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2022, Neuroscience
https://doi.org/10.53902/SOJNN.2022.02.000508…
3 pages
1 file
Book Review Book review Infectious diseases take time to show clinical signs. The most common is to present a dysfunction of the target organ, that is, if the infection is in the neural system the most common sign is headache, if the infection is pulmonary the most common symptom is cough, if the infection is in gastrointestinal tract, diarrhea. However, there are more general signs such as fever, in appetence and dynamic, which are generalized manifestations that reflect that the organ system is experiencing an infection. There are complementary tests
2003
Level 3 accessible pdf file This pdf file has been produced by The Open University as part of its work to make course material as accessible as possible within the terms of the Special Educational Needs and Disability Act 2001 (SENDA). The file can be used in conjunction with the Windows Accessibility Control Panel to alter keyboard, sound, display and mouse options. The display options alter the size and colour of the window components of the file. The size, sharpness and rotation of the text can be altered using either Acrobat Reader or Acrobat eBook Reader software. The file is searchable using the Find command and text in the file can be copied and pasted into other text processing software. The file can also be used with screen reader software although the University can make no commitment that the file will be screen readable by every combination of Windows operating system and different versions of different screen reading software. This publication forms part of an Open University course S320 Infectious Disease.
Seminars in Neurology, 2010
Neurologists have a great deal of knowledge of the classic signs of central nervous system infectious diseases. After years of taking care of patients with infectious diseases, several symptoms, signs, and cerebrospinal fluid abnormalities have been identified that are helpful time and time again in determining the etiological agent. These lessons, learned at the bedside, are reviewed in this article.
BMC Infectious Diseases, 2016
Background Pneumococcal meningitis (PM) is a life-threatening disease. Recurrent PM is relatively rare and associated with predisposing conditions. This study analyzed the outcome of patients with recurrent versus non-recurrent PM. Methods We conducted a retrospective study, analyzing the records of all the patients hospitalized between 2005 and 2015 for PM in our institution. We included patients with the diagnostic of PM based on appearance on Gram stain, a positive latex agglutination reaction of cerebral spinal fluid (CSF) samples and/or a positive culture for Streptococcus pneumoniae (CSF culture or blood culture and concomitant meningitis). We defined "recurrent meningitis" as at least two episodes of meningitis, separated by a period of at least 4 weeks. Results We identified a total of 194 PM episodes in 182 patients. Thirty eight (20 %) patients were diagnosed with recurrent meningitis, and they had 93 prior episodes recorded. The majority of patients with recurrent meningitis experienced two meningitis episodes, but we found 3 patients with 7, 11 and 40 recurrent episodes. Nineteen (50 %) patients in recurrent meningitis group and 90 (58 %) in non-recurrent group were men. Median age of patients with recurrent versus non-recurrent meningitis was 29 versus 57 years (p < 0.001). Nine (24 %) patients with recurrent meningitis versus 64 (41 %) patients with non-recurrent meningitis had an underlying immunosuppressive condition (p = 0.02, OR:0.41, 95 % CI:0.18-0.92). The immunosuppression was: diabetes mellitus in 32 (44 %), alcoholism in 19 (26 %), endstage liver disease in 7 (9.5 %) and malignancy, malnutrition, pregnancy, splenectomy and immunosuppressive therapy in 15 (20.5 %). We found dissemination of infection from a contiguous site in 74 (38 %) cases, bone defects and/or CSF leakage in 36 (18.5 %) cases and hematogenous spread in 14 (7.2 %) cases. A cranial bone discontinuity and/or CSF leakage were identified in recurrent versus non-recurrent meningitis in 21 (55 %) versus 15 (10 %) episodes (p < 0.001, OR:14.41, 95 % CI:6.21-33.4). Hematogenous spread was observed only in the non-recurrent meningitis group. In recurrent versus nonrecurrent meningitis, impaired consciousness on admission was noted in 15 (40 %) versus 64 (41 %). We noted one death (2.6 %) among patients with recurrent PM group vs 42 (27 %) in the non-recurrent group (p<0.001, OR:0.07, 95 % CI:0.01-0.5). Death was associated with nonrecurrent meningitis (p < 0.001), contiguous spread (p = 0.014), immunodepression (p = 0.01) and impaired consciousness (p = 0.005). Conclusions Patients with recurrent meningitis were younger, with less immunosuppression conditions and had a better survival versus those with non-recurrent meningitis. Mortality of PM was associated with immunosuppression and impaired consciousness, but the small number of deaths in the recurrent group did not allow us to analyses the differences between the two groups.
European journal of international security, 2024
Women who are currently serving in a variety of combat roles and combat support positions in many state militaries around the globe have had to struggle for their positions by proving their abilities, and such struggles are still ongoing. Based on interview materials with veterans, this article examines the ways in which the veterans interpret their roles as women in combat positions and how they understand agency. The article further traces how their presence in war could alter the gendered meaning of protection. While the military is a key institution of overt gendered power in the state, women combatants' voices can create a crack in the masculine dominance that is taken for granted in state narratives; they can also create a wedge that allows in a reconsideration of gendered roles and power relations in the context of militaries, thereby offering more nuanced interpretations of protection and agency.
Online im Internet: https://clarenet.hypotheses.org/leitfaeden-guidelines, 2024
Dieser Leitfaden entstand im Rahmen des von 2020 bis 2024 vom BMBF gefördeten Verbundprojekts ClaReNet-Classification and Representation for Networks, in dem das Big Data Lab der Universität Frankfurt mit Numismatikern und Archäolog*innen der Römisch-Germanischen Kommission zusammengearbeitet haben. Siehe auch https://clarenet.hypotheses.org/. Das diesem Bericht zugrunde liegende Vorhaben wurde mit Mitteln des Bundesministeriums für Bildung und Forschung unter dem Förderkennzeichen 01 UG2126A. gefördert. Die Verantwortung für den Inhalt dieser Veröffentlichung liegt bei den Autorinen/Autoren.
Epistemología de la complejidad para investigación académica, 2022
El objetivo de este libro es apoyar la realización de investigaciones aplicadas desde la epistemología de la complejidad con ejemplos de autores conocidos y diferenciándola de las llamadas ciencias o teorías de la complejidad, explicando además las diferencias entre las dos más importantes versiones de epistemología científica desarrolladas en el siglo XX. Es una metodología concebida como problematización de conceptos, teoría y hechos, donde se identifican campos, ensamblajes y sistemas como dispositivos metodológicos para el estudio de las interacciones y relaciones dinámicas entre múltiples elementos de distinta naturaleza y nivel que determinan los problemas de estudio más allá de los campos disciplinarios y las presuposiciones teóricas.
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