Microangiopathic hemolytic anemia (MAHA) is a rare paraneoplastic syndrome and is typically associated with gastric adenocarcinoma. We report a 47-year-old woman who presented with asthenia, lower back pain and bleeding. Twelve years ago the patient underwent total gastrectomy due to gastric adenocarcinoma and achieved complete remission. The patient was diagnosed with MAHA and diffuses bone me...

Exudative retinal detachment occurs when fluid accumulates between the neurosensory retina and pigment epithelium. Ocular diseases or multisystem conditions such as nephrotic syndrome may lead to exudative detachment. This report describes a case of secondary minimal change disease, anasarca bilateral serous macular in an adult patient. A 75-year-old male patient presented emergency department ...

B.C. Miranda a,b , R.J. Chimentão a,f,∗ , J. Szanyi c , A.H. Braga d , J.B.O. Santos d , F. Gispert-Guirado a , J. Llorca e , F. Medina a a Universitat Rovira i Virgili, Tarragona 43007, Spain b Universidad de Costa Rica, San José 2060, Costa Rica c Institute for Integrated Catalysis, Pacific Northwest National Laboratory, PO Box 999, MS K8-86, Richland, WA 99352, USA d Departamento de Engenhar...

The importance of preparing students for global citizenship and the development of intercultural competency in an increasingly interdependent world has long been recognized by many higher education institutions in the United States. Experiential learning through study abroad is one means of achieving this goal (Brewer & Cunningham, 2010). For decades, Costa Rica has offered a stable, welcoming ...

Theories rationalizing joint liability lending are rich in implications for repayment rates. We exploit this fact to test four diverse models. We show that the models’ repayment implications do not always coincide. For example, higher correlation of output and borrowers’ ability to act cooperatively can raise or lower repayment, depending on the model. Data from Thai borrowing groups suggest th...

We present a case of leptospirosis in a previously healthy girl following a trip to Costa Rica. While she was clinically asymptomatic, she had spirochetes cultured from her urine six weeks following her trip. Prolonged urinary shedding following infection with Leptospira is possible in humans and often has subtle manifestations in children.

INTRODUCTION AND OBJECTIVES The present study aimed to compare elderly and young female voices in habitual and high intensity. The effect of increased intensity on the acoustic and perceptual parameters was assessed. METHODS Sound pressure level, fundamental frequency, jitter, shimmer, and harmonic to noise ratio were obtained at habitual and high intensity voice in a group of 30 elderly wome...

Constantin (Costas) Drainas, Professor of Biochemical Molecular Genetics and Biotechnology, Department of Chemistry, University of Ioannina, Greece (January 19, 1950) passed away untimely the past July 5, 2011. Costas obtained his BA degree in Biology from the University of Patras on 1972 and his PhD degree in Biochemical Genetics from the University of Glasgow, Scotland on 1978. After four yea...