Dyspnea with Hemidiaphragm Elevation in a Patient with Giant Cell Arteritis: A Case Report.

We herein report the first case of dyspnea with hemidiaphragm elevation in a 68-year-old woman with active giant cell arteritis (GCA), including successful treatment. Contrast-enhanced computed tomography showed a reduced density of the left ophthalmic artery and the left superficial temporal artery with increased soft tissue compared to the other side, indicating that the GCA had flared up and suggesting that the hemidiaphragm elevation might be caused by vasculitis-associated ischemia of the right phrenic nerve. Hemidiaphragm paralysis due to vasculitis-associated ischemia in patients with GCA needs to be distinguished from local infection, tumors, and hepatomegaly, which are the major causes of hemidiaphragm elevation.

Nonequilibrium Self-Assembly of Microtubules Through Stepwise Sequential Interactions of DNA.

The assembly of biological systems forms nonequilibrium patterns with different functionalities through molecular-level communication via stepwise sequential interaction and activation. The mimicking of this molecular signaling offers extensive opportunities to design self-assemblies of bioinspired synthetic nonequilibrium systems to develop molecular robots with active, adaptive, and autonomous behavior. Herein, the design and construction of biomolecular motor system, microtubule (MT)-kinesin based molecular swarm system, are reported through stepwise sequential interactions of DNA.

Added Value of Shaking Chills for Predicting Bacteremia in Patients with Suspected Infection.

Background: Detailed grading of chills is more useful for diagnosing bacteremia than simply classifying the presence or absence of chills. However, its value added to other clinical information has not been evaluated.

Objective: To evaluate the value of adding chills grading to other clinical information compared to simply noting the presence or absence of chills for predicting bacteremia in patients with suspected infection.

Lessons learned from the risk-informed urban development initiative in the SADC region.

Unlabelled: This study presents the systemisation of lessons learned from the urban sector in which the measures based on the guiding principle of risk-informed development (RID) have been implemented in the Southern African Development Community (SADC) region at the national and/or sub-national levels. Despite notable risks in the region, these are not adequately considered in urban development planning and programming. Aiming at strengthening RID in the SADC region, the objectives of this peer-to-peer exchange were achieved through virtual workshops, roundtables and briefings on a cloud-based and open-source BigBlueButton Web conferencing system.

Pericardial artery lymphoma in a patient with dermatomyositis: A case report.

A woman in her 60s presented with erythema on both elbows, dyspnea on exertion, discomfort, and swelling of the left upper extremity, followed by swelling and myalgia of the right upper and lower extremities. She was diagnosed with anti-transcriptional intermediary factor 1-γ antibody-positive dermatomyositis with interstitial pneumonia. The initial screening tests for malignant diseases including contrast-enhanced computed tomography, upper and lower endoscopy, and gynecological examination did not reveal any obvious abnormalities.