An adolescent with both Wegener's Granulomatosis and chronic blastomycosis

We report a case of Wegener's Granulomatosis (WG) associated with blastomycosis. This appears to be the first case report of WG co-existing with a tissue proven blastomycosis infection. The temporal correlation of the two conditions suggests that blastomycosis infection (and therefore possibly other fungal infections), may trigger the systemic granulomatous vasculitis in a predisposed individual; a provocative supposition warranting further study

Adiabatic following model for two-photon transitions: Nonlinear mixing and pulse propagation

Two-photon resonantly enhanced parametric generation processes have generally been described using time-dependent perturbation theory. In this paper we show that a theory of two-photon coherent effects can be used to derive and explain these nonlinear mixing processes. Our technique makes use of the adiabatic following (AF) approximation to obtain solutions to a vector model describing the two-photon resonance. We show that the usual results for the nonlinear susceptibilities correspond to the r vector of Feynman, Vernon, and Hellwarth adiabatically following the gamma vector in the small-angle limit. Consequently, the theory allows a natural extension to large angles, and power-dependent nonlinear susceptibilities are obtained. We then use these AF results for the polarization to study the propagation of pulses nearly resonant with a two-photon transition, and we demonstrate that the pulse reshaping is due to the two related effects of a nonlinear pulse velocity and self-phase modulation.Peer reviewedElectrical and Computer Engineerin

Inventory of current EU paediatric vision and hearing screening programmes

Background: We examined the diversity in paediatric vision and hearing screening programmes in Europe. Methods: Themes relevant for comparison of screening programmes were derived from literature and used to compile three questionnaires on vision, hearing and public-health screening. Tests used, professions involved, age and frequency of testing seem to influence sensitivity, specificity and costs most. Questionnaires were sent to ophthalmologists, orthoptists, otolaryngologists and audiologists involved in paediatric screening in all EU fullmember, candidate and associate states. Answers were cross-checked. Results: Thirty-nine countries participated; 35 have a vision screening programme, 33 a nation-wide neonatal hearing screening programme. Visual acuity (VA) is measured in 35 countries, in 71% more than once. First measurement of VA varies from three to seven years of age, but is usually before the age of five. At age three and four picture charts, including Lea Hyvarinen are used most, in children over four Tumbling-E and Snellen. As first hearing screening test otoacoustic emission (OAE) is used most in healthy neonates, and auditory brainstem response (ABR) in premature newborns. The majority of hearing testing programmes are staged; children are referred after one to four abnormal tests. Vision screening is performed mostly by paediatricians, ophthalmologists or nurses. Funding is mostly by health insurance or state. Coverage was reported as >95% in half of countries, but reporting was often not first-hand. Conclusion: Largest differences were found in VA charts used (12), professions involved in vision screening (10), number of hearing screening tests before referral (1-4) and funding sources (8)