The authors present a case of severe falciparum malaria diagnosed in a traveler after he returned to Rhode Island from a visit to the Dominican Republic. They then review aspects of the case pertinent to our local practice environment that make diagnosis and management especially challenging.

Classic island biogeography theory predicts that very small islands, near the extreme lower end of the species area relationship, should support very few species. At times no species may be present, however, due to randomness in the immigration extinction dynamics. Alternatively, a lack of vegetation on very small islands may indicate that such islands do not contain the appropriate habitat for...

1. introduction the long-term result of cooperation between environmental factors and circulation patterns determines the arrangement of type and manner in temperature heat islands in geographical areas. the knowledge about space dispersion in geographical areas provides the grounds for sound programming and proper environmental decision making. the information about time and place distribution...

Virulence factors of pathogenic bacteria (adhesins, toxins, invasins, protein secretion systems, iron uptake systems, and others) may be encoded by particular regions of the prokaryotic genome termed pathogenicity islands. Pathogenicity islands were first described in human pathogens of the species Escherichia coli, but have recently been found in the genomes of various pathogens of humans, ani...

Abstract Hainan Island fishermen have been engaged in fishing Nanhai Zhudao (the Islands) since ancient times. From sailing to the emergence of motorboats, South China Sea experienced different seafaring eras. Fishermen who work and live on islands reefs also living seasonally long-term. This article uses inhabiting groups Xuande Yongle Islands Xisha Qundao as examples demonstrate unique liveli...

We studied electronic states in nanoscale Cu2N islands on Cu(100) using scanning tunneling microscopy and density functional theory. Tunneling spectra indicate a state at ∼2 V in large islands (>20 nm2), which shifts due to quantum confinement in smaller islands. This state is not observed for islands with fewer than ∼50 atoms. In contrast, a 4 V state persists down to 12 atom islands, but it d...

The focus of trusted computing efforts to date has been to create islands of trust in a sea of distrust, identifying these islands as dependable domains with a solid base that can be used for building applications upon which critical services depend. The aim of our work is to extend this solid base by building “bridges” among trusted islands, with such goals as enabling meaningful trade agreeme...