Chapter 136. Meningococcal Infections (Part 3) pot

... desired sleep- wake cycle can, therefore, induce insomnia, decreased alertness, and impaired performance evident in night- shift workers and airline travelers. Chapter 028. Sleep Disorders (Part 3) ... architecture of sleep are directly coupled to the output of the endogenous circadian pacemaker. Paradoxically, the endogenous circadian rhythms of sleep tendency, sleepine...

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... with the characteristics and complications of AN describe regular menstruation. Chapter 076. Eating Disorders (Part 3) Physical Features Patients with AN typically have few physical complaints ... to have the "restricting" subtype of AN. The "binge eating/ purging" subtype is characterized by binge eating and self-induced vomiting and/or laxative ab...

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... advanced (stage III) disease but minimal residual tumor (<1 cm) after initial surgery, and (3) patients with bulky residual tumor and advanced (stage III or IV) disease.

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... workup of DVT and PE have much in common, they will be discussed separately. Chapter 111. Venous Thrombosis (Part 3) Thrombophilia Testing Testing for prothrombotic abnormalities outside ... forms of venous thrombosis, and extension to the deep vein occurs. Treatment options are a matter of debate and vary from anticoagulants to an expectant approach. Global Data...

Ngày tải lên: 07/07/2014, 04:20

... epidemics of serogroup W-135 meningococcal disease occurred in association with the Muslim pilgrimage to Mecca (the Hajj) and in the meningitis belt of sub-Saharan Africa. meningococcal strains ... all, 300,000– 500,000 cases of meningococcal disease occur worldwide each year—numbers that frequently are increased by large epidemics. The annual incidence of meningococcal disease i...

Ngày tải lên: 08/07/2014, 02:20

... Chapter 136. Meningococcal Infections (Part 2) In the United States, the attack rate for sporadic meningococcal disease is ~1 case per 100,000 ... pathogenesis. Figure 136-1 Meningococcal disease pathogenesis, susceptibility, and severity. After human-to-human transmission, environmental factors (smoking, co- infections) , polymorphisms ... adults (<1 case...

Ngày tải lên: 08/07/2014, 02:20

... for this serogroup. Outer-Membrane Proteins Chapter 136. Meningococcal Infections (Part 3) Outer-Membrane Components Associated with Virulence Meningococcal strains are characterized by the ... properties promote meningococcal transmission, spread, and survival externally and within intracellular compartments such as phagocytic vacuoles. Except in serogroup A, the majo...

Ngày tải lên: 08/07/2014, 02:20

... Meningitis Chapter 136. Meningococcal Infections (Part 4) Association of Virulence Mechanisms with Specific Meningococcal Infections Specific disease manifestations of meningococcal infections ... potential site of meningococcal entry into the CSF. Meningococcal pili may bind CD46, a complement-regulatory protein that is expressed by the choroid plexus and me...

Ngày tải lên: 08/07/2014, 02:20

... acquiring meningococcal disease in childhood. Alleles that decrease MBL synthesis have been associated with increased risk in the few studies reported to date. Chapter 136. Meningococcal Infections ... meningococcal disease. This conclusion is supported by the overrepresentation of ABO blood group nonsecretors among patients with meningococcal disease and by the striking vari...

Ngày tải lên: 08/07/2014, 02:20

... endocarditis. Figure 136-4 Chapter 136. Meningococcal Infections (Part 6) Clinical Manifestations Upper Respiratory Tract Infections Although many patients who develop meningococcal meningitis ... Chap. 3 76) Common presenting symptoms of patients with meningococcal meningitis include nausea and vomiting, headache, neck stiffness, lethargy, and confusion. The sym...

Ngày tải lên: 08/07/2014, 02:20

... immunity (decreased transmission and colonization). Chapter 136. Meningococcal Infections (Part 7) Complications Patients with meningococcal meningitis may develop cranial nerve palsies, ... clinical clues help the physician distinguish the patient with early meningococcal disease from patients with other acute systemic infections. The most useful clinical finding is...

Ngày tải lên: 08/07/2014, 02:20

... in family members of patients found to have a complement deficiency. Chapter 136. Meningococcal Infections (Part 8) Patients with fulminant meningococcemia often experience diffuse leakage ... disease in the population vaccinated. If conjugate meningococcal vaccines prove to be capable of providing durable antibody or memory responses (particularly in infants and young...

Ngày tải lên: 08/07/2014, 02:20

... genes.' BMC Genomics 7:128, 2006 [PMID: 16734888] Chapter 136. Meningococcal Infections (Part 9) Antimicrobial Chemoprophylaxis The attack rate for meningococcal disease among household or other ... 9472667] Rosenstein NE et al: Meningococcal disease. N Engl J Med 344:1378, 2001 [PMID: 11333996] Westendorp RGJ et al: Genetic influence on cytokine production and...

Ngày tải lên: 08/07/2014, 02:20

... Chapter 137. Gonococcal Infections (Part 1) Harrison's Internal Medicine > Chapter 137. Gonococcal Infections Definition Gonorrhea is a sexually ... variants. In a fallopian tube explant model, pili mediate gonococcal attachment to nonciliated columnar epithelial cells. This event initiates gonococcal phagocytosis and transport through these ... and...

Ngày tải lên: 08/07/2014, 02:20

... pneumoniae is the most common or second most Chapter 128. Pneumococcal Infections (Part 3) Specific Infections Caused by S. Pneumoniae S. pneumoniae causes infections of the middle ear, sinuses, ... individual case. Infections listed after meningitis in Table 128-2 are uncommon or rare. Table 128-2 Most Common Infections Caused by Streptococcus Pneumoniae in Adult...

Ngày tải lên: 08/07/2014, 02:20