Application of the Enhanced Single Face Photo as a Novel Screening Tool for Diagnosis of Dengue Infection and Influenza

Two cases of dengue meningitis: a rare first presentation

The Journal of Infection in Developing Countries ◽

10.3855/jidc.2241 ◽

2012 ◽

Vol 6 (02) ◽

pp. 208-211 ◽

Cited By ~ 11

Author(s):

Rudra Prosad Goswami ◽

Arindam Mukherjee ◽

Tapan Biswas ◽

Partha Sarathi Karmakar ◽

Alakendu Ghosh

Keyword(s):

Cerebrospinal Fluid ◽

Screening Tool ◽

Correct Diagnosis ◽

Dengue Infection ◽

Severe Dengue ◽

Clinical Settings ◽

Diagnostic Screening ◽

Csf Analysis ◽

Normal Glucose ◽

Clinical Consequences

Dengue, a mosquito-borne disease caused by a flavivirus, is recognized in over 120 countries with 3.6 billion people living in areas at risk. Neurological manifestations are infrequently reported as clinical consequences of dengue infection. Though severe dengue may be associated with meningoencephalitis, meningitis is a rare initial presentation of otherwise uncomplicated dengue fever. We report two adult patients who presented with fever, headache, and nuchal rigidity without the typical symptoms of dengue infection. Cerebrospinal fluid (CSF) analysis showed lymphocytic pleocytosis in one and slight neutrophilic pleocytosis in the other with a normal glucose value and negative bacterial cultures. Dengue was suspected because thrombocytopenia was symptomatic in one patient and documented during the hospital course, and was confirmed by demonstration of IgM antibody in the cerebrospinal fluid samples specific for dengue in both cases. Our report demonstrates that meningitis with or without encephalitis can be the first manifestation of dengue infection. In endemic areas, dengue infection should be considered as a probable etiological agent of meningitis. Regular monitoring of platelet count can be an invaluable diagnostic screening tool. In appropriate clinical settings detection of anti-dengue IgM both in serum and in CSF may lead to correct diagnosis.

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Photoreceptor disk membrane substructures by means of the complementary freeze-fracture-replica methods

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100081644 ◽

1978 ◽

Vol 36 (2) ◽

pp. 156-157

Author(s):

A. Tonosaki ◽

M. Yamasaki ◽

H. Washioka ◽

J. Mizoguchi

Keyword(s):

Cell Membranes ◽

Freeze Fracture ◽

Purple Membrane ◽

Remarkable Case ◽

Single Face ◽

Disk Membrane ◽

Associated Proteins ◽

Photoreceptor Membranes

A vertebrate disk membrane is composed of 40 % lipids and 60 % proteins. Its fracture faces have been classed into the plasmic (PF) and exoplasmic faces (EF), complementary with each other, like those of most other types of cell membranes. The hypothesis assuming the PF particles as representing membrane-associated proteins has been challenged by serious questions if they in fact emerge from the crystalline formation or decoration effects during freezing and shadowing processes. This problem seems to be yet unanswered, despite the remarkable case of the purple membrane of Halobacterium, partly because most observations have been made on the replicas from a single face of specimen, and partly because, in the case of photoreceptor membranes, the conformation of a rhodopsin and its relatives remains yet uncertain. The former defect seems to be partially fulfilled with complementary replica methods.

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Triumphs and Challenges of Implementing a Nursing Bedside Swallow Screening Tool: A Stroke Coordinator's Perspective

Perspectives on Swallowing and Swallowing Disorders (Dysphagia) ◽

10.1044/sasd18.4.129 ◽

2009 ◽

Vol 18 (4) ◽

pp. 129-133 ◽

Cited By ~ 1

Author(s):

Kelly Poskus

Keyword(s):

Screening Tool ◽

Hospital Setting ◽

Swallow Screening

Abstract The bedside swallow screen has become an essential part of the evaluation of a patient after stroke in the hospital setting. Implementing this type of tool should be simple. However, reinforcement and monitoring of the tool presents a challenge. Verifying the consistency and reliability of nurses performing the bedside swallow screen can be a difficult task. This article will document the journey of implementing and maintaining a reliable and valid nursing bedside swallow screen.

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