scholarly journals Significance of the combined tests application in serum and liquor of patients with suspected neurosyphilis

2007 ◽  
Vol 64 (4) ◽  
pp. 271-274
Author(s):  
Mihailo Mirkovic ◽  
Vilma Jovicic ◽  
Ivana Basta ◽  
Ivan Marjanovic ◽  
Dragana Lavrnic
Keyword(s):  
Case Report ◽  
Treponema Pallidum ◽  
Developed Countries ◽  
Differential Diagnostics ◽  
Psychotic Symptoms ◽  
Clinical Image ◽  
Western Blot Method ◽  
Normal Number ◽  
Tabes Dorsalis ◽  
The Developed Countries

Background. Tertiary syphilis develops in 8-40% of untreated patients. It is most commonly manifested in the form of neurosyphilis, which can be asymptomatic taking the form of tabes dorsalis or progressive paralyze. Nowadays, in the developed countries, progressive paralyze is a rather rare disease, although the incidence of this disease has been rising within the last decades. Case report. We reported a 74-year-old male with the clinical image of dementia showing psychotic symptoms. On cytobiochemical examination of cerebrospinal liquor, hyperproteinorhacmia of 0.70 g/l with the normal number of cells was revealed. Computed tomography of the brain showed the marked cortical cerebral and cerebellar reduction changes with multiple ischemic lesions. Within a routine examination of patients with demention, we performed serologic reactions to syphilis out of which the Veneral Disease Researc Laboratory (VDRL) test in serum and liquor was unreactive, while the Treponema pallidum hemagglutination (TPNA) test in serum and liquor was positive. Positivity in serum and liquor was additionally confirmed by the Western blot method and fluoroscent treponema antibody (FTA) test. The treatment with benzathine fenylpenicilline 2.4 g once weekly resulted in significant improving the psychotic symptoms of the disease even after two weeks. Conclusion. This case report showed that within the differential diagnostics in patients with demention or psychotic disorder it is obligatory to consider syphilis of the nervous system, as well as to apply a combination of various tests which, besides the typical liquor findings, significantly improve the accuracy of diagnosis. Such approach is especially important regarding the fact that neurosyphilis can remain clinically quite asymptomatic for a long period, which could lead to late therapy, while, on the contrary, an adequate and timely treatment can contribute to a significant recovery of any patients.

Kardiochirurgische Eingriffe bei schweren Blutungsdiathesen

2012 ◽  
Vol 32 (S 01) ◽  
pp. S83-S86 ◽  
Author(s):  
R. Schobess ◽  
A. Siegemund ◽  
C. J. Correia ◽  
J. Oppermann ◽  
J. Banusch ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiovascular Diseases ◽  
Bleeding Risk ◽  
Coagulation Factors ◽  
Developed Countries ◽  
Severe Bleeding ◽  
Bleeding Diathesis ◽  
Concomitant Therapy ◽  
Kardiochirurgische Eingriffe ◽  
The Developed Countries

SummaryCardiovascular diseases are the most common disorder in the developed countries. Invasive cardiological and cardiosurgical techniques are known therapies.Yet, patients with severe hereditary haemorrhagical diseases (haemophilia, rare deficiencies of coagulation factors) have an increased bleeding risk by the use of anticoagulants. Therefore, the treatment of these patients requires a concomitant therapy.This article shows eight patients with a severe bleeding diathesis and cardiosurgical interventions in the years 2006 to 2011. This case report shall demonstrate that an adequate therapy can be accomplished with the help of a good cooperation between haemostaseologists and colleagues of the cardioinvasive/ cardiosurgical disciplines.

scholarly journals Post traumatic cutaneous mucormycosis: a diagnostic dilemma

2021 ◽  
Vol 8 (5) ◽  
pp. 1610
Author(s):  
Kharishma P. Nair ◽  
Siddartha Gowthaman S. ◽  
Meghana S. Bagalgotkar ◽  
Vinoth S. ◽  
Ramanathan Manickam
Keyword(s):  
Developing Countries ◽  
Stem Cell ◽  
Case Report ◽  
Treatment Protocol ◽  
Invasive Fungal Disease ◽  
Developed Countries ◽  
Diagnostic Dilemma ◽  
Post Traumatic ◽  
Cutaneous Mucormycosis ◽  
The Developed Countries

The incidence of mucormycosis, an invasive fungal disease, is more in the developing countries, especially among the immunocompromised individuals. However, this disease can also occur in those without any predisposing factors. In the developed countries, those undergoing haematopoetic stem cell transplantation were more prone to developing this disease. There can be varied presentations of mucormycosis. It could be rhinocerebral, pulmonary, cutaneous, gastrointestinal or even disseminated forms. Post traumatic mucormycosis is infrequently reported and is often difficult to diagnose earlier due to its unusual presentation. In this case report, we describe two patients who acquired cutaneous mucormycosis following traumatic wounds and how they characteristically presented with 3 zones which was identified by us and has not been reported of earlier. This can help in diagnosis of this condition earlier and to follow the treatment protocol accordingly and prevent the morbidity and mortality associated with this disease.

scholarly journals One Disease, Two Approaches. Acute Post-Streptococcal Glomerulonephritis – A Case Report of Two Young Patients

2021 ◽  
Vol 8 (8) ◽  
pp. 492-497
Author(s):  
Tudor Lungu ◽  
Kinga Krisztina Nagy
Keyword(s):  
Case Report ◽  
Young Patients ◽  
Treatment Method ◽  
Developed Countries ◽  
Skin Infections ◽  
Immune Mediated ◽  
Maximum Benefit ◽  
Post Streptococcal Glomerulonephritis ◽  
The Developed Countries ◽  
The Right

Objective: Acute post-streptococcal glomerulonephritis (APSGN) is the most studied immune-mediated glomerulonephritis, being caused by streptococcal infections such as pharyngotonsillitis or skin infections (impetigo, erysipelas). Globally it is the main form of glomerular suffering among pediatric patients, especially between the ages of 3 and 15, but in the developed countries, the incidence of this condition has decreased significantly in the last decades. The majority of the medical literature indicates that the treatment in such a disease is symptomatic (the major goal being controlling of the edema and hypertension) associated with antibiotics for streptococcal infection. Due to some situations where antibiotic treatment cannot be administered, this case report hypothesized that homeopathy is a possible alternative treatment method for conventional therapy. We presented two cases diagnosed with APSGN: a nine-year-old boy treated homeopathically at home and a three-year-old girl treated conventionally during hospitalization. Analyzing the two cases, we observed that the patients were cured regardless of the therapeutic method approached. This aspect has an advantage in situations where there are limitations in the administration of allopathic treatment. According to homeopathic understanding, the success rate is higher when there are clear homeopathic symptoms for choosing the right remedy. Many more cases and much more research is needed to conclude that classical homeopathy can be a treatment option for this pathology. In conclusion, it is important to find a personalized therapy (allopathy or homeopathy) for each patient that will bring the maximum benefit, depending on the particularity of the case

How to Assure Stable Development in Unstable Financial Environment?

2007 ◽  
pp. 4-26 ◽  
Author(s):  
M. Ershov
Keyword(s):  
Stock Market ◽  
Developed Countries ◽  
Market Liquidity ◽  
Market Mechanisms ◽  
Russian Economy ◽  
The Developed Countries ◽  
Russian Stock Market ◽  
Stable Development ◽  
Financial Environment

Growing involvement of Russian economy in international economic sphere increases the role of external risks. Financial problems which the developed countries are encountered with today result in volatility of Russian stock market, liquidity problems for banks, unstable prices. These factors in total may put longer-term prospects of economic growth in jeopardy. Monetary, foreign exchange and stock market mechanisms become the centerpiece of economic policy approaches which should provide for stable development in the shaky environment.

The Reproduction Vector of the Russian Economy: 1999-2007

2008 ◽  
pp. 94-109 ◽  
Author(s):  
D. Sorokin
Keyword(s):  
Economic Policy ◽  
Human Capital ◽  
Growth Rates ◽  
Developed Countries ◽  
Gdp Per Capita ◽  
Real Sector ◽  
Russian Economy ◽  
Per Capita ◽  
The Developed Countries

The problem of the Russian economy’s growth rates is considered in the article in the context of Russia’s backwardness regarding GDP per capita in comparison with the developed countries. The author stresses the urgency of modernization of the real sector of the economy and the recovery of the country’s human capital. For reaching these goals short- or mid-term programs are not sufficient. Economic policy needs a long-term (15-20 years) strategy, otherwise Russia will be condemned to economic inertia and multiplying structural disproportions.

Power Generation for India with Higher Efficiency

2018 ◽  
Vol 6 (7) ◽  
pp. 267
Author(s):  
Umeshkannan P ◽  
Muthurajan KG
Keyword(s):  
Power Generation ◽  
Objective Function ◽  
Fossil Fuels ◽  
Programming Model ◽  
Developed Countries ◽  
Power Requirement ◽  
Average Efficiency ◽  
Potential Demand ◽  
The Developed Countries ◽  
Developed Nations

The developed countries are consuming more amount of energy in all forms including electricity continuously with advanced technologies.  Developing  nation’s  energy usage trend rises quickly but very less in comparison with their population and  their  method of generating power is not  seems  to  be  as  advanced  as  developed  nations. The   objective   function   of   this   linear   programming model is to maximize the average efficiency of power generation inIndia for 2020 by giving preference to energy efficient technologies. This model is subjected to various constraints like potential, demand, running cost and Hydrogen / Carbon ratio, isolated load, emission and already installed capacities. Tora package is used to solve this linear program. Coal,  Gas,  Hydro  and  Nuclear  sources can are  supply around 87 %  of  power  requirement .  It’s concluded that we can produce power  at  overall  efficiency  of  37%  while  meeting  a  huge demand  of  13,00,000  GWh  of  electricity.  The objective function shows the scenario of highaverage efficiency with presence of 9% renewables. Maximum value   is   restricted   by   low   renewable   source’s efficiencies, emission constraints on fossil fuels and cost restriction on some of efficient technologies. This    model    shows    that    maximum    18%    of    total requirement   can   be   met   by   renewable itself which reduces average efficiency to 35.8%.   Improving technologies  of  renewable  sources  and  necessary  capacity addition  to  them in  regular  interval  will  enhance  their  role and existence against fossil fuels in future. The work involves conceptualizing, modeling, gathering information for data’s to be used in model for problem solving and presenting different scenarios for same objective.

Acute psychotic symptoms caused by overlapping central nervous system pathologies: a case report

2020 ◽  
pp. 376-379
Author(s):  
Gorkem Ugurlu ◽  
Mustafa Ugurlu ◽  
Meltem Kilic ◽  
Zuhal Apaydin ◽  
Ali Caykoylu
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Psychotic Symptoms

International Economic Assistance in the 1970's — A Critique of Partners in Development (Review Article)

1970 ◽  
Vol 10 (4) ◽  
pp. 469-490
Author(s):  
Nurul Islam
Keyword(s):  
Developing Countries ◽  
Foreign Aid ◽  
International Aid ◽  
Developed Countries ◽  
Armed Conflicts ◽  
Economic Assistance ◽  
Self Help ◽  
Service Charge ◽  
The Developed Countries ◽  
Defence Expenditure

Foreign economic aid is at the cross-roads. There is an atmosphere of gloom and disenchantment surrounding international aid in both the developed and developing countries — more so in the former than in the latter. Doubts have grown in the developed countries, especially among the conservatives in these countries, as to the effectiveness of aid in promoting economic development, the wastes and inefficiency involved in the use of aid, the adequacy of self-help on the part of the recipient countries in husbanding and mobilising their own resources for development and the dangers of getting involved, through ex¬tensive foreign-aid operations, in military or diplomatic conflicts. The waning of confidence on the part of the donors in the rationale of foreign aid has been accentuated by an increasing concern with their domestic problems as well as by the occurrence of armed conflicts among the poor, aid-recipient countries strengthened by substantial defence expenditure that diverts resources away from development. The disenchantment on the part of the recipient countries is, on the other hand, associated with the inadequacy of aid, the stop-go nature of its flow in many cases, and the intrusion of noneconomic considerations governing the allocation of aid amongst the recipient countries. There is a reaction in the developing countries against the dependence, political and eco¬nomic, which heavy reliance on foreign aid generates. The threat of the in¬creasing burden of debt-service charge haunts the developing world and brings them back to the donors for renewed assistance and/or debt rescheduling.

PENGARUH INFRASTRUKTUR SECARA SPASIAL TERHADAP KONVERGENSI PERTUMBUHAN EKONOMI DI INDONESIA

INFO ARTHA ◽  
2017 ◽  
Vol 1 ◽  
pp. 17-28
Author(s):  
Anisa Fahmi
Keyword(s):  
Economic Growth ◽  
Regional Economics ◽  
Developed Countries ◽  
Road Infrastructure ◽  
Long Run ◽  
Catch Up ◽  
The Developed Countries ◽  
Positive Effect ◽  
Neoclassical Growth Theory

Motivated by inter-regional disparities condition that occurs persistently, this study examines the Indonesian economy in the long run in order to know whether it tends to converge or diverge. This convergence is based on the Solow Neoclassical growth theory assuming the existence of diminishing returns to capital so that when the developed countries reach steady state conditions, developing countries will continuously grow up to 'catch-up' with developed countries. Based on regional economics perspective, each region can not be treated as a stand-alone unit,therefore, this study also focuses on the influence of spatial dependency and infrastructure. Economical and political situations of a region will influence policy in that region which will also have an impact to the neighboring regions. The estimation results of spatial cross-regressive model using fixed effect method consistently confirmed that the Indonesian economy in the long term will likely converge with a speed of 8.08 percent per year. Other findings are road infrastructure has a positive effect on economic growth and investment and road infrastructure are spatially showed a positive effect on economic growth. In other words, the investment and infrastructure of a region does not only affect the economic growth of that region but also to the economy of the contiguous regions. 

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