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A 67-year-old man with no previous history of malignancy presented with trigeminal neuralgia. MRI of the brain revealed extra-axial lesion along right trigeminal nerve suggestive of neuroma. On histopathology, the lesion was found to be metastasis from adenocarcinoma prostate. Patient underwent Ga-prostate-specific membrane antigen PET/CT for assessing the whole-body status of the disease, which revealed primary prostate lesion, metastatic bone lesions, and extra-axial lesion along the right trigeminal nerve. Extra-axial, intracranial metastasis from prostate carcinoma is an uncommon phenomenon. We describe Ga-prostate-specific membrane antigen PET/CT findings in an exceedingly rare case of extra-axial metastatic lesion from prostate carcinoma.

This symposium focuses on the experiences and strategies of persons with disabilities and the disclosure and identity management steps they take to manage their careers. The conceptual foundations ...

Conceptualizing organizational narratives as a means of employee identity regulation, I examine how an organization narratively constructs its prototypical disabled employee over time and why stabl...

In the present study we asked: how do institutional discourses, as represented in mass media such as newspapers, confer identities upon a traditionally marginalised collective such as those with a disability? To answer our question, we examined Indian newspaper discourse from 2001 to 2010, the time period between two census counts. We observed that disability identities—that of a welfare recipient, a collective with human rights, a collective that is vulnerable, and that engages in miscreancy—were ascribed through selective highlighting of certain aspects of the collective, thereby socially positioning the collective, and through the associated signalling of institutional subject positions. Present observations indicate that identities of a collective can be governed by institutional discourse, that those “labelled” can themselves reinforce institutionally ascribed identities, and that as institutional discourses confer identities onto the marginalised, they simultaneously also signal who the relatively more powerful institutional actors are.

A 65-year-old man underwent FDG PET/CT for evaluation of vertebral lesions, radiologically suspected to be metastases. The scan showed hypermetabolism in D8 to D9 vertebrae, retroperitoneal lymph nodes, and both the lobes of prostate. Transrectal ultrasound-guided biopsy of prostate was performed with suspicion of prostate malignancy. The biopsy revealed caseating granulomatous lesions in prostate suggestive of tuberculosis. Post antitubercular treatment patient showed excellent clinical response. Possibility of infective pathologies mimicking malignancy should be kept in mind while evaluating hypermetabolic foci seen on PET/CT. Although rare, tuberculosis of prostate needs consideration in differential diagnosis of FDG-avid foci seen in prostate.

In the present work we investigate the key factors involved in the interaction of small-sized charged proteins with TiO 2 nanostructures, i.e. albumin (negatively charged), histone (positively charged). We examine anodic nanotubes with specific morphology (simultaneous control over diameter and length, e.g. diameter – 15, 50 or 100 nm, length – 250 nm up to 10 μm) and nanopores. The nanostructures surface area has a direct influence on the amount of bound protein, nonetheless the protein physical properties as electric charge and size (in relation to nanotopography and biomaterial’s electric charge) are crucial too. The highest quantity of adsorbed protein is registered for histone, for 100 nm diameter nanotubes (10 μm length) while higher values are registered for 15 nm diameter nanotubes when normalizing protein adsorption to nanostructures’ surface unit area (evaluated from dye desorption measurements) – consistent with theoretical considerations. The proteins presence on the nanostructures is evaluated by XPS and ToF-SIMS; additionally, we qualitatively assess their presence along the nanostructures length by ToF-SIMS depth profiles, with decreasing concentration towards the bottom. Statement of Significance Surface nanostructuring of titanium biomedical devices with TiO 2 nanotubes was shown to significantly influence the adhesion, proliferation and differentiation of mesenchymal stem cells (and other cells too). A high level of control over the nanoscale topography and over the surface area of such 1D nanostructures enables a direct influence on protein adhesion. Herein, we investigate and show how the nanostructure morphology (nanotube diameter and length) influences the interactions with small-sized charged proteins, using as model proteins bovine serum albumin (negatively charged) and histone (positively charged). We show that the protein charge strongly influences their adhesion to the TiO 2 nanostructures. Protein adhesion is quantified by ELISA measurements and determination of the nanostructures’ total surface area. We use a quantitative surface charge model to describe charge interactions and obtain an increased magnitude of the surface charge density at the top edges of the nanotubes. In addition, we track the proteins presence on and inside the nanostructures. We believe that these aspects are crucial for applications where the incorporation of active molecules such as proteins, drugs, growth factors, etc., into nanotubes is desired.

A 70-year-old man underwent Tc-methylene diphosphonate scintigraphy for staging of adenocarcinoma prostate. Scintigraphy revealed diffuse increased tracer uptake in skeletal system along with faint renal visualization, a pattern compatible with metastatic superscan. The scintigraphy also revealed increased radiotracer uptake in the body of the mandible-Lincoln sign or black beard sign. Radiological imaging revealed sclerotic lesions throughout the skeleton including the mandible, confirming widespread skeletal metastases. Lincoln sign is previously described in monostotic Paget disease of the mandible and in contiguous spread of oral malignancy. We describe this pattern in distant metastatic involvement from carcinoma prostate with coexistent superscan pattern.

In this study, we examine how socially subordinated — or subaltern— actors may organize with dominant actors to create and institutionalize a new organizational form that addresses a complex social...

AIMS AND OBJECTIVES The aim of the study was to estimate the incremental value of fluorine-18 fluorodeoxyglucose (F-FDG) PET/computed tomography (CT) in aiding treatment decisions in a specific cohort of patients with lower esophageal and gastroesophageal junction adenocarcinoma who were considered for potentially curative treatment on the basis of conventional imaging. MATERIALS AND METHODS The study included patients referred for a staging F-FDG PET/CT who were considered for potentially curative treatment (neoadjuvant therapy followed by surgery or definitive chemoradiotherapy) by a multidisciplinary tumor board. The proportion of patients with M1b disease (American Joint Committee on Cancer, 6th ed.) detected on F-FDG PET/CT was calculated. The sensitivity, specificity, positive and negative predictive values, and accuracy of F-FDG PET/CT for M1b disease were calculated. PET/CT findings were verified with histopathological analysis; when it was not possible to obtain pathological confirmation, correlative imaging or follow-up imaging studies were used for validation. RESULTS A total of 156 patients who fulfilled the inclusion criteria were analyzed. F-FDG PET/CT detected M1b disease in 25 patients (16%), changing the intent of treatment from potentially curative to palliative. In five patients, PET/CT failed to detect distant metastases. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of F-FDG PET/CT for detecting M1b disease were 83.3, 98.4, 92.5, 96.1, and 95.3%, respectively. Additional surgical procedures (hemicolectomy and polypectomy) were performed in three patients because of the detection of a second primary cancer in the colon in two patients and a colonic dysplastic polyp in one patient. CONCLUSION In patients who are considered to be potentially curable after conventional imaging, F-FDG PET/CT can detect unsuspected sites of distant metastases (M1b) in a significant number of cases and thus contribute to the clinical decision-making process. PET/CT should be an integral part of the staging workup of patients with esophageal adenocarcinoma.

This presenter symposium features five research studies by well-known disability scholars on the inclusion and workplace experiences of persons with disabilities. The studies represent disability-s...

In this work, a theoretical model describing the interaction between a positively or negatively charged nanoparticle and neutral zwitterionic lipid bilayers is presented. It is shown that in the close vicinity of the positively charged nanoparticle, the zwitterionic lipid headgroups are less extended in the direction perpendicular to the membrane surface, while in the vicinity of the negatively charged nanoparticle, the headgroups are more extended. This result coincides with the calculated increase in the osmotic pressure between the zwitterionic lipid surface and positively charged nanoparticle and the decrease of osmotic pressure between the zwitterionic lipid surface and the negatively charged nanoparticle. Our theoretical predictions agree well with the experimentally determined fluidity of a lipid bilayer membrane in contact with positively or negatively charged nanoparticles. The prospective significance of the present work is mainly to contribute to better understanding of the interactions of charged nanoparticles with a zwitterionic lipid bilayer, which may be important in the efficient design of the lipid/nanoparticle nanostructures (like liposomes with encapsulated nanoparticles), which have diverse biomedical applications, including targeted therapy (drug delivery) and imaging of cancer cells.

This presenter symposium features four research studies on the workplace experiences of persons with disabilities, their coworkers, and organizations. These studies shed new light on the interactio...

Sterilization is the final surface treatment procedure of all implantable devices and is one of the key factors which have to be considered before implementation. Since different sterilization procedures for all implantable devices influence mechanical properties as well as biological response, the influence of different sterilization techniques on titanium nanotubes was studied. Commonly used sterilization techniques such as autoclaving, ultra-violet light sterilization, hydrogen peroxide plasma sterilization as well as the not so frequently used gaseous oxygen plasma sterilization were used. Three different nanotube diameters; 15 nm, 50 nm and 100 nm were employed to study the effects of various sterilization techniques. It was observed that autoclave sterilization resulted in destruction of nanotubular features on all three studied nanotube diameters, while UV-light and both kinds of plasma sterilization did not cause any significant morphological changes on the surfaces. Differences between the sterilization techniques employed influenced cytocompatibility, especially in the case of nanotubes with 100 nm diameter.

Biomedical implants made of titanium-based materials are expected to have certain essential features including high bone-to-implant contact and optimum osteointegration, which are often influenced by the surface topography and physicochemical properties of titanium surfaces. The surface structure in the nanoscale regime is presumed to alter/facilitate the protein binding, cell adhesion and proliferation, thereby reducing post-operative complications with increased lifespan of biomedical implants. The novelty of our TiO2 nanostructures lies mainly in the high level control over their morphology and roughness by mere compositional change and optimisation of the experimental parameters. The present work focuses on the wetting behaviour of various nanostructured titanium surfaces towards water. Kinetics of contact area of water droplet on macroscopically flat, nanoporous and nanotubular titanium surface topologies was monitored under similar evaporation conditions. The contact area of the water droplet on hydrophobic titanium planar surface (foil) was found to decrease during evaporation, whereas the contact area of the droplet on hydrophobic nanorough titanium surfaces practically remained unaffected until the complete evaporation. This demonstrates that the surface morphology and roughness at the nanoscale level substantially affect the titanium dioxide surface–water droplet interaction, opposing to previous observations for microscale structured surfaces. The difference in surface topographic nanofeatures of nanostructured titanium surfaces could be correlated not only with the time-dependency of the contact area, but also with time-dependency of the contact angle and electrochemical properties of these surfaces.

Mukta Kulkarni,1,* Ajda Flašker,1,* Maruša Lokar,1 Katjuša Mrak-Poljšak,2 Anca Mazare,3 Andrej Artenjak,4 Saša Čučnik,2 Slavko Kralj,5 Aljaž Velikonja,1 Patrik Schmuki,3 Veronika Kralj-Iglič,6 Snezna Sodin-Semrl,2,7 Aleš Iglič11Laboratory of Biophysics, Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, Slovenia; 2Department of Rheumatology, University Medical Centre Ljubljana,Ljubljana, Slovenia; 3Department of Materials Science and Engineering, University of Erlangen Nuremberg, Erlangen, Germany; 4Sandoz Biopharmaceuticals Mengeš, Lek Pharmaceuticals dd, Menges, Slovenia; 5Department for Materials Synthesis, Institute Jožef Stefan (IJS), Ljubljana, Slovenia; 6Faculty of Health Studies, University of Ljubljana, Ljubljana, Slovenia; 7Faculty of Mathematics, Natural Science and Information Technology, University of Primorska, Koper, Slovenia *These authors contributed equally to this workAbstract: Titanium and titanium alloys are considered to be one of the most applicable materials in medical devices because of their suitable properties, most importantly high corrosion resistance and the specific combination of strength with biocompatibility. In order to improve the biocompatibility of titanium surfaces, the current report initially focuses on specifying the topography of titanium dioxide (TiO2) nanotubes (NTs) by electrochemical anodization. The zeta potential (ζ-potential) of NTs showed a negative value and confirmed the agreement between the measured and theoretically predicted dependence of ζ-potential on salt concentration, whereby the absolute value of ζ-potential diminished with increasing salt concentrations. We investigated binding of various plasma proteins with different sizes and charges using the bicinchoninic acid assay and immunofluorescence microscopy. Results showed effective and comparatively higher protein binding to NTs with 100 nm diameters (compared to 50 or 15nm). We also showed a dose-dependent effect of serum amyloid A protein binding to NTs. These results and theoretical calculations of total available surface area for binding of proteins indicate that the largest surface area (also considering the NT lengths) is available for 100 nm NTs, with decreasing surface area for 50 and 15 nm NTs. These current investigations will have an impact on increasing the binding ability of biomedical devices in the body leading to increased durability of biomedical devices. Keywords: protein binding, serum amyloid A, β2-glycoprotein I, immunoglobulin G, histone IIA

A 30-year-old woman underwent Tc-pertechnetate scintigraphy for evaluation of thyrotoxicosis. The scintigraphy revealed hypervascular thyroid gland with markedly increased trapping function in both the lobes suggesting diagnosis of Graves disease. Incidentally, a hypervascular and pertechnetate avid focus was seen along the lateral margin of the right parotid gland. Pertechnetate avidity and site of uptake suggested possibility of Warthin tumor. Clinical examination and ultrasonography revealed a well-defined lesion in the superficial lobe of the right parotid gland favoring diagnosis of benign lesion. Postsurgery specimen confirmed diagnosis of Warthin tumor.

Based on interviews with thirty one senior expatriate managers working across diverse multinationals in India, we have outlined how expatriates proactively navigate a multilingual subsidiary environment. Findings indicate that expatriates who believe they have successfully charted the multilingual environment attempt to learn the local language, allow for hybrid forms of language and multilingualism, and yet also informally and formally engage in cultural and linguistic training of subsidiary employees. Overall, findings help problematize or defamiliarize extant assumptions which guide research on language in international business, and we call for more contextually specific language research in multinational organizations.

An interview-based study with 40 US respondents who have experienced severe hearing loss as adults was conducted to identify enablers of sustainable careers for professionals with adult onset disabilities. To sustain their careers, our respondents engaged in quests for meaning and big picture answers to who am I, and am I still successful. This included redefining themselves (e.g., I am now both a person with a disability and a successful professional) and career success (e.g., I now care about service to society as much as I care about material success). Respondents also adopted new work roles where disability was a key to success (e.g., becoming an equal employment officer) and utilized social networks to continue being successful. Such redefining of work and networks supported their quests for meaning and big picture answers. Findings not only indicate how individuals experience career success after a life changing event but also help de-familiarize extant notions of ableism in workplace contexts.

We report a case of oncogenic osteomalacia in which F-18 FDG PET imaging played a crucial role in detecting the occult neoplasm. A 39-year-old female patient presented with low backache and bilateral lower limb pain of 3-year duration. On evaluation, she was found to have hypophosphatemic osteomalacia and was referred for F-18 FDG PET scan because her initial clinical and radiologic evaluation failed to detect a tumor. F-18 FDG PET scan revealed a hypermetabolic focus in right popliteal fossa, which was correlated as a tumor in soft tissues of right popliteal fossa on magnetic resonance imaging. Following surgical excision of tumor, final histopathology revealed a benign phosphaturic mesenchymal tumor of mixed connective tissue origin. Postoperatively, her symptoms alleviated and serum phosphates normalized within 2 weeks. We suggest that F-18 FDG PET should be performed in such cases to localize occult neoplasm that may be otherwise missed on conventional radiologic imaging.

Von Hippel-Lindau (VHL) disease is a rare, inherited, multisystem disorder that is characterized by development of a variety of benign and malignant tumors. We report an incidental detection of clinically occult pancreatic malignancy on FDG PET/CT in a patient of VHL who underwent restaging for a previously treated endolymphatic sac tumor.

A seminal paper on the treatment of persons with disabilities in organizations was published 20 years ago, in 1996, by Stone and Colella. Using their model as an organizing framework and baseline, ...

Extramedullary hematopoiesis refers to the presence of hematopoietic elements in locations other than the bone marrow medullary space. It occurs as a compensatory mechanism to impaired hematopoiesis resulting from a variety of pathological conditions. Because of the hazards of biopsy of a highly vascular hematopoietic mass, it is desirable to establish the diagnosis noninvasively. We report a case where 18F-fluoro-3'deoxy-L-thymidine PET/CT and 99mTc-SC scintigraphy were used as a noninvasive modality to diagnose extramedullary hematopoiesis.

One of the main limitations of 18F-fluoro-2-deoxy-glucose positron emission tomography/computed tomography (FDG PET/CT) is false-positive tracer uptake by physiological and inflammatory conditions. Continuing FDG accumulation occurs in tumors, but not in inflammatory lesions, and dual time-point FDG PET can be useful for differentiating benign from malignant conditions. Experience is rather limited, and its application in the assessment of tumors inside peritoneal cavity has been rarely reported. We present 2 cases where dual time-point FDG PET imaging proved essential in differentiating intense physiological tracer uptake from peritoneal deposits in patients with intestinal obstruction.

In this article we examine the different kinds of institutional work that underpin the construction of a new form of organizing. Drawing on an in-depth, qualitative study of a community-based form of organizing for palliative care in Kerala, India, we identify five kinds of institutional work – robust interpretations, local experimentation, indigenous appropriation, contextualized framing and democratic deliberations – that interact dialectically in the construction of a new form. We extend research on forms of organizing by illustrating how a new form aggregates through the local, situated, actions of multiple actors. By uncovering how multivocal interests co-exist during early stages of form construction, we contribute to conversations on distributed agency and inhabited institutions.

The purpose of this panel symposium is to engage expert panelists, and audience members, in an interactive discussion about the impact of the context on the usage, meaning and effect of the word di...

We draw on an in-depth qualitative study of the palliative care sector in Kerala, India in order to develop a model of field emergence that links situated, everyday activities of individuals to mac...

Given the global growth in the number of overqualified workers, understanding antecedents and correlates of overqualification in organizations is a pressing need. In the present paper, we outline a...

Our objectives in this article were to summarize research relevant to obstacles that people with disabilities face in the workplace and to identify directions for future research on the topic. We included review, theoretical, and empirical articles in management journals and those in psychology or rehabilitation journals if they had clear workplace implications. We argue that obstacles identified in prior research may only partially reflect organizational reality. This is because of the heavy reliance on laboratory studies, which we urge researchers to replicate in organizational settings. A better understanding of obstacles will lead to more evidence-based solutions for human resource development (HRD) practitioners to create a less exclusionary workplace wherein all employees are provided opportunities to use their talent.

The study of distributed agency in institutional research is in its infancy. We draw upon an in-depth qualitative study to illustrate the collective efforts of actors in the construction of the org...