified as hepatitis B, a chronic infectious disease inducing an overshooting immune reaction. Thanks to this discovery, the treatment of polyarteritis nodosa has changed from a symptomatic immunosuppressive therapy to a treatment strategy focusing on the disease inducing infectious agent. Vaccination against hepatitis B- virus has been instrumental in the reduction of the prevalence of polyarteritis nodosa. In case of the rare entity of polyarteritis nodosa without hepatitis B, only a symptomatic immunosuppressive therapy can be prescribed. The history of polyarteritis nodosa clearly illustrates that future research in the field of so called autoimmune diseases should focus on the causes rather than on the immunologic effector mechanisms and/or the symptomatic immunosuppressive therapy.

Herbrand Theorems for Substructural Logics

Herbrand and Skolemization theorems are obtained for a broad family of first-order substructural logics. These logics typically lack equivalent prenex forms, a deduction theorem, and reductions of semantic consequence to satisfiability. The Herbrand and Skolemization theorems therefore take various forms, applying either to the left or right of the consequence relation, and to restricted classes of formulas.

3D Conversion using Vanishing Points and Image Warping

We describe a user assisted technique for 3D stereo conversion from 2D images. Our approach exploits the geometric structure of perspective images including vanishing points. We allow a user to indicate lines, planes, and vanishing points in the input image, and directly employ these as constraints in an image warping framework to produce a stereo pair. By sidestepping explicit construction of a depth map, our approach is applicable to more general scenes and avoids potential artifacts of depth-image-based rendering. Our method is most suitable for scenes with large scale structures such as buildings.

Limit theorems for nondegenerate U-statistics of continuous semimartingales

This paper presents the asymptotic theory for nondegenerate U-statistics of high frequency observations of continuous Itô semimartingales. We prove uniform convergence in probability and show a functional stable central limit theorem for the standardized version of the U-statistic. The limiting process in the central limit theorem turns out to be conditionally Gaussian with mean zero. Finally, we indicate potential statistical applications of our probabilistic results.

Multifractional Poisson process, multistable subordinator and related limit theorems

We introduce a multistable subordinator, which generalizes the stable subordinator to the case of time-varying stability index. This enables us to define a multifractional Poisson process. We study properties of these processes and establish the convergence of a continuous-time random walk to the multifractional Poisson process.

Clinical radiology and postmortem imaging (Virtopsy) are not the same: Specific and unspecific postmortem signs

The aim of this article is to disclose the characteristics of postmortem forensic imaging; give an overview of the several possible findings in postmortem imaging, which are uncommon or new to clinical radiologists; and discuss the possible pitfalls. Unspecific postmortem signs are enlisted and specific signs shall be presented, which are typical for one cause of death. Unspecific signs. Livor mortis may not only be seen from the outside, but also inside the body in the lungs: in chest CT internal livor mortis appear as ground glass opacity in the dependent lower lobes. The aortic wall is often hyperdense in postmortem CT due to wall contraction and loss of luminal pressure. Gas bubbles are very common postmortem due to systemic gas embolism after major open trauma, artificial respiration or initial decomposition; in particular putrefaction produces gas bubbles globally. Specific signs. Intracranial bleeding is hyperattenuating both in radiology and in postmortem imaging. Signs of strangulation are hemorrhage in the soft tissue of the neck like skin, subcutaneous tissue, platysma muscle and lymph nodes. The "vanishing" aorta is indicative for exsanguination. Fluid in the airways with mosaic lung densities and emphysema (aquosum) is typical for fresh-water drowning.

A syntactic realization theorem for justification logics

Justification logics are refinements of modal logics where modalities are replaced by justification terms. They are connected to modal logics via so-called realization theorems. We present a syntactic proof of a single realization theorem that uniformly connects all the normal modal logics formed from the axioms \$mathsfd\$, \$mathsft\$, \$mathsfb\$, \$mathsf4\$, and \$mathsf5\$ with their justification counterparts. The proof employs cut-free nested sequent systems together with Fitting's realization merging technique. We further strengthen the realization theorem for \$mathsfKB5\$ and \$mathsfS5\$ by showing that the positive introspection operator is superfluous.

Macrophage activating syndrome is associated with lobular hepatitis and severe bile duct injury with cholestasis

Macrophage activating syndrome (MAS) is a rare hematological disorder associated with uncontrolled systemic T-cell activation. Persistent fever, fatigue and hepatosplenomegaly are frequent clinical manifestations, whereas hyperferritinemia, elevated serum lactate dehydrogenase levels and cytopenia are key criteria for the diagnosis of MAS. The nature of liver pathology in MAS has been partially elucidated but destructive biliary lesions have been rarely described. This report illustrates four cases of MAS developing marked cholestasis, leading to one case of biliary cirrhosis necessitating liver transplantation. Histologically, liver involvement was characterized in all cases by acute lobular hepatitis, marked hepatocyte apoptosis and small bile duct injury similar to the vanishing bile duct syndrome. Immuno-histological studies showed that the inflammatory changes and bile duct lesions were dominated by the presence of activated macrophages and T-cells, in particular CD8+ lymphocytes, and in part NK-cells. These findings suggest that in MAS, various T-cell triggers such as infection, autoimmune disease and malignancy might result in the release of cytokines, which in turn activate macrophages to trigger a systemic acute phase response and local tissue damage. This communication suggests that a macrophage, T- and NK-cell network is operational in the pathogenesis of the cholangiocyte, hepatocyte and sinus endothelial cell damage in MAS.

The effect of projections on dimension in the Heisenberg group

We prove analogs of classical almost sure dimension theorems for Euclidean projection mappings in the first Heisenberg group, equipped with a sub-Riemannian metric.

Laparoscopic computer-navigated ablation of liver metastases

Objective In order to benefit from the obvious advantages of minimally invasive liver surgery there is a need to develop high precision tools for intraoperative anatomical orientation, navigation and safety control. In a pilot study we adapted a newly developed system for computer-assisted liver surgery (CALS) in terms of accuracy and technical feasibility to the specific requirements of laparoscopy. Here, we present practical aspects related to laparoscopic computer assisted liver surgery (LCALS). Methods Our video relates to a patient presenting with 3 colorectal liver metastases in Seg. II, III and IVa who was selected in an appropriate oncological setting for LCALS using the CAScination system combined with 3D MEVIS reconstruction. After minimal laparoscopic mobilization of the liver, a 4- landmark registration method was applied to enable navigation. Placement of microwave needles was performed using the targeting module of the navigation system and correct needle positioning was confirmed by intraoperative sonography. Ablation of each lesion was carried out by application of microwave energy at 100 Watts for 1 minute. Results To acquire an accurate (less 0.5 cm) registration, 4 registration cycles were necessary. In total, seven minutes were required to accomplish precise registration. Successful ablation with complete response in all treated areas was assessed by intraoperative sonography and confirmed by postoperative CT scan. Conclusions This teaching video demonstrates the theoretical and practical key points of LCALS with a special emphasis on preoperative planning, intraoperative registration and accuracy testing by laparoscopic methodology. In contrast to mere ultrasound-guided ablation of liver lesions, LCALS offers a more dimensional targeting and higher safety control. This is currently also in routine use to treat vanishing lesions and other difficult to target focal lesions within the liver.

„Offene Grenzen“ oder „freiwillige Ghetttoisierung“? Aktuelle Kontroversen um die Sicherung der Kontinuität des Judentums

Die jüdische Gemeinschaft gilt generell als Musterbeispiel einer gut integrierten, religiösen Minderheit. Tatsächlich jedoch bewirken gerade die jüngsten gesellschaftlichen Entwicklungen − verstärkte Säkularisierung und Individualisierung verbunden mit steigenden Mischehenraten und einer Neudefinitionder Geschlechterrollen − eine Infragestellung der Kontinuität europäisch-jüdischer Existenz.Seit den 70iger Jahren des 20. Jahrhunderts bewegt sich die Mischehenrate fast überall in der Diaspora bei über 50%. Da die Weitergabe des Judentums religionsgesetzlich nur über die Mutter erfolgt,stellt der Umgang mit nichtjüdischen Familienmitgliedern einen hochsensiblen Bereich für die Gemeinschaft dar. Die soziale und religiöse Integration von nichtjüdischen Ehefrauen und vaterjüdischenKindern ist auf Grund einer nicht selten willkürlich erscheinenden Aufnahmepraxis ein häufig tabuisierter Aspekt des Gemeindelebens, der zu permanenten Spannungen führt. Konflikte bezüglich der Zugehörigkeitskriterien aber auch der religiösen Rolle der Frau führen zu Polarisierungs- und Pluralisierungstendenzen. Im Rahmen eines Projektes des NFP 58 wurden aktuelle innerjüdische Grenzziehungsdebatten im Kontext des Schweizer Judentums auch mit Methoden der Oral History festgehalten und analysiert. Die Auseinandersetzungen innerhalb der schweizerisch-jüdischen Gemeinschaft wurden zudem mit Entwicklungen in anderen Ländern der Diaspora und in Israel verglichen. Es ergab sich das Bild einer dynamischen und zugleich jedoch tief gespaltenen Religionsgemeinschaft, innerhalb der sich die verschiedenen Richtungen („liberal“ bis „ultra-orthodox“) die Verantwortung für eine zunehmende Schwächung und Spaltung des jüdischen Volkes zuweisen. Bibliographie Benbassa, Esther u. Jean-Christophe Attias. 2001. Les Juifs ont-t-ils un avenir? Paris. Lattés. Gerson, Daniel.2012. Ausbreitung und Bedeutung des Judentums in der Schweiz.in : Religionen in der Schweiz. Bulletin Schweizerische Akademie der Geistes- und Sozialwissenschaften, Nr 2.Bern. Gerson, Daniel.2011. Partizipation ohne Konversion? Grenzziehungsdebatten in neuen jüdischen Gemeinschaften der Schweiz,in: Chilufim. Zeitschrift für Jüdische Kulturgeschichte, Nr.11.Wien. Phoibos. Gerson, Daniel.2010. Gemeinschaftsbildung und «demokratischer» Antisemitismus: Das Entstehen eines Schweizer Judentums im Spannungsverhältnis von Akkulturation, Einwanderung und Ausgrenzung, in: Wyrwa, Ulrich (Hrsg.): Einspruch und Abwehr. Die Reaktion des europäischen Judentums und die Entstehung des Antisemitismus in Europa. Frankfurt am Main. Campus. Lambert, Nick.2008. Jews and Europe in the Twenty-First Century. London. Vallentine Mitchell. Picard, Jacques.2007. Judentum in der Schweiz: zwischen religiöser, kultureller und politischer Identität,in: Baumann, Martin u. Jörg Stolz (Hrsg.); Eine Schweiz - viele Religionen. Bielefeld. transcript. Wasserstein, Bernard.1996. Vanishing Diaspora. The Jews in Europa since 1945. New York.Harvard University Press.