Extended Berkeley Packet Filter (eBPF) is an instruction set and an execution environment inside the Linux kernel. It enables modification, interaction, and kernel programmability at runtime. eBPF can be used to program the eXpress Data Path (XDP), a kernel network layer that processes packets closer to the NIC for fast packet processing. Developers can write programs in C or P4 languages and then compile to eBPF instructions, which can be processed by the kernel or by programmable devices (e.g., SmartNICs). Since its introduction in 2014, eBPF has been rapidly adopted by major companies such as Facebook, Cloudflare, and Netronome. Use cases include network monitoring, network traffic manipulation, load balancing, and system profiling. This work aims to present eBPF to an inexpert audience, covering the main theoretical and fundamental aspects of eBPF and XDP, as well as introducing the reader to simple examples to give insight into the general operation and use of both technologies.
Disseminated mycosis (DM)—with cardiac involvement and shock—is an unexpected and severe opportunistic infection in patients with yellow fever. DM can mimic bacterial sepsis and should be considered in the differential diagnosis of causes of systemic inflammatory response syndrome in this group of patients, especially in areas where an outbreak of yellow fever is ongoing. We report the case of a 53-year-old male patient who presented to the emergency department with fever, myalgia, headache, and low back pain. The laboratory investigation revealed a positive molecular test for yellow fever, hepatic injury, and renal failure. During hospitalization, the patient developed hepatic encephalopathy, ascending leukocytosis, and ascites, with signs consistent with peritonitis. On the 11th day of hospitalization, the patient developed atrioventricular block, shock and died. At autopsy, angioinvasive mycosis was evidenced mainly in the heart, lungs, kidneys, and adrenals.
This study showed promising results on the use of F-FDG PET/CT as a prognostic tool for PC, using specific cutoff values of pSUV and nSUV.
Because of its rarity, together with the variability and nonspecificity of its signs and symptoms, pheochromocytoma, a tumor arising from chromaffin cells, creates an unlucky paradox: it is often missed but only rarely found. Besides the association with arterial hypertension, often in the form of paroxysmal attacks, pheochromocytoma may also be associated, in up to 40% of cases, with orthostatic hypotension which, when present, provides a clue to the diagnosis of the tumor. Far more rare (about 2% of cases) is the clinical presentation in the form of shock, a possibility that, among other attributes, justifies the epithet “the great mimic” applied to the neoplasia. The authors report the case of a 51-year-old hypertensive woman whose death was erroneously attributed to septic shock. Autopsy disclosed an unsuspected left adrenal bulky pheochromocytoma with areas of hemorrhage and extensive central necrosis, pronounced pulmonary edema, left ventricular mural thrombus, and histological evidence of acute myocardial injury.
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