We present 22 cases with inter-sterno-costoclavicular ossification. Clinical and pathological findings show that abnormal ossification observed in this situation is due to non-suppurative chronic inflammation of the soft tissues around the sterno-costo-clavicular region such as the costo-clavicular ligament. We have classified X-ray findings into three stages according to the extent of the ossification; localized, generalized, and hyperostotic, and show that the disease progressed in this sequence. A considerable number of the patients showed abnormal X-ray findings in the spine or the sacro-iliac joint. Frequent association of pustulosis palmaris et plantaris was noted in this disease. Most of the cases were treated effectively with anti-inflammatory drugs, but a few cases required surgical resection of the ossified mass with the clavicle or the first rib in order to relieve the severe pain.
Demand response programs (DRs) have been getting more active as one of the effective demand-side management methods (DSMs), which can contribute to the power supply-demand balancing operations in electric power grids. In particular, peak-time-rebate-DR (PTR-DR) is expected to penetrate further because it brings benefit both electric power suppliers and consumers with smaller burden on the consumer-side in comparison with the other DR types.Although several demonstrative field tests on the DRs have been promoted, there is room for discussion yet how to set the appropriate incentive payment for the cooperation of DR requirement from the power suppliers. This paper presents a pricing method of incentive payment in the DRs based on a problem framework of social optimization. In the authors' proposal, decrement of the consumers' comfort, which is caused by the DR cooperation, is converted into the price. That is, the proposed pricing method calculates the negative consumers' surplus as the appropriate incentive payment in the DRs.
A 66-year-old man was admitted to our hospital for gastrointestinal perforation. He had a history of surgery and chemotherapy for colorectal cancer and had a subcutaneously implanted central venous port catheter. After surgery for gastrointestinal tract perforation, he developed an intra-abdominal abscess, which was treated with broad-spectrum antimicrobial agents and improved. Following this improvement, Rhodotorula spp. was detected in a blood culture and at the catheter tip. He was asymptomatic despite having fungemia. His condition improved after the removal of the catheter and the administration of antifungal drugs. Fungemia due to Rhodotorula spp. is rare, and asymptomatic fungemia is even rarer.
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