Cardiac manifestations in tuberous sclerosis: A 10-year review

10.1046/j.1440-1754.1998.00218.xJournal of Paediatrics and Child Health343283-287JPCH

Chronic Manganese Toxicity Associated with Voltage-Gated Potassium Channel Complex Antibodies in a Relapsing Neuropsychiatric Disorder

Heavy metal poisoning is a rare but important cause of encephalopathy. Manganese (Mn) toxicity is especially rare in the modern world, and clinicians’ lack of recognition of its neuropsychiatric manifestations can lead to misdiagnosis and mismanagement. We describe the case of a man who presented with recurrent episodes of confusion, psychosis, dystonic limb movement and cognitive impairment and was initially diagnosed with anti-voltage-gated potassium channel (VGKC) complex limbic encephalitis in view of previous positive autoantibodies. His failure to respond to immunotherapy prompted testing for heavy metal poisoning, which was positive for Mn. This is the first report to examine an association between Mn and VGKC antibodies and the effects of Mn on functional brain activity using functional near-infrared spectroscopy (fNIRS)

Duty of care to the undiagnosed patient: Ethical imperative, or just a load of Hogwarts?

With the restoration of You-Know-Who to full corporeal form, the practice of the dark arts may lead to multitudes being charmed, befuddled and confounded. At present, muggle ethics dictate that aid may be rendered in a life-or limb-threatening situation, but the margins are blurred when neither is at stake. Muggle and wizard healers, fearful of being labelled ambulance chasers, may shy away from approaching those who remain blissfully unaware of their illnesses. We describe 4 case studies in which we intervened as muggle healers, to salutary effect. The afflicted were healed or helped, without bringing the weight of the Ministries of Magic or Magical Healing upon us. We advocate a spirit of cooperation between muggle and magical folk, mindful of the strengths that the healing arts from each community have to offer. As long as the intent is beneficent, healers or even the wizard or muggle on the street may intervene and render aid to the afflicted

A case series of six children with primary pulmonary hypertension

Annals of the Academy of Medicine Singapore302118-121AAMS

Bidirectional cavopulmonary anastomosis

Annals of the Academy of Medicine Singapore282237-240AAMS

Influence of surgery on aortic valve prolapse and aortic regurgitation in doubly committed subarterial ventricular septal defect

American Journal of Cardiology84121445-1448AJCD

Multi-layered microcapsules for cell encapsulation

10.1016/S0142-9612(01)00191-0Biomaterials233849-856BIMA

Damage identification of structural members: Numerical and experimental studies

10.1177/147592103031112Structural Health Monitoring2141-5