Disseminated cutaneous histoplasmosis in elderly patients. An uncommon presentation

Background: Human fungal infections have increased at an alarming rate in recent years, particularly in immunocompromised individuals. Cryptococcosis is the second most prevalent systemic fungal infection worldwide, and the most prevalent systemic infection in immunocompromised individuals, representing more than 70% of cases. The incidence of cryptococcosis is high in people with HIV/acquired immunodefi- ciency syndrome (AIDS), with recent estimates indicating that there are one million cases of cryptococcal meningitis globally per year in AIDS patients. Aims: The aim of this research was to develop a rapid flow cytometric antifungal susceptibility test and to compare the results with the standard methods. Methods: A reference strain and clinical isolates of Cryptococcus neoformans and Cryptococcus gattii were tested for susceptibility to amphotericin B by flow cytometry using propidium iodide as indicator of viability. Flow cytometry (FC) results were compared with the minimum inhibitory concentration (MIC) values determined by microdilution. Results: The antifungal activity of amphotericin B ranged from MICs of 0.06 to 2 g/ml for the 11 isolates studied. The same results were found by FC. Conclusions: The FC method allows same-day results, assisting in the selection of appropriate antifungal therapies. These results demonstrate an excellent correlation between FC and the classic methods of testing for susceptibility to antifungal agents. This rapid diagnosis method makes it possible to quickly administer effective therapeutic interventions, often saving lives.

Oral focal mucinosis: clinical case presentation with a focus on aesthetic and functional surgical resolution

Introduction: When planning excisional surgery, alterations in the oral mucosa, particularly in esthetically important areas, represent a challenge. For cases involving an exophytic lesion with a vegetative tumoral aspect, a clinician may prioritize obtaining a definitive diagnosis by histopathologic and histochemical examinations over the preservation of esthetics or maintenance of the involved tooth. Case Presentation: A painless, hard lesion with normal coloration was present in the maxillary left central incisor of a patient for at least 6 years. A biopsy was performed to preserve oral mucosa and a treatment plan was established that included endodontic retreatment and prosthetic restoration. The histopathologic diagnosis was oral focal mucinosis, an uncommon and poorly characterized type of lesion. Conclusion: A conservative biopsy of the lesion facilitated an accurate diagnosis, promoted the patient’s comfort, and achieved satisfactory esthetic results.

Oral Presentation: Exploring Oral Presentations of Homework Problems as a Means of Assessing Homework

In this action research study of my freshmen Algebra I class, I investigated a method of assessing homework based on completion and presentations. When I changed the method of grading from checking answers to looking for completion and presentation of selected problems, I found that the majority of the students enjoyed the method because it allowed them to explore other methods of solving and helped them gain an understanding of the problems. This resulted in less stress on obtaining “the” answer. I also realized that I viewed homework differently and had a better understanding of the students’ thought processes, which caused me to check tests differently. These results led to a better relationship between the students and myself. As a result of this research, I plan to change my methods of assessing homework from the traditional right or wrong to a rubric assessment based on presentations and completion of the assignment.

Phi Beta Delta Presentation - Lawrence Bruner

A year ago I had the privilege of being inducted into Phi Beta Delta, and at that time I was invited to speak at the next induction ceremony, which it is my pleasure to do today. I am delighted to have this opportunity to congratulate our scholarship recipient, our new inductees, Peter Gleick, President of the Pacific Institute for Studies in Development, Environment and Security, and Merlyn Carlson, Director of the Nebraska Department of Agriculture and a member of the Governor's cabinet, on their honorary memberships in the society. I want to acknowledge Harriet Turner, Director of International affairs, for her fine work on behalf of the university and us all, and I want to thank all members of this society of international scholars for the important work you do, not only for Nebraska but, indeed, for our world.

Omaha Agri-Business Club Leadership Award Presentation

It is a real pleasure to present the 2006 Omaha Agri- Business Club Leadership Award this evening during National Agriculture Week. I commend the Omaha Agri-Business Club for establishing this fine award. We always need to celebrate the accomplishments of individuals whose leadership efforts contribute to our agricultural industry which is the backbone of Nebraska and our nation.

James A. Lake Academic Freedom Award Presentation

It is both my honor and privilege to be here today to present the James A. Lake Academic Freedom Award. I thank you for this opportunity.

LEAD Presentation

Thank you for inviting us to share with you some information about the Institute of Agriculture and Natural Resources, and what we are doing for Nebraska. As a stakeholder in Nebraska's land-grant university, you and every other Nebraskan have every right at any time to ask us what we've done for you and your neighbors lately. We welcome the question. There is so much excellent work being accomplished on this campus and throughout Nebraska that I am delighted each time I have the opportunity to talk about it. The biggest problem I find is stopping - there's always so much more to say - than there is time to say it in!

Presentation for Neal E. Harlan

Our first Public Service To Agriculture Award this evening will be presented posthumously to Neal E. Harlan who gained recognition throughout Nebraska and the Midwest in grain merchandising combined with a lifelong interest in the progress of agriculture through education and research.

LEAD Presentation - Shout It Out

Good afternoon, everyone. Those of us representing the Institute of Agriculture and Natural Resources are pleased to be here with you today. We welcome you to IANR Shout It Out, the exciting Institute of Agriculture and Natural Resources game that allows you to test your IANR and Nebraska knowledge, learn exciting new facts, and most importantly of all win prizes!

LEAD Group Presentation

Let me begin today by offering my congratulations to each of you who is a member of this new LEAD class. You are embarking upon a truly exciting, rewarding opportunity, important to both you and Nebraska. Our state needs good leaders, people dedicated to keeping our organizations, communities, and Nebraska strong, and moving forward. We need leaders of courage and compassion, able to think clearly, assess information, formulate a plan, and adjust that plan as needed. We need leaders who work toward a common good.

Presentation Remarks: Gamma Sigma Delta Award of Merit

I am really pleased to have this opportunity to present the 2008 Gamma Sigma Delta Award of Merit to Alan Baquet. Being here to say "Congratulations, Alan," is a special treat for me - and I do say, "Congratulations, Alan." You are very deserving of this honor.

Alumni Advisory Council Presentation - Wick Alumni Center

Folks, I'm so pleased to be here with you today to talk about the Institute of Agriculture and Natural Resources, and the exciting, valuable contributions our faculty, staff, and students are making to Nebraska and, indeed, the world. Last year an independent study found the Institute of Agriculture and Natural Resources provides a conservative 15-to-1 return on state tax dollars invested with us. We call that study the At Work for Nebraska study because well, that's what we are about.

Primary antiphospholipid syndrome and panhypopituitarism: a unique presentation

Lymphocytic hypophysitis (LH) has been described previously in systemic lupus erythematosus (1.3%), Sjogren's syndrome (0.8%). Lymphocytic hypo physitis (LH) is rarely associated with rheumatic diseases, although three cases of pituitary disease associated with antiphospholipid syndrome (APS) have been described. Here, we report a possible association between APS and LH for the first time. A 34-yr-old woman with primary APS presented with polyuria, polydipsia, hypernatremia and impaired vision. Her hormone profile was compatible with panhypopituitarism, and sellar magnetic resonance imaging (MRI) depicted a normal pituitary gland with a thickened and displaced stalk and infundibulum portion. Hormone replacement was started, and the patient experienced a good clinical evolution.

Juvenile systemic lupus erythematosus and dermatomyositis associated with urticarial vasculitis syndrome: a unique presentation

To report a case of triple association of juvenile systemic lupus erythematosus (SLE), juvenile dermatomyositis and urticarial vasculitis as well as a review of the relevant literature. A 12-year-old male patient diagnosed with overlap syndrome between SLE and juvenile dermatomyositis since 2004 evolved with erythematous plaques, which were compatible with an urticarial rash. Clinical, laboratory and histopathological findings indicated a diagnosis of urticarial vasculitis. The patient previously had a C1q deficiency. Using the established treatment with methylprednisolone (1 g/day for 3 days), increasing doses of deflazacort and introduction of a dapsone, as well as mycophenolate mofetil regimen, with the suspension of azathioprine resulted in complete resolution of skin lesions. Urticarial vasculitis can present in various diseases. In SLE, presentation of urticarial vasculitis in children is rarely found. The triple association of juvenile-onset SLE, juvenile dermatomyositis and urticarial vasculitis is unusual, and this is the first case described in literature.

Asymptomatic nodules of the upper lip: report of a canalicular adenoma with immunoprofile presentation

Canalicular adenoma is an uncommon benign tumour that generally arises in the minor salivary glands of individuals over 60 years old. This study illustrates a case of canalicular adenoma in a 70-year-old female, presenting as two distinct asymptomatic nodules in the upper lip. Immunohistochemistry analysis was performed. Clinical features, management, histology and immunoprofile from this case and from the literature are discussed.