A rarely described Kimura's disease of the breast.

Kimura's disease is a rare chronic inflammatory disease of unknown aetiology. The majority of cases are reported in middle-aged Asian males and rarely seen in other ethnicities. Patients classically present with chronic single or multiple painless subcutaneous masses, lymphadenopathies, hypereosinophilia and elevated serum immunoglobulin E. The disease usually affects the head and neck area, however, rare involvement of other locations such as axilla, upper limbs, popliteal region and abdomen has been reported. Here, we report a rarely encountered Kimura's disease of the breast and axillary lymph nodes in a middle-aged female. In this report, we will describe the main clinical, radiological and pathological features to raise the awareness about this indolent disease.

Imperfections Formation in Thin Layers of NiTi Triply Periodic Minimal Surface Lattices Fabricated Using Laser Powder Bed Fusion.

In this paper, thin layers of NiTi shape memory alloy (SMA) triply periodic minimal surface lattices (TPMS) are fabricated using laser powder bed fusion (LPBF), considering different laser scanning strategies and relative densities. The obtained architected samples are studied using experimental methods to characterize their microstructural features, including the formation of cracks and balling imperfections. It is observed that balling is not only affected by the parameters of the fabrication process but also by structural characteristics, including the effective densities of the fabricated samples. In particular, it is reported here that higher densities of the TPMS geometries considered are generally associated with increased dimensions of balling imperfections. Moreover, scanning strategies at 45° angle with respect to the principal axes of the samples resulted in increased balling.

Postpartum Family Planning During Sociopolitical Transition: Findings from an Integrated Community-Based Program in Egypt.

CONTEXT: Limited information exists on postpartum family planning and implementation of integrated reproductive and maternal and child health programs in countries experiencing sociopolitical transition. METHODS: A quasi-experimental evaluation of an integrated reproductive and maternal and child health program implemented in selected sites in Upper and Lower Egypt was conducted between 2012 and 2014. Preintervention and postintervention household surveys were conducted among 12,454 women in intervention sites and nonintervention comparison sites who at survey had a child younger than 24 months. Bivariate and multivariate analyses estimated the intervention's effects on postpartum family planning-related outcomes, including contraceptive use, knowledge of optimal birthspacing, reproductive intentions and decision making about contraceptive use. RESULTS: In Upper Egypt, modern contraceptive use decreased over the study period in both intervention and comparison sites (by six and 15 percentage points, respectively), and in Lower Egypt, contraceptive use remained unchanged in intervention sites and decreased slightly (by three points) in comparison sites; in both regions, the intervention was positively associated with the difference in differences between groups (odds ratios, 1.5 for Upper Egypt and 1.3 for Lower Egypt). The intervention appears to have had a positive effect on knowledge of optimal birthspacing in Upper Egypt, on wanting to delay the next pregnancy in Lower Egypt, and on pregnancy risk and joint decision making in both regions. DISCUSSION: Study findings demonstrate the feasibility and effectiveness of an integrated reproductive and maternal and child health program implemented in a changing sociopolitical context. Revitalized efforts to bolster family planning within the country are needed to avert further losses and spark a return to positive trends.