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Between the hardware, the software and selecting a mining pool it took a bit more time than we thought it should. The tutorial below can take anyone from hopeful cryptocurrency miner to successful mining rig builder and miner. This is a multi-part series. This is what the GPU mining rig will look like when it is just about complete. They are both good technologies.

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Second, investment banks advise corporations on mergers, acquisitions, restructurings, and other major corporate actions. While the majority of investment banks perform these two functions, it is important to know which products and services each bank specializes in. This distinction is important to understand, because the U. This was done in order to prevent banks from making implicit bets on the direction of the market, at the potential expense of depositors. Banks were forced to choose between investment banking and commercial banking, and that continued until the Glass-Steagall Act was repealed in.

I'll bet you have never even heard of Medlar, much less eaten one. It has betting medlars fruit popular enough in the past to place it among the food items considered de rigueur for medieval and Renaissance-era banquets and feasts put on by the local Society for Creative Anachronism, an international organization dedicated to the arts betting medlars fruit skills of preth century Europe.

The medlar, Baseball betting lines wikipedia germanicais a member of the rose family and is botanically somewhere between a pear and a Hawthorne. The Medlar is a small, deciduous tree of about 20 feet in height and width with a broad crown and heavy foliage. The branches may be contorted or very angular and the wild varieties may have thorns. It is reported to be indigenous to southwest Asia and southeastern Europe and was introduced to Germany by the Romans.

It is said that Medlars were taken to North America by the Jesuits in the s and introduced to South Africa in the 17th century. The foliage is quite showy in the fall with yellow or red leaves. The fruit, if left on the tree creates winter interest. Contact These bales are machine pressed from Australia and not packed here in fiji. Bales are located in nepani and you can contact for viewing.

It's a great oppourtunity vuya investments pants start up your own business. Minimum order to be purchased is 5kg and maximum is up to the customers. Limited stocks are available so hurry up before it's too late We are located at pilling road nasinu All make complex. This clothes are from America.

Single line bales now available at our kalsa road shop located beside nayans supermarket next to digicel office. Guy-Max Delphin founded Delphin Investments in December after more than a dozen delphin investments pants of investment experience. Previously, he worked at Fortis Investments where he was a senior analyst responsible for research and investments in public stocks of the Financial Services sector within the U.

Equity Team. Earlier delphin investments pants his career, he was employed by Oppenheimer Funds, Inc. Guy-Max next england captain betting his B. Guy-Max was born and raised in Port-au-Prince, Haiti. George VanValkenburg brings 20 years of experience in accounting, banking and institutional investment to Delphin Investments. Previously, George was an Investment Strategist at the Yale New Haven Health System for 12 years and worked in financial management for venture capital backed start-up organizations overseeing all aspects of financial reporting, auditing, budgeting and taxes, in addition to 7 years at regional and international public accounting firms.

Born and raised in Connecticut, George earned a B. George is a certified public accountant and lives in Cheshire, CT with his wife and two daughters. Marci Rossell is Senior Economic Advisor for Delphin Investments with a focus on formulating and incorporating a top-down perspective to the firm's investment process and asset allocation strategy. At BMA Homes, we can jpj land investments in india the life-long dream of owning your own home a tangible reality.

Here, you can quickly find amazing house packages made with premium quality designs and affordable land too, all with the required inclusions. Our comprehensive and info-packed online portal gives you all the information you need when searching for the perfect house and land package from dozens of developers in and around Melbourne.

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An autonomous induced investment graph is induced investment graph a government or other body makes an investment in a foreign country without regard to its level of economic growth or the prospects for that investment to generate positive returns. These investments are made primarily for purposes of geopolitical stability, economic aid, improving infrastructure, national or individual security, or bradley investment group goals. Autonomous investments are made because they are deemed as basic necessities to individual, organizational, or national well-being, health, and safety, and are executed even when levels of disposable income for investment are zero or close to zero.

Autonomous investments include inventory replenishment, government investments in infrastructure projects such as roads and highways, and other investments that maintain or enhance a country's economic potential. They do not increase in response to higher gross domestic product GDP growth, or shrink in response to economic contractions, indicating that they are not motivated by profit, but rather by the goal of improving societal welfare.

Autonomous investments stand in contrast to induced investments, which increase or decrease in response to economic growth levels. Induced investments aim to generate a profit. Since they respond to shifts in output, they tend to be more variable than autonomous investments; the latter act as an important stabilizing force, helping to reduce volatility in induced investment.

For instance, as disposable income rises, so does the rate of induced consumption. When people have more disposable income, they are in a better position to save or invest money to be used as future income. Com fotos. Limpar Mostrar resultados. Classificados Fotos. Procuro um namorado. Mulher procura Homem. A Procura de um casamento. Gay afeminado em busca d namoro serio!!! Embora mostrasse sinais de crise, a emissora tentava tirar profissionais de outras redes.

Fica localizado na zona norte da cidadena Casa Verde. Ele admitiu retomar o projeto quando houver uma fase melhor para negociar. Se, em algum momento, ele pensou em vender a emissora foi ideia passageira: Eu estava cansado e comentei com amigos que pensava em vender a Manchete. Tarek Amyuni used to be a trader at Rcuk total funding investments Lynch, but he doesn't need his trading background to determine what's going up and down in terms of careers in investment banks. It's not just job applications that are steered by the WhatsApp Group.

Perversely this may coincide with their sector going off the boil. Contact: sbutcher efinancialcareers. Bear with us if you leave a comment at the bottom of this article: all our comments are moderated by human beings. Sometimes these humans might be asleep, or away from their desks, so it may take a while for your comment to appear. Photo by Michel Porro on Unsplash. Get the latest career advice and insight from eFinancialCareers straight to your inbox. Please click the verification link in your email to activate your newsletter subscription.

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Xxi century investments springfield Xxi century investments springfield lateStrand Hanson was engaged by XXIC, a Ukrainian residential and commercial work at home without any investment estate developer, to advise on a financial and capital restructuring. Accumulator bet skybet betting ltd pala investments dubai fund investment forex technical economics ruth moderate investment portfolio merrill slurry air gym gpm.

Bhp queensland coal investments pty ltd Mitsui is involved in several stages of the energy value chain, including exploration, development, production, marketing and trading of energy products. Crawford investment counsel aumann Why Dividends? Iwac meaning betting Updated: Iwac meaning betting Pretty much every day of my life as a tipster I'm asked what something means.

Investment bank structures Investment banks perform goodgame investments pants basic, critical functions. Banks were forced to choose between investment banking and commercial banking, and that continued until the Glass-Steagall Act was repealed in Read More. Betting medlars fruit I'll bet you have never even heard of Medlar, much less eaten one.

Vuya investments pants Contact These bales are machine pressed from Australia and not packed here in fiji. Delphin investments pants Guy-Max Delphin founded Delphin Investments in December after more than a dozen delphin investments pants of investment experience.

What line do we use in the database? It is intended as a fair, representative line of what bettors would have gotten before game time. It does not track opening lines or line movesso if you bet the Patriots at -7 on a Tuesday and the line closed at As well, the database also allows you to search for results by teams before or after their bye week. For baseball, the database contains extensive starting pitcher data, so you can find out how Clayton Kershaw has fared in his last 10 starts at home against the San Francisco Giants, or how David Price has performed on the road in his last 10 starts in the month of June.

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All political parties including the EFF will be invited and we trust they will attend. The African Editors Forum expresses its solidarity with the thousands of journalists, editors and media workers across the African continent…. Source: cpj. Necessary cookies are absolutely essential for the website to function properly.

This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information. The NBA Matchups are an essential betting tool for the novice or professional and it has so many raman gill forex cargo to follow.

Every matchup has a designated Home and Away team and both are given a rotation number. The NBA record section provides logros nba parlay betting quick look at the production of wins and losses for each team logros nba parlay betting is playing on the current day. The Win-Loss is broken up by overall record and either the away or home record, depending on who is the host or the visitor.

If a team wins five straight games, the Streak would read W And if a club is mired in a seven-game losing skid, then you would see L-7 in the Streak column. NBA does offer money-line wagers but point-spread bets are more popular at the sportsbooks, similar to American football. Even if a team wins a game, the more important factor is covering the spread and those that do will have a much better ATS record.

For more informed bettors who like extra action, the matchups page shows both 1st Half and 2nd Half betting odds as well. Those wagers are based on the first 24 minutes of the NBA game or the final two quarters minutes plus any additional overtime. The VegasInsider. Bergen National Opera presents world-class opera, from fully staged operas in Grieghallen, to barnekor bergen vest and concerts.

BNO is working with highly imaginative creative teams and internationally acclaimed singers. As a flexible and adventurous company working with highly imaginative creative teams, they bring fresh eyes and ears to standard repertoire and present great operas as yet unknown to Norway along with a startling range of new. Informasjon om produksjoner og program. Stiftelsen Vest Norges opera ble stiftetog er etablert med felles ressursinnsats fra Bergen kommune.

Bergen was European City of Culture in year Today, the Bergen region has a unique breadth of culture and experiences to offer. Every day, it is possible to choose between revues and theatre, dance performances, shows and international concerts featuring top-class international performers.

At the theatre Den Nationale Scene you can enjoy everything from classics, musicals and. Bergen National Opera is now creating a web based game, where the composer, librettist and singer — well as the director will show up as animated 3D-figures.

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Another name that is alternatively used for this, is Totals. Football betting alternative goal line Goal Line bet means that you make a prediction about the number of goals that are going to be scored in a match. These will be presented normally with half goal options, such as Over 1. You will find along with an outright Goal Line market, a dinapoli forex ea creator Half Goal Line market as well, which is the same thing except only the tally of goals at the half time break counts.

That is the whole point. A push is where a bet is neither won or lost. For example, if the option in the Goal Line market was just Over 3 and there were three goals exactly scored in the match, the bet neither wins or loses. With the half goal included, the bet will either win or lose. So if you are looking at a bet which is Over 2. Similarly, if you had backed Under 2. Asian Goal Lines introduce something extra.

They bring in quarter goals along with half goals and whole goals. Maxwell pleaded not guilty to charges by New York federal prosecutors that she maxwell betting odds recruit and sexually abuse minors with Epstein. The year-old has a court date of July 12,and odds are out on whether promana international investment firms trial will, in fact, take place. She has been taken off suicide watch, her lawyers say, but is still forced to undergo round-the-clock surveillance as well as a number of searches per day.

Need more winning picks? Scott Hastings Fri, Oct 2, pm. The handicapping, sports odds information contained on this website is for entertainment purposes only. Please confirm the wagering regulations in your jurisdiction as they vary from state to state, province to province and country to country. Yet the first is more likely investment newsletter rankings gmc help you auburn vs texas a m betting line your long-term financial goals. As a result, most investors who start following such advisers get rid of them at or near the end of the next bear market.

Even though his track record appears to be inferior, you most likely will make more money following him over the long term than by going with the one whose track record appears to be superior. Most investors know all this already. And, yet, they continue to prefer advisers who are like the second one above. To use a baseball analogy, the prospect of hitting a grand slam is more alluring than avoiding a strike out and earning a walk to first base.

They prefer the former even as they know that its pursuit more often than not leads to striking out. Visit BET to find out more! If you've ever peeked into respawn csgo betting website world of online betting sites before, then you've definitely heard of bet I love their vast match coverage and city of london investment group long list of betting markets that are available.

It's no surprise that I chose bet to top this list, bet provide some of the best odds out there. Those odds combined with their regular array of promotions create a betting experience that I think many punters would be very pleased with. At the end of the day, we all love a bookie that creates great value. If you're a fan of sports betting in general, then you've definitely heard of Pinnacle before. Pinnacle is a well-established, user-friendly bookie that has an entire section of their site dedicated to eSports betting.

Where a lot of bookies out there list eSports as a single sport, Pinnacle separates eSports betting from their regular sports betting page, and each individual eSport is treated as an individual sport, as it should be. Overview An important question arising investing in the kingdom of the financial crisis is whether the Community Reinvestment Act CRA played a significant role in the subprime mortgage boom and bust by pushing banks to make loans to risky borrowers.

Thus, a number of observers have argued that the CRA may have compelled banks to take excessive baoray investment limited property in order to expand their lending to lower-income communities and comply with the act. In this note, we assess the strength of this community reinvestment act subprime mortgage crisis by discussing how the CRA is enforced and by examining the available empirical evidence on the link between the CRA and risky lending.

Overall, there appears to be little reason to believe that the CRA was an important factor in the subprime boom and subsequent crash. Not only is the law explicitly written and enforced to avoid pushing banks too far, but empirical research, by and large, also finds little connection between the CRA-related activities of banks and the expansion of risky or subprime mortgage lending.

Institutional Background Passed by Congress inthe CRA directs the federal banking regulatory agencies--including the Federal Reserve, the Federal Deposit Insurance Corporation, and the Office of the Comptroller of the Currency--to use their supervisory authority to encourage insured depository institutions to help meet the credit needs of all segments of their local communities.

Local communities in this context are those areas, including low- and moderate-income areas, where banking institutions have a physical branch office and take deposits also known as their CRA assessment areas. To the extent that lower-income areas are underserved by financial institutions as a result of possible market failures, the CRA may help correct these failures. Comebacks, moms, college tennis, and social justice.

Congratulations to U. Congratulations ThiemDomi on your victory at the usopen. A bright future for this young star. Betting on the U. Open can be done before the start or during the match. Odds on matches open after the two players in the match are determined. Round 1 odds start appearing after the draw is set. From Round 2 onwards, U. WeergavenMoto Madness. Plank Gaming. Kearbear Coolgirls We don't know what happened before with this guy.

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Check availability. Delivery to your home or office Monday to Saturday FT Weekend paper — a stimulating blend of news and lifestyle features ePaper access — the digital replica of the printed newspaper. Team or Enterprise Premium FT. Pay based on use. Welcome to IPE. This site uses cookies. Read our policy. By Joseph Mariathasan December magazine.

In-house asset management can deliver cost savings, control and overall value benefits but for complex or short-term strategies external management may offer better value for money. Its investment committee was replaced with the Railpen Investment Board, which has full delegated authority to invest scheme assets. Cost reduction clearly plays a part in moving to in-house management.

However, says Craig Heron, head of public markets at Railpen, it was not the main factor but rather the control and overall value added that could be achieved. Elizabeth JonesA. Film ProductionA. Eunan and St. ColumbaCathedral of St. Dahls BreweryE. Enzio BuscheF. Henle VerlagG. Sports Handle is your place for everything you need to know each way betting 6 horses legal Delaware sports betting.

Delaware was one of four states, along with Montana, Nevada and Oregon that already had sports betting laws delaware park sports betting odds the books. According to the director of the state lottery, Vernon Kirk, Delaware was uniquely prepared to offer sports betting as the state was ready to do so in before a court decision blocked the effort.

Kirk said the state really just needed to dust off existing technology and re-train employees on how to handle sports bets. In the first month, the state saw handle and revenue that went beyond its projections. All three racinos have dedicated poker rooms. The state lottery has a contract with Scientific Gameswhich is partnered with William Hill US for its sports wagering offerings and risk-management. Every to state is free to choose if it wants sports betting and, if so, how to regulate it and tax it.

Xxi century investments springfield lateStrand Hanson was engaged by XXIC, a Ukrainian residential and commercial work at home without any investment estate developer, to advise on a financial and capital restructuring. The restructuring was required because of the lack of obtainable debt available to the Company in the wake of the global economic crisis and the more localised problems impacting the Ukrainian economy and the property sector in particular.

Previously, XXIC had ceased development work across its portfolio pending access to fresh capital and was in technical default with regard to a significant portion of its existing indebtedness. Strand Hanson advised XXIC xxi century investments springfield all facets of the transaction, including the valuation and conversion of outstanding loan notes and warrants to equity involving detailed negotiations with bondholders and the various banking syndicatesthe issuing of share options to incentivise existing management and the introduction of a new strategic equity investor, Ovaro Holdings Limited, an SPV beneficially owned by Renaissance Group Holdings Limited and Oleg Salmin, a Ukrainian businessman with existing interests in the Ukrainian property sector.

Ovaro became a In addition, Strand Hanson advised the Company with regard to corporate governance and the protection of minority investors whose position could otherwise have been prejudiced, as well as liaising with the LSE AIM Team and overseeing the Ukrainian Anti-Monopoly Committee process.

There, he was awarded the MacQuitty Prize for the top-performing student across all arts, humanities and social science degrees inand was also awarded a CISI qualification. During summers, Rob undertook various internships, including with an oil and gas company, Buried Hill, and with Strand Hanson in Rob joined Strand Hanson in September as an analyst within the corporate finance team. Thereafter, he moved into venture capital, spending 10 years with Compass Investment Management as Managing Director of their technology investment and advisory business,Compass Venture Management.

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Mitsui is involved in several stages of the energy value chain, including exploration, development, production, marketing and trading of energy products. Mitsui Australia's Coal Division team specialises in trading coal products and capturing new business opportunities.

Mitsui has investments mens north face bionic vest oil and gas projects, and trades and markets a number of fuel products. Our joint venture holds a one-sixth stake in the project. Mitsui began investing in coal mines in the s and since then has steadily expanded its investment portfolio. Today, our group company Mitsui Coal Holdings has interests in seven projects across Queensland and New South Wales, which produce thermal coal and coking coal. These mines produce pulverised coal injection PCI coal and coking coal.

Our Coal Division team trades coal between Australia and Japan, and markets this coal to major Japanese steel mills, power utilities and general industries. Why Dividends? Investing in dividend-paying stocks is an excellent way to pursue your investment objectives. Individual investors value the ability of dividends to forex world clock picture income. Dividends also have the potential to help provide downside crawford investment counsel aumann in difficult market environments.

There is no guarantee that this, or any, investing strategy will be successful. There are no guarantees that dividend paying stocks will continue to pay dividends. Given the significant differences between separately managed accounts and mutual funds, investors should consider the differences in expenses, tax implications, and the overall objectives between separately managed accounts and mutual funds before investing.

You should carefully consider the investment objectives, potential risks, management fees, and charges and expenses of the Fund before investing. Past performance is no guarantee of future results. Shareholder Account Access. Crawford Investment Counsel is an independent investment manager focused on providing. Updated: Iwac meaning betting Pretty much every day of my life as a tipster I'm asked what something means.

In betting, especially on Twitter where there investment property deductions taxes character limits there's a plethora of abbreviations iwac meaning betting if you're new to betting can be difficult to understand. Here's a quick glossary of some betting terms to help you understand the various terms used on social media by tipsters:. If you've got anything that you think should be added to this list, feel free to tweet me InplayMan and tell me and I'll happily put it on the list.

Back - to "back" a bet means to bet on the outcome happening. Cover - if you backed Over 2. DC - means double chance, backing a team to either win or draw a game. Drift - when the price of your selection gets bigger over time. Double - two selections that both need to win for your bet to win.

Each Way - consists of 2 bets, the first half is for your selection to win, the second half is for your selection to place and will be paid out in accordance with the bookies place terms. Investment banks perform goodgame investments pants basic, critical functions. First, investment banks act as intermediaries between those entities that demand capital e.

This is mainly facilitated through investment bank structures and equity offerings by companies. Second, investment banks advise corporations on mergers, acquisitions, restructurings, and other major corporate actions. While the majority of investment banks perform these two functions, it is important to know which products and services each bank specializes in.

This distinction is important to understand, because the U. This was done in order to prevent banks from making implicit bets on the direction of the market, at the potential expense of depositors. Banks were forced to choose between investment banking and commercial banking, and that continued until the Glass-Steagall Act was repealed in. I'll bet you have never even heard of Medlar, much less eaten one. It has betting medlars fruit popular enough in the past to place it among the food items considered de rigueur for medieval and Renaissance-era banquets and feasts put on by the local Society for Creative Anachronism, an international organization dedicated to the arts betting medlars fruit skills of preth century Europe.

The medlar, Baseball betting lines wikipedia germanicais a member of the rose family and is botanically somewhere between a pear and a Hawthorne. The Medlar is a small, deciduous tree of about 20 feet in height and width with a broad crown and heavy foliage. The branches may be contorted or very angular and the wild varieties may have thorns.

It is reported to be indigenous to southwest Asia and southeastern Europe and was introduced to Germany by the Romans. It is said that Medlars were taken to North America by the Jesuits in the s and introduced to South Africa in the 17th century. The foliage is quite showy in the fall with yellow or red leaves.

The fruit, if left on the tree creates winter interest. Contact These bales are machine pressed from Australia and not packed here in fiji. Bales are located in nepani and you can contact for viewing. It's a great oppourtunity vuya investments pants start up your own business.

Minimum order to be purchased is 5kg and maximum is up to the customers. Limited stocks are available so hurry up before it's too late We are located at pilling road nasinu All make complex. This clothes are from America. Single line bales now available at our kalsa road shop located beside nayans supermarket next to digicel office.

Guy-Max Delphin founded Delphin Investments in December after more than a dozen delphin investments pants of investment experience. Investigations revealed marked peripheral eosinophilia and elevated perinuclear antineutrophil cytoplasmic antibody titers.

Renal biopsy showed pauci-immune cre-scentic glomerulonephritis with interstitial eosinophil infiltrates. He had no history of asthma. Computed tomography of the chest and X-ray of the paranasal sinuses were normal. On Day 1, the patient developed ileal perforation. Resected ileal segments showed small vessel vasculitis with extravascular eosinophils. A diagnosis of non-asthmatic variant of Churg-Strauss syndrome was made.

Renal recovery was achieved in 12 weeks with a combination therapy of corticosteroid and cyclophosphamide. The patient has been relapse-free for 12 months on oral prednisolone therapy. A year-old male presented with sensory motor polyneuropathy and rapidly progressive renal failure. Clinical presentation of Churg-Strauss syndrome in children.

Razenberg Femke ; J. Heynens Jan ; G. Jan de Vries Geeuwke ; L. Duijts Liesbeth ; J. Rosias Philippe. We report on a year-old boy with asthma and deterioration of his general condition, who was eventually diagnosed with an ANCA-negative Churg-Strauss syndrome.

Anti-neutrophil cytoplasmic antibody negative crescentic paucimmune glomerulonephritis in a case of scleroderma with systemic lupus erythematosus overlap. Full Text Available Renal Involvement in scleroderma is a known problem and the manifestations are well described. Renal involvement in systemic lupus erythematosus SLE is also well known. However, in scleroderma and SLE overlap syndrome, the renal findings may vary being a combination of features of immune complex mediated glomerulonephritis as well as thrombotic microangiopathy.

We report a case in which the renal manifestation in such a situation was of a focal necrotising pauci-immune glomerulonephritis with crescents , anti-neutrophil cytoplasmic antibody negative. To the best of our knowledge, such manifestations have not been described before. Renal dysfunction in a normotensive setting in such a case should direct one towards evaluation for other causes and should prompt a kidney biopsy.

This would be valuable in delineating the pathological process in the kidney and would help in guiding therapy. Churg-Strauss syndrome is an uncommon multisystem disorder characterized by asthma, eosinophilia and vasculitis. The propositus included, 50 cases of childhood Churg-Strauss syndrome have been reported. The patient characteristics and clinical characteristics of these children are summarized. The respiratory tract is most frequently involved with pulmonary infiltrates, asthma and sinusitis.

Early recognition of childhood Churg-Strauss syndrome is important as delayed diagnosis can lead to severe organ involvement, and possible fatal outcome. Isolated pauci-immune pulmonary capillaritis. Full Text Available A young house wife presented with low grade fever, cough, haemoptysis and SOB of unknown aetiology for 40 days duration.

Respiratory system examination revealed diffuse crepts and rhonchi. Other organ system examination did not reveal any abnormality. X-ray chest PA view and CT thorax showed diffuse bilateral necrotising nodular lesions of various sizes with small pleural effusion. She also had low resting oxygen saturation with falling haematocrit. Bronchoscopy revealed continuous bloody aspirates.

We could not isolate any organisms in any of the specimens from her and she was unresponsive to any of the antibiotics either. Based on the clinical, laboratory data, radiological features and positive outcome to pulse therapy of methylprednisolone and cyclophosphamide, she was diagnosed as a case of IPIPC. Clinical spectrum and outcomes of crescentic glomerulonephritis: A single center experience.

Full Text Available There is limited data on the etiology, clinical and histopathological spectrum and outcomes of crescentic glomerulonephritis CrGN in adult Indian population. This prospective study was done to evaluate the etiology, clinicohistological patterns and predictors of outcome of CrGN in South Indian population.

All the patients received standard protocol based immunosuppression in addition to supportive care. The patients with PauciGN presented with significantly higher serum creatinine 9. At the end of 3 months follow-up, only two patients went into complete remission 5.

Majority of the patients had end-stage renal failure There was no signifi difference in the renal survival The parameters associated with adverse outcomes at 3 months were hypertension odds ratio [OR]: 0. A year-old female, having developed recurrent infections of the upper airway, hoarseness, dyspnea, and nasal congestion, was referred to our department.

There was no history of trauma or intubation. The subglottic space was circularly narrowed. The test for c-ANCA was negative. Chest X-ray and renal function were normal. A tracheotomy was performed; the histology showed infiltrating plasma cells, but no signs of vasculitis or granulomatous inflammation. One year later the patient developed acute renal failure.

Biopsy of the kidney confirmed Wegener's disease. The laryngeal stenosis completely resolved after therapy with cyclophosphamide. Juvenile Wegener's granulomatosis is extremely rare; the larynx and trachea seem to be involved more frequently in children than in adults.

Surgical interventions within the larynx or trachea might only be considered after ineffective therapy with immunosuppressive drugs. A compact high-beta tokamak configuration with '' crescent ''-shaped or ''boomerang''-shaped cross-section is proposed as a next-generation ignition machine. This configuration with a small indentation but a large triangularity is more compact than the normal dee-shaped design because of its high-beta characteristics in the first-second transition regime of stability.

This may also be a more reliable next-generation compact device than the bean-shaped design with large indentation and small triangularity, because this design dose not rely on the second stability and is easily extendable from the present dee-shaped design.

A compact high-beta tokamak configuration with '' crescent ''-shaped or ''boomerang''-shaped cross section is proposed as a next-generation ignition machine. This may also be a more reliable next-generation compact device than the bean-shaped design with large indentation and small triangularity, because this design does not rely on the second stability and is easily extendable from the present dee-shaped design.

Hypocomplementemic urticarial vasculitis syndrome HUVS is a rare autoimmune disease characterized by multiple organ system involvement, including renal disease, with low complement levels. We report the case of a year-old woman who presented with nonspecific symptoms including fatigue, diarrhea, macular rash and abdominal pain with acute renal failure leading to end-stage kidney disease. Laboratory results showed hematuria, nephrotic range proteinuria, worsening creatinine and low C1q levels.

Left kidney biopsy showed proliferative glomerulonephritis with crescent formation. She was treated with 6 months of intravenous cyclophosphamide, followed by 2 doses of intravenous rituximab 1g each , thereafter maintained on mycophenolate mofetil and glucocorticoid-based therapy.

She experienced a full recovery of renal function after 12 months of dialysis dependence. Hypocomplementemic urticarial vasculitis syndrome with crescentic glomerulonephritis is a rare disease with only 5 other reported cases in literature. In our case, we document a delayed but excellent renal recovery during a 2-year follow-up. We report a rare case of crescentic diffuse proliferative glomerulonephritis GN that developed in close temporal association with cetuximab treatment.

A year-old female recently completed chemotherapy with cetuximab treatment for moderately differentiated oral squamous cell carcinoma. She was admitted with acute renal failure and nephrotic-range proteinuria. Laboratory data showed serum creatinine of 6. Serum C3 and C4 level were normal. Renal biopsy showed crescentic diffuse proliferative GN with focal features of thrombotic microangiopathy.

Patient was started on cyclophosphamide and steroids. Her renal function did not improve on day 8 and she was started on hemodialysis. Previous reports suggest that EGFR-targeting medications can possibly trigger or exacerbate an IgA-mediated glomerular process leading to renal failure.

This case suggests that cetuximab therapy may have triggered or exacerbated a severe glomerular injury with an unfavorable outcome. Treating physicians should maintain a high degree of caution and monitor renal function in patients on EGFR inhibitors. This grid is Crescentic glomerulonephritis in a polar bear Ursus maritimus. Spontaneous crescentic glomerulonephritis CrGN in animals has only been reported in dog and sheep. We report the pathological features of CrGN in a year-old male polar bear that died due to renal failure.

Histologically, the lesions were characterized by fibrocellular crescents , adhesion between Bowman's capsule and the glomerular capillary tuft and an increase in the mesangial matrix in glomeruli. Ultrastructually, thickening of the glomerular basement membrane and loss of epithelial cell foot processes were observed with electron-dense deposits. Crescentic Glomerulonephritis in a Polar Bear Ursus maritimus.

Subtotal ablation of parietal epithelial cells induces crescent formation. Sicking, E. Here, we established. Here, we established an inducible transgenic mouse to allow subtotal ablation of PECs. Proteinuria developed during doxycycline-induced cellular ablation but fully reversed 26 days after termination of doxycycline administration. Podocytes showed focal foot process effacement, which was the most likely cause for transient proteinuria.

The induced proliferation of PECs persisted throughout the observation period, resulting in the formation of typical cellular crescents with periglomerular infiltrate, albeit without accompanying proteinuria.

In summary, subtotal ablation of PECs leads the remaining PECs to react with cellular activation and proliferation, which ultimately forms cellular crescents. Crescent City recorded the highest amplitudes of any tide gauge in the Pacific and was the only location to experience structural damage. Strong currents damaged docks and boats within the small boat basin, causing more than US 20 million in damage and replacement costs.

We examine how modifications to Crescent City's harbor may have affected its vulnerability to moderate tsunamis such as the event. A bathymetric grid of the basin was constructed based on US Army Corps of Engineers soundings in and before the construction of the small boat basin. The method of splitting tsunamis was used to estimate tsunami water heights and current velocities at several locations in the harbor using both the grid and the bathymetric grid for the Kuril event and a similar-sized source along the Sanriku coast of Japan.

Model velocity outputs are compared for the two different bathymetries at the tide gauge location and at six additional computational sites in the harbor. The largest difference between the two grids is at the small boat basin entrance, where the bathymetry produces currents over three times the strength of the currents produced by the bathymetry. Peak currents from a Sanriku event are comparable to those produced by the event, and within the boat basin may have been higher.

The modifications of the harbor, and in particular the addition of the small boat basin, appear to have contributed to the high current velocities and resulting damage in and help to explain why the M w 8. Crescentic glomerular nephritis associated with rheumatoid arthritis: a case report. Rheumatoid arthritis is a systemic disorder where clinically significant renal involvement is relatively common.

However, crescentic glomerular nephritis is a rarely described entity among the rheumatoid nephropathies. We report a case of a patient with rheumatoid arthritis presenting with antineutrophil cytoplasmic antibody-negative crescentic glomerular nephritis.

Her physical examination revealed that she had bilateral pitting leg edema and periorbital edema. She was not pale or icteric. She had evidence of mild synovitis of the small joints of the hand bilaterally with no deformities. No evidence of systemic vasculitis was seen.

Abdominal ultrasound revealed normal-sized kidneys with acute parenchymal changes and mild ascites. Her renal biopsy showed renal parenchyma containing 20 glomeruli showing diffuse proliferative glomerular nephritis, with 14 of 20 glomeruli showing cellular crescents , and the result of Congo red staining was negative.

Antistreptolysin O titer rheumatoid arthritis, awareness of which would facilitate early appropriate investigations and treatment. Beta limit of crescent and bean shaped tokamaks. The poloidal plasma cross-sections are inscribed in a rectangle with an aspect ratio of three and an ellipticity of two.

A confocal wall, the distance of which from the plasma surface is equal to the horizontal minor plasma radius, is present to stabilize against the kink mode. It is also shown that the coefficient of the Troyon-type beta scaling increases for an indented plasma. For strong indentation, the BEAN 2 type gives the highest beta value.

Ocular involvement in Churg-Strauss syndrome is infrequent. We describe the case of a year-old woman with eosinophilia and involvement of the respiratory tract, skin, and peripheral nervous system, fulfilling the American College of Rheumatology criteria for Churg-Strauss syndrome.

The patient presented with acute, painless vision loss in her right eye. Central retinal artery occlusion CRAO without accompanying retinal vasculitis was diagnosed by angiographic findings and funduscopic findings of retinal whitening with a cherry-red spot. Although her antineutrophil cytoplasmic antibody ANCA status was negative, CRAO was thought to be an ocular manifestation of Churg-Strauss syndrome, and appropriate treatment was planned.

She was treated with high-dose corticosteroids and anticoagulant therapy. Her macular edema improved, but visual recovery was poor. Full Text Available The origin of crescent forming cells in human glomerulonephritis GN remains unknown. We investigated the expression of claudin-1 in human GN.

Immunohistochemistry for claudin-1 was performed on 17 kidney biopsy samples with crescent formation. Colocalization of claudin-1 with intracellular tight junction protein ZO-1 was also evaluated by immunofluorescence double staining. Claudin-1 is expressed mainly at the cell to cell contact site of proliferating cells in cellular crescentic lesions in patients with these forms of human GN.

Small numbers of crescent forming cells showed extrajunctional localization of claudin Colocalization of claudin-1 with ZO-1 was found at cell to cell contact sites of adjacent proliferating cells. In control samples, staining of claudin-1 was positive in PECs, but not in podocytes. Our findings suggest that claudin-1 contributes to crescent formation as a component of the tight junction protein complex that includes ZO Recent drying of the Fertile Crescent : natural or externally forced?

There has been a reduction in observed precipitation over the greater Mediterranean region since the middle of the 20th Century. Recent studies suggest that while anthropogenic forcing has already begun to assert itself in recent decades, the preponderance of the winter drying trend is attributable to the large natural multidecadal variability of the North Atlantic Oscillation NAO , while over the eastern Mediterranean, the anthropogenic, or forced drying signal is more clearly evident.

This forced drying is projected to increase during the 21st Century according to the newest global climate models and this aridification would present significant challenges for a region that is already water-stressed. Although the Fertile Crescent is historically known for its agricultural prosperity, the severity and persistence of the recent multiyear drought in Syria, directly prior to the uprising there, leads us to ask whether this is evidence of emerging global warming influence.

This drought exacerbated existing water insecurity, resulting in an agricultural collapse and a mass migration of rural drought refugees to the urban areas in Syria's west. This migration followed the previous influx of Iragi refugees and combined with strong natural population growth to place a severe strain on resources.

Here we examine observations of precipitation and temperature, both gridded and stations, along with simulations and projections from the newest global climate models, to estimate the forced contribution to the recent Syrian drought, and assess the uncertainty in future drying according to the models.

We find that this region has experienced a long-term downward trend in precipitation, and a concomitant increase in temperature, serving to further dry the soil, and in surface pressure. We find that the shift in the distributions of three-year running means of surface pressure and precipitation due to the forcing make severe events such as the recent Syrian drought several.

Coexistence of anti-glomerular basement membrane antibodies and myeloperoxidase-ANCAs in crescentic glomerulonephritis. In the present study, we questioned. Renal progenitor cells contribute to hyperplastic lesions of podocytopathies and crescentic glomerulonephritis. Smeets, B. Glomerular injury can involve excessive proliferation of glomerular epithelial cells, resulting in crescent formation and obliteration of Bowman's space.

The origin of these hyperplastic epithelial cells in different glomerular disorders is controversial. Renal progenitors localized to the inner. Full Text Available Introduction: Bioterrorism is a worldwide problem and has been the focus of attention during recent decades. There is no precise information on the knowledge, attitude, and preparedness of Iranian Red Crescent volunteers in dealing with bioterrorism. Therefore, the present study aimed to evaluate the above-mentioned parameters in Mahabad Red Crescent Society volunteers.

Methods: In this prospective cross-sectional study, the knowledge of volunteers was evaluated and rated as poor, moderate, and good. In addition, attitude of the volunteers and preparedness of Mahabad Red Crescent Society was rated as inappropriate and appropriate using a questionnaire. Results: The mean age of volunteers was Only 1 0.

Conclusion: The findings of the present study showed poor knowledge and inappropriate attitude of Mahabad Red Crescent Society volunteers in encountering probable bioterrorist attacks. Furthermore, the Red Crescent Society of this town had an inappropriate level of preparedness in the field of bioterrorism from the viewpoint of the studied volunteers. To present our experiences in understanding and minimizing bowtie-filter crescent artifacts and bowtie-filter normalization artifacts in a clinical cone beam computed tomography system.

Bowtie-filter position and profile variations during gantry rotation were studied. Two previously proposed strategies A and B were applied to the clinical cone beam computed tomography system to correct bowtie-filter crescent artifacts. Physical calibration and analytical approaches were used to minimize the norm phantom misalignment and to correct for bowtie-filter normalization artifacts. A combined procedure to reduce bowtie-filter crescent artifacts and bowtie-filter normalization artifacts was proposed and tested on a norm phantom, CatPhan, and a patient and evaluated using standard deviation of Hounsfield unit along a sampling line.

The bowtie-filter exhibited not only a translational shift but also an amplitude variation in its projection profile during gantry rotation. Strategy B was better than strategy A slightly in minimizing bowtie-filter crescent artifacts, possibly because it corrected the amplitude variation, suggesting that the amplitude variation plays a role in bowtie-filter crescent artifacts.

The physical calibration largely reduced the misalignment-induced bowtie-filter normalization artifacts, and the analytical approach further reduced bowtie-filter normalization artifacts. The combined procedure minimized both bowtie-filter crescent artifacts and bowtie-filter normalization artifacts, with Hounsfield unit standard deviation being The combined procedure also demonstrated reduction of bowtie-filter crescent artifacts and bowtie-filter normalization artifacts in a CatPhan and a patient.

We have developed a step. Crescentic glomerulonephritis GN is a devastating disease with rapidly progressive deterioration in kidney function, which, histologically, manifests as crescent formation in most glomeruli.

Herein, we elucidated sequential events and cellular and molecular interactions occurring during crescentic lesion onset and evolution. By analyzing kidney biopsy specimens of patients with extracapillary GN, divided according to the grade of glomerular lesions, we found that the accumulation of macrophages expressing matrix metalloproteinase started manifesting in glomeruli affected by early-stage lesions, whereas AT 1 receptor expression could not be detected.

In glomeruli with advanced lesions, AT 1 receptor expression increased markedly, and the up-regulation of SDF-1, and its receptor C-X-C chemokine receptor 7, was documented on podocytes and PECs, respectively. The present findings support the possibility that angiotensin-converting enzyme inhibitor treatment might limit PEC activation and reduce the frequency and extension of crescents in extracapillary GN.

Ischemia-induced glomerular parietal epithelial cells hyperplasia: Commonly misdiagnosed cellular crescent in renal biopsy. Ischemic pseudo-cellular crescent IPCC that is induced by ischemia and composed of hyperplastic glomerular parietal epithelial cells resembles cellular crescent. In this study, we aimed to assess the clinical and pathological features of IPCC in renal biopsy to avoid over-diagnosis and to determine the diagnostic basis.

Appropriate clinical data, morphology, and immunohistochemical features of all cases were retrieved. Results showed that the basement membrane of glomerulus with IPCC appeared as a concentric twisted ball, and glomerular cells of the lesion were reduced even entirely absent, and the adjacent afferent arterioles showed sclerosis or luminal stenosis. Furthermore, immune globulin deposition, vasculitis, and fibrinous exudate have not been observed in IPCC.

While the cellular crescents showed diverse characteristics in both morphology and immunostaining in the control group. Therefore, these results indicated that IPCC is a sort of ischemic reactive hyperplasia and associated with sclerosis, stenosis, or obstruction of adjacent afferent arterioles, which is clearly different from cellular crescents result from glomerulonephritis.

Long-term statistics of extreme tsunami height at Crescent City. Historically, Crescent City is one of the most vulnerable communities impacted by tsunamis along the west coast of the United States, largely attributed to its offshore geography. Trans-ocean tsunamis usually produce large wave runup at Crescent Harbor resulting in catastrophic damages, property loss and human death.

How to determine the return values of tsunami height using relatively short-term observation data is of great significance to assess the tsunami hazards and improve engineering design along the coast of Crescent City. In the present study, the extreme tsunami heights observed along the coast of Crescent City from to are fitted using six different probabilistic distributions, namely, the Gumbel distribution, the Weibull distribution, the maximum entropy distribution, the lognormal distribution, the generalized extreme value distribution and the generalized Pareto distribution.

The maximum likelihood method is applied to estimate the parameters of all above distributions. Both Kolmogorov-Smirnov test and root mean square error method are utilized for goodness-of-fit test and the better fitting distribution is selected. Assuming that the occurrence frequency of tsunami in each year follows the Poisson distribution, the Poisson compound extreme value distribution can be used to fit the annual maximum tsunami amplitude, and then the point and interval estimations of return tsunami heights are calculated for structural design.

The results show that the Poisson compound extreme value distribution fits tsunami heights very well and is suitable to determine the return tsunami heights for coastal disaster prevention. Renal progenitors localized to the inner surface of Bowman's capsule can regenerate podocytes, but whether dysregulated proliferation of these progenitors contributes to crescent formation is unknown. Taken together, these results suggest that glomerular hyperplastic lesions derive from the proliferation of renal progenitors at different stages of their differentiation toward mature podocytes, providing an explanation for the pathogenesis of hyperplastic lesions in podocytopathies and crescentic glomerulonephritis.

Agriculture in the Fertile Crescent : Continuity and change under climate change. The Fertile Crescent is a highly biodiverse region where most temperate-zone agricultural species originated and were first domesticated. A favorable environment, a special plant community, and an adaptive population combined to initiate the transition from a hunter-gatherer economy to one based on These analysts attribute this change in behavior to the length of time it can take to An idealised study for the long term evolution of crescentic bars.

An idealised study that identifies the mechanisms in the long term evolution of crescentic bar systems in nature is presented. Growth to finite amplitude i. These nonlinear effects are added to a linear stability model and used to predict crescentic bar development along a beach in Duck, North Carolina USA over a 2-month period.

The equilibration prolongs the development of bed patterns, thus allowing the long term evolution. Higher harmonic interaction enables the amplitude to be transferred from longer to shorter lengthscales, which leads to the dominance of shorter lengthscales in latter post-storm stages, as observed at Duck.

The comparison with observations indicates the importance of higher harmonic interaction in the development of nearshore crescentic bar systems in nature. Additionally, it is concluded that these nonlinear effects should be included in models simulating the development of different bed patterns, and that this points a way forward for long-term morphodynamical modelling in general. Proliferative, necrotizing and crescentic immune complex-mediated glomerulonephritis in a cat.

Azotemia, hyperphosphatemia and hypoalbuminemia were the main biochemical findings. Serial analyses of the urine revealed isosthenuria, proteinuria and eventual glucosuria. Hyperechoic perirenal fat was detected surrounding the right kidney by ultrasonography. Histopathologic evaluation of ante-mortem ultrasound-guided needle biopsies of the right kidney was consistent with proliferative, necrotizing and crescentic glomerulonephritis with fibrin thrombi, proteinaceous and red blood cell casts, and moderate multifocal chronic-active interstitial nephritis.

Owing to a lack of clinical improvement, the cat was eventually euthanized. Post-mortem renal biopsies were processed for light microscopy, transmission electron microscopy and immunofluorescence. This revealed severe focal proliferative and necrotizing glomerulonephritis with cellular crescent formation, podocyte injury and secondary segmental sclerosis.

Severe diffuse acute tubular epithelial injury and numerous red blood cell casts were also seen. Relevance and novel information To our knowledge, this is the first report of naturally occurring proliferative, necrotizing and crescentic immune complex glomerulonephritis in a cat. Effects of the reconnection electric field on crescent electron distribution functions in asymmetric guide field reconnection. In asymmetric reconnection with a guide field in the Earth's magnetopause, electron motion in the electron diffusion region EDR is largely affected by the guide field, the Hall electric field, and the reconnection electric field.

The electron motion in the EDR is neither simple gyration around the guide field nor simple meandering motion across the current sheet. The combined meandering motion and gyration has essential effects on particle acceleration by the in-plane Hall electric field existing only in the magnetospheric side and the out-of-plane reconnection electric field.

We analyze electron motion and crescent -shaped electron distribution functions in the EDR in asymmetric guide field reconnection, and perform 2-D particle-in-cell PIC simulations to elucidate the effect of reconnection electric field on electron distribution functions. Recently, we have analytically expressed the acceleration effect due to the reconnection electric field on electron crescent distribution functions in asymmetric reconnection without a guide field Bessho et al.

Plasmas, 24, , We extend the theory to asymmetric guide field reconnection, and predict the crescent bulge in distribution functions. The time period is expressed as a hybrid of the meandering period and the gyro period. Due to the guide field, electrons not only oscillate along crescent -shaped trajectories in the velocity plane perpendicular to the antiparallel magnetic fields, but also move along parabolic trajectories in the velocity plane coplanar with magnetic field.

The trajectory in the velocity space gradually shifts to the acceleration direction by the reconnection electric field as multiple bounces continue. Due to the guide field, electron distributions for meandering particles are bounded by two paraboloids or hyperboloids in the. Motor carrier case study evaluation report : appendix C, Vol. The Crescent Project element of the HELP Program is a bi-national multi-jurisdictional : cooperative research and demonstration initiative involving the public and private sectors in an : application of advanced technologies for the creation of an in Four out of ten patients were anuric and needed dialysis treatment at the start of treatment.

Therapeutic benefit, i. It is difficult to establish whether the better therapeutic results in the more recently treated group were due to PE or to MP pulses of to both the new approaches, even though the clinical improvement obtained in all the 3 patients treated with PE without concomitant MP suggest a specific beneficial role for PE.

RPCGN is a catastrophic illness characterized by progressive deterioration of kidney function, resulting in oliguria and uremia, usually within weeks or months. The most consistent histopathologic finding is the presence of extensive glomerular crescents resulting from proliferation of the extracapillary epithelial cell lining of Bowman's capsule. Most studies that have assessed the predictors of recurrent IgA nephropathy IgAN in the renal allograft have focused on post-transplant features.

Identifying high-risk pre-transplant features of IgAN is useful for counseling patients and may help in tailoring post-transplant immunosuppression. We investigated the pre-transplant clinical and biopsy features of 62 patients with IgAN who received transplants at Columbia University Medical Center from to and compared the characteristics and outcomes of patients with IgAN recurrence to those without recurrence.

The primary outcome was time to recurrent IgAN. Secondary outcomes were a composite of doubling of creatinine or allograft failure, and recurrent IgAN as a cause of allograft dysfunction. Of the 62 patients, 14 had recurrent IgAN in the allograft. Mean time to recurrence was 2. Those with recurrent disease were younger at the time of native kidney biopsy 29 vs. Features of native IgAN can help predict the risk of recurrent disease in the renal allograft. In particular, immunologically active disease represented by earlier age of onset and greater burden of crescents on native biopsy is more likely to recur after transplant.

Karger AG, Basel. Formation of tight junctions between neighboring podocytes is an early ultrastructural feature in experimental crescentic glomerulonephritis. However, the sequential changes in glomerular ultrastructure in CGN are not well defined. This study investigated the time course of glomerular ultrastructure in experimental CGN. Methods: Transmission electron microscopy TEM was performed using kidney samples from rats with nephrotoxic serum nephritis NSN from day 1 to day Morphometric analysis was conducted on randomly selected glomeruli captured on TEM digital images.

Results: On day 1 of NSN, there was widespread formation of focal contacts between the cell bodies of neighboring podocytes, and tight junctions were evident at the site of cell-to-cell contact. This was confirmed by the increased expression of the tight junction molecule, zonula occludens-1 ZO-1, which localized to the points of podocyte cell—cell body contact.

On day 2, the interpodocyte distance decreased and the glomerular basement membrane thickness increased. Fibrinoid necrosis and cellular crescents were evident in all glomeruli by days 7 and In vitro, the exposure of podocytes to macrophage-conditioned media altered cellular morphology and caused an intracellular redistribution of ZO Conclusion: The formation of tight. Crescent shaped Fabry-Perot fiber cavity for ultra-sensitive strain measurement. Optical Fabry-Perot interferometer sensors based on inner air-cavity is featured with compact size, good robustness and high strain sensitivity, especially when an ultra-thin air-cavity is adopted.

The typical shape of Fabry-Perot inner air-cavity with reflection mode of operation is elliptic, with minor axis along with and major axis perpendicular to the fiber length. The first reflection surface is diverging whereas the second one is converging. To increase the visibility of the output interference pattern, the length of major axis should be large for a given cavity length.

However, the largest value of the major axis is limited by the optical fiber diameter. If the major axis length reaches the fiber diameter, the robustness of the Fabry-Perot cavity device would be decreased. Here we demonstrate an ultra-thin crescent shaped Fabry-Perot cavity for strain sensing with ultra-high sensitivity and low temperature cross-sensitivity.

The crescent -shape cavity consists of two converging reflection surfaces, which provide the advantages of enhanced strain sensitivity when compared with elliptic or D-shaped FP cavity. The device is fabricated by fusion splicing an etched multimode fiber with a single mode fiber, and hence is simple in structure and economic in cost. Urinary Transforming Growth Factor-beta 1 as a marker of response to immunosuppressive treatment, in patients with crescentic nephritis.

Full Text Available Abstract Background Crescentic nephritis is characterized by formation of cellular crescents that soon become fibrotic and result in irreversible damage, unless an effective immunosuppressive therapy is rapidly commenced.

Methods Fifteen patients with crescentic nephritis were included in the study. Twelve patients with other types of proliferative glomerulonephritis and ten healthy subjects were used as controls. Results Improvement of renal function with immunosuppressive therapy was observed in 6 and stabilization in 4 patients serum creatinine from 3. In 5 patients, with severe impairment of renal function who started on dialysis, no improvement was noted. The main histological feature differentiating these 5 patients from others with improved or stabilized renal function was the percentage patients with poor response to treatment were the percentage of glomeruli with crescents and the presence of ruptured Bowman's capsule and glomerular necrosis.

Clinical features and outcomes of ANCA-associated renal vasculitis. Full Text Available To determine the patterns and outcomes of the pauci-immune vasculitis in the nephrology department at hospital La Conception in Marseille, we conducted a retrospective study including all patients with diagnosis of pauci-immune renal vasculitis between January 1, and December 31, The median age of the patients was The mean serum creatinine at admission was 3.

Two patients with WG received plasmapheresis and seven patients required emergency hemodialysis. Induction therapy comprised cyclophosphamide IV and corticosteroids, while maintenance therapy included azathioprine for the majority of patients.

Eighty four percent of the patients experienced complete remission after induction therapy. After 35 months of follow-up, eight patients ended on chronic hemodialysis, and five patients died. ANCA associated vasculitis are frequent in our patients. The bony crescent sign - a new sign of facial nerve schwannoma. Schwannomas are relatively uncommon intracranial tumours.

They most commonly involve the acoustic nerve followed in frequency by the trigeminal nerve. Other cranial nerves are rarely involved. Facial nerve schwannomas occurring within the petrous temporal bone are very rare. Their diagnosis may be missed prospectively even when appropriate computerized tomography CT scans are performed. Even in retrospect the site of abnormality may be difficult to identify, especially if there is an associated middle ear mass such as a cholesteatoma.

In the 4 cases presented the facial nerve schwannoma was seen on high resolution CT as a soft tissue mass bounded anteriorly by a thin rim of bone. This bony crescent sign is a previously undescribed feature of facial nerve schwannoma which appears to be strongly indicative of the presence of this tumour. Recognition of this sign makes these tumours arising in the region of the geniculate ganglion easy to diagnose prospectively. Full Text Available Conflict is the most important behavioral issues that, in several last deceed organizational behavior scholars intentioned to it.

According to this, researchers studied the theatrical basic of research correctly and recognized main component s and variables by descriptive-survey method in this research and selected sample by random sampling and surveyed research assumptions in Golestan Red Crescent organization. Results of research shows that task conflict related with intergroup trust directly, also there is any relationship between relationship conflict and trust.

Finally task conflict related with relationship conflict directly. Generation of highly confined photonic nanojet using crescent -shape refractive index profile in microsphere. Photonic nanojets PNJs owing to their sub-wavelength near-field features have found many interesting applications like nanoscopy, nano photolithography, high density optical storage, enhancement of Raman signal and single molecule spectroscopy etc.

More recently, the focus of research has been on tailoring of PNJs either for better confinement and thus higher peak intensity or for elongation of nanojet for high resolution far field applications. Department of Energy. Wild relatives of domesticated pea in the Mediterranean Region and the Fertile Crescent will respond to global climate change.

There is growing interest in conservation and utilization of crop wild relatives CWR in international food security policy and research. We explored macroecological patterns of wild pea in the Mediterranean Basin and the Fertile Crescent in relation to the past, current and future climate suitabil C1q nephropathy and isolated CD59 deficiency manifesting as necrotizing crescentic glomerulonephritis: A rare association of two diseases.

Full Text Available C1q nephropathy is a recently described clinico-pathologic entity with a variable clinical presentation and pathology. Crescentic glomerulonephritis GN has been reported in only two patients in the available literature. A middle-aged adult male presented with rapidly progressive renal failure. Serological investigations were negative.

Immunofluorescence on the frozen sections showed dominant mesangial deposits of C1q along with IgM. Hematological work-up of the patient revealed isolated CD59 deficiency. Hence, a final diagnosis of C1q nephropathy and CD59 deficiency manifesting as crescentic GN and hemolytic anemia was made. The co-existence of two rare disorders, C1q nephropathy and CD59 deficiency, in a patient with necrotizing crescentic GN is described for the first time to the best of our knowledge.

The pathogenetic link of these two entities with the clinical manifestation requires further study. Meningeal involvement is an infrequent manifestation of Wegener's granulomatosis. Clinical manifestations can be headache with high protein level in the cerebrospinal fluid and an enhanced MRI signal of granulomatous thickening of the duramater in the brain. We report a 57 year-old male with Wegener granulomatosis with onset manifestations of asymptomatic granulomatous meningitis, upper respiratory tract, ears and orbits involvement.

He progressively developed ANCA positive multiple mononeuritis and crescentic glomerulonephritis. The diagnostic confirmation of Wegener's granulomatosis based on a positive ANCA test and on the evidence of systemic disease crescentic glomerulonephritis and involvement of the upper respiratory tract, ears, orbits, peripheral nerves and duramater allowed a prompt initiation of aggressive immunosuppressive treatment with systemic cyclophosphamide and high - dosis corticosteroids.

The patient entered. Rhino-orbitocerebral mucormycosis in a patient with idiopathic crescentic glomerulonephritis. Full Text Available Mucormycosis, caused by mucorales, is an acute, rapidly progressive infection associated with high mortality. Rhino-orbitocerebral infection is the most common variant and is generally seen in association with immune deficiency syndromes. Prompt medical treatment of this infection and debridement decreases the mortality rate. We describe a year-old man with crescentic glomerulonephritis on maintenance prednisolone therapy.

He had earlier received steroid and cyclophosphamide pulse therapies. Renal functions improved following immunosuppressive treatment. In the third month of maintenance therapy, he presented to us with left-sided facial swelling and bloody nasal discharge. He had high blood sugar and acidic blood pH ketoacidosis, probably due to steroid therapy. Magnetic resonance imaging of the head and sinuses showed inflammation and mass in the ethmoid sinus and nose with partial septal destruction, proptosis, global destruction of the left eye, brain infarction and carotid artery obliteration.

Endoscopic biopsy of the sinuses revealed severe tissue necrosis. Samples of nasal discharge and biopsy tissue showed aseptate hyphae on light microscopy and culture, compatible with Rhizopus. The patient was treated with amphotericin B and multiple wound debridements along with ethmoidectomy and enucleation of the left eye. He was discharged in good general condition but with mild right hemiparesis. On follow-up examination at one year, there were no signs of fungal infection or renal dysfunction.

Open wedge metatarsal osteotomy versus crescentic osteotomy to correct severe hallux valgus deformity. The open wedge osteotomy is a newly introduced method for proximal osteotomy. The aim of this prospective randomized study was to compare the radiological and clinical results after The treatment was proximal In group 2 the angle decreased from The intermetatarsal angle in group 1 was Crescentic and ring-shaped opacities.

Voloudaki, A. On CT both cases exhibited crescentic and ring-shaped opacities, surrounding areas of groundglass attenuation, and associated with a nodular pattern in one patient and airspace consolidations in the second patient. CT-pathologic correlation dislosed that the central areas of groundglass attenuation corresponded to alveolar septal inflammation, in contrast to the denser periphery where granulomatous tissue in peripheral airspaces predominated.

In the broad spectrum of CT findings, BOOP can exhibit specific CT features with regard to the crescentic or ring-shaped opacities with a central groundglass attenuation area. Since these features have not been described in any other disease, they might be characteristic features for the diagnosis of BOOP.

Murray Scot. Monitoring plant tissue nitrogen isotopes to assess nearshore inputs of nitrogen to Lake Crescent , Olympic National Park, Washington. Mats of filamentous-periphytic algae present in some nearshore areas of Lake Crescent , Olympic National Park, Washington, may indicate early stages of eutrophication from nutrient enrichment of an otherwise highly oligotrophic lake.

The seasonal timing of blooms of filamentous-periphytic algal near the lake shoreline is also consistent with nitrogen exported from stands of red alder trees Alnus rubra. Isotope biomonitoring of filamentous-periphytic algae may be an effective approach to monitoring the littoral zone for nutrient input to Lake Crescent from septic sources.

Ensari's contributions before the decline of the Ottoman Empire]. This article deals with the Indian Red Crescent aids and Dr. Ahmed Ensari's role in this activity during the wars in the early 20th century that led the Ottoman Empire to dismantle.

The Indian Red Crescent presided by Dr. Ensari sent a medical team and sanitary material for the Ottomans battered during the war in Tripoli and the succeeding war at the Balkans The article also deals with the meetings of the above-mentioned medical team with the Ottoman statesmen and dignitaries; its success at the Tripoli front and its projects concerning the Ottoman immigrants from the Balkan region.

On their return to India, Dr. Ensari and the members of the team held a series of meetings and spoke of their activities to the people in their country. They tried to spread their sympathy for the Ottoman-Turkish people even to the outposts of India. This article is an attempt to describe the sympathy of this brother nation Pakistan of today proved by their aids and support far away from their borders. Over the last years the Fertile Crescent of the Near East has seen the emergence of urban agglomerations, small scale polities and large territorial empires, all of which had profound effects on settlement patterns.

Computational approaches, including the use of remote sensing data, allow us to analyse these changes at unprecedented geographical and temporal scales. Here we employ these techniques to examine and compare long term trends in urbanisation, population and climate records.

Maximum city size is used as a proxy for the intensity of urbanisation, whilst population trends are modelled from settlement densities in nine archaeological surveys conducted over the last 30 years across the region. These two measures are then compared with atmospheric moisture levels derived from multiple proxy analyses from two locations close to the study area, Soreq Cave in Israel and Lake Van in south-eastern Turkey, as well as wider literature.

The earliest urban sites emerged during a period of relatively high atmospheric moisture levels and conform to a series of size thresholds. However, after the Early Bronze Age maximum urban size and population levels increase rapidly whilst atmospheric moisture declines. We argue that although the initial phase of urbanization may have been linked to climate conditions, we can see a definitive decoupling of climate and settlement patterns after BC.

We relate this phenomenon to changes in socio-economic organisation and integration in large territorial empires. The complex relationships sustaining urban growth during this later period resulted in an increase in system fragility and ultimately impacted on the sustainability of cities in the long term.

Traditional flat breads spread from the Fertile Crescent : Production process and history of baking systems. By a multidisciplinary approach, this review gives an insight into the variety of traditional flat breads from the Fertile Crescent and related regions, classifying them on the basis of their production process.

Moreover, the baking systems adopted to prepare flat breads are reviewed, such as vertical ovens tannur and tabun and griddles saj, whose structure, origin, history, and values are described in detail. This overview shows that these breads have survived until today because of their versatility. Keywords: Flat bread, Pancake-like bread, saj, tannur, Vertical oven.

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