Social and Affordable Housing in Thames-Coromandel District

A commissioned report into housing needs of the Thames Coromandel region. Prepared as part of a Research Office Voucher Project. The report examines housing conditions, as well as particularly vulnerable groups in the region in relation to housing

Prospectus, February 22, 1984

MILLER SAYS TAX ABATEMENT NOT EQUITABLE FOR OTHER COUNTIES: REQUEST FOR TAX ABATEMENT DENIED BY PARKLAND BOARD; News Digest; Mayor Markland concered about area landfill issue; Meet the Prospectus Staff; PC Happenings: Professor to speak at Parkland, Testing for self knowledge, Computer workshop offered at Parkland, EMT workshop at Parkland; Which is better juvenile and pointless; Letter; Sonja Williams--views on Nicaragua; Yaxley scholarship; In the Library-- PS section; \u27I was only gone a minute\u27; Contraceptives--become aware of your choices; Internships produce anxieties; Did You Know...; Archaeology trip a success; Alabama shines at Assembly Hall; Creative Corner...Especially for you!!: Fleeting Moments, Untitled, Reflections and contemplations, Down, down, down, The Talkers , My Grandfather, Windows From the Soul, Realities, Banging heads on the floor with you...; Moore of the same; \u27Alabama\u27 succeeds at local concert; \u27I Write Your Name\u27 Carroll album released; Hitchcock\u27s classic revisited in the film \u27Vertigo\u27; Classifieds; More than tickets...; I.M.; Movie Magazine in next issue; Men\u27s Basketball season 20-11; Men\u27s track team places third; Parkland to host basket ball tournament; Women\u27s track team 2nd in region; Fitness Center to openhttps://spark.parkland.edu/prospectus_1984/1030/thumbnail.jp

Prospectus, February 1, 1984

TOOTH FAIRY PROMOTES DENTAL HEALTH; News Digest; Vote today or tomorrow for StuGo senators; PC Happenings: Parenting programs on TV, Jackson prints donated to Parkland; Letter to the editor; Get involved!!; Experience the uniqueness of people; Letter to the Editor; Student Government candidate platforms; Counseling center; A new look at the library; Story Shop stimulates young writers; Mechanics services at Parkland College; Life Science: largest division at Parkland; Dental hygiene service; Shop around for new phones; Dental clinic accepting new patients; Question: What is a friend? ; Classifieds; Kinks perform in State of Confusion ; Coppola\u27s \u27One from the Heart\u27 worth seeing; Machines star in series; Rodgers is still going strong; The Kinks still have what it takes to sound good; Parkland art collection valid part of education; Formigoni reaches out with color and space; Hubler talks about Champaign; Placement office finds jobs; What Is Art?; Cobras ease to victory; Men edge the Blue Knights; Track--two national qualifiershttps://spark.parkland.edu/prospectus_1984/1033/thumbnail.jp

Case Reports1. A Late Presentation of Loeys-Dietz Syndrome: Beware of TGFβ Receptor Mutations in Benign Joint Hypermobility

Background: Thoracic aortic aneurysms (TAA) and dissections are not uncommon causes of sudden death in young adults. Loeys-Dietz syndrome (LDS) is a rare, recently described, autosomal dominant, connective tissue disease characterized by aggressive arterial aneurysms, resulting from mutations in the transforming growth factor beta (TGFβ) receptor genes TGFBR1 and TGFBR2. Mean age at death is 26.1 years, most often due to aortic dissection. We report an unusually late presentation of LDS, diagnosed following elective surgery in a female with a long history of joint hypermobility. Methods: A 51-year-old Caucasian lady complained of chest pain and headache following a dural leak from spinal anaesthesia for an elective ankle arthroscopy. CT scan and echocardiography demonstrated a dilated aortic root and significant aortic regurgitation. MRA demonstrated aortic tortuosity, an infrarenal aortic aneurysm and aneurysms in the left renal and right internal mammary arteries. She underwent aortic root repair and aortic valve replacement. She had a background of long-standing joint pains secondary to hypermobility, easy bruising, unusual fracture susceptibility and mild bronchiectasis. She had one healthy child age 32, after which she suffered a uterine prolapse. Examination revealed mild Marfanoid features. Uvula, skin and ophthalmological examination was normal. Results: Fibrillin-1 testing for Marfan syndrome (MFS) was negative. Detection of a c.1270G > C (p.Gly424Arg) TGFBR2 mutation confirmed the diagnosis of LDS. Losartan was started for vascular protection. Conclusions: LDS is a severe inherited vasculopathy that usually presents in childhood. It is characterized by aortic root dilatation and ascending aneurysms. There is a higher risk of aortic dissection compared with MFS. Clinical features overlap with MFS and Ehlers Danlos syndrome Type IV, but differentiating dysmorphogenic features include ocular hypertelorism, bifid uvula and cleft palate. Echocardiography and MRA or CT scanning from head to pelvis is recommended to establish the extent of vascular involvement. Management involves early surgical intervention, including early valve-sparing aortic root replacement, genetic counselling and close monitoring in pregnancy. Despite being caused by loss of function mutations in either TGFβ receptor, paradoxical activation of TGFβ signalling is seen, suggesting that TGFβ antagonism may confer disease modifying effects similar to those observed in MFS. TGFβ antagonism can be achieved with angiotensin antagonists, such as Losartan, which is able to delay aortic aneurysm development in preclinical models and in patients with MFS. Our case emphasizes the importance of timely recognition of vasculopathy syndromes in patients with hypermobility and the need for early surgical intervention. It also highlights their heterogeneity and the potential for late presentation. Disclosures: The authors have declared no conflicts of interes