An 87-year old woman was admitted to emergency department troubled by several weeks of fatigue and a weeklong feeling of coldness in her fingers which were starting to blacken.The diagnosis of Cold Agglutinin Disease was made.
Treatment was commenced with prednisolone 40 mg and plasmapheresis and continued with a weekly rituximab and low-dose cyclophosphamide administered orally due to the high age of the patient. In spite of the therapy, the finger necrosis progressed to 0,5cm and hand surgeons were contacted to follow the development of gangrene.
Cold agglutinin disease is an autoimmune disease characterized by the presence of high concentrations of circulating antibodies, usually IgM, directed against red blood cells. It is a form of autoimmune hemolytic anemia, specifically one in which antibodies only bind red blood cells at low body temperatures, typically 28–31 °C. .
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Credit: V. Lazarevic MD, Department of Hematology, Lund University Hospital, Lund
Pengen banget punya desa, biar kalo liburan bisa mudik sambil nyanyi "desaku yang kucinta". Melihat orang-orang yang lagi pulkam, daripada bengong lebih baik diungkapkan lewat menggambar dan mewarnai pemandangan desa.
#Learning part 2
“I’m not good at math." Is there any person who has not said this? When faced with difficult math problems, students often give up on solving and make themselves believe that they are not as good as others in this subject.
Teachers from mathplusacademy.com emphasized that building student’s confidence in math is as important as teaching concepts, and it will yield better results.
Understand the relevance of confidence to your kid’s performance and get tips on how to reinforce math confidence here:
I am #50shades of #change. I am not the same person I was two minutes ago. I am #growing, I am #learning, I am changing l am #creating myself. (Not finding myself because I was never lost) this new phase of my life has been challenging but definitely rewarding, I have lost a lot in my life but I've gained a lot too. I'm a mom, I'm a daughter, I'm a friend and I am blessed beyond measure. #Hello#Life#instamood#instalove having a #deep#moment
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تم فتح التسجيل لبرامج الفترة المسائية 😍👏🏻
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من الساعة ٤ عصراً حتى ٦ مساءً
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📚 برنامج تحفيظ القرآن
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📚 برنامج تقوية اللغة العربية ( املاء- تحسين خط- قراءة وكتابة- منهج لغتي)
من ٥ مساءً حتى ٦ مساءً
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للاستفسار وحجز مقاعد: 0537590500
i wrote notes with my hand again. finally haha. i was too lazy the past few weeks, but i started these and i really wanted to finish. i took me way too long! but at least i'm happy with the result. do you always write with hand? or on the pc? 🖊🖥
A stranger will not care more about you than they do themselves. Sounds harsh doesn’t it. It’s just the facts. Whatever struggle they are going through, whatever losses they have endured, whatever exciting situation they are celebrating will always trump what’s going on in a strangers life. A 🔑 is genuinely 👂 when you start a conversation. Genuinely caring and learning and practicing the art of silence. @think.big.live.large and def @cesarlrodriguez can tell how this simple practice can make a world of difference in achieving success in a client or network based business. Happy #monday#hustleethic#family#stayblessed
¡Faltan pocas horas para nuestro webinar-taller!
Las habilidades y competencias sociales están consideradas entre las más claves en el siglo XXI, con miras a abordar los retos que la Cuarta Revolución Industrial nos plantea. Por eso, te invitamos a nuestro ciclo de Webinars-talleres en los que abordaremos de manera práctica el desarrollo de habilidades emocionales, estrategias de coaching, comunicación asertiva y gestión del tiempo.
Iniciaremos nuestro ciclo con el webinar-taller "Llevándome bien conmigo mismo y con los demás", en el que aprenderás herramientas sencillas y prácticas para hacer una mejor gestión de tus emociones. Puedes ver mayor información de esta experiencia de aprendizaje en .
Para mayor información acerca de cómo participar, puedes escribirnos a [email protected]
At Carattere we have a fundamental belief! Education and passion are the keys 🔑 to be successful in creative industry! We are glad to announce our attendance for 1year programme at Tetley in Leeds! We want transmit our passion for illustration to the next generation and teach them how to develop an idea 💡 trough a series of workshop! 👶🏻
The variable B (pronounced “Be”), > (pronounced “Greater Than”) the sum of a set of numbers (x1 + x2 + … +xn) divided by their number, which is something usually known as the arithmetic mean, or “Average”.
So, in essence,“Be” “Greater than” “Average”. 🚀
Follow me (@professor) to learn new amazing stuff everyday! 👓
3 14249 minutes ago
This year's 'Take One Picture' exhibition takes you on a magical odyssey of creativity, encountering women of power and mythical and magical sea creatures along the way
For the 23rd annual exhibition, primary schoolchildren have responded to Pintoricchio's 'Penelope with the Suitors'. From studies in portraiture and printmaking to flag designs and depictions of voyages, the exhibition celebrates the work of children from 27 schools across the UK.
In the foreground of this image, you can see a chess set by Well Cathedral Junior School in Somerset, who were inspired by the cat and chequered flooring in the painting. Behind this hangs three woven looms created by Parsonage Farm Nursery and Infant School in Hampshire. They were inspired by Penelope who is weaving in the painting. Next to these are works by Grafton School in London who created their own fresco's. To the right of the image you can see a treasure chest by Farringtons School in Chislehurst. The children imagined this belonged to Penelope and contained all her favourite things. 'Take One Picture' is in the Sunley Room and is on until 12 August.
Photo by #nationalgallery photographer Maria Conroy.
12 37602 days ago
It’s funny how this country feels more like home than the country I was Born in🇮🇩❤️
In 6 days I head to South Africa as a @fundforteachers fellow to study how race, racism, and apartheid are taught to students and approached in schools. After 3 weeks, I return to the states and then head to Montgomery, Alabama with @teaching_tolerance, and I can’t wait to see the new @eji_org memorial and museum. I’m so excited for these amazing learning opportunities and I can’t wait to share everything with all of you!