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The prevalence and treatment of severe scoliosis and other spinal anomalies in patients with Turner's syndrome (TS) is not well reported. This is the largest case series to date regarding the treatment course and outcomes of severely scoliotic TS patients.

Justificación:La criobiopsia pulmonar transbronquial (TBLC) se ha propuesto como un método menos invasivo para obtener un diagnóstico tisular en pacientes con enfermedad pulmonar intersticial (EPI). El rendimiento diagnóstico de la TBLC en comparación con la biopsia pulmonar quirúrgica (SLB) sigue siendo incierto. Objetivos:Este estudio tuvo como objetivo determinar la precisión diagnóstica de la biopsia pulmonar transbronquial (TBLB) con fórceps y de la TBLC en comparación con la SLB para realizar el diagnóstico final con base en una discusión multidisciplinaria (MDD). Métodos:Los pacientes incluidos en el estudio se sometieron a TBLB y TBLC secuenciales, seguidas inmediatamente de SLB. Los casos, anonimizados y sin información sobre el método de biopsia, fueron revisados por un patólogo, quien trabajó a ciegas con respecto a dicha información, y luego discutidos en una conferencia multidisciplinaria. Resultados:Principales: Entre agosto de 2013 y octubre de 2017 se reclutaron 16 pacientes. La concordancia primaria entre TBLC y SLB para el diagnóstico final de MDD fue de 68.75%, con una kappa de Cohen de 0.6 (IC 95%: 0.39, 0.81). La concordancia primaria y la kappa de Cohen de la TBLC frente a la SLB para el diagnóstico final de MDD fueron mucho menores (50%, 0.21 [IC 95%: 0, 0.42] y 18.75%, 0.08 [IC 95%: -0.03, 0.19], respectivamente). La TBLC se asoció con hemorragia leve (hemorragia de grado 1, que requirió aspiración) en 56.2% de los pacientes. Conclusiones:En los pacientes con EPI de tipo incierto según con los datos clínicos y radiográficos, quienes requieren la toma de muestra de tejido para obtener un diagnóstico específico, la TBLC mostró una correlación moderada con la SLB al realizar el diagnóstico con la guía de una MDD. La TBLB mostró mala concordancia con los diagnósticos de la MDD, tanto mediante TBLC como por SLB.

The way in which a properly designed and staffed internal audit department can detect and stop its own company's accounting irregularities and also other company's misconduct is discussed.

Reflections on cotter pins & nails After reading Farm Collector for a number of years, I would like to share a story with your readers, some of whom I'm sure [...]

Whenever there is a perceived issue related to either the air quality of a neighborhood or a concern of property damage due to air quality, the first suspects are the [...]

Marijuana use among orthopedic patients has not been extensively studied. The purpose of this study was to investigate the prevalence of marijuana use among orthopedic surgery patients. Additionally, the authors sought to better characterize how and why their patients use marijuana. Patients presenting at 3 institutions in 2 states for orthopedic surgery were asked to complete a voluntary survey. In addition to basic demographic information, the survey contained questions regarding the frequency of, methods of, and reasons for marijuana use. Patients who had used marijuana in the past year were categorized as marijuana users. A total of 275 patients completed surveys, of whom 94 (34%) endorsed marijuana use in the past year. A majority of marijuana users (55%) endorsed using marijuana either daily or weekly. Smoking was the most common means of marijuana use (90%), followed by edible products (35%) and vaporizing (24%). Pain management (54%) and recreation (52%) were the most commonly cited reasons for using marijuana. Eighty-six percent of marijuana users indicated that they would stop using marijuana if told by their physician that marijuana use would adversely affect their surgery. Marijuana use is common among orthopedic patients. Many patients believe marijuana is beneficial for managing pain and other medical conditions, although most would be willing to stop using marijuana if told it would negatively impact their surgery. Further study into the effects of marijuana use on musculoskeletal health is warranted because marijuana use may be a risk factor easily modified to improve surgical outcomes. [Marijuana use among orthopedic patients has not been extensively studied. The purpose of this study was to investigate the prevalence of marijuana use among orthopedic surgery patients. Additionally, the authors sought to better characterize how and why their patients use marijuana. Patients presenting at 3 institutions in 2 states for orthopedic surgery were asked to complete a voluntary survey. In addition to basic demographic information, the survey contained questions regarding the frequency of, methods of, and reasons for marijuana use. Patients who had used marijuana in the past year were categorized as marijuana users. A total of 275 patients completed surveys, of whom 94 (34%) endorsed marijuana use in the past year. A majority of marijuana users (55%) endorsed using marijuana either daily or weekly. Smoking was the most common means of marijuana use (90%), followed by edible products (35%) and vaporizing (24%). Pain management (54%) and recreation (52%) were the most commonly cited reasons for using marijuana. Eighty-six percent of marijuana users indicated that they would stop using marijuana if told by their physician that marijuana use would adversely affect their surgery. Marijuana use is common among orthopedic patients. Many patients believe marijuana is beneficial for managing pain and other medical conditions, although most would be willing to stop using marijuana if told it would negatively impact their surgery. Further study into the effects of marijuana use on musculoskeletal health is warranted because marijuana use may be a risk factor easily modified to improve surgical outcomes. [Orthopedics. 2020; 43(2): 108–112.]

Localized malignant mesotheliomas (LMM) is an uncommon and poorly recognized neoplasm. Its pathologic diagnosis is often surprising in patients with serosal/subserosal based localized tumors that are clinically suspicious for metastatic lesions or primary sarcomas. Once a tumor is diagnosed as “mesothelioma”, LMM is often mistaken for diffuse malignant mesothelioma (DMM). Best currently available evidence about LMM was collected from the literature and cases diagnosed by members of the International Mesothelioma Panel (IMP). One hundred and one (101) LMM have been reported in the English literature. Patients had localized tumors with identical histopathologic features to DMM. Patients ranged in age from 6 to 82 years; 75% were men. Most (82%) of the tumors were intrathoracic. Others presented as intrahepatic, mesenteric, gastric, pancreatic, umbilical, splenic, and abdominal wall lesions. Tumors varied in size from 0.6 to 15 cm. Most patients underwent surgical resection and/or chemotherapy or radiation therapy. Median survival in a subset of patients was 29 months. Seventy two additional LMM from IMP institutions ranged in age from 28 to 95 years; 58.3% were men. Sixty tumors (83.3%) were intrathoracic, others presented in intraabdominal sites. Tumors varied in size from 1.2 to 19 cm. Median survival for 51 cases was 134 months. Best evidence was used to formulate guidelines for the diagnosis of LMM. It is important to distinguish LMM from DMM as their treatment and prognosis is different. A multidisciplinary approach is needed for the diagnosis of LMM as it shows identical histopathology and immunophenotype to DMM.

It was 1985. I was 12 and standing next to my mother in a police station in Greenwich Village. She was a pretty red-haired gal in her late 30s, but [...]

SUMMARY * Consumers spend up to 10,000 [pounds sterling] on improvements in the first few months after buying a house * Feature walls represent a growth area for timber mouldings [...]

Microcrystalline cellulose (MCC) is an insoluble material commonly used as a binder and filler in oral medications. Identification of pulmonary intravascular deposition of MCCin transbronchial biopsies from lung transplant (LT) recipients following parenteral injection of oral medications has only been reported once. A search of our surgical pathology electronic database was performed from January 1, 2000 to November 1, 2017 using the text “transplant transbronchial.” The diagnosis field for all cases retrieved was then searched for the text “cellulose.” These cases were queried for patient demographics and outcomes. Between January 1, 2000 and November 1, 2017, 1558 lung transplants were performed in 1476 individual patients at our institution; 12 were identified to have MCCin their lung tissue. Patients with MCCidentified on biopsies were more likely to be transplanted for cystic fibrosis versus other indications and younger versus older. MCCidentified in 2 of our cases was favored to be donor derived. Of the 12 patients, 6 (50%) are deceased. MCCwithin the pulmonary vasculature may be an indicator of increased complications, mortality, or shortened survival in LTrecipients. Detecting intravascular MCCand distinguishing it from aspirated foreign material can be challenging. Awareness of the differential diagnosis for pulmonary foreign material is of paramount importance for the pathologist. The authors retrospectively review lung transplant biopsies and identify a cohort of lung transplant recipients engaging in parenteral use of oral medications.

BY A CALIFORNIA Assembly committee vote of 17-0, the independent aftermarket inherited a treasure-trove of information on June 27. By the same California Assembly committee vote of 17-0, Pandora's box [...]

'HAVE A BEER: don't cost nothing.' That famous line is the first we hear from Bluto Blutarsky in the classic film Animal House. Unfortunately, by simply substituting 'regulation' for 'beer,' [...]

MUCH HAS BEEN written about e-commerce in the past few months, and most of it by people hoping to sell their products or services. This month I add my two-cents [...]

All the recent talk about 'unfair pricing' brought back memories of a summer afternoon many years ago. I was about nine years old and visiting my grandmother on one of [...]

'IF YOU FIND a mess in your house, you clean it up. Don't wait to see who created the mess. Just take care of it.' That simple philosophy is something [...]

ANYONE OUT THERE know all there is to know? I mean anyone other than the stray teenager who may be reading this. Didn't think so. It's vital to stay abreast [...]

AS YOU MAY have read in this magazine last month and elsewhere, a hot debate is taking place over the future of a chemical called Methyl Tertiary Butyl Ether (MTBE). [...]

HOW MANY MILES since your vehicle's last oil change? 3,000? 4,000? More? Probably. The research shows vehicle owners are stretching the intervals between all sorts of routine maintenance beyond levels [...]

FOR THOSE OF YOU too busy to follow this spring's U.S. Supreme Court rulings, I bring an important decision to your attention, a June 23rd ruling with implications for thousands [...]

Special to Aftermarket Business California Senate Bill 1146 (or SB 1146) is an effort supported by a coalition of national and California-based trade associations to reform the regulations governing on-board [...]

I FELT NONE of 'the luck of the Irish' as I traveled to California on St. Patty's Day. This foreboding was strengthened by the fact that the California Air Resource [...]

Crypto can be subject to major price volatility that is inconsistent with cash or a cash-equivalent treatment. [ABSTRACT FROM AUTHOR]

At Cheshire Mouldings, our aim is to provide customers with a professional service of the highest quality--our reputation is therefore of paramount importance to us. And throughout our company's history, [...]

Could a trillion dollar platinum coin be minted by the administration in order to pay down federal m debts--and avoid a debt limit m showdown? As another debt ceiling fight [...]

Thank you for the reasonable, eloquent argument in 'Taking Liberties' (Editorial, 2/13). Countless numbers of progressive Catholics worked long and hard for health care reform all across this country and [...]

Several letters to the editor are presented in response to articles in previous issues including "'Protect your front bumper' about fitting a spoiler bar to a SEVEL X250" in December issue, "Drain-down winter water in January 2016 and "A-frame towing is novelty in Europe" in the December issue.

The February 1 article by Judge June McKinney headlined 'Florida's first black lawyers' is well written. Missing is enlightenment of the birth and need of the National Bar Association in [...]

SHORTLY AFTER the collapse of Lehman Brothers, Stan, an equities trader at a midsize Wall Street firm, realized that he was going to have to break some bad news to [...]

NEEL KASHKARI [Smarts][Smarts][Smarts][Smarts][Smarts][D. C. savvy] [Wall Street cred][Free-market fervor][Free-market fervor][Free-market fervor] What he does: The top man at the Office of Financial Stability; he's running the bailout, hiring the lawyers [...]

WHAT'S IT LIKE to make your living trading stocks during this calamity? 'Land mines are everywhere,' says Serge Milman, 35, of Ronin Asset Management on Madison Avenue. 'Panic obviously rules.' [...]

THIS WAS SUPPOSED to be a big winter for the Raymond James Financial brand: The St. Petersburg, Florida-based investment bank has its name plastered on the stadium where the Tampa [...]

A threestage analytical model for predicting the final midpoint deflections of viscoplastic, clamped beams under impact loading conditions is presented. The model includes traveling plastic hinges and accounts for strain rate sensitivity by continuously varying the dynamic yield stress parameter during the impact event. This new model is compared both with another impact model and with two different sets of experimental results for steel and aluminum beams. In addition, the finite element program, ABAQUS, is employed to provide a detailed history of the dynamic response of the system. The finite element results are used to assess the appropriateness of the simplifying assumptions contained in the threestage model. The model predictions are shown to be in good agreement with both sets of experimental results and the assumptions made in developing the model are in general agreement with the ABAQUS predictions.

IF THAT headline makes sense to you, either you spend too much time with your computer, or you are a lawyer. Of course, my headline asks: 'What's your corporate status [...]

THE BACKGROUND is this. Last fall an environmental group's coalition amended its ongoing lawsuit against the California Air Resources Board to include consumer products. The suit - officially titled, Coalition [...]

IN MY JANUARY column, written the day before the White House Conference on Social Security Reform, I discussed the possibility of Social Security system reform, including privatizing some or all [...]

Special to Aftermarket Business ONE OF THE worst sessions of Congress is finally over. I'm thankful. Looking back, it is hard not to wonder 'what if.' What if policy actually [...]

BY THE TIME you read this, the Environmental Protection Agency (EPA) will have finally issued the long-awaited National Volatile Organic Compound Emission Standards for Consumer Products. This rule, better known [...]

. . . ARE BOUND TO repeat it.' Yeah, that's a cliche, but more often than not it is true. And until recently, the 105th Congress was on pace to [...]

Sufficient funding for the building and proper maintenance of roads and bridges is a long-standing infrastructure problem that Congress has still to address. Despite the passing the Building Efficient Surface Transportation and Equity Act on Apr 1, 1998, which allots $219 billion to fund transportation infrastructure projects, the public remains adamant as they believe that infrastructure funds are the first sacrificed for Congress to follow the Balanced Budget Agreement of 1997, which mandates that limiting of federal spending., Now, before I even get started, let me set the scene. I have argued for years that the Congress was not spending enough money to build and maintain the nation's [...]