Ultimate load behaviour of steel box girder stiffened compression flanges

Imperial Users onl

Neglected Tropical Diseases as Hidden Causes of Cardiovascular Disease

Neglected Tropical Diseases as Hidden Causes of Cardiovascular Diseas

Prognostic indicators in patients with intracranial tuberculoma: a review of 102 cases

Objective: To see the characteristics, course and outcome of patients suffering from intracranial tuberculoma. Methods: Retrospective review of 102 patients diagnosed as intracranial tuberculoma at a tertiary care center over 10 years. Results: A total of 102 cases were seen with an age range of 1 to 75 years (mean, 30 years). Predisposing factors included Diabetes mellitus (8 patients) and pregnancy or puerperium (7 patients). Five pediatric patients had tuberculoma despite documented BCG vaccination. Fever (59%), headache (57%), meningeal irritation (36%) were the commonest presenting features; one-third of patients were drowsy or comatosed at presentation. Cerebrospinal fluid analysis was performed in 63 patients, of whom 88% had elevated protein, 83% had low glucose, and 84% had pleocytosis (one-third with neutrophilia). Forty-nine (50%) patients had clinical or laboratory evidence of concomitant tuberculous meningitis, Chest radiographs showed active or old tuberculous infection (25%), with a miliary pattern in 20%. Two-thirds of subjects had multiple tuberculomas (mean, 4.5 lesions per patient) on contrast CT or MRI scan. Hydrocephalus was present in 37 (37%) patients of which 21 required shunt surgery. Thirty-nine patients had \u3e 9 months of follow up; 17 patients showed complete recovery, 20 patients had partial recovery, and 2 patients had no response. Coma at presentation and miliary pattern on chest X-ray were predictors of poor prognosis. Conclusion: The study demonstrate that fever, headache, signs of meningeal irritation and cranial nerve palsies are common presenting features. Complete recovery was seen in 40% patients. Coma and military TB are predictors of poor prognosis (JPMA 54:83;2004)

Ischemic monomelic neuropathy: a complication of vascular access procedure

Ischemic monomelic neuropathy (IMN) is an infrequently recognized type of ischemic neuropathy produced by shunting blood or acute occlusion of a major proximal artery in the extremities. IMN predominantly occurs in diabetic patients with evidence of peripheral atherosclerotic vascular disease and neuropathy. We report a case of ischemic monomelic neuropathy occurring in a diabetic patient with end-stage renal disease following the placement of polytetrafluoroethylene (PTFE) graft as a vascular access in the proximal upper arm for chronic hemodialysis

Ears of the Armadillo: Global Health Research and Neglected Diseases in Texas

Neglected tropical diseases (NTDs) have\ud been recently identified as significant public\ud health problems in Texas and elsewhere in\ud the American South. A one-day forum on the\ud landscape of research and development and\ud the hidden burden of NTDs in Texas\ud explored the next steps to coordinate advocacy,\ud public health, and research into a\ud cogent health policy framework for the\ud American NTDs. It also highlighted how\ud U.S.-funded global health research can serve\ud to combat these health disparities in the\ud United States, in addition to benefiting\ud communities abroad

The Global Burden of Disease Study 2010: Interpretation and Implications for the Neglected Tropical Diseases

This article analyzes the "Global Burden of Disease Study 2010" and examines the study's implications for neglected tropical diseases

The Role of Costimulation in the Persistence of the Immune Response in Kawasaki Disease

Superantigens (SAgs) are implicated in the initiation of many diseases, including Kawasaki disease (KD), a multi-system vasculitis that leads to persistent inflammation and damage of coronary arteries. T cells are central to the pathogenesis of SAg-mediated diseases. Lactobacillus casei cell wall extract (LCWE) induces a disease in mice that resembles human KD, and contains a novel SAg. Despite the fact that SAg-activated T cells undergo apoptosis, they persist and are necessary for coronary inflammation in this model of KD. We report rescue from apoptosis of SAg-stimulated T cells in vitro by costimulation through CD28 or 4-1BB. CD28- or 4-1BB-mediated signaling stimulated concurrently with SAg upregulated the anti-apoptotic factor Bcl-XL. In vivo, co-injection of LCWE and a 4-1BB agonist aggravated coronary disease. These findings suggest that costimulation of T cells affects extent of illness in this model of KD, and supports targeting costimulation as a therapeutic intervention in SAg-triggered diseases.MAS