Advanced enteropathy-associated T cell lymphoma (EATL) presenting with severe malabsorption and concomitantly diagnosed coeliac disease (CD).

Enteropathy-associated T cell lymphoma (EATL) is an aggressive subtype of non-Hodgkin's lymphoma often associated with coeliac disease (CD). We describe a previously healthy man in his 50 s who presented with a history of abdominal pain, failure to thrive and significant weight loss over a 3-month period. Investigations revealed a positive coeliac serology, diffuse duodenal atrophy with multiple duodenal and jejunal ulcers on endoscopy and mesenteric lymphadenopathy on CT imaging.

Delays to Hospital Presentation in Women and Men with ST-Segment Elevation Myocardial Infarction: A Multi-Center Analysis of Patients Hospitalized in New York City.

Purpose: Previous studies have shown longer delays from symptom onset to hospital presentation (S2P time) in women than men with acute myocardial infarction. The aim of this study is to understand the reasons for delays in seeking care among women and men presenting with an ST-Segment Elevation Myocardial Infarction (STEMI) through a detailed assessment of the thoughts, perceptions and patterns of behavior.

Patients/methods And Results: A total of 218 patients with STEMI treated with primary angioplasty at four New York City Hospitals were interviewed (24% female; Women: 68.

Safety and feasibility of intra-arterial bivalirudin bolus administration during primary angioplasty.

Aim: We investigated the feasibility and safety of intra-arterial bivalirudin bolus during primary angioplasty.

Background: Bivalirudin has been shown to be an effective and safe anticoagulant during angioplasty. However, in the Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction trial, the bivalirudin group experienced higher acute stent thrombosis rate compared with the heparin and glycoprotein IIb/IIIa inhibitor group.

Type 2 diabetes mellitus and its effect on vascular disease.

Type 2 diabetes mellitus has quickly become a worldwide epidemic with no evidence of eradication in the near future. Its effect on the vasculature often leads to cardiovascular disease with subsequent morbidity and mortality. This article is the result of an extensive literature review in which data from multiple clinical trials is summarized to guide diagnosis and treatment of type 2 diabetes mellitus.

Post myocardial infarction treatment in the older adult.

Treatments for acute myocardial infarctions (AMIs) have advanced over the past few decades. Although AMIs are considered medical emergencies, continuing research has provided protocols and guidelines that significantly decrease mortality and reinfarction rates. Beta-blockers and aspirin are considered standard treatment for post-AMI patients; however, studies involving the elderly reveal that this population is less likely to receive beta-blocker and aspirin therapy.

Post myocardial infarction treatment in the older adult.

Treatments for acute myocardial infarctions (AMIs) have advanced over the past few decades. Although AMIs are considered medical emergencies, continuing research has provided protocols and guidelines that significantly decrease mortality and reinfarction rates. Beta-blockers and aspirin are considered standard treatment for post-AMI patients; however, studies involving the elderly reveal that this population is less likely to receive beta-blocker and aspirin therapy.

Non-invasive electrical stimulation of the ear canal as a communication aid in acquired total deafness.

Some profoundly deafened patients, who cannot be helped by sound amplification, claim to perceive auditory sensations when alternating currents up to 100 Hz are passed through electrodes applied to the skin of the external ear canal. A portable speech processor has been developed which supplies this current. The signal is a balanced square wave, the frequency of which is proportional to the first formant frequency.

An attempt to determine the structure of the nervous system serving mechanoreceptors.

Following disparities between physical stimuli and psychophysically measured sensation patterns are investigated: 1. long or short duration stimulation of the same area on the skin produces different sensation patterns. No transient response is observed.