Melvin H. Knisely was an American physiologist who first observed the pathological clumping of red blood cells which are also called what?
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Melvin H. Knisely Melvin Henry Knisely (17 June 1904 - 30 March 1975), was an American physiologist who first observed the pathological clumping of red and white cells, in vivo, at the capillary level. One of the most cited Knisely works was his research which documented the fact that even one alcoholic drink kills brain cells, which are irreplaceable.
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Red blood cell Red blood cells (RBCs), also called erythrocytes, are the most common type of blood cell and the vertebrate's principal means of delivering oxygen (O) to the body tissues—via blood flow through the circulatory system. RBCs take up oxygen in the lungs, or gills of fish, and release it into tissues while squeezing through the body's capillaries.
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Waldenström's macroglobulinemia Waldenström's macroglobulinemia (WM), also known as lymphoplasmacytic lymphoma, is a type of cancer affecting two types of B cells, lymphoplasmacytoid cells and plasma cells. Both cell types are white blood cells. WM is characterized by having high levels of a circulating antibody, immunoglobulin M (IgM), which is made and secreted by the cells involved in the disease. WM is an "indolent lymphoma" (i.e., one that tends to grow and spread slowly) and a type of lymphoproliferative disease which shares clinical characteristics with the indolent non-Hodgkin lymphomas. WM is commonly classified as a form of plasma cell dyscrasia. Similar to other plasma cell dyscrasias that, for example, lead to  multiple myeloma, WM is commonly preceded by two clinically asymptomatic but progressively more pre-malignant phases, IgM monoclonal gammopathy of undetermined significance (i.e. IgM MGUS) and smoldering Waldenström's macroglobulinemia. The WM spectrum of dysplasias differs from other spectrums of plasma cell dyscrasias in that it involves not only aberrant plasma cells but also aberrant lymphpplasmacytoid cells and that it involves IgM while other plasma dyscrasias involve other antibody isoforms.
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Myeloma protein A myeloma protein is an abnormal immunoglobulin fragment, such as an immunoglobulin light chain, that is produced in excess by an abnormal monoclonal proliferation of plasma cells, typically in multiple myeloma. Other terms for such a protein are M protein, M component, M spike, spike protein, or paraprotein. This proliferation of the myeloma protein has several deleterious effects on the body, including impaired immune function, abnormally high blood viscosity ("thickness" of the blood), and kidney damage.
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Gunther disease Gunther disease, also known as congenital erythropoietic porphyria (CEP), uroporphyrinogen III synthase deficiency and UROS deficiency, is a congenital form of erythropoietic porphyria. The word porphyria originated from the Greek word porphura. Porphura actually means "purple pigment", which, in suggestion, the color that the body fluid changes when a person has Gunther's disease. It is a rare, autosomal recessive metabolic disorder affecting heme, caused by deficiency of the enzyme uroporphyrinogen cosynthetase. It is extremely rare, with a prevalence estimated at 1 in 1,000,000 or less. There have been times that prior to birth of a fetus, Gunther's disease has been shown to lead to anemia. In milder cases patients have not presented any symptoms until they have reached adulthood. In Gunther's disease, porphyrins are accumulated in the teeth and bones and an increased amount are seen in the plasma, bone marrow, feces, red blood cells, and urine.
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Richard Friedrich Johannes Pfeiffer Pfeiffer is remembered for his many fundamental discoveries in immunology and bacteriology, particularly for the phenomenon of bacteriolysis. In 1894 he found that live cholera bacteria could be injected without ill effects into guinea pigs previously immunised against cholera, and that blood plasma from these animals added to live cholera bacteria caused them to become motionless and to lyse. This could be inhibited by previously heating the blood plasma. He called this bacteriolysis and it became known as the Pfeiffer Phenomenon, or Isayev-Pfeiffer phenomenon.
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Leukoreduction Leukoreduction is the removal of white blood cells (or "leukocytes") from the blood or blood components supplied for blood transfusion. After the removal of the leukocytes, the blood product is said to be "leukoreduced".
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Fascial spaces of the head and neck Fascial spaces (also termed fascial tissue spaces or tissue spaces) are potential spaces that exist between the fasciae and underlying organs and other tissues. In health, these spaces do not exist; they are only created by pathology, e.g. the spread of pus or cellulitis in an infection. The fascial spaces can also be opened during the dissection of a cadaver. The fascial spaces are different from the fasciae themselves, which are bands of connective tissue that surround structures, e.g. muscles. The opening of fascial spaces may be facilitated by pathogenic bacterial release of enzymes which cause tissue lysis (e.g. hyaluronidase and collagenase). The spaces filled with loose areolar connective tissue may also be termed clefts. Other contents such as salivary glands, blood vessels, nerves and lymph nodes are dependent upon the location of the space. Those containing neurovascular tissue (nerves and blood vessels) may also be termed compartments.
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Hypochromic anemia Hypochromic anemia is a generic term for any type of anemia in which the red blood cells (erythrocytes) are paler than normal. ("Hypo"- refers to "less", and "chromic" means "color".) A normal red blood cell will have an area of pallor in the center of it; it is biconcave disk shaped. In hypochromic cells, this area of central pallor is increased. This decrease in redness is due to a disproportionate reduction of red cell hemoglobin (the pigment that imparts the red color) in proportion to the volume of the cell. Clinically the color can be evaluated by the Mean Corpuscular Hemoglobin (MCH) or Mean Corpuscular Hemoglobin Concentration (MCHC). The MCHC is considered the better parameter of the two as it adjusts for effect the size of the cell has on its color. Hypochromia is clinically defined as below the normal MHC reference range of 27-33 picograms/cell in adults or below the normal MCHC reference range of 33-36 g/dL in adults.
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Chronic myelogenous leukemia Chronic myelogenous (or myeloid or myelocytic) leukemia (CML), also known as chronic granulocytic leukemia (CGL), is a cancer of the white blood cells. It is a form of leukemia characterized by the increased and unregulated growth of predominantly myeloid cells in the bone marrow and the accumulation of these cells in the blood. CML is a clonal bone marrow stem cell disorder in which a proliferation of mature granulocytes (neutrophils, eosinophils and basophils) and their precursors is found. It is a type of myeloproliferative neoplasm associated with a characteristic chromosomal translocation called the Philadelphia chromosome. CML is now largely treated with targeted drugs called tyrosine-kinase inhibitors (TKIs) which have led to dramatically improved long-term survival rates since the introduction of the first such agent in 2001. These drugs have revolutionized treatment of this disease and allow most patients to have a good quality of life when compared to the former chemotherapy drugs. In Western countries, CML accounts for 15–25% of all adult leukemias and 14% of leukemias overall (including the pediatric population, where CML is less common).
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Polycythemia Polycythemia (also known as polycythaemia or polyglobulia) is a disease state in which the hematocrit (the volume percentage of red blood cells in the blood) is >55%.
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Spherocytosis Spherocytosis is an auto-hemolytic anemia (a disease of the blood) characterized by the production of spherocytes (red blood cells (RBCs)) or erythrocytes that are sphere-shaped rather than bi-concave disk shaped. Spherocytes are found in all hemolytic anemias to some degree. Hereditary spherocytosis and autoimmune hemolytic anemia are characterized by having "only" spherocytes.
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Hemosiderinuria Hemosiderinuria (syn. haemosiderinuria), "brown urine", occurs with chronic intravascular hemolysis, in which hemoglobin is released from RBCs into the bloodstream in excess of the binding capacity of haptoglobin. (Haptoglobin binds circulating hemoglobin and reduces renal excretion of hemoglobin, preventing tubular injury.) The excess hemoglobin is filtered by the kidney and reabsorbed in the proximal convoluted tubule, where the iron portion is removed and stored in ferritin or hemosiderin. The tubule cells of the proximal tubule slough off with the hemosiderin and are excreted into the urine, producing a "brownish" color. It is usually seen 3-4 days after the onset of hemolytic conditions.
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George Nuttall George Henry Falkiner Nuttall FRS (5 July 1862 – 16 December 1937) was an American-British bacteriologist who contributed much to the knowledge of parasites and of insect carriers of diseases. He made significant, innovative discoveries in immunology, about life under aseptic conditions, in blood chemistry, and about diseases transmitted by arthropods, especially ticks. He carried out investigations into the distribution of Anopheline mosquitoes in England in relation to the previous prevalence of malaria there. With William Welch he identified Clostridium perfringens, the organism responsible for causing gangrene. He also demonstrated the importance of intestinal bacteria in digestion and investigated the bactericidal properties of blood.
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Hypofrontality Hypofrontality is a state of decreased cerebral blood flow (CBF) in the prefrontal cortex of the brain. Hypofrontality is symptomatic of several neurological medical conditions, such as schizophrenia, attention deficit hyperactivity disorder (ADHD), bipolar disorder, and major depressive disorder. This condition was initially described by Ingvar and Franzén in 1974, through the use of xenon-enhanced CT scanning to image the brains of patients with schizophrenia. Subsequent neuroimaging work has shown that the decreases in prefrontal CBF are localized to the medial, lateral, and orbital portions of the prefrontal cortex. Hypofrontality is thought to contribute to the negative symptoms of schizophrenia. Research is currently being done on primarily humans and mice to learn more about hypofrontality. Hypofrontality was initially thought to be a side effect of antipsychotic drugs used to treat these conditions. However, reduced activity in the right frontal lobe, left temporal lobe and left cerebellum during the Wisconsin Card Sorting Test is seen in schizophrenic patients who have never received antipsychotic drugs, which suggests that this is not the case.
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Syneresis (chemistry) Syneresis (also spelled 'synæresis' or 'synaeresis'), in chemistry, is the extraction or expulsion of a liquid from a gel, as when serum drains from a contracting clot of blood. Another example of syneresis is the collection of whey on the surface of yogurt. Syneresis can also be observed when the amount of diluent in a swollen polymer exceeds the solubility limit as the temperature changes. A household example of this is the counter intuitive expulsion of water from dry gelatin when the temperature increases. Syneresis has also been proposed as the mechanism of formation of the amorphous silicate composing the frustule of diatoms
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Ziehl–Neelsen stain The Ziehl–Neelsen stain, also known as the acid-fast stain, was first described by two German doctors: the bacteriologist Franz Ziehl (1859–1926) and the pathologist Friedrich Neelsen (1854–1898). It is a special bacteriological stain used to identify acid-fast organisms, mainly Mycobacteria. "Mycobacterium tuberculosis" is the most important of this group because it is responsible for tuberculosis (TB). Other important Mycobacterium species involved in human disease are "Mycobacterium leprae", "Mycobacterium kansasii", "Mycobacterium marinum", "Mycobacterium bovis", "Mycobacterium africanum" and members of the "Mycobacterium avium" complex. Acid-fast organisms like Mycobacterium contain large amounts of lipid substances within their cell walls called mycolic acids. These acids resist staining by ordinary methods such as a Gram stain. It can also be used to stain a few other bacteria, such as "Nocardia". The reagents used are Ziehl–Neelsen carbol fuchsin, acid alcohol, and methylene blue. Acid-fast bacilli will be bright red after staining.
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Pulmonary edema Pulmonary edema is fluid accumulation in the tissue and air spaces of the lungs. It leads to impaired gas exchange and may cause respiratory failure. It is due to either failure of the left ventricle of the heart to remove blood adequately from the pulmonary circulation (cardiogenic pulmonary edema), or an injury to the lung parenchyma or vasculature of the lung (noncardiogenic pulmonary edema). Treatment is focused on three aspects: firstly improving respiratory function, secondly, treating the underlying cause, and thirdly avoiding further damage to the lung. Pulmonary edema, especially acute, can lead to fatal respiratory distress or cardiac arrest due to hypoxia. It is a cardinal feature of congestive heart failure. The term is from the Greek οἴδημα (oídēma, "swelling"), from οἰδέω (oidéō, "I swell").
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Pyknocytosis Pyknocytosis is a hematologic state characterized by the presence of pyknocytes in the blood. Pyknocytes are red blood cells that appear distorted, irregular and small with abnormal projections and would typically be identified by a pathologist on a peripheral blood smear.
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Clot retraction Clot retraction is the "shrinking" of a blood clot over a number of days. In doing so, the edges of the blood vessel wall at the point of injury are slowly brought together again to repair the damage.
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Eosinophilic vasculitis Eosinophilic vasculitis is a cutaneous condition characterized by an inflammation of blood vessels and the presence of eosinophils.
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Red cell agglutination In haematology, red cell agglutination is the process whereby red cells clump together forming aggregates. This is seen in Waldenström's macroglobulinemia, cold agglutinin disease and Infection with Mycoplasma Pneumonia.