A Nonspecific Penile Ulcer Leading to the Diagnosis of Wegener's Granulomatosis.

The presented case describes a 53-year-old male who had been treated for non-specific cutaneous lesions for two months without any improvement. He was referred to our department after developing an erosive penile ulcer. Investigation for sexually transmitted diseases and Mycobacterium tuberculosis ended with negative results. Penile ulcer biopsy suggested the diagnosis of Wegener's granulomatosis (WG). The patient presented with upper respiratory tract symptoms during this period. Measuring antineutrophil cytoplasmic antibodies (c-ANCA), confirmed the diagnosis. Immunosuppressive therapy was initiated and resulted in a favorable response.

Detection, Localization and Quantification of Impact Events on a Stiffened Composite Panel with Embedded Fiber Bragg Grating Sensor Networks.

Nowadays, it is possible to manufacture smart composite materials with embedded fiber optic sensors. These sensors can be exploited during the composites' operating life to identify occurring damages such as delaminations. For composite materials adopted in the aviation and wind energy sector, delaminations are most often caused by impacts with external objects. The detection, localization and quantification of such impacts are therefore crucial for the prevention of catastrophic events. In this paper, we demonstrate the feasibility to perform impact identification in smart composite structures with embedded fiber optic sensors. For our analyses, we manufactured a carbon fiber reinforced plate in which we embedded a distributed network of fiber Bragg grating (FBG) sensors. We impacted the plate with a modal hammer and we identified the impacts by processing the FBG data with an improved fast phase correlation (FPC) algorithm in combination with a variable selective least squares (VS-LS) inverse solver approach. A total of 164 impacts distributed on 41 possible impact locations were analyzed. We compared our methodology with the traditional P-Inv based approach. In terms of impact localization, our methodology performed better in 70.7% of the cases. An improvement on the impact time domain reconstruction was achieved in 95 . 1 % of the cases.

Vibration Monitoring Using Fiber Optic Sensors in a Lead-Bismuth Eutectic Cooled Nuclear Fuel Assembly.

Excessive fuel assembly vibrations in nuclear reactor cores should be avoided in order not to compromise the lifetime of the assembly and in order to prevent the occurrence of safety hazards. This issue is particularly relevant to new reactor designs that use liquid metal coolants, such as, for example, a molten lead-bismuth eutectic. The flow of molten heavy metal around and through the fuel assembly may cause the latter to vibrate and hence suffer degradation as a result of, for example, fretting wear or mechanical fatigue. In this paper, we demonstrate the use of optical fiber sensors to measure the fuel assembly vibration in a lead-bismuth eutectic cooled installation which can be used as input to assess vibration-related safety hazards. We show that the vibration characteristics of the fuel pins in the fuel assembly can be experimentally determined with minimal intrusiveness and with high precision owing to the small dimensions and properties of the sensors. In particular, we were able to record local strain level differences of about 0.2 µÏµ allowing us to reliably estimate the vibration amplitudes and modal parameters of the fuel assembly based on optical fiber sensor readings during different stages of the operation of the facility, including the onset of the coolant circulation and steady-state operation.

Normal black kidney.

A black kidney has 3 major differential diagnoses: hemosiderosis, lipofuscin pigment and melanotic renal cell carcinoma. Excluding lipofuscin, the other 2 are accompanied by an abnormal renal function. We report on a 25-year-old man who intended to donate a kidney to his cousin. On the operating room table when we incised the left flank region and exposed the kidney, we found a firm and black kidney so the operation was cancelled due to potential vascular injuries. Days after the incomplete procedure, we reviewed the donor's biochemistry and imaging to reassess his renal function, but the results showed quite normal renal function again. The result of Ham test was also negative. Two weeks later, we began the operation, removed the same left kidney and found that it was in the same conditions as it was before. We took the opportunity to send needle biopsies of the kidney for histopathologic analysis. The analysis showed a melanotic kidney without pathological changes in glomeruli and interstitium and vessels. A black kidney may result in hemosiderin, lipofuscin or melanin deposits in the kidney, which can confirm the diagnosis; however, special tests for underlying disease and renal function should be considered. Some causes of black kidney lead to abnormal function, but our patients's kidney returned to normal.