The enlargement of the European Community (EC) and later the European
Union (EU) was never particularly popular.2 Indeed, the first
attempt at widening the EU culminated in the Community’s “first real
crisis” when Charles de Gaulle, then-President of France, rejected the
British accession in a dramatic press conference at the E´ lyse´e Palace
(Nicholson and East 1987, 39). He claimed that Britain’s conditions
for joining the Union were unacceptable to France.
Harrison's Internal Medicine Chapter 60. Enlargement of Lymph Nodes and Spleen
Enlargement of Lymph Nodes and Spleen: Introduction
This chapter is intended to serve as a guide to the evaluation of patients who present with enlargement of the lymph nodes (lymphadenopathy) or the spleen (splenomegaly). Lymphadenopathy is a rather common clinical finding in primary care settings, whereas palpable splenomegaly is less so.
The differential diagnostic possibilities are much fewer when the spleen is "massively enlarged," palpable more than 8 cm below the left costal margin or its drained weight is ≥1000 g (Table 60-3). The vast majority of such patients will have non-Hodgkin's lymphoma, chronic lymphocytic leukemia, hairy cell leukemia, chronic myelogenous leukemia, myelofibrosis with myeloid metaplasia, or polycythemia vera.
The laboratory investigation of patients with lymphadenopathy must be tailored to elucidate the etiology suspected from the patient's history and physical findings. One study from a family practice clinic evaluated 249 younger patients with "enlarged lymph nodes, not infected" or "lymphadenitis." No laboratory studies were obtained in 51%. When studies were performed, the most common were a complete blood count (CBC) (33%), throat culture (16%), chest x-ray (12%), or monospot test (10%).
The grid method is an inexpensive, low-tech way to reproduce and/or enlarge an image that you want to paint or draw. The grid method can be a fairly time-intensive process, depending on how large and detailed your painting will be. While the process is not as quick as using a projector or transfer paper, it does have the added benefit of helping to improve your drawing and observational skills. Contents of this book: Tools you will need, selecting an image, computer work, drawing, basic color theory, painting.
he specific country cultures are not only different in regard to their health systems, but also in integrating gender aspects in research, policy and practice. The very definitions of health, illness and health related social problems are different. If networks focus on gender specific aspects of health and illness, the necessity for transnational communication is evident.
In the wake of the EU’s greatest enlargement, this book explores the
adaptation of the constitutions of Central and Eastern Europe for membership
in the European Union. In response to the painful past, these new
constitutions were notably closed to the transfer of powers to international
organisations, and accorded a prominent status to sovereignty and independence.
A little more than a decade later, the process of amending these
provisions in view of the transfer of sovereign powers to a supranational
organisation has proved a sensitive and controversial exercise....
To test a product exit differing from the substrate entrance in the active
site of acetylcholinesterase (EC 188.8.131.52), we enlarged a channel located at
the bottom of the active site gorge in the Drosophilaenzyme. Mutation of
Trp83 to Ala or Glu widens the channel from 5 A˚ to 9 A
Structure and Function of the Spleen The spleen is a reticuloendothelial organ that has its embryologic origin in the dorsal mesogastrium at about 5 weeks' gestation. It arises in a series of hillocks, migrates to its normal adult location in the left upper quadrant (LUQ), and is attached to the stomach via the gastrolienal ligament and to the kidney via the lienorenal ligament. When the hillocks fail to unify into a single tissue mass, accessory spleens may develop in around 20% of persons. The function of the spleen has been elusive.
Approach to the Patient: Splenomegaly
Clinical Assessment The most common symptoms produced by diseases involving the spleen are pain and a heavy sensation in the LUQ. Massive splenomegaly may cause early satiety. Pain may result from acute swelling of the spleen with stretching of the capsule, infarction, or inflammation of the capsule. For many years it was believed that splenic infarction was clinically silent, which at times is true.
The absence of the spleen has minimal long-term effects on the hematologic profile. In the immediate postsplenectomy period, leukocytosis (up to 25,000/µL) and thrombocytosis (up to 1 x 106/µL) may develop, but within 2–3 weeks, blood cell counts and survival of each cell lineage are usually normal.
Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học 'Respiratory Research cung cấp cho các bạn kiến thức về ngành y đề tài:"" Particles induce apical plasma membrane enlargement in epithelial lung cell line depending on particle surface area dose...
Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài:
Mechanical ventilation and lung infection in the genesis of air-space enlargement...
Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Effect of transverse gap-junction channels on transverse propagation in an enlarged PSpice model of cardiac muscle
Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Genetic mapping of wild introgressions into cultivated peanut: a way toward enlarging the genetic basis of a recent allotetraploid
This chapter is intended to serve as a guide to the evaluation of patients who present with enlargement of the lymph nodes (lymphadenopathy) or the spleen (splenomegaly). Lymphadenopathy is a rather common clinical finding in primary care settings, whereas palpable splenomegaly is less so. Lymphadenopathy Lymphadenopathy may be an incidental finding in patients being examined for various reasons, or it may be a presenting sign or symptom of the patient's illness.
In issuing this second treatise on Crayon Portraiture, Liquid Water
Colors and French Crystals, for the use of photographers and amateur
artists, I do so with the hope and assurance that all the requirements
in the way of instruction for making crayon portraits on photographic
enlargements and for finishing photographs in color will be fully met.
To these I have added complete instructions for free-hand crayons.