...GP. The diagnosis was confirmed by blood tests. Three weeks later she returned to her GP feeling very unwell. When examined she presented with symptoms of mild jaundice yellow discoloration of the skin caused by increase levels of billirubin. On examination there was tenderness in the right upper abdominal quadrant but the liver was not palpable. The GP took some blood and sent it for testing. Question 1 Discuss the typical laboratory results expected for haematological investigations in a case of infectiousHow is it used? The Monospot test is used to determine whether you have infectious mononucleosis. This test is rapid and easy to perform, but it is not 100% specific. More testing may be needed to confirm that the disease is mononucleosis and not another illness. ^ Back to top When is it requested? The Monospot test is requested if your doctor suspects that you have infectious mononucleosis, which causes fever, headache, swollen glands, tiredness, and malaise. Your healthcare professional may detect that you have an enlarged spleen or liver. The test will not be positive until you have been infected for about two weeks. Other tests may need to be requested if the heterophil antibodies are negative, but your doctor still suspects mononucleosis as the cause of your symptoms. Other blood tests that are more specific to the EBV can be used to find early infection or to confirm mononucleosis. These tests include the IgM and IgG antibodies to the viral capsid antigen (VCA)...
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...malfunction. A category of autoimmune diseases, auto-immune haemolytic anaemia (AIHA) is a disorder where the immune system malfunctions by producing auto-antibodies to self’s red blood cells (RBC) as well as other cells (Gurpreet et al., 2004). This unregulated increased destruction primarily affects premature RBC reducing their lifespan of 120 days coupled with the bone marrow unable to compensate to this destruction rate (Gurpreet et al., 2004). Clinical findings that result from this inapt immune response are usually directly related to an abnormally reduced RBC quantity and function. These include a lower haemaglobin count, a high indirect bilirubin count, a reduction in plasma levels, a low haptoglobin, a positive direct antiglobulin test (DAT) and reduced gas exchange rates among the lungs and tissues. As these clinical effects occur after a few hours or a few days before detection, not all clinically related typical features may be present complicating the AIHA diagnosis. Based on the characteristics and pathogenesis of these auto antibodies present, AIHA is classed as warm antibody haemolytic anaemia (WAIHA), cold antibody haemolytic anemia (CAIHA), drug indcuced haemolytic anemia or the rare paroxysmal cold haemoglobinuria (Lechner & Jager, 2012). Analyzing AIHA classification and pathogenesis is important when attempting to apply transfusion treatment, other therapeutic applications or providing further clinical recommendations. Although the true aetiology of the...
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...negative," as the universal donor type in emergency situations when there is no time to type and crossmatch blood. The most common cause of Rh incompatibility is exposure from an Rh-negative mother by Rh-positive fetal blood during pregnancy or delivery. As a consequence, blood from the fetal circulation may leak into the maternal circulation, and, after a significant exposure, sensitization occurs leading to maternal antibody production against the foreign Rh antigen. Once produced, maternal Rh immunoglobulin G (IgG) antibodies may cross freely from the placenta to the fetal circulation, where they form antigen-antibody complexes with Rh-positive fetal erythrocytes and eventually are destroyed, resulting in a fetal alloimmune-induced hemolytic anemia.[2] Although the Rh blood group systems consist of several antigens (eg, D, C, c, E, e), the D antigen is the most immunogenic; therefore, it most commonly is involved in Rh incompatibility. Medication Summary Rh IgG, first released for general use in 1968, has...
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...[pic] Polyclonal Antibodies - Immunoglobulin (IgY) April 2012 Table of Contents 1.0 The Immune System 3 2.0 Antibodies 6 3.0 Avian Antibodies 7 4.0 Why IGY? 8 5 .0 Polyclonal Versus Monoclonal Antibodies………………………………………………………..9 6.0 Purpose of IGY Inc. – Antibody Extraction 10 7.0 IGY for Use in Humans ………………..………………………………………………………….11 8.0 References 15 IGY Immune Technologies & Life Sciences Inc. 1.0 The Immune System The human immune system is comprised of a complex network of lymphoid organs and highly specialized cells that protect the body against infection by recognizing and killing pathogens. This immune system includes lymphatic organs and vessels, lymph nodes, white blood cells, specialized cells and serum factors. The immune system utilizes both the lymphatic vessels and the blood circulatory system to transport white blood cells called lymphocytes through out the body (1). The immune system can be classified as an innate or adaptive system. As a first line of defense against pathogens, we depend on innate immunity. Innate immunity is nonspecific and includes physical barriers such as skin, mucous membranes and secretions with antimicrobial activity including tears and mucous. Pathogens that cross this line of defense are often destroyed by phagocytes which are white blood cells that engulf and digest cellular debris and foreign agents by the process known as phagocytosis...
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...If Josh becomes exposed to a Rabbit he would possibly develop an IgE antibody resulting in an allergenic response every time he subsequently became exposed to the animal. An initial skin sensitivity test is can be can be carried out, but it would probably give a negative result, this negative skin test for Josh would possibly only suggest that he has no expose to the allergen yet. It would be advised that josh not get a...
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...To analyze the efficacy of 'Nanopatch Technology' as a potential vaccine delivery system Introduction: More than 17 million people die every year from infectious diseases –most in low resource regions – and many of these lives could be saved by appropriate vaccinations. (UNDP, 1996) Whilst public and private research initiatives continue, to develop novel vaccines for many diseases, the issue of how best to formulate, package, distribute and administer these vaccines across the world remains a significant unsolved problem. Most vaccines have been delivered by the needle and syringe, however this technology has several important disadvantages including needlestick injuries, disease transmission through needle reuse, (Ekwueme et al., 2002) limited thermostability, the need for training/ expertise for administration, lack of targeting to immune rich regions of the body, and the issues of pain/phobia that result in avoidance of medical care in nearly 10% of the population. One of the ways to meet the vaccination challenges worldwide is to engineer better ways of administering vaccines in a simple and effective way to more people than is currently the case (Hickling et al., 2011). Hypodermic needles were first introduced in the 1850s and since then, intramuscular injection of vaccines has been the most popular delivery method due to its ease of administration (Mitragotri, 2005). However, this technology has several disadvantages. Firstly, muscle contains relatively few antigen presenting...
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...PBT Exam Study Guide 1. Circulatory system (5-10%) a. Structure & Function i. Heart: muscular organ (size of adult’s closed fist), contractions push blood throughout body, average heart beats 60-80 times per minute, 4 chambers: 2 atria & 2 ventricles. * Right heart pump | * Left heart pump | (Deoxygenated) | (Oxygenated) | Right atrium | Left atrium | Tricuspid valve | Bicuspid valve | Right ventricle | Left ventricle | Pulmonary valve | Aortic valve | lungs | body | ii. Arteries: transports blood from right & left chambers to body; large arteries branch into arterioles; carry oxygenated blood (bright red); has thick elastic walls; pulse; located deep in muscles/tissues; highly oxygenated vessels that carry blood away from heart. iii. Veins: transports blood from peripheral tissues back to heart & lungs; large veins branch into venules in peripheral tissues; carry deoxygenated blood (dark red) back to lungs to release CO2; have thinner, bluish walls; have valves to prevent back flow of blood; located deep & superficially. iv. Capillaries: connect arterioles with venules via microscopic vessels; exchange O2 and CO2, nutrients, & fluids in tissue capillaries; pass waste products from tissue cells into capillary blood, then onto removal from body; carries mixture of arteriole & venous blood. Properties | Arteries | Veins | Capillaries | Thickness of vessel wall | Thickest elastic...
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...BASF-Grameen launches magic mosquito net in Bangladesh by News Desk March 24, 2012 |[pic]Print |[pic]Send |[pic]Comment |[pic]RSS |Share: [pic] [pic] |[pic] | | | | | |[pic] | | Click Image to Enlarge[pic] A joint venture project of world-famous German company BASF and Nobel Prize winner Dr. Yunus' Grameen has started commercial production of Magic Mosquito net in Bangladesh from March 23, 2012. Effective up to 20 washes, depending on local conditions, the fendozin-rich net would kill mosquitoes and other bugs within 20 minutes after they come in contact with it, said officials. The nets are already available across the country and cost TK 650~700 [US$ 8-9] a piece. The nets meet the requirements of the World Health Organization and are "extremely safe" for humans and other mammals, said Saria Sadique, managing director of BASF Bangladesh. The country's first Long Lasting Impregnated Net [LLIN] plant, which has been set up in the industrial park, cost TK 124 million and has created jobs for 800 people. The plant owned and operated by Grameen Fabrics and Fashions will manufacture the nets under the brand name Interceptor. BASF Grameen Limited will market the product. In near future, this magic mosquito net will also be exported to a number of countries in the world. The plant can now produce up to 3,000 nets a day and its capacity would enhance in days to come...
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...Anti-NMDA Encephalitis: A Novel Presentation of Schizophrenia Stephen A Belz B Pharm MPS The Prince Charles Hospital Pharmacy Department Rode Road, Chermside QLD 4032 ABSTRACT Background: It has been suggested that the modulation of dopamine is not the complete story when it comes to the pathophysiology of schizophrenia. Multiple other neurotransmitters have been linked to the condition such as NMDA & Serotonin. N-methyl D-asparate (NMDA) modulation has been used with success for a number of other conditions such as pain control and Alzheimer’s disease. Due to the high incidence of relapse and treatment failure of current therapies, it is vitally important that medical science looks further into the modulation of the other neurotransmitters involved. Aim: To report one case that illustrates a novel presentation of treatment resistant schizophrenia, that through extensive investigation produced a diagnosis of anti-NMDA antibody encephalitis. Clinical details and outcome: The patient had experienced extensive treatment for schizophrenia over at least 5 documented years at a number of institutions & hospitals with varying degrees of success. The patient’s presentation to TPCH resulted in the detection of Anti-NMDA antibodies leading to the diagnosis. Treatments used included immunomodulators and antipsychotics. Conclusions: After a prolonged admission, the patient was discharged back to her family substantially improved and is receiving maintenance immunoglobulin...
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...USMLE Step 2 Clinical Knowledge (CK) Sample Test Questions A Joint Program of the Federation of State Medical Boards of the United States, Inc., and the National Board of Medical Examiners® This booklet updated July 2015. Copyright © 2015 by the Federation of State Medical Boards of the United States, Inc. (FSMB), and the National Board of Medical Examiners® (NBME®). All rights reserved. Printed in the United States of America. The United States Medical Licensing Examination (USMLE®) is a joint program of the FSMB and the NBME. 1 CONTENTS USMLE Step 2 CK Test Question Formats …………………………………...………. 3 Introduction to USMLE Step 2 CK Sample Test Questions ………………………….. 5 Normal Laboratory Values ………………………………...………..…….….……….. 6 USMLE Step 2 CK Sample Test Questions………………………………………….... 8 Answer Sheet for USMLE Step 2 CK Sample Test Questions……………………….. 52 Answer Key for USMLE Step 2 CK Sample Test Questions……………………….… 53 2 USMLE Step 2 CK Test Question Formats Single-Item Questions This is the traditional, most frequently used multiple-choice format. It consists of a vignette and question followed by three to twenty-six options that are in alphabetical or logical order. The response options in this format are lettered (eg, A, B, C, D, E). You are required to select the one best answer to the question. Other options may be partially correct, but there is only ONE BEST answer. Items with an associated abstract or pharmaceutical...
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...International Journal of Biological Sciences Impact Factor ISSN 1449-2288 News feeds of IJBS published articles Manuscript Status/Login Contact 6 May 2015 Home Index & Ranking Current Issue Archive Cover Images Editorial Board Author Info Submission Special Issues Contact Journal of Genomics now in PubMed/PubMed Central. Submit manuscript... Top Introduction Materials and Methods Results Discussion Supplementary Material Acknowledgements References International Journal of Medical Sciences Journal of Cancer Theranostics Journal of Genomics PubMed Central Indexed in Journal Impact Factor PDF Int J Biol Sci 2015; 11(5):546-558. doi:10.7150/ijbs.11084 Research Paper Evidence for Fungal Infection in Cerebrospinal Fluid and Brain Tissue from Patients with Amyotrophic Lateral Sclerosis Ruth Alonso1, Diana Pisa1, Ana Isabel Marina1, Esperanza Morato1, Alberto Rábano2, Izaskun Rodal2, Luis Carrasco1 Corresponding address 1. Centro de Biología Molecular “Severo Ochoa”. c/Nicolás Cabrera, 1. Universidad Autónoma de Madrid. Cantoblanco. 28049 Madrid. Spain. 2. Department of Neuropathology and Tissue Bank, Unidad de Investigación Proyecto Alzheimer, Fundación CIEN, Instituto de Salud Carlos III, Madrid. Spain. How to cite this article: Alonso R, Pisa D, Marina AI, Morato E, Rábano A, Rodal I, Carrasco L. Evidence for Fungal Infection in Cerebrospinal Fluid...
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...European Medicines Agency Evaluation of Medicines for Human Use Doc.Ref:EMEA/501324/2008 ASSESSMENT REPORT FOR FILGRASTIM RATIOPHARM International Nonproprietary Name: filgrastim Procedure No. EMEA/H/C/824 Assessment Report as adopted by the CHMP with all information of a commercially confidential nature deleted. 7 Westferry Circus, Canary Wharf, London E14 4HB, UK Tel. (44-20) 74 18 84 00 Fax (44-20) 74 18 84 16 E-mail: mail@emea.europa.eu http://www.emea.europa.eu © European Medicines Agency, 2008. Reproduction is authorised provided the source is acknowledged. TABLE OF CONTENTS 1 BACKGROUND INFORMATION ON THE PROCEDURE................................................... 3 1.1 Submission of the dossier ...................................................................................................... 3 1.2 Steps taken for the assessment of the product........................................................................ 3 2 SCIENTIFIC DISCUSSION......................................................................................................... 5 2.1 Introduction............................................................................................................................ 5 2.2 Quality aspects ....................................................................................................................... 5 2.3 Non-clinical aspects ..................................................................................................
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...Europe’s journal on infectious disease epidemiolog y, prevention and control Special edition: Chikungunya and Zika virus October 2014 Featuring • Spread of chikungunya from the Caribbean to mainland Central and South America: a greater risk of spillover in Europe? • Aspects of Zika virus transmission • Cases of chikungunya virus infection in travellers returning to Spain from Haiti or Dominican Republic, April-June 2014 www.eurosurveillance.org Editorial team Editorial advisors Based at the European Centre for Disease Prevention and Control (ECDC), 171 83 Stockholm, Sweden Albania: Alban Ylli, Tirana Telephone number Belgium: Sophie Quoilin, Brussels +46 (0)8 58 60 11 38 E-mail eurosurveillance@ecdc.europa.eu Editor-in-chief Ines Steffens Austria: Reinhild Strauss, Vienna Belgium: Koen De Schrijver, Antwerp Bosnia and Herzogovina: Nina Rodić Vukmir, Banja Luka Bulgaria: Mira Kojouharova, Sofia Croatia: Sanja Musić Milanović, Zagreb Cyprus: to be nominated Czech Republic: Bohumir Križ, Prague Denmark: Peter Henrik Andersen, Copenhagen Senior editor Estonia: Kuulo Kutsar, Tallinn Kathrin Hagmaier Finland: Outi Lyytikäinen, Helsinki Scientific editors Karen Wilson Williamina Wilson France: Judith Benrekassa, Paris Germany: Jamela Seedat, Berlin Greece: Rengina Vorou, Athens Hungary: Ágnes Csohán, Budapest Assistant editors Iceland: Haraldur Briem, Reykjavik Alina Buzdugan Ireland: Lelia Thornton...
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...TITLE: FOLATE (CH205) I. PRINCIPLE: Principles of the Procedure The Access Folate assay is a competitive binding receptor assay. For the assay of folate in serum or plasma (heparin), no pre-treatment is required. A serum, plasma (heparin) sample is treated to release folate from endogenous binding proteins. Folate binding protein, mouse anti-folate binding protein, folic acid-alkaline phosphatase conjugate, and goat anti-mouse capture antibody coupled to paramagnetic particles are added to the reaction vessel. Folate in the sample competes with the folic acid-alkaline phosphatase conjugate for binding sites on a limited amount of folate binding protein. Resulting complexes bind to the solid phase via mouse anti-folate binding protein. After incubation in a reaction vessel, materials bound to the solid phase are held in a magnetic field while unbound materials are washed away. Then, the chemiluminescent substrate Lumi-Phos* 530 is added to the vessel and light generated by the reaction is measured with a luminometer. The light production is inversely proportional to the concentration of folate in the sample. The amount of analyte in the sample is determined from a stored, multi-point calibration curve. Summary and Explanation Folate is an essential vitamin vital to normal cell growth and DNA synthesis. It is present in a wide variety of foods such as dark, leafy vegetables, citrus fruits, yeast, beans, eggs, and milk. It is absorbed...
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...The Journal of Neuroscience, March 24, 2010 • 30(12):4467– 4480 • 4467 Development/Plasticity/Repair Demonstration of a Neural Circuit Critical for Imprinting Behavior in Chicks Tomoharu Nakamori,1,3 Katsushige Sato,2,4 Yasuro Atoji,5 Tomoyuki Kanamatsu,6 Kohichi Tanaka,1 and Hiroko Ohki-Hamazaki1,3,7 1 Laboratory of Molecular Neuroscience, School of Biomedical Science and Medical Research Institute and 2Department of Physiology and Cell Biology, Faculty of Medicine, Graduate School, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo 113-8519, Japan, 3Division of Biology, College of Liberal Arts and Sciences, Kitasato University, Sagamihara, Kanagawa 228-8555, Japan, 4Department of Health and Nutrition Sciences, Faculty of Human Health, Komazawa Women’s University, Inagi-shi, Tokyo 206-8511, Japan, 5Laboratory of Veterinary Anatomy, Faculty of Applied Biological Sciences, Gifu University, Gifu 501-1193, Japan, 6Department of Environmental Engineering for Symbiosis, Faculty of Engineering, Soka University, Hachioji, Tokyo 192-8577, Japan, and 7Recognition and Formation, Precursory Research for Embryonic Science and Technology, Japan Science and Technology Agency, Kawaguchi, Saitama 332-0012, Japan Imprinting behavior in birds is elicited by visual and/or auditory cues. It has been demonstrated previously that visual cues are recognized and processed in the visual Wulst (VW), and imprinting memory is stored in the intermediate medial mesopallium (IMM) of...
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