Sister Mary Joseph nodule or Sister Mary Joseph Sign refers to a palpable nodule bulging into the umbilicus as a result of metastasis of a malignant cancer in the pelvis or abdomen. A rare case of Sister Mary Joseph nodule, manifesting as ascites, cachexia and bleeding per rectum, is presented without any primary tumor despite extensive search for the same.

1 of 2 DESCRIPTION A 44-year-old female presented with 1-year history of progressive abdominal distension ( fi gure 1A ) which she thought might be related to pregnancy and a tumour protruding through her umbilical area that was oozing serosanguinous fl uid. The patient did not seek medical attention initially due to lack of insurance. CT of the abdomen ( fi gure 1B,C ) revealed a large mass wi...

To cite: Menzies S, Chotirmall SH, Wilson G, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014206808 DESCRIPTION A 72-year-old woman was referred to our emergency department with general malaise and an elevated international normalised ratio (INR) at 15. Of note, she was on Warfarin therapy for atrial fibrillation. She appeared cachectic and frail. On ex...

ALAN RICHARDSON, Professor of English, Boston College Aarhus University Press, Romantik, 01, vol. 01, 2012, pages 9-26 9 R O M A N T IK · 0 1 of the specific dreams represented in two important Romantic poems, P. B. Shelley’s Alastor and John Keats’ ‘The Eve of St. Agnes’. In both parts of this essay, my reinterpretation of earlier discourses and texts has been partly inspired by my awareness o...

Automatic speech recognition has improved dramatically over the past few decades. The goal of such systems is typically only to output a simple stream of words. Humans, however, use information beyond words alone to convey and comprehend messages. Such information includes intonation (variations in pitch), rhythm and timing of speech sounds, stress and loudness patterns, and even variation in v...

Jiajun Zhu1,2,3, Morgan A. Sammons1,2, Greg Donahue1,2, Zhixun Dou1,2, Masoud Vedadi4,5, Matthaeus Getlik6, Dalia Barsyte-Lovejoy4, Rima Al-Awar5,6, Bryson W. Katona7, Ali Shilatifard8, Jing Huang9, Xianxin Hua7, Cheryl H. Arrowsmith4,10, and Shelley L. Berger1,2,11 1Cell and Developmental Biology, University of Pennsylvania 2Epigenetics Program, University of Pennsylvania 3Biomedical Graduate ...

january 16, 2010 vol xlv no 3 EPW Economic & Political Weekly 66 Shelley Feldman ([email protected]) is a sociologist associated with both Cornell University and Binghamton University, United States; Stephen Biggs ([email protected]) is at the School of Development Studies, University of East Anglia, UK; and Rajeswari Raina (rajeswari_raina@ yahoo.com) is with the Centre for Policy Research, New...

Felipe A Castro ([email protected]) Jill Koshiol ([email protected]) Ann W Hsing ([email protected]) Yu-Tang Gao ([email protected]) Asif Rashid ([email protected]) Lisa W Chu ([email protected]) Ming-Chang Shen ([email protected]) Bing-Shen Wang ([email protected]) Tian-Qua Hang ([email protected]) Bai-He Zhang ([email protected]) Shelley Niwa ([email protected]) Kai Yu (yu...

In “Buying Health: the Costs of Commercialization and an Alternative Philosophy”, Larry R. Churchill and Shelley C. Churchill discuss the commercialization of health and, in particular, the commercialization of nutrition. In this commentary on their article, I draw a connection between Churchill and Churchill’s account of the commercialization of nutrition and Michael Pollan’s critique of “nutr...

The step of intravasation or lymphovascular invasion can be a rate-limiting step in the metastatic process. Inflammatory breast carcinoma manifests an exaggerated degree of lymphovascular invasion in situ; hence, a study of its molecular basis might shed light on the general mechanism of lymphovascular invasion exhibited by all metastasizing cancers. To this end, we have established the first h...