Children suffering from acute rheumatic fever are usually treated with the hormone preparations, cortisone and A.C.T.H., or with salicylates. Almost always symptoms are rapidly alleviated and clinical signs of activity subside. In a number of cases discontinuance of treatment when the disease process seems to be quiescent is followed by an apparent recrudescence. This feature has become known a...

The Himalayan mountain range has been the locus of some of the largest continental earthquakes, including the 2015 magnitude 7.8 Gorkha earthquake. Competing hypotheses suggest that Himalayan topography is sustained and plate convergence is accommodated either predominantly on the main plate boundary fault, or more broadly across multiple smaller thrust faults. Here we use geodetic measurements...

River deltas are dynamic coastal systems and their evolutions are closely monitored as it often concentrates vital natural resources for the surrounding areas. Many deltas worldwide experience subsidence due to geological processes (sediment loading and compaction) or human activities (groundwater or hydrocarbon extraction, land reclamation). This causes shoreline erosion or wetland loss which ...

Apophatism and Non-duality in the Vedanta Ad Reinhardt's work The Ultimate Paintings, a series of abstractions made by Reinhardt during 1960s, are coupled with writings obvious affinities to apophatic formulas commentaries Upanishads (the philosophical conclusions Vedas) known as “nondual Vedānta” (Advaita Vedānta). themselves refer model yantra, geometrical diagram into which Brahmanic iconogr...

Renal injury is a common clinical problem in the critically ill patient, and is associated with poor outcome [1,2]. Two large multicentre cohort studies reported previously the occurrence of renal injury in an estimated 30-40% of all patients admitted to the ICU [3,4]. Furthermore, critically ill patients who develop renal injury and require renal replacement therapy, have mortality rates of 50...

Approximately 2% to 9% of patients seen in a family physician's office have alcohol dependence. These patients are at risk of developing alcohol withdrawal syndrome if they abruptly abstain from alcohol use. Alcohol withdrawal syndrome begins six to 24 hours after the last intake of alcohol, and the signs and symptoms include tremors, agitation, nausea, sweating, vomiting, hallucinations, insom...

Pain has always been a major issue during dressing changes in patients with both acute and chronic wounds. Patients describe wound-related pain as all-encompassing and one of the most devastating aspects of living with a chronic wound (Price et al, 2008). The European Wound Management Association (EWMA) position document, Pain at Wound Dressing Changes (Moffat et al, 2002) identified dressing r...

Bullying is physical and or psychological abuse perpetuated by one powerful child upon another, with the intention to harm or dominate. Bullying and aggression in schools has reached epidemic proportions. Abusive bullying behaviors begin in elementary school, peak during middle school, and begin to subside in high school. Bullying behaviors are associated with catastrophic violence. Cyberbullyi...

CASE 78M with history of heavy asbestos exposure who presented with new onset of dyspnea and was found to have significant right pleural thickening concerning for mesothelioma one month ago. He is scheduled for diagnostic bronchoscopy and mediastinoscopy with biopsy for cancer staging. In the preoperative area, he complains of chest pain radiating to his jaw and left arm that started 30 min ago...

Pathology Tuberculous lesions in the intestines are strictly comparable to such lesions elsewhere in the body. There is initial swelling, with hyperemia, and it is possible that some early lesions may subside at this stage. As a rule, however, the disease advances and the next stage is one of caseation, after the formation of small tuberculous nodules. The superficial epithelium is next shed an...