STUMP, a surprise finding in a large fibroid uterus in a 20-year-old woman.

We report on a case of a 20-year-old nulliparous woman with menorrhagia associated with a smooth muscle tumor of uncertain malignant potential (STUMP) that was responsive to Goserelin. This case details the investigation and management of a young woman who desires ongoing fertility preservation. STUMP is a rare uterine tumor with a paucity of literature available regarding management and subsequent malignant potential, particularly in the case of a patient who desires fertility preservation.

Predictors and outcomes of acute pancreatitis in critically ill patients presenting to the emergency department of a tertiary referral centre in Australia.

Objective: To provide a current review of the clinical characteristics, predictors and outcomes in critically ill patients presenting to the ED with acute pancreatitis and subsequently admitted to an intensive care unit (ICU) of a tertiary referral centre in Australia.

Methods: A retrospective single-centre study of adult patients admitted with pancreatitis. Severe acute pancreatitis defined by Bedside Index of Severity in Acute Pancreatitis (BISAP) score ≥2.

Elevated concentrations of primordial radionuclides in sediments from the Reedy River and surrounding creeks in Simpsonville, South Carolina.

A gamma-ray survey and analysis of 16 riverbed samples from the Reedy River watershed near Simpsonville, SC were conducted and compared with national and international studies of primordial radionuclides. The study reported here follows on a recent discovery of anomalously high uranium concentrations in several private well waters in the area. An HPGe spectrometer was used for quantification of gamma emitting radionuclides in the sediments.

Evaluation of flow cell detector configurations combining simultaneous preconcentration and scintillation detection for monitoring of pertechnetate in aqueous media.

Flow cell detectors were developed for simultaneous concentration and scintillation detection of technetium-99 in water. Evaluated flow cell geometries consisted of a coil and a fountain flow cell design; the latter is based on radial solution flow through a resin bed interfaced with a photomultiplier tube through a polycarbonate window. The sorptive scintillating media investigated were (1) an extractive scintillator combining a porous polystyrene resin with the extractant Aliquat-336 and fluor 2-(1-naphthyl)-5-phenyloxazole, (2) a mixed bed of organic scintillator (BC-400) and Tc-selective resin (TEVA), and (3) a mixed bed of inorganic scintillator particles (CaF2-Eu) with either TEVA resin or strong base anion-exchange resin (Dowex 1 x 8-400(Cl)).

Anomalously high levels of uranium and other naturally occurring radionuclides in private wells in the piedmont region of South Carolina.

Anomalously high levels of uranium and 210Pb have been detected in untreated domestic groundwater wells near Simpsonville/Fountain Inn, South Carolina. Nine wells were sampled from the affected area and analyzed for total uranium, 234, 235, 238U, 226, 228Ra, 222Rn, and 210Pb as well other water quality parameters. These data augment other uranium concentration measurements and limited 226, 228Ra and 222Rn concentration measurements collected on private and public wells by the South Carolina Department of Health and Environmental Control.

Evolution of nitrogen species air pollutants along trajectories crossing the Los Angeles area.

Ambient aerosol sampling was conducted in Diamond Bar, Mira Loma, and Riverside, CA, to observe at close range the effects of ammonia emissions on air quality. These sites are located upwind,within, and downwind, respectively, of the Chino dairy area, the largest single source of ammonia emissions in the Los Angeles area. Inertial impactors and bulk filter samplers provided 4-7-h measurements of aerosol chemical composition and size distribution.

Evaluation of an air quality model for the size and composition of source-oriented particle classes.

Air quality model predictions of the size and composition of atmospheric particle classes are evaluated by comparison with aerosol time-of-flight mass spectrometry (ATOFMS) measurements of single-particle size and composition at Long Beach and Riverside, CA, during September 1996. The air quality model tracks the physical diameter, chemical composition, and atmospheric concentration of thousands of representative particles from different emissions classes as they are transported from sources to receptors while undergoing atmospheric chemical reactions. In the model, each representative particle interacts with a common gas phase but otherwise evolves separately from all other particles.