28 research outputs found
Spontaneous Streptococcus mitis Meningitis in a Patient with Liver Cirrhosis: A Case Report and Literature Review
No full textHow to cite this paper: Villion, A., Lishner, M., Chowers, M. and Reisfeld, S. (2014) Abstract Streptococcus mitis is a component of the normal oropharynx, skin, gastrointestinal system, and genital tract florae. It is generally considered as a relatively benign bacterium. We present a case of spontaneous Streptococcus mitis meningitis in a patient with liver cirrhosis and no known risk factors for invasive infectious diseases
ANALYSIS OF THE m BAND OF METHANE FOR JUPITER'S ATMOSPHERE
No full textM. J. Reisfeld, J. D. King, H. Flicker and R. S. McDowell, private communication (1978). N. Husson and G. Poussigue, J. de phys. 32, 859 (1971). J. Botineau, J. Mol. Spec. 41, 182 (1971). K. Fox, M. J. Reisfeld and R. S. McDowell, 34th Symposium on Molecular Spectroscopy (1979).Author Institution:Computations of vibration-rotation lines of the band of at have been extended to sixth order in perturbation theory. We have fit, by a least squares technique, a resolution laboratory spectrum obtained by Reisfeld at Los Alamos. We have assigned quantum numbers for approximately 250 lines in the region. The fourth order rotational constants of Husson and derived from a lower resolution were used as starting values for the parameter search. We have calculated an improved fourth order fit to the spectrum and have also obtained parameters for a sixth order fit. The line strengths adopted here are consistent with the recent work of Fox Two examples of the application of this worm are given. First, a recent laser diode measurement in the region is compared to the theoretical spectrum. Second, the work is used to interpret spectra of Jupiter’s atmosphere obtained earlier this year with the infrared spectrometer on the Voyager spacecraft
Clinical, diagnostic, and therapeutic features of patients admitted to acute care hospitals with trunk compared to lower limb cellulitis
No full textManagement of Patients with Known Drug Hypersensitivity in an Emergency Department in Israel
No full text<i>Background:</i> Drug hypersensitivity (DH) is potentially life threatening. Its management in the emergency department (ED) is not always satisfactory. Previous studies have evaluated the management of allergic reactions in the ED, but none has specifically addressed patients with known DH. In this study we aimed to analyze the treatment offered to patients with DH presenting to the ED in a hospital in Israel for any reason. <i>Methods:</i> Records of patients discharged from the ED on 19 randomly chosen dates between February 2004 and September 2005 were retrospectively reviewed. Data included demographics, diagnosis, previous drug allergies, training of the ED physician, time and day of the week, management, and discharge instructions. <i>Results:</i> Of 3,996 admissions to the ED, 436 (11%) patients reported 531 hypersensitivities, 45 (10%) of which were treated incorrectly. Trainees in internal medicine made significantly fewer errors than did trainees in surgery (p < 0.0005). Most errors involved NSAID hypersensitivity. <i>Conclusion:</i> A known DH was overlooked in 45 patients admitted to the ED. The specialty of the treating physician was the only significant factor found to affect patient management. Physicians, especially surgeons, should receive guidance concerning the correct management of patients with DH. All physicians should be aware of the optimal management of these patients.</jats:p
Screening for Q Fever during Other Bacterial Endocarditis in Endemic Areas: Our Experience with Three Patients
No full textEndocarditis is not a usual manifestation of acute Q fever. There is an ongoing debate about the need to screen patients for valvular diseases after acute Q fever. We present, for the first time, three patients with bacterial endocarditis from different aetiologies and a simultaneous diagnosis of acute Q fever. All were treated with prolonged antimicrobial treatment, and none of them developed a persistent Q infection. We suggest screening patients with endocarditis from other aetiologies to Q fever
ANALYSIS OF THE SPECTRA OF , AND IN THE m) REGION
No full textAuthor Institution:Samples of enriched in , and and highly enriched in and have been prepared at Los Alamos Scientific Laboratory. Spectra taken on a Nicolet Fourier Transform Spectrometer with 0.04 resolution (unapodized). The spectral constants derived for the 0) transition of these molecules are listed in Table 1, where the errors given represent statistical variations obtained from the fitting routine
Arthritis or an Adjacent Fascial Response? A Case Report of Combined Pyomyositis and Aseptic Arthritis
No full textPyomyositis, accompanied by aseptic arthritis, has been previously documented in several publications. However, none of the authors in the mentioned case reports offered a pathophysiological explanation for this unusual phenomenon or proposed a treatment protocol. We present a case of a healthy, 70-year-old male who was presented to the emergency department 4 days after tripping over a pile of wooden planks and getting stabbed by a nail to his thigh. The right thigh was swollen. Unproportional pain was produced by a light touch to the thigh. A laboratory test and a CT scan were obtained. The working diagnosis was pyomyositis of the thigh and septic arthritis of the ipsilateral knee. The patient underwent urgent debridement and irrigation of his right thigh. An arthroscopic knee lavage was performed as well. Intraoperative cultures from the thigh revealed the growth of Streptococcus pyogenes and Staphylococcus aureus. Cultures from synovial fluid were sterile; thus, septic arthritis was very unlikely. The source of the knee effusion might have been an aseptic inflammatory response due to the proximity of the thigh infection. Anatomically, the quadriceps muscle inserts on the patella, and its tendon fuses with the knee capsule, creating a direct fascial track from the thigh to the knee. The inflammatory response surrounding the infection may have followed this track, creating a domino effect, affecting adjacent capillaries within the joint capsule, and causing plasma leakage into the synovial space, leading to joint effusion. Our suggested treatment is addressing the primary infection with antibiotics and considering adding anti-inflammatory therapy, given our suspicion that this process has an inflammatory component
Assesing Appropriateness of Antimicrobial Treatment in Hospitalized Patients; A Point Prevalence Study
No full textANALYSIS OF THE FOURIER TRANSFORM SPECTRUM OF IN THE AND REGIONS
No full textAuthor Institution:Fourier Transform spectra have been obtained for in the regions of m) and m) at a resolution of . From a least-square fit of the P and R branch lines for the transitions, values have been obtained for the molecular spectroscopic constants. Based on the derived constants, the calculated wavenumbers for the P And R branch lines for both the and transitions agree with the observed positions within . We have also observed the different bands and . From an analysts of these transitions we have obtained values for the -doubling constant for and the location of the Fermi resonance levels
