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Are Imaging Features Of Hepatic Angiomyolipoma Related To Its Clinical Setting?
This study consisted of 10 patients (three male and seven female) with hepatic angiomyolipoma, with a mean age of 55.1 years (age range, 19-78 years). Of these patients, dynamic contrast CT showed hepatic angiomyolipoma as a hypervascular mass with intratumoral fatty density, absence of a capsule, and prominent central vessels in six sporadic cases, and multiple, small hepatic angiomyolipomas, with or without a fat component in four cases with tuberous sclerosis complex (TSC). Lymphangioleiomyomatosis (LAM) and multiple hepatic angiomyolipomas were found in one patient with TSC.
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Seasonal Hunger Devastating And Under Recognized

Most of the world"s acute hunger and undernutrition occurs not in conflicts and natural disasters but in the annual "hunger season," according to an article in this week"s open access journal PLoS Medicine. The hunger season is the time of year when the previous year"s harvest stocks have dwindled, food prices are high, and jobs are scarce, and is often under recognized. Bapu Vaitla (Tufts University, Massachusetts, USA), Stephen Devereux (Institute of Development Studies, Brighton, UK), and Samuel Hauenstein Swan (Action Against Hunger UK) describe how currently nearly seven out of every ten hungry people in the world, or about six hundred million, are either members of small farm households or landless rural laborers. Many of these six hundred million people live in areas where water or temperature constraints allow only one crop harvest per year, say the authors. Their poverty is driven by seasonal cycles, worsening especially in the preharvest months. During this "hunger season" period, household food stocks from the last harvest begin to run out; while low production levels, inadequate storage facilities, and accumulated debt all combine to force families to sell or consume their agricultural production well before the new harvest. The authors emphasize that proven interventions to alleviate seasonal hunger are known, but they often operate on a small scale and in isolation. Community-based interventions to treat acute undernutrition and promote growth of preschool children are examples of successful interventions that should be scaled up, they argue. "Global scale-up of a basic "minimum essential" intervention package against seasonal hunger would cost around 0.1% of global GDP and save millions of lives, while protecting millions more from severe illness," they argue. Addressing seasonal hunger is a necessary step in meeting the Millennium Development Goals. Funding: The United Kingdom"s Department for International Development (DFID) provided partial funding for this research. The funders had no role in the decision to publish or preparation of the manuscript. Citation: "Seasonal Hunger: A Neglected Problem with Proven Solutions." Vaitla B, Devereux S, Swan SH (2009) PLoS Med 6(6): e1000101. doi:10.1371/journal.pmed.1000101 PLoS Medicine


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