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Primary cutaneous lymphomas comprise a group of B- and T-cell lymphomas that do not have extracutaneous involvement at the time of diagnosis. They are the second most common group of extranodal lymphomas. Cutaneous B-cell lymphomas are generally classified into three main subgroups: cutaneous marginal zone B-cell lymphoma, cutaneous follicle center lymphoma, and cutaneous large B-cell lymphoma, leg type. Cutaneous T-cell and NK-cell lymphomas can derive from the helper T-cells (CD4+), cytotoxic T-cells (CD8+), gamma-delta T-cells (CD56+), or follicle helper T-cells (CD279/PD1). Immunohistochemistry plays an important role in the classification of B- and T-cell lymphoid lesions. A number of immunostains have recently become commercially available and can serve as diagnostic adjuncts in cases lacking characteristic immunohistochemical staining.
Pseudolymphomas can be comprised of a prominent infiltrate of B cells, T cells, and even plasma cells. In these settings, they can mimic a lymphoproliferative process and immunohistochemistry plays an important role in excluding cutaneous lymphoma. B-cell pseudolymphomas or cutaneous lymphoid hyperplasia can mimic cutaneous follicle center cell lymphoma and primary cutaneous marginal zone B-cell lymphoma histopathologically. T-cell pseudolymphomas include a variety of inflammatory dermatoses that exhibit epidermotropism and can mimic a T-cell lymphoproliferative disorders such as mycosis fungoides. Some examples include lymphomatoid contact dermatitis, lymphomatoid drug eruption, follicular mucinosis, lupus erythematosus panniculitis, pigmented purpuric dermatosis, pityriasis lichenoides chronica/pityriasis lichenoides et varioliformis acuta, and pseudolymphomatous folliculitis. In some instances, the infiltrate is rich in plasma cells as in IgG4-related disease in the skin. Ultimately clinical pathologic correlation and sometimes the use of molecular studies will allow the classification of these entities.
Edited by
Selim Raihan, University of Dhaka, Bangladesh,François Bourguignon, École d'économie de Paris and École des Hautes Etudes en Sciences Sociales, Paris,Umar Salam, Oxford Policy Management
The scarcity of land and resulting high prices have important implications for the prospect of industrialisation in Bangladesh. The situation is yet more complicated due to the weak land management system, which perpetuates land grabbing, high rent generation, and ineffective property rights. This chapter analyses the importance of a well-functioning land management in Bangladesh. It elaborates on the history of the policy reforms and the evolution of rules and regulations related to land administrative and management in Bangladesh and analyses institutional complexities in the current system of land management. It also explores how the SEZs initiative has emerged as an alternative management system and the complexities related to the acquisition of land for SEZs. This chapter shows that the institutional mechanisms of land acquisition and compensation are subject to a range of corrupt practices, which in turn create vested interests that resist change and a bias towards politically connected purchasers, or towards those willing and able to pay bribes. Such an environment is inimical to a good business climate and undermines the strategic economic purpose of the SEZs.
Edited by
Selim Raihan, University of Dhaka, Bangladesh,François Bourguignon, École d'économie de Paris and École des Hautes Etudes en Sciences Sociales, Paris,Umar Salam, Oxford Policy Management
This chapter provides an analysis of the structure of the banking sector in Bangladesh, different performance indicators of the banking sector, the trend in NPLs, and efficiency levels of private banks. It also explores the politics of the banking sector and avenues of governance failures in relation to private commercial banks in Bangladesh. This poor performance of the banking sector is related to the low quality of the sector’s lending operations. Through regulatory and policy capture, political patronage often leads to unproductive loans, or simply loans that bankers know will never be repaid. Also, cases of embezzlement through legal insider lending – that is to the bank’s owners or their family – have been reported. NPLs, and the frequent need for monetary injection in state-owned banks or bailouts of private banks, are the manifestation of these governance failures of the whole sector. This chapter emphasises key reforms needed in the governance of the sector which include autonomy of the central bank, modification of the Banking Companies Act and strict adherence to it, and political commitment to penalise loan defaulters.
This work presents the study of multiphase relations of classical Cepheids in the Magellanic Clouds for short periods (log P < 1) and long periods (log P > 1). From the analysis, it has been found that the multiphase relations obtained using the models as well as observations are highly dynamic with pulsational phase. The multiphase relations for short and long periods are found to display contrasting behaviour for both LMC and SMC. It has been observed that the multiphase relations obtained using the models agree better with the observations in the PC plane in most phases in comparison to the PL plane. Multiphase relations obtained using the models display a clear distinction among different convection sets in most phases. Comparison of models and observations in the multiphase plane is one way to test the models with the observations and to constrain the theory of stellar pulsation.
The purpose of this study was to quantify hysteresis during adsorption and desorption of atrazine as a function of incubation time for a Sharkey clay soil. Adsorption was carried out using one day batch equilibration and was followed by incubation periods ranging from 1 to 24 d. Incubation was subsequently followed by six consecutive desorption steps where each step represented 1 d. The Freundlich equation (S = K CN where S is the amount of atrazine retained, μg g-1; C is concentration, μg ml-1; K is the distribution coefficient, cm3g-1; and N is a dimensionless parameter) was used to describe batch results. Both adsorption and desorption isotherms were well described by the Freundlich model. Fitted K parameter values for desorption isotherms were consistently higher than those associated with adsorption. The opposite trend was observed for the exponential parameter N. The results revealed that desorption deviated significantly from adsorption data. The deviation, which is commonly referred to as hysteresis, was more pronounced as incubation time increased. Batch equilibration results also indicated that the extent of hysteresis was not influenced by soil sterilization. Attempts to quantify the extent of hysteresis using a simplified approach are presented. We found that, for a given batch data set, hysteresis can be quantified provided that Freundlich N from adsorption and desorption isotherms is known.
In the Islamic Republic of Pakistan the law relating to people who are mentally ill, until 2001, was set out by the Lunacy Act of 1912, which was inherited from the British colonial occupiers. In 2001 the Mental Health Ordinance 2001 took its place but only for this federal law to be superseded in April 2010 with the 18th constitutional amendment. As part of that amendment, provinces have become responsible for (psychiatric) healthcare, including mental health legislation. Forensic psychiatry is practised in Pakistan but is very much in its infancy; it needs to develop and learn from more experienced countries in Europe and North America. Cultural factors and misconceptions arising from religion can at times contribute to, or create, barriers to the implementation of forensic psychiatric services in Pakistan. This paper reviews the current state of forensic psychiatric services in Pakistan and is intended to open the debate on the challenges ahead.
Scintillation properties are often studied by photo-luminescence (PL) andscintillation measurements. In this work, we combine X-ray-induced luminescence(XRIL) spectroscopy [Review of Scientific Instruments 83, 103112 (2012)] with PLand standard scintillation measurements to give insight into the scintillationproperties of un-doped ZnO single crystals. XRIL revealed that ZnO luminescenceproportionally increases with X-ray power and exhibits excellent linearity -indicating the possibility of developing radiation detectors with good energyresolution. By coupling ZnO crystals to fast photomultiplier tubes andmonitoring the anode signal, rise times as fast as 0.9 ns were measured.
The hydrodynamic equations of positive and negative ions, degenerate electrons, and the Poisson equation are used along with the reductive perturbation method to derive the three-dimensional Zakharov–Kuznetsov (ZK) equation. The G′/G-expansion method is used to obtain a new class of solutions for the ZK equation. At certain condition, these solutions can describe the solitary waves that propagate in our plasma. The effects of negative ion concentrations, the positive/negative ion cyclotron frequency, as well as positive-to-negative ion mass ratio on solitary pulses are examined. Finally, the present study might be helpful to understand the propagation of nonlinear ion-acoustic solitary waves in a dense plasma, such as in astrophysical objects.
As part of their functions, the Hot Laboratories Center, EAEA, are responsible for conditioning of different spent sealed sources which received from different end users. Regarding to the inventory of spent sealed sources in Egypt, thirty eight 60Co spent sealed sources with low radioactivity levels are needed to be conditioned according to IAEA guidelines. The method of conditioning of 60Co spent sealed sources can be achieved using 200 l drum with special lead shield and concrete as matrix material. The surface dose rate calculation reveals that when lead shield of 6.5 cm thickness (density 11.35 gm/ml), concrete shield at least 18 cm thickness (density 2.35 gm/cm3) and 200 l drum thickness is 0.14 cm, (density 7.86 gm/cm3), the surface dose rate is 0.86 mSv/ h. The data are complied with the regulation of IAEA safety standard (surface dose rate doses not exceed than 2.0 mSv/ h).
Temporal lobe and limbic structures may be abnormal in bipolar disorder. T2-weighted magnetic resonance imaging (MRI) scans frequently show deep white matter lesions. MRI was performed on 50 young (19–39 years) euthymic patients with bipolar disorder and 26 controls. Mean temporal lobe volumes were reduced in patients (right, 9.42 cm3; left, 6.33 cm3) but this could not be ascribed to a specific structure. Deep white matter lesions were present in 5 patients but no controls raising questions of their aetiological significance.
The study aimed to identify the correlates of aggressive behaviour in an adult acute psychiatric ward. Over a period of 9 months, all incidents of verbal and physical aggressive behaviour exhibited by in-patients were routinely assessed using the Overt Aggression Scale.
Results
Of the 535 patients admitted during the study period, 80 (15%) were involved in a total of 124 aggressive incidents. Of these 80, 44 (55%) had a history of previous violence and 54 (68%) had a history of substance misuse. The majority of events occurred early in the hospital stay and in most cases aggression was against staff. There were significant differences between aggressive and non-aggressive patients in terms of gender and ethnicity, with the lowest rate occurring in European females.
Clinical Implications
These results reinforce clinical impressions, and empirical evidence, and allow risk assessment to be performed with greater confidence. The relevance of ethnicity (or more likely culture) highlights the difficulties of a ‘one size fits all’ approach to risk assessment.
Reports of medical care at mass gatherings reflect variability in mission and delivery models. Equipment recommendations are similarly varied. Thoughtful pre-planning and experience-based analysis are the best mechanisms for defining general and specific equipment recommendations.
Objective:
This report presents a suggested supply and equipment list developed over a six-year period of medical coverage at an air show, with an emphasis on the usage and cost of expendable supplies.
Methods:
The authors were involved in the planning for and execution of emergency medical care for a large, local, military air show on an annual basis, including provision of expendable medical supplies. A list of such supplies was developed over the initial two to three years, formalized and refined over the subsequent two years, and analyzed in the final, highest patient volume year of coverage. Detailed usage and cost was tracked over the final year for expendable supplies.
Results:
The results of this analysis indicate that comprehensive emergency medical care from first aid to mass casualty care can be offered at reasonable equipment and supply costs, if existing equipment resources can be supplemented by expendable supplies from a pre-determined list. Given the need for large quantities of supplies for a mass casualty contingency and the low likelihood of occurrence, a loan arrangement with a supplier, with return of unused supplies, is particularly convenient and economical. The approach used in this study should be appreciable in other similar settings. In concurrent scheduled events, the iterative process described can lead to greater specificity of needs for expendable supplies.
Near-field scanning optical microscopy has been used to measure the internal spatial modes and local properties controlling optical wave propagation in glass/silica buried waveguides. The period of the observed standing modes provides a direct measure of the effective index, which combined with the measured transverse modal shape and decay constants, determines the values of all spatial components of the wave vector.
Typically, small fluctuations in the material properties of structures can prevent proper operation as well as accurate diagnostic device modeling. The NSOM local probe measurements provide a means of detailed characterization, and defects in processing and their affects on performance are readily identified. We have also developed a technique that can obtain information about the locations of remote dielectric interfaces based upon the rate of change in the phase of the standing wave as a function of wavelength. Finally, experimental results addressing the issue of perturbation of the NSOM probe on the measurement of the local field shows a weak but measurable perturbation, and the dependence on aperture and material parameters will be discussed.