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host cell-free growth of the q fever bacterium coxiella burnetii.the inability to propagate obligate intracellular pathogens under axenic (host cell-free) culture conditions imposes severe experimental constraints that have negatively impacted progress in understanding pathogen virulence and disease mechanisms. coxiella burnetii, the causative agent of human q (query) fever, is an obligate intracellular bacterial pathogen that replicates exclusively in an acidified, lysosome-like vacuole. to define conditions that support c. burnetii growth, we systematically ...200919246385
[a case report of acute q fever showing kawasaki disease-like symptoms in a 9-year-old girl].a 9-year-old girl developing fever and hyperemia of both bulbar conjunctiva 5 days before admission to the saitama children's medical center after antibiotics proved ineffective was found on admission to have general fatigue and a temperature of 39 degrees c. physical examination showed hyperemia of the bulbar conjunctiva, fissures of the lips, redness of the pharynx, and swelling of the cervical lymph nodes. laboratory tests detected neutrophilia (11,200/microl), mild anemia (11.4g/dl), thrombo ...200919522308
[case of imported scrub typhus contracted in myanmar].scrub typhus is widespread in rural south and southeastern asia and the western pacific. the scrub typhus incidence is the highest among vector-borne diseases in japan, but imported cases are extremely rare. a 49-year-old man admitted for persistent fever, headache, and rash after returning from myanmar had been exposed to mosquito and tick bites while doing a 12-day forest inventory in myanmar. on admission, he had a generalized maculopapular rash but no apparent eschars characteristic of scrub ...200919522310
intracellular life of coxiella burnetii in macrophages.coxiella burnetii, the agent of q fever, is an obligate intracellular bacterium that is considered a potential biological weapon of category b. c. burnetii survives within myeloid cells by subverting receptor-mediated phagocytosis and preventing phagosome maturation. the intracellular fate of c. burnetii also depends on the functional state of myeloid cells. this review describes the mechanisms used by c. burnetii to circumvent uptake and trafficking events, and the role of cytokines on c. burne ...200919538264
coxiella burnetii glycomics and proteomics--tools for linking structure to function.coxiella burnetii, the causative agent of q fever, is an obligate intracellular bacterium and a highly infectious pathogen. the disease is a widespread zoonosis and is endemic throughout the world. an easy aerosol dissemination, environmental persistence, and high infectivity make the bacterium a serious threat for humans and animals. lipopolysaccharide is considered one of the major factors of virulence expression and infection of the bacterium. detailed glycomic studies enabled to better under ...200919538265
q fever during pregnancy: a cause of poor fetal and maternal outcome.q fever is a worldwide zoonosis caused by coxiella burnetii. q fever may be present as an acute or a chronic infection and can be reactivated during subsequent pregnancies. although its exact prevalence remains unknown, it is likely that the number of cases of q fever in pregnant women is underestimated. during pregnancy, the illness is likely to be asymptomatic, and diagnosis is based on serology. acute infection results in appearance of igm and igg antibodies mainly directed against the avirul ...200919538266
q fever in dairy animals.this review evaluates the threat to human health--with the shedding of c. burnetii in dairy animals with reproductive disorders or those without clinical signs. the review also discusses the diagnosis of q fever in livestock and the possibility of coxiella-free herds, and it reports the available methods for controlling q fever. c. burnetii shedding seems to occur frequently in milk taken from asymptomatic dairy cows. the number of coxiella shed in milk is generally low. the phase i vaccine prev ...200919538267
rickettsioses in australia.the rickettsial diseases of australia are described in their chronological order of discovery. the include epidemic typhus (r. prowazekii); murine typhus (r. typhi) found australia-wide; scrub typhus (o. tsutsugamushi) only in tropical, northen australia; q. fever (c. burnetti) found australia-wide; queensland tick typhus (r. australis) along the east coast of australia; flinders island spotted fever (r. honei) in southeast australia; variant flinders island spotted fever (r. honei, strain "marm ...200919538275
role of the cytoplasmic pattern recognition receptor nod2 in coxiella burnetii infection. 200919548991
coinfection with coxiella burnetii in infectious endocarditis. 200919548994
diagnosis of coxiella burnetii pericarditis by using a systematic prescription kit in cases of pericardial effusion: an 8-year experience. 200919548995
immunohistochemical detection of coxiella burnetii in an aortic graft. 200919548996
immunohistochemical detection of coxiella burnetii in chronic q fever hepatitis. 200919548997
duplex pcr assay simultaneously detecting and differentiating bartonella quintana, b. henselae, and coxiella burnetii in surgical heart valve specimens.a duplex pcr (dpcr) assay was developed to simultaneously detect and differentiate bartonella quintana, bartonella henselae, and coxiella burnetii from surgical heart valve tissue specimens with an analytic sensitivity of 10 copies/reaction. among 17 specimens collected from patients with a clinical diagnosis of culture-negative endocarditis, 2, 4, and 2 were positive for b. quintana, b. henselae, and c. burnetii, respectively, by the dpcr assay, which matched the results obtained by universal b ...200919553582
q fever: persistence of antigenic non-viable cell residues of coxiella burnetii in the host--implications for post q fever infection fatigue syndrome and other chronic sequelae.our previous studies of persistence of coxiella burnetii in humans after an initial acute q fever infection revealed raised, maintained antibody levels and low levels of coxiella genomic dna at the age of 5 years from onset in australian patients and at 12 years in patients in the 1989 birmingham uk q fever outbreak. attempts to isolate the coxiella in standard cell culture and susceptible mice by serial passage of pcr positive pbmc and bone marrow were negative.200919556396
etiology of acute undifferentiated febrile illness in the amazon basin of ecuador.we conducted a longitudinal observational study of 533 patients presenting to two hospitals in the ecuadorean amazon basin with acute undifferentiated febrile illness (aufi) from 2001 through 2004. viral isolation, reverse transcription-polymerase chain reaction (rt-pcr), igm seroconversion, and malaria smears identified pathogens responsible for fever in 122 (40.1%) of 304 patients who provided both acute and convalescent blood samples. leptospirosis was found in 40 (13.2%), malaria in 38 (12.5 ...200919556580
an outbreak of q fever in bulgaria.q fever is an acute febrile illness due to coxiella burnetii. in the balkans, q fever in humans has been reported since world war ii, and in countries such as bulgaria the number of cases has increased since the early 1990s. we report an investigation of an outbreak in the town of botevgrad, western bulgaria. overall, 220 cases were identified between may 1 and june 9, 2004. of the cases, 168 were from botevgrad; the others were from neighbouring towns. this has been the largest outbreak in bulg ...200919567983
simultaneous differential detection of chlamydophila abortus, chlamydophila pecorum and coxiella burnetii from aborted ruminant's clinical samples using multiplex pcr.chlamydiosis and q fever, two zoonosis, are important causes of ruminants' abortion around the world. they are caused respectively by strictly intracellular and gram negative bacterium chlamydophila abortus (cp. abortus) and coxiella burnetii (c. burnetii). chlamydophila pecorum (cp. pecorum) is commonly isolated from the digestive tract of clinically inconspicuous ruminants but the abortive and zoonotic impact of this bacterium is still unknown because cp. pecorum is rarely suspected in abortio ...200919570194
[doxycycline].doxycycline is a semi-synthetic derivative of tetracycline family exhibiting an interesting pharmacokinetic profile since no dosage adjustment is required for renal failure. doxycycline displays good bacteriostatic activity against most bacteria as well as anti-inflammatory activity. bacterial resistance is mainly acquired. many infectious diseases can be treated with doxycycline including brucellosis, pasteurellosis, borreliosis, rickettsioses, trepanomatosis, cholera, leptospirosis, q fever, p ...200920099667
infectious complications in oif/oef veterans with traumatic brain injury.of veterans from the u.s. global war on terrorism who have sought care in the department of veterans affairs, approximately 12% have an infectious disease diagnosis. infections in those veterans with traumatic brain injury (tbi) include infections associated with blast injuries and burns, such as skin and soft tissue infections; infections as a result of retained bullet or shrapnel fragments; pulmonary infections resulting from lung injury, intubation, or resultant tracheostomy; hospital-acquire ...200920104397
[results of examination of healthy residents in the southern region of russia and patients feverish to pappataci fever virus antibodies].sera from patients with acute seasonal fevers and apparently healthy individuals living in the astrakhan region, krasnodar territory, or rostov region were examined in two modifications of enzyme immunoassay for detection of igm and igg antibodies to neapolitan and sicilian pappataci fever viruses. igm antibodies to sicilian pappataci fever virus were detected in a patient from the volodarsky district, astrakhan region, who had been admitted for the unverified diagnosis of q fever. a donor resid ...200920120368
seroprevalence of q fever, brucellosis and leptospirosis in farmers and agricultural workers in bari, southern italy.to establish the seroprevalence of antibodies to c. burnetii, leptospira and brucella in subjects at risk of exposure, 128 workers exposed to farm animals and 280 healthy blood donors were studied. antibodies to c. burnetii, leptospira and brucella were determined by indirect immunofluorescence assay, by microagglutination test (mat) and by standard tube agglutination test, respectively. of subjects exposed to farm animals 73.4 % were positive for anti c. burnetii igg (titer > or = 20) compared ...200920047252
prevalence of coxiella burneti antibodies in wild ruminants in kaveeany zoo, kosice, eastern slovakia.coxiella burnetii is an obligate intracellular agent that causes q fever in humans and animals. the most important reservoirs of c. burnetii in nature are small wild rodents, but infection was also demonstrated in other animals, including ruminants. samples of blood were obtained from 4 mouflons, 60 fallow deer, 9 cameroun goats, 8 carpathian goats, and 8 cameroun sheep living in a zoo. antibodies to phase i and phase ii c. burnetii antigens were determined in sera by elisa. antibody titres were ...200920054886
prevalence of coxiella burnetii antibodies in wild ruminants in kavecany zoo, kosice, eastern slovakia.coxiella burnetii is an obligate intracellular agent that causes q fever in humans and animals. the most important reservoirs of c. burnetii in nature are small wild rodents, but infection was also demonstrated in other animals, including ruminants. samples of blood were obtained from 4 mouflons, 60 fallow deer, 9 cameroun goats, 8 carpathian goats, and 8 cameroun sheep living in a zoo. antibodies to phase i and phase ii c. burnetii antigens were determined in sera by elisa. antibody titres were ...200920055359
acute q fever and scrub typhus, southern taiwan.acute q fever and scrub typhus are zoonoses endemic to southern taiwan. among the 137 patients with acute q fever (89, 65.0%) or scrub typhus (43, 31.4%), we identified 5 patients (3.6%) who were co-infected with coxiella burnetii and orientia tsutsugamushi.200919861068
when is discontinuation of dialysis justified?the staff of a renal dialysis unit in oxford, england, determined that further treatment would no longer be beneficial to a mentally handicapped patient who was noncompliant and disruptive. the director of the hostel where the patient lived disputed the unit's assessment of the patient and contacted the british kidney patient association, which assumed payment for private care with intent to bill the health authority. articles have appeared in the press, and government authorities have been aske ...20092857261
holy dread. 20092857242
diagnostic significance of precordial st-segment depression. 20092643846
[uncommon arterial and venous reconstruction in liver transplantation].the aim of this work was to define the best technical options of reconstruction that we can proposed in front of an anatomical or parietal anomalies of venous or arterial system in hepatic transplantation. through a retrospective study of 10 reconstructions performed between 1978 and 1989, we observed 5 cases of right hepatic artery from superior mesenteric artery of the donor. the two basic methods of reconstruction were either the "fold over" technic of gordon or the realization of an end to e ...20092612279
enlargement of the pancreatic head in patients with pancreas divisum.pancreas divisum (pd) is a congenital anomaly present in 6-10% of the population. computed tomography (ct) examinations in eight of 15 patients (53%) with endoscopic retrograde pancreatography (ercp)-proven pd were interpreted as showing enlargement of the pancreatic head. two of these had carcinoma, three had pancreatitis limited to the ventral pancreas, and three were normal. criteria to distinguish nonpathologic enlargement of the pancreatic head due to pd alone from pathologic causes may inc ...20092743193
[magnetic resonance imaging of lumbosacral lipomas in infants].magnetic resonance imaging (mri) was conducted on infants with lumbosacral lipomas. based on chapman's classification (1982), these mris were classified into three representative types: caudal, dorsal and transitional. as confirmed by intraoperative observations, the relation between the lipomas and the spinal cord was clearly disclosed in the preoperative mri. however, in the dorsal type, the intraoperative view of the margin between the lipomas and spinal cord was different from the mri findin ...20092803809
diverticular disease of the appendix.a retrospective study of diverticular disease of the appendix was made in 3,343 consecutive instances of appendectomies. a 2 per cent incidence of diverticular disease was found. these instances were classified into four morphologic types: 1, acute diverticulitis; 2, acute appendicitis with acute diverticulitis; 3, acute appendicitis with diverticulum, and 4, appendix with diverticulum. types 1, 2 and 3 were divided into subgroups with or without perforation. the elements of clinical behavior in ...20092909128
automated hydrotherapy pool water treatment system.an automated hydrotherapy water treatment system was described that controls chemical pumps that maintain the pool's water ph and chlorine levels at the designated set points, regardless of the bather load. this system consists of sensing electrodes, a controller, and positive displacement pumps. because outbreaks of waterborne infections have never been reported in facilities in which the pool water has been continuously maintained at ph 7.2 to 7.8 with a free available chlorine level of at lea ...20092921262
automated hydrotherapy pool water treatment system.an automated hydrotherapy water treatment system was described that controls chemical pumps that maintain the pool's water ph and chlorine levels at the designated set points, regardless of the bather load. this system consists of sensing electrodes, a controller, and positive displacement pumps. because outbreaks of waterborne infections have never been reported in facilities in which the pool water has been continuously maintained at ph 7.2 to 7.8 with a free available chlorine level of at lea ...20092921262
[response to haloperidol and analysis of growth curve in hereditary progressive dystonia with marked diurnal fluctuation].a case of 10-year-old female with hereditary progressive dystonia with marked diurnal fluctuation (hpd) was described. her development was normal. then at the age of eight, she developed dystonia of the left lower extremity that became noticeable toward evening but subsided after taking sleep. and the velocity of height gain decreased at the age of nine (from 5 cm to 3.6 cm per year). before the diagnosis of hpd, small doses of haloperidol (0.015 mg/kg/day) were given to her. thereafter she deve ...20092803813
implantation of a gelatin-sponge as a model for effector recruitment. tumor growth inhibition by t-lymphocytes recovered from a site of tumor rejection.nylon-wool-eluted lymphocytes, isolated from a site of tumor rejection in balb/c mice expressing concomitant tumor immunity, were examined for their ability to inhibit the growth of the emt6 tumor. tumor growth inhibition was monitored after co-inoculation of lymphocytes and tumor cells into naive mice in a winn-type adoptive-transfer assay. a pre-implanted gelatin sponge was employed to capture the tumor-infiltrating lymphocytes. mice harboring primary tumors were implanted 8 days later with ge ...20092786457
[dietary treatment of cancer]. 20093029889
elevated fibrin d-dimer fragment in sickle cell anemia: evidence for activation of coagulation during the steady state as well as in painful crisis.the fibrin d-dimer degradation fragment is produced by plasmin degradation of cross-linked fibrin. elevated plasma d-dimer levels indicate increased plasmin degradation of cross-linked fibrin, and are therefore an indirect indication of increased thrombin activity and fibrin formation. with an elisa assay sensitive to plasma d-dimer levels of less than 50 ng/ml, elevated levels of d-dimer were found in 23 of 25 subjects with sickle cell disease tested during the steady state, and in all 21 subje ...20092731776
amino acid sequences and disulfide bridges of serine proteinase inhibitors from bitter gourd (momordica charantia linn.) seeds.three serine proteinase inhibitors, mcti-i, mcti-ii, and mcei-i, were isolated from bitter gourd (momordica charantia linn.) seeds. mcti-i and mcti-ii were inhibitors for trypsin and mcei-i was an elastase inhibitor. their amino acid sequences and the positions of disulfide bridges of mcti-ii were determined to be as follows. (sequence; see text)20092738047
[transthoracic aspiration biopsy in the diagnosis of peripheral pulmonary neoplasms]. 20092826965
evidence that the voltage-dependent component in the fertilization process is contributed by the sperm.to investigate the mechanisms that account for the voltage dependence of fertilization and provide an electrical block to polyspermy, we studied cross-fertilizations between three species of amphibians having different degrees of voltage dependence. anurans, such as the toad bufo japonicus, as well as the primitive urodele hynobius nebulosus, have voltage-dependent fertilization; other urodeles, such as cynops pyrrhogaster, have voltage-independent fertilization (y. iwao, 1989, dev. biol. 134, 4 ...20092744242
clinical use of the somatostatin analog sms 201-995 in endocrinology. 20092852695
the kansas medical society membership directory 1989. 20092671457
cardiac abnormalities and nonimmune hydrops fetalis: a coincidental, not causal, relationship.few conditions associated with nonimmune hydrops fetalis have had a demonstrable causal relationship. congenital heart disease is often said to be a cause of nonimmune hydrops fetalis and antenatal closure of the foramen ovale is the cardiac abnormality most frequently reported in association with hydrops. in order to examine the role of congenital heart disease in hydrops, and, in particular, that of antenatal closure of the foramen ovale, we reviewed all autopsy cases with hydrops fetalis over ...20092654901
enhanced q fever risk exposure surveillance may permit better informed vaccination policy.the association between farming risks and q fever is not well documented in australia. in a review of new south wales notifications, data were analysed using 3-year study periods from 1993 to 2007 to investigate possible trends and explore reported risk exposures. a retrospective case series was also conducted using acute q fever cases notified during 2007 from a rural area of new south wales. occupation was recorded for less than 50% of q fever notifications in new south wales during the study ...200919618770
epidemiology of acute q fever, scrub typhus, and murine typhus, and identification of their clinical characteristics compared to patients with acute febrile illness in southern taiwan.in taiwan, acute q fever, scrub typhus, and murine typhus (qsm diseases) are the most common rickettsioses, but their epidemiology and clinical characteristics have not been clarified. diagnosis of these three diseases based on clinical manifestations is difficult, and most of their reported characteristics are identified by describing the predominant manifestations, without being compared with other diseases.200919443290
three years experience of real-time pcr for the diagnosis of q fever. 200919438615
[diarrhea: atypical presentation of q fever]. 200919406518
q-fever vaccination--unfinished business in australia. 200919393710
dual high titer antineutrophil cytoplasmic autoantibodies in association with systemic q fever. 200919956002
[erythema nodosum secondary to q fever]. 200919889328
bone marrow involvement in q fever--detection by fluorine-18-labelled fluorodeoxyglucose pet. 200919850230
a case of acute q fever with severe acute cholestatic hepatitis.minimal hepatic dysfunction can be common in acute q fever, but severe acute cholestatic hepatitis is rarely reported. we report on a 55-year-old male with acute q fever and severe acute cholestatic hepatitis. he complained of fever, jaundice, ascites, and restlessness on admission. a liver biopsy revealed the presence of compact fibrin-ring granulomas. serologic titers for c. burnetii igm and igg were 2048:1 and 1024:1, respectively. c. burnetii dna was detected by a nested polymerase chain rea ...200920431739
seroprevalence of q-fever in algeria. 200919793121
reemergence of q fever after 11 september 2001. 200919191639
culture-negative endocarditis: "whatever remains, however improbable, must be the truth"; the importance of asking the right questions!the complicated case of a patient with recurrent culture-negative endocarditis with a history of repeated mitral valve replacement is described. investigations disqualified common pathology but serology revealed a diagnosis of q fever endocarditis. the ongoing problematic management of this patient is described, followed by a brief review of the clinical features, investigations and treatment of q fever.200921931578
the difference in clinical characteristics between acute q fever and scrub typhus in southern taiwan.to identify the differences in clinical characteristics between acute q fever and scrub typhus in southern taiwan.200918977677
q fever in french guiana: new trends. 20099454566
[transitory monoclonal gammopathy and acute q fever]. 20098519827
[q-fever in the zadar region].the occurrence of q fever in a population of zadar region (2787 km2) which has five microregions (zadar, benkovac, biograd, obrovac and pag microregion) is presented. in 1986, nine cases of q fever were reported. five patients were detected in zadar community, one in pag microregion and 3 in biograd community and microregion, respectively. in 1989, two cases in zadar and, in 1988 and 1991, one case in each year from the territory of zadar were found. a total of 13 cases of q fever were treated a ...20098538358
[the clinical spectrum of rickettsiosis in the area of zadar].the clinical spectrum of rickettsioses in patients admitted to our hospital (department of infectious diseases, general hospital of zadar) from 1983 to 1988 has been analysed. this spectrum consisted of the following diseases: murine typhus, q-fever, boutonneuse fever and brill-zinsser disease. the low number of hospitalized patients with rickettsioses was in disproportion with the prevalence of antibodies to these rickettsiae in general population of the zadar area. our results indicate that th ...20092398776
[detection of complement fixing antibody to the agents of tick typhus fever of northern asia and q fever in wild animals of the extreme north of western siberia]. 20095753346
[on the distribution and relationship of foci of tick-borne encephalitis, north asiatic tick-borne exanthematic typhus and q fever of western siberia]. 200914197223
[q fever at the clinic for infectious diseases in sarajevo]. 20095196675
[data on the investigation of the incidence of q-fever infection in wild animals and birds in some areas of the tselinny region]. 20094223771
[studies on q fever in the mexican republic]. 20095990456
[seminar on the epidemiology of q fever in italy]. 200912976932
[q fever in lipari; epidemiologic study]. 200914933963
[q fever, a new disease in ubangi-chari]. 200914868930
[q fever in tuscany; comment on four epidemics in the province of florence. v]. 200914933945
[q fever at florence; small epidemic in a section of the city. iv]. 200914933944
[epidemic of q fever at brozzi, florence. iii]. 200914933943
[q fever at castello, florence. ii]. 200914933942
[q fever in a farmer's family in florence. i]. 200914933941
[q fever in animals in sicily and allergic diagnosis of q fever in animals]. 200914777436
[new rickettsial diseases found in mexico: q fever and trench fever]. 200913251403
[q fever epidemic in communities of the province of varese]. 200914388518
[acute diseases of the respiratory tract as a public health problem]. 200914388516
[immunoenzyme tests for the diagnosis of q fever]. 20084095448
[epidemic focus of q fever in a rural location in the suceava district].a q fever epidemic focus with 46 cases was detected in a rural locality among the workmen of livestock farms. in 33 cases, the subclinical and inapparent form of the disease was detected by serologic tests, performed in the focus. complement fixation antibody titers persisting in very high titers, a retrospective diagnosis of infection may be established even 3-4 months after the onset of the disease.2008653215
acalculous cholecystitis: an unusual presentation of acute q fever masquerading as infectious endocarditis.we report here a patient with acute q fever-related acalculous cholecystitis, who presented with prolonged fever, valvular abnormalities, and positive serology for q fever phase 1 antigens, features suggesting chronic q fever endocarditis. the pathogenesis of this rare presentation of q fever is discussed.200818854682
[prevention of zoonoses: creation of a unit for early detection of animal infections].in a context in which known and potential zoonoses are emerging (simian retrovirus infections, sras, west nile, h5n1 avian influenza, etc.), french army veterinarians have been tasked with assessing epidemiological risks related to animals in proximity with troops, particularly during foreign operations. they have already completed surveys of more than 70 infections (toxoplasmosis, leishmaniasis, rickettiosis, leptospirosis, q fever, hepatitis e, rift valley fever, etc.). the strategy consists o ...200818819699
clinical characteristics of acute q fever, scrub typhus, and murine typhus with delayed defervescence despite doxycycline treatment.doxycycline is the recommended antibiotic for acute q fever, scrub typhus, and murine typhus and defervescence often occurs within 3 days of treatment. patients with delayed defervescence (> 3 days) are troublesome for clinicians. to investigate the characteristics of such patients, 18 and 88 cases with and without delayed defervescence, respectively, were studied. by univariate analysis, absence of headache (p = 0.004), jaundice (p = 0.030), icteric sclera (p = 0.030), relative bradycardia (p = ...200818784240
[epidemiological variation of q-fever in zenica doboj canton during period 2000-2005].after the war in bosnia and herzegovina there is a sudden increase in number of infected with the q-fever, which becomes huge public health and economic problem. although this disease occurred in very different geographic areas of bosnia and herzegovina the zenica-doboj canton was among the most affected. infections of q-fever at the zenica-doboj canton represent very complex epidemiology problem, because it is in highest incidence rates not only for bosnia and herzegovina, but also for europe. ...200818669229
q fever endocarditis: the mayo clinic experience.to report the mayo clinic experience of q fever endocarditis.200818626237
q fever with lymphadenopathy on f-18 fdg pet. 200818496459
outbreak of q fever among us military in western iraq, june-july 2005.an outbreak of q fever occurred in 22 (58%) of 38 marines deployed to iraq in 2005. fever (in 100% of patients), respiratory symptoms (76%), and gastrointestinal symptoms (53%) were common. possible risk factors included dust and exposure to animals and ticks.200818444807
[frontier of q fever management]. 200818404853
q fever update, maritime canada.since the 1990s, reports of q fever in nova scotia, canada, have declined. passive surveillance for q fever in nova scotia and its neighboring provinces in eastern canada indicates that the clinical manifestation of q fever in the maritime provinces is pneumonia and that incidence of the disease may fluctuate.200818258080
q fever. was edward derrick's contribution undervalued? 200819061465
q fever-associated hlab27 anterior uveitis. 200819128389
acute q fever in southern taiwan: atypical manifestations of hyperbilirubinemia and prolonged fever.the clinical information of acute q fever in taiwan was limited. a clinical study of 109 adults with serologically documented acute q fever in the past decade (1994-2005) at 3 referral hospitals in southern taiwan was reported. their clinical manifestations, laboratory findings, and clinical outcomes were analyzed. males predominated (98, 90%). there is a significant correlation between monthly average temperature and case numbers of acute q fever (r = 0.74, p = 0.006). fever (99%), chills (69%) ...200817949935
[clinical features of q-fever pneumonia].a retrospective study was undertaken to investigate the clinical aspects of q-fever pneumonia. six sporadic cases, 5 men and 1 woman, aged between 36 and 81 years were diagnosed by testing paired serum samples using an indirect immunofluorescence assay from july 2004 to june 2007. of these, 5 suffered from concomitant or chronic disease. the predominant clinical features were fever, cough, sputum, and chest pain. the wbc count was within normal values in half of the patients. c-reactive protein ...200819195195
[erythema nodosum secondary to q fever]. 200818221666
[papers presented at the 17th conference of the commission on cardiology of the purkinje physiology society. krpácov, 26-28 october 1988]. 20082630046
surgical treatment of the iliotibial band friction syndrome.a selected group of 23 patients underwent surgery for iliotibial band friction syndrome. among the patients presenting with this exertional pain syndrome were runners, football players, and cyclists. diagnosis was clinical since radiographs were negative and an ultrasound examination was positive in only one case, showing an aberrant picture around the lateral femoral epicondyle. although conservative treatment is effective in most cases, an alternative is needed for patients with complaints tha ...20082610280
allergic and immunologic disorders. 20082600341
the cyclotron saga. 20082390557
humoral factors determining the blood pressure response to converting enzyme inhibition and calcium channel blockade.renin and catecholamine levels were determined in patients with mild to moderate hypertension before and after treatment with sustained release diltiazem or captopril and were correlated with the blood pressure response to these antihypertensives. eight weeks of treatment with either agent led to equal decreases in both systolic and diastolic blood pressure. pretreatment plasma renin activity (pra) and plasma norepinephrine did not predict the blood pressure response to either agent. diltiazem s ...20082222951
determining the extent of coarticulation: effects of experimental design.the purpose of this letter is to explore some reasons for what appear to be conflicting reports regarding the nature and extent of anticipatory coarticulation, in general, and anticipatory lip rounding, in particular. analyses of labial electromyographic and kinematic data using a minimal-pair paradigm allowed for the differentiation of consonantal and vocalic effects, supporting a frame versus a feature-spreading model of coarticulation. it is believed that the apparent conflicts of previous st ...20082600314
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