SIR,-Drs. A. V. Hoffbrand and A. Lavoie are to be complimented on their paper "Megaloblastic Anaemia" (8 June, p. 550) for its lucidity, conciseness, and comprehensiveness. It illustrates the best in modern medicine, and also the worst. I would cavil with them on one point: they state that in order to make a diagnosis of megaloblastic anaemia it is necessary to carry out 14 tests and, to distin...

Received: 8 August 2005 Revised: 26 September 2005 Accepted: 28 September 2005 Introduction I cannot start this brief essay without first remembering the persona of Claudio. Having known him initially as a great academic, he has had a major influence in the development of my scientific path, reasoning and analytical skills. His intolerance for stylised facts, his outstanding intellectual curios...

Problems of moving boundaries, moving permeable boundaries, questions of control over wave processes are fundamental physical problems (acc. to V.L.Ginzburg) that exist for a long time from the moment of the wave equation emergence, for over three hundred years. This paper for the first time states a brief, but clear and quite integral disclosure of the author's approaches, and also a physical ...

Search activity (SA) is the behavioral and mental activity that is oriented to changes of the environment or of the subject's view and approach to the environment according to personal needs without the definite probability forecast of the outcomes of such activity, but with a regular consideration of the outcomes in the process of active behavior. Dream's lucidity (the subject's realization th...

BACKGROUND Since 9% to 20% of all cases of acute psychosis presenting to an Emergency Department (ED) are due to a general medical condition, cautious medical workup should be mandatory in such patients. Differential diagnosis must consider conditions as diverse as renal failure or CNS infection. Acute Chlamydia pneumoniae infection usually causes a self-limited respiratory syndrome. Rarely, ac...

MODERN TREATMENT IN GENERAL PRACTICE YEAR BOOK 1944. Edited by Cecil P. G. Wakely, C.B., D.Sc., F.R.C.S., F.A.C.S., F.R.A.C.S. Pp. 211. The Medical Press and Circular, London, W.C.2. 15s. THE title might suggest a resum6 of recent advances in treatment. However, the volume contains forty-two articles by well-known authorities on the diagnosis and treatment of a wide range of medical and surgica...

INFLAMMATION of the iris leaves behind recognisable changes in the tissues. These results-the remains of posterior synechiae, and lucidity of the iris resulting from patchy atrophy of the pigmentepithelium-are not characteristic. But the resolving of an inflammation of the iris is in certain cases associated with very significant sequelae, especially in the case of so-called vitiligo iridis. (1...

BACKGROUND This is the first report of anisakiasis in a Croatian patient, evidenced from an archival paraffin-embedded and hematoxylin-eosin stained tissue section. Anisakiasis has been only suspected in the country based on previously detected anti-Anisakis IgE seroprevalence in the healthy coastal population, as well as an acute case where pathohistological and serological findings suggested ...

BACKGROUND Among the rare neurological complications of substances of abuse is the selective cerebral white matter injury (leukoencephalopathy). Of which, the syndrome of delayed post hypoxic encephalopathy (DPHL) that follows an acute drug overdose, in addition to "chasing the dragon" toxicity which results from chronic heroin vapor inhalation remain the most commonly described syndromes of to...