Perihepatic cystic mass: Zebra or horse?

A zebra or a painted horse? Are hospital PPPs infrastructure partnerships with stripes or a separate species?

Public Private Partnerships (PPP) have been common in infrastructure for many years and are increasingly being considered as a means to finance, build, and manage hospitals. However, the growth of hospital PPPs in the past two decades has led to confusion about what sorts of contractual arrangements between public and private partners consititute a PPP, and what key differences distinguish publ...

Perihepatic Adhesions: Another Look

OBJECTIVE The objective of our study was to determine if pelvic inflammatory disease (PID) was the only cause of perihepatic adhesions. METHODS One hundred consecutive patients undergoing elective sterilization by laparoscopy were enrolled in this study. The preoperative workup included a history, physical examination, cervical culture for Neisseria gonorrhoeae and Chlamydia trachomatis, leuk...

Retroperitoneal cystic mass.

Cystic pituitary mass in neurosarcoidosis.

An MR examination in a patient with neurosarcoidosis showed an intrasellar cystic mass extending into the suprasellar space. The wall of the mass was thick, it enhanced after administration of contrast material, and it extended into the infundibulum and hypothalamus. Pathologic findings showed noncaseating granulomatous inflammation; the cystic component was considered to be ischemic necrosis o...

Horse or cart? Designer creativity and personality

This paper is a reflection on designer creativity in the context of the sector of art and design. It is shown that, though there is a rich literature on creativity, and on comparisons between art and science, few studies are specific to design. The paper focuses on links between personality characteristics and creativity, and demonstrates the strong nature of intuition led design thinking, both...