Foreign body granulomatosis is a rare complication of intravenous injection of pulverized oral prescription tablets. We present the case of an active duty male who was ultimately diagnosed with foreign body granulomatosis caused by the crushing and intravenous injection of acetaminophen with oxycodone (Percocet). The 24-year-old patient initially presented with multiple syncopal episodes, hemoptysis and hypoxia. The patient presentation and imaging findings involved in foreign body granulomatosis can mimic many pulmonary disorders and can be widely variable. Diagnosis is made following lung biopsy. The disease has irreversible effects and patients usually have a progressive decline in pulmonary function. Treatment is supportive although lung transplantation may be beneficial in patients with end-stage lung disease. Pulmonary foreign body granulomatosis should be considered in patients presenting with unexplained hypoxia and imaging consistent with diffuse micronodular disease.
Hispanic patients at LAC and UMHCEP had a significantly lower prevalence of EOE as compared to Caucasians at these two institutions and a lower prevalence as compared to Caucasians with EOE previously reported in the literature. Gene expression analysis, which has previously been shown to accurately diagnose EOE in Caucasian patients, accurately diagnosed EOE in a small sample of this Hispanic population. Based on this similar gene expression, other factors such as environmental, ethnic, and cultural causes should be investigated to explain the markedly lower prevalence of EOE in Hispanics.
Burkitt's lymphoma is a very aggressive type of B-cell NHL with replication approaching 100%. Primary gastrointestinal lymphoma is rare. In our case, a 24-year-old male initially presented with symptomatic anemia. He was initially evaluated with colonoscopy and EGD, both of which were unremarkable. A capsule endoscopy was then performed to further evaluate his significant anemia which revealed friable inflamed ulcerated mass in the jejunum. A push enteroscopy was then performed to obtain tissue from the jejunal mass. Biopsy results and immunohistochemical stains were consistent with Burkitt's lymphoma. PET/CT scan revealed only jejunal involvement. Treatment consisted of bowel resection prior to chemotherapy due to concern for perforation with chemotherapy. Patient achieved complete remission after the treatment.
The Battery Thermal Management system (BTMS) is essential for lithium-ion batteries. At high application load, excessive heat generation reduces the battery performance drastically and is also dangerous if the temperature of the battery is not maintained under limits. The heat pipe is a heat exchanger device with very high thermal conductivity. The present study was an attempt to find the effectiveness of the heat pipe attached to the battery under air cooling to reduce the temperature of the battery. The heat pipe can be flattened and bent hence it is very useful to extract heat from one place to another at larger distance. In this paper, various arrangements of heat pipes with lithium-Titanate prismatic battery were considered with different wick porosity (0.45 - 0.7) as well as air velocity (3 m/s to 8 m/s) and have discussed its effect on temperature distribution of the battery. The present Study about heat pipe assisted air cooling showed that out of six different configurations, four heat pipes with wick porosity 0.7, attached at the middle of two large surfaces of the LTO battery can reduce the maximum temperature below 40°C and differential temperature below 5°C of a single prismatic battery with air flow at 3 m/s when it was getting discharged at 8C rating for 446 seconds.
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