Cyclops kolensis was named by Lilljeborg in 1901; in the intervening 60 odd years, it has been infrequently reported in the literature. Kozminski (1933) noted that although C. kolensis is one of the most widely distributed species "in our region" it had been forgotten until recent years when he and ...

Clostridium difficile infection is associated with antibiotic therapy and usually limited to the colonic mucosa. However, it is also a rare cause of enteritis, with only a few cases reported in the literature. In the present report, the case of a 30-year-old woman with Clostridium difficile enteritis who previously had ...

A 58-year-old Caucasian woman was admitted for knee replacement but during the postoperative period she developed sepsis due to pneumonia, which was treated with coamoxiclav and then piperacillin (for 2 weeks). She had renal failure, which needed haemofiltration. During her recovery she had diarrhoea due to Clostridium difficile, which was ...

Now on the market in the United States for almost 3 years and available in 48 countries worldwide, solifenacin 5 mg or 10 mg once daily continues to demonstrate a profile of safety and efficacy as a treatment for incontinence, urgency, and other symptoms of OAB. More than 2.2 million ...

Since its introduction in Italy in 1990, Aedes albopictus has spread quickly across the country, being at present reported in scattered foci in all regions below 600 m of altitude. The most important items of the lesson learned in almost 20 years of fight against the "Tiger" in Italy are ...

Budesonide is the 16alpha,17alpha-acetal of 16alpha-hydroxyprednisolone with n-butyraldehyde, endowed with anti-inflammatory activity. In a sample of budesonide tablets, kept for 3 years at 25 degrees C and 60% RH unknown impurities, not reported in European Pharmacopoiea, were present. Their identification was achieved by means of chemical and spectroscopic methods.

Sharing simulator case scenarios among educators will greatly reduce the cost and effort involved in bringing simulation to our students. A library of 72 cases was posted to the internet to freely share. The cases in the library consist of text files utilizing a simple open-source format. In the first ...

Some hospitals have maintained a balance of the two mandated functions, utilization review and discharge planning, that directly affect the work of case management. Others have leaned more toward the fiscally based utilization review over the needs-based function of discharge planning. This article examines the trends within case management that ...

We report a case of bilateral metastatic renal hemangiopericytoma. A 37-year-old Caucasian male presented in 1993 with intracranial hemangiopericytoma. Subsequent metastatic disease noted years later include bilateral renal hemangiopericytoma 10 years after initial presentation. To our knowledge, this is only the second reported case of bilateral metastatic renal hemangiopericytoma.

The history of the writing of Verbal Behavior (Skinner, 1957), Chomsky's review (1959), and MacCorquodale's rebuttal (1970) are briefly summarized. Chomsky's recent reflections on his review are analyzed: Chomsky's refusal to acknowledge the review's errors or its aggressive tone is consistent with his polemical style but comes at a minor ...

Medullomyoblastoma is a rare variant of medulloblastoma containing a component of striated and smooth muscle with survival of 3 to 4 years following surgery and radiotherapy. The authors report a rare case of medullomyoblastoma with an unusual survival of over 11 years without recurrence. The relevant literature is briefly reviewed.

New case law on diminished responsibility in Scotland (Galbraith v. HM Advocate 2001) re-defined the defence and clarified the role of expert witnesses. We examined how this judgment affected the use of the defence, provision of expert evidence and the outcome of trials. We studied homicide cases in one area ...

Adiantum tetragonum Schrad., a rare and endemic species to Brazil, is typified, described, and illustrated. This is the first report and collection of this species in 180 years.

Psittacosis infection is usually reported in adults aged around 30 to 60 years. We report here two cases of psittacosis in an elderly couple (76 and 77 years old) who jointly ran a pet shop. Psittacosis was diagnosed from a history of exposure to birds and from serological testing for ...

Contrast-induced nephropathy is a common but poorly understood problem. A large body of literature devoted to the subject is replete with contradictions and conflicting reports. The purpose of this article is to summarize our current understanding of the problem by reviewing some of the best studies done to date. Recommendations ...

We report on a case of a female patient who was successfully treated with hypnosis for warts on 2 occasions separated by an interval of 7 years. Of note is the fact that she had low expectations regarding the benefit to be derived from hypnosis and did not at first ...

The 18p- syndrome has been known for over 40 years, the first report being by de Grouchy et al. [Comptes Rendus Hebdomadaires Séances l'Acad Sci 256 (1963) 1028]. Mental retardation of varying severity is the most constant feature. Over 100 cases have been reported. The eldest patients have been 50 ...

Toxic epidermal necrolysis (TEN) is very rare in the newborn period. So far, three cases of TEN in newborns have been reported worldwide. We report a premature infant of 27 weeks' gestational age with TEN at 4 weeks of age. Sepsis treated by an antibiotic combination regimen preceding the TEN ...

The first catches of billfish recorded in the IOTC nominal catches (NC) database were made in 1970, by longline gear. Although catches of these species did occur before that year, they were reported aggregated as billfish NEI.

Pseudomyxoma peritonei is a rare condition consisting of mucinous ascites, most commonly arising from mucinous tumors of the appendix and occasionally from the ovary. Very rarely mucinous implants arise in the retroperitoneum without any intra-peritoneal involvement. This has been termed as pseudomyxoma extraperitonei. We report a case of a 57 ...

Twenty-one cases of a persistent vegetative state (PVS) caused by various kinds of brain damage were evaluated neurologically and electrophysiologically at 3 months after the brain injury. The 21 cases were treated by deep brain stimulation (DBS) therapy, and followed up for over 10 years. The stimulation sites were the ...

Post-kala-azar dermal leishmaniasis (PKDL) as the name suggests, develops usually after 1-2 years of treated kala azar (KA).1 Infrequently, cases may be seen later than 2 years. A case of PKDL occurring after 10 years of treated KA is herein reported. Such a long disease-free interval may be forgotten by ...

Reports of longevity for multi-surface amalgam restoration have been limited. This paper reports a case where a five-surface complex amalgam restoration has been followed and documented for 40 years. The pictorial series will help to identify some of the factors a dentist should consider before replacing the restoration.

We present two cases of neurofibromatosis type 1 (NF-1), one a 35 year old male who first recognised his problem at the age of fifteen years and at the time of assessment, satisfied the National Institute of Health (NIH) diagnostic criteria for NF-1 and had a nodular plexiform neurofibroma involving ...

AIM: To review the Auckland experience of childhood gonorrhoea, with particular regard to inter-agency management and medicolegal outcome. METHODS: Retrospective review of medical records at a specialist child abuse assessment unit, and follow up with other agencies involved. RESULTS: Twelve cases of genital gonorrhoea in pre-pubertal children in five years, ...

A massive left subtemporal extradural cholesterol granuloma in a 45 year old male patient is reported. The lesion communicated with the petrous temporal bone and was diagnosed after it became symptomatic 30 years following surgery for left chronic otitis media. The case is analysed and the literature on the subject ...

We report a case of primary herpetic gingivostomatitis in a 65 years old patient. Age of onset for this disease is typically 1-5 years, though it may also arise in adolescents and young adults; it is rare in children of less than 6 months, as well as in adults more ...

Forensic psychiatry involves an adaptation to a role that is very different from the psychiatrist's previous clinical experiences. To render an unbiased forensic opinion, psychiatrists have to rise above their countertransference feelings. This takes years of practice and experience. The following is an account of a forensic trainee who faced ...

A further case of ocular parastrongyliasis has been seen in a patient from Sri Lanka. As it is a juvenile female worm it could not be identified to the species, but it is probably Parastrongylus (= Angiostrongylus) cantonensis which is the commonly reported species in the country. This is the ...

A girl of 19 years who presented with the typical features of Anorexia Nervosa is reported and the condition is briefly discussed.

The Laryngeal Mask Airway (LMA) was developed in the 1980s, but has only recently begun to be used in Emergency Medicine. The LMA affords effective assisted ventilation without requiring endotracheal intubation or visualization of the glottis. In doing so, it is more efficacious than a bag-valve-mask apparatus, although the risk ...

Skin adverse drug reactions (ADRs) generally present as transient erythematous macular/papular rashes. However these can many a times be the initial presentation of serious muco-cutaneous ADRs such as Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN). The incidence of SJS varies from 1.2 to 6 per million patient-years and that ...

OBJECTIVE: To analyze 10.5 years' experience with hidradenoma papilliferum in Ferrara, Italy. STUDY DESIGN: Review of 8 cases plus 25 from other area clinicians. RESULTS AND CONCLUSION: The clinical aspects of hidradenoma papilliferum are confusing. The tumor is uncommon, so physicians do not gain enough experience to recognize it. Histology ...

The authors describe the case of an adolescent who had suffered from unilateral continuous headache since she was 8 years old. Treatment with indomethacin 50 mg/day promptly relieved the pain which had affected her for the previous 9 years. To the best of our knowledge, this is the earliest onset ...

When 10% carbamide peroxide is inefficient for stubborn stains and the patient experiences no sensitivity, higher concentrations (up to 35%) may resolve the discoloration.

BACKGROUND: There has been no report of comorbid transsexualism and obsessive-compulsive disorder (OCD) or of their differential course over follow-up. METHOD: Such comorbidity and follow-up are documented in a case report. RESULTS: A man who had been transsexual and homosexual since early adolescence developed severe OCD at age 40 as ...

The successes of composite grafting of fingertips in the early years of plastic surgery have been repeated in the few studies of this treatment which have been reported during the last 50 years. The early and recent history of this subject are reviewed in the light of the increasingly pessimistic ...

Three cases in which comedones developed in three different peculiar patterns are presented. Comedones developed along the stria nasi, the creases of the forehead and the ear lobule in a girl aged 14 and 2 men aged 73 and 72 years, respectively. A parallelism with keratosis punctata of the palmar ...

In reviewing the literature, there was only one report having the ductus over 30 mm in width. Recently, we utilized cardiopulmonary bypass, hypothermia, and low flow through a transpulmonary approach to close 2 cases of giant patent ductus arteriosus. Both cases complicated with systemic pulmonary hypertension. Its outside diameters were ...

This is the first reported case of rhinosporidiosis in Ibadan, Nigeria. A review of literature shows that the patient came from northern Nigeria where the first case was reported in the country. The organism is difficult to culture and the diagnosis was based on microscopy and histological examination of the ...

For 45 years, Bob had no subjective sense of depth; the world appeared two-dimensional to him. Then, when he was viewing mountain vistas while using marijuana, he suddenly was able to see three dimensions. This case, apparently unique in the literature, suggests that subjective dimensionality may be functionally separate from ...

Juvenile xanthogranuloma is a xanthomatous and granulomatous condition that frequently arises before 1 year of age and mainly occurs on the head and trunk. We report a rare solitary juvenile xanthogranuloma on the right palm of a 10-year-old girl, present for one year. This solitary involvement of the palm has ...

Asplenic individuals are known to be at a higher risk of developing serious and occasionally fatal sepsis. Prophylactic measures are generally recommended for the first few years post-splenectomy. We report two cases of severe Pneumococcal Sepsis occurring more than 10 years post-splenectomy leading to prolonged hospitalisation and long term morbidity ...

The first descriptions of migraine can be traced back nearly 4,000 years from the ancient civilizations of Mesopotamia (Sumeria and Babylonia) through Egyptian, Greek and Roman epochs. Through Byzantine, Arabic and Medieval times there are only patchy references until the 17th century, when European physicians first gave full case reports.

This report presents the case of a 49-year-old woman who had been treated unsuccessfully for 6 years for longstanding severe and refractory essential hypertension. Although she reported no extraordinary stress or distress, her disclosure of a 3-decade-old rape and the experiencing of previously repressed and unconfided emotions related to it ...

Figure 1 (p. 1061) of the report "Revival and identification of bacterial spores in 25- to 40-million-year-old Dominican amber" by R. J. Cano and M. K. Borucki (19 May, p. 1060) was incorrect. The correct figure appears below. [See figure in the pdf file].

Idiopathic dystonia is a chronic, disabling movement disorder. This study attempted to verify anecdotal evidence that sufferers experience delay in achieving a correct diagnosis. A survey of 133 patients revealed that diagnosis after first seeking help required a mean of 3.8 years. Diagnostic latency varied considerably, with 22 per cent ...

Hajdu-Cheney acro-osteolysis is reported in a 3 1/2 year old girl whose mother has the syndrome. Acro-osteolysis was shown to be absent at the age of 2 1/2 years. It was demonstrated on hand X-rays performed a year later. This is the youngest case of Hajdu-Cheney acro-osteolysis reported in the ...

There is a popular misconception that the meniscus is avascular and that tears of the meniscus do not heal. Over the years this notion has gradually been dispelled as being incorrect and the fact that the periphery of the meniscus is in fact vascular has been accepted. Attempts to resuture ...

The snails present in 17 natural watercress beds have been treated during 1 or 2 years by a control associating the use of a molluscicide (CuCl2) and the introduction of a predatory snail, Zonitoides nitidus. Lymnea truncatula was eliminated in only one year of treatment in 14 stations, and in ...