Spontaneous rupture of malarial spleen: two case reports and review of literature

Malaria has long been among the most common diseases in the southeast Anatolia region of Turkey. In 1992, 18676 cases were diagnosed in Turkey, and Diyarbakir city had the highest incidence (4168 cases), followed by SanliUrfa city (3578 cases). Malaria was especially common during 1994 and 1995, with 84 345 and 82 094 cases being diagnosed in these years, respectively. Spontaneous rupture of malarial spleen is rare. We saw two cases during 1998, which are reported herein. Both patients were male, and were receiving chloroquine treatment for an acute attack of malaria. One of the patients had developed abdominal pain and palpitations, followed by fainting. The other patient had abdominal pain and fever. Explorative laparotomy revealed an enlarged spleen in both patients. Splenectomy was performed in both patients. We have identified 15 episodes of spontaneous rupture of the spleen in the English language literature published since 1961. Because of increased travel to endemic areas and resistance to antimalarial drugs, malaria is a major medical problem that is becoming increasingly important to surgeons worldwide. Malaria is a particularly important problem in the southeast Anatolia region of Turkey. Prophylactic precautions should be taken by tourists who travel to this region, especially during the summer.

Matrilysin is expressed by lipid-laden macrophages at sites of potential rupture in atherosclerotic lesions and localizes to areas of versican deposition, a proteoglycan substrate for the enzyme.

Certain matrix metalloproteinases (MMP) are expressed within the fibrous areas surrounding acellular lipid cores of atherosclerotic plaques, suggesting that these proteinases degrade matrix proteins within these areas and weaken the structural integrity of the lesion. We report that matrilysin and macrophage metalloelastase, two broad-acting MMPs, were expressed in human atherosclerotic lesions in carotid endarterectomy samples (n = 18) but were not expressed in normal arteries (n = 7). In situ hybridization and immunohistochemistry revealed prominent expression of matrilysin in cells confined to the border between acellular lipid cores and overlying fibrous areas, a distribution distinct from other MMPs found in similar lesions. Metalloelastase was expressed in these same border areas. Matrilysin was present in lipid-laden macrophages, identified by staining with anti-CD-68 antibody. Furthermore, endarterectomy tissue in organ culture released matrilysin. Staining for versican demonstrated that this vascular proteoglycan was present at sites of matrilysin expression. Biochemical studies showed that matrilysin degraded versican much more efficiently than other MMPs present in atherosclerotic lesions. Our findings suggest that matrilysin, specifically expressed in atherosclerotic lesions, could cleave structural proteoglycans and other matrix components, potentially leading to separation of caps and shoulders from lipid cores.

Nonuniformity of the constitutive law parameters for shear rupture and quasistatic nucleation to dynamic rupture: a physical model of earthquake generation processes.

Based on the recent high-resolution laboratory experiments on propagating shear rupture, the constitutive law that governs shear rupture processes is discussed in view of the physical principles and constraints, and a specific constitutive law is proposed for shear rupture. It is demonstrated that nonuniform distributions of the constitutive law parameters on the fault are necessary for creating the nucleation process, which consists of two phases: (i) a stable, quasistatic phase, and (ii) the subsequent accelerating phase. Physical models of the breakdown zone and the nucleation zone are presented for shear rupture in the brittle regime. The constitutive law for shear rupture explicitly includes a scaling parameter Dc that enables one to give a common interpretation to both small scale rupture in the laboratory and large scale rupture as earthquake source in the Earth. Both the breakdown zone size Xc and the nucleation zone size L are prescribed and scaled by Dc, which in turn is prescribed by a characteristic length lambda c representing geometrical irregularities of the fault. The models presented here make it possible to understand the earthquake generation process from nucleation to unstable, dynamic rupture propagation in terms of physics. Since the nucleation process itself is an immediate earthquake precursor, deep understanding of the nucleation process in terms of physics is crucial for the short-term (or immediate) earthquake prediction.

Méthode bayésienne de détection de rupture et/ou de tendance pour des données temporelles

Ce mémoire a pour but de déterminer des nouvelles méthodes de détection de rupture et/ou de tendance. Après une brève introduction théorique sur les splines, plusieurs méthodes de détection de rupture existant déjà dans la littérature seront présentées. Puis, de nouvelles méthodes de détection de rupture qui utilisent les splines et la statistique bayésienne seront présentées. De plus, afin de bien comprendre d’où provient la méthode utilisant la statistique bayésienne, une introduction sur la théorie bayésienne sera présentée. À l’aide de simulations, nous effectuerons une comparaison de la puissance de toutes ces méthodes. Toujours en utilisant des simulations, une analyse plus en profondeur de la nouvelle méthode la plus efficace sera effectuée. Ensuite, celle-ci sera appliquée sur des données réelles. Une brève conclusion fera une récapitulation de ce mémoire.

Méthode bayésienne de détection de rupture et/ou de tendance pour des données temporelles

Ce mémoire a pour but de déterminer des nouvelles méthodes de détection de rupture et/ou de tendance. Après une brève introduction théorique sur les splines, plusieurs méthodes de détection de rupture existant déjà dans la littérature seront présentées. Puis, de nouvelles méthodes de détection de rupture qui utilisent les splines et la statistique bayésienne seront présentées. De plus, afin de bien comprendre d’où provient la méthode utilisant la statistique bayésienne, une introduction sur la théorie bayésienne sera présentée. À l’aide de simulations, nous effectuerons une comparaison de la puissance de toutes ces méthodes. Toujours en utilisant des simulations, une analyse plus en profondeur de la nouvelle méthode la plus efficace sera effectuée. Ensuite, celle-ci sera appliquée sur des données réelles. Une brève conclusion fera une récapitulation de ce mémoire.

Effects of various aging heat treatments and solution-annealing and aging heat treatments on tensile, creep, and stress-rupture strengths of inconel x sheet to temperatures of 1,400 degrees F /

Cover title.

An Answer to the Observations on the Papers relative to the rupture with Spain.

Signatures: [A]² B-E⁴ F².

Fundamental study of creep-rupture under combined stress /

"Contract AT(11-1)-229."

Investigation of the initiation and extent of ductile pipe rupture : quarterly progress report for ... /

Includes bibliographical references.

A treatise on the hydrocele, or, Watry rupture and other diseases of the testicle, it's coats and vessels : (illustrated with cases) /

Mode of access: Internet.

Traité des accouchements contenant des observations importantes sur la pratique de cet art ... / par M. Puzos ... ; corrigé & publié par M. Morisot Deslandes ... ; précédé d'une dissertation de l'editeur .... & suivi de la traduction d'une Dissertation latine de M. Crantz ... sur la rupture de matrice

Contiene con portadilla propia: "Dissertation sur la rupture de matrice"

The intervertebral disc, with special reference to rupture of the annulus fibrosus with herniation of the nucleus pulposus,

Bibliography p. [138]-151.

Fatigue, creep, and rupture properties of the alloys Udimet 500, Hastelloy R-235, and GMR-235.

"Materials Laboratory. Contract no. AF(616)-2803, Project no. 7360."

Diaphragm actuated control valve terminology.

Mode of access: Internet.