Causes of pulmonary granulomas: a retrospective study of 500 cases from seven countries

Background The frequencies of various causes of pulmonary granulomas in pathological material are unknown, as is the influence of geographical location on aetiology. The aim of this study was to identify the causes of pulmonary granulomas in pathological specimens, to define their frequencies, and to determine whether these causes vary by geographical location. Methods 500 lung biopsies and resections containing granulomas were reviewed retrospectively by expert pulmonary pathologists from 10 institutions in seven countries. Fifty consecutive cases from each location were assigned a diagnosis based on histological features and available clinical/microbiological data. Results A specific cause was identified in 58% of cases (290/500), most commonly sarcoidosis (136, 27%) and mycobacterial or fungal infections (125, 25%). Mycobacteria were identified in 19% of cases outside the USA versus 8% within the USA. In contrast, fungi accounted for 19% cases in the USA versus 4% in other locations. Fungi were mostly detected by histology, whereas most mycobacteria were identified in cultures. In 42% of cases (210/500) an aetiology could not be determined. Conclusions Across several geographical settings, sarcoidosis and infections are the most common causes of pulmonary granulomas diagnosed in pathological specimens. Fungi are more commonly identified than mycobacteria in the USA, whereas the reverse is true in other countries. A definite aetiology cannot be demonstrated in more than a third of all cases of pulmonary granulomas, even after histological examination. These findings highlight the need to submit material for histology as well as cultures in all cases in which granulomatous disease enters the differential diagnosis.

Reference model for implementing an MRP system in a highly diverse component and seasonal lean production environment

Companies are currently choosing to integrate logics and systems to achieve better solutions. These combinations also include companies striving to join the logic of material requirement planning (MRP) system with the systems of lean production. The purpose of this article was to design an MRP as part of the implementation of an enterprise resource planning (ERP) in a company that produces agricultural implements, which has used the lean production system since 1998. This proposal is based on the innovation theory, theory networks, lean production systems, ERP systems and the hybrid production systems, which use both components and MRP systems, as concepts of lean production systems. The analytical approach of innovation networks enables verification of the links and relationships among the companies and departments of the same corporation. The analysis begins with the MRP implementation project carried out in a Brazilian metallurgical company and follows through the operationalisation of the MRP project, until its production stabilisation. The main point is that the MRP system should help the company's operations with regard to its effective agility to respond in time to demand fluctuations, facilitating the creation process and controlling the branch offices in other countries that use components produced in the matrix, hence ensuring more accurate estimates of stockpiles. Consequently, it presents the enterprise knowledge development organisational modelling methodology in order to represent further models (goals, actors and resources, business rules, business process and concepts) that should be included in this MRP implementation process for the new configuration of the production system.

Brain endothelial PPARgamma controls inflammation-induced CD4+ T cell adhesion and transmigration in vitro

An important step in the pathogenesis of multiple sclerosis is adhesion and transmigration of encephalitogenic T cells across brain endothelial cells (EC) which strongly relies on interaction with EC-expressed adhesion molecules. We provide molecular evidence that the transcription factor peroxisome proliferator-activated receptor gamma (PPARgamma) is a negative regulator of brain EC inflammation. The PPARgamma agonist pioglitazone reduces transendothelial migration of encephalitogenic T cells across TNFalpha-stimulated brain EC. This effect is clearly PPARgamma mediated, as lentiviral PPARgamma overexpression in brain EC results in selective abrogation of inflammation-induced ICAM-1 and VCAM-1 upregulation and subsequent adhesion and transmigration of T cells. We therefore propose that PPARgamma in brain EC may be exploited to target detrimental EC-T cell interactions under inflammatory conditions.

Sēfer Eldad had-dānî : sēfer qôrôt ḥākām ... we-šemô Eldad mim-mišpaḥat Dan ešer ... baʿ Bāvelā bi-yemê rav ṣemaḥ

Digitalisat der Ausg. Presburg, [1863/64]

Die Recensionen und Versionen des Eldad had-Dânî : nach den alten Drucken von Constantinopel, Mantua und Venedig und den Handschriften von London, Oxford, Parma, Rom, St. Petersburg und Wien

veröffentlicht und kritisch untersucht von Prof. Dr. D. H. Müller, correspondirendem Mitgliede der Kais. Akademie der Wissenschaften

Emergencia y crecimiento de plántulas de variedades de albahaca (Ocimum basilicum L.) en condiciones salinas

La albahaca presenta variabilidad en la tolerancia al estrés salino y se considera una planta sensible a la salinidad al inicio del crecimiento. El objetivo del estudio fue determinar el efecto del NaCl en la emergencia y crecimiento de albahaca. Se utilizaron veinte variedades sometidas a 0; 50 y 100 mM de NaCl, en un diseño completamente al azar con cuatro repeticiones. Las variables medidas fueron porcentaje y tasa de emergencia, longitud de radícula, altura de plántula, biomasa fresca y seca de radícula y de parte aérea. Los resultados mostraron que la variedad con mayor porcentaje de emergencia fue Thai, mientras que Sweet Genovese y Napoletano exhibieron los menores porcentajes. La variedad Thai mostró la mayor tasa de emergencia y Sweet Genovese la menor. Sweet Dani, Thai, Italian Large Leaf y Red Rubin presentaron mayor longitud de radícula, mientras que Sweet Dani, Italian Large Leaf, Dolly y Emily mostraron mayor biomasa fresca y seca de radícula. Sweet Dani, Licorice, Genovese y Napoletano exhibieron mayor altura de plántula, mientras que Sweet Genovese, Thai y Dolly presentaron mayor biomasa fresca y seca de parte aérea. Se discute la respuesta diferencial de las variedades al NaCl en la emergencia de plántulas.