Primary Epstein-Barr virus infection in a 40-day-old infant

Most cases of primary Epstein-Barr virus (EBV) infection during infancy and early childhood are mild or subclinical; therefore, the diagnosis of an EBV infection is not performed easily in this age group. Infectious mononucleosis (IM) is rarely reported during infancy. We report a 40-day-old infant with cervical node enlargement, cough, and coryza symptoms who was finally identified as having a case of primary IM based on the patient's clinical features and serological tests. © 2013 - IOS Press and the authors. All rights reserved

Avalanche frontiers in dissipative abelian sandpile model as off-critical SLE(2)

Avalanche frontiers in Abelian Sandpile Model (ASM) are random simple curves whose continuum limit is known to be a Schramm-Loewner Evolution (SLE) with diffusivity parameter $\kappa = 2$. In this paper we consider the dissipative ASM and study the statistics of the avalanche and wave frontiers for various rates of dissipation. We examine the scaling behavior of a number of functions such as the correlation length, the exponent of distribution function of loop lengths and gyration radius defined for waves and avalanches. We find that they do scale with the rate of dissipation. Two significant length scales are observed. For length scales much smaller than the correlation length, these curves show properties close to the critical curves and the corresponding diffusivity parameter is nearly the same as the critical limit. We interpret this as the ultra violet (UV) limit where $\kappa = 2$ corresponding to $c=-2$. For length scales much larger than the correlation length we find that the avalanche frontiers tend to Self-Avoiding Walk, the corresponding driving function is proportional to the Brownian motion with the diffusion parameter $\kappa =8/3$ corresponding to a field theory with $c = 0$. This is the infra red (IR) limit. Correspondingly the central charge decreases from the IR to the UV point.Comment: 11 Pages, 6 Figure

Anthropometric indices in individuals infected with ascaris lumbericoids in Iran

Context: Ascaris Lumbericoids infection is more common in children and teenagers and in areas with poor sanitation or crowded living conditions. Largest of all the parasites inhabiting the human intestine it is also the most common of parasitic infections in developing countries. It has been reported to infect about one-fourth of the world population. Chronic ascariasis has been reported to adversely effect the growth rate and anthropometric indices in infected individuals of growing age. Aims: The goal of this research was to evaluate the anthropometric indices in individuals infected with Ascaris in Hamedan province of Iran. Settings and Design: This was a descriptive cross sectional study. Methods and Material: Six hundred fourteen randomly selected individuals who were inhabitants of Hamedan province of Iran were chosen for this study. Stool samples of these individuals were collected and then experimented with Formel-Ether method to determine Ascaris Lumbericoids infection. Height and weight of these individuals were measured and compared with the indices related to NCHS. Demographic information of these individuals was entered into questionnaires and ultimately was analyzed with SPSS software. Results: Out of the total study population, 16.5% of individuals were found to be infected with Ascaris. Out of the individuals infected with Ascaris, 1% were underweight. In the age groups of 6-10, 11-15, 16-20 years, 3.5%, 5.1% and 3.5% were found to be suffering from malnutrition, respectively. Conclusion: Malabsorption in children might result in malnutrition. In this study, few individuals infected with Ascaris had malnutrition, thus Ascaris infection may not be an important cause of malnutrition among children in our area

Cost effectiveness analysis of Avonex and CinnoVex in Relapsing Remitting MS

INTRODUCTION: Multiple sclerosis is a chronic and degenerative neurological disease characterized by loss of myelin sheath of some neurons in brain and spinal cord. It is associated with high economic burden due to premature deaths and high occurrence of disabilities. The aim of the current study was to determine cost effectiveness of two major products of interferon 1a in patients with relapsing-remitting multiple sclerosis. METHOD AND MATERIALS: Altogether, 140 patients who have consumed Avonex and CinnoVex in Relapsing Remitting MS for at least two years were randomly selected (70 patients in each group). Health-related quality of life (HRQoL) was assessed using the adopted MSQoL-54 instrument. Costs were measured and valued from Ministry of Health and Medical Education (MOHME) perspective. Two-way sensitivity analysis was used to check robustness of the results. RESULTS: Patients in CinnoVex group reported significantly higher scores in both physical (69.5 vs. 50.9, P<0.001) and mental (63.3 vs. 56.6, P=0.03) aspects of HRQoL than Avonex group. On the other hand, annual cost of CinnoVex and Avonex were 2410 US and 4515US per patient, respectively (P<0.001). CONCLUSIONS: The results showed that CinnoVex was dominant option over the study period. It is suggested that results of the current study should be considered in allocating resources to MS treatments in Iran. Of course, our findings should be interpreted with caution duo to short term horizon and lack of HRQoL scores at baseline (before the intervention)