Scrub typhus is an acute, febrile zoonosis caused by an obligate intracellular bacterium Orientia tsutsugamushi. The clinical manifestations of the disease range from subclinical to fatal organ failure. The common symptoms are fever, chills, headache, myalgia, dry cough, lymphadenopathy, and gastrointestinal disturbances. The presentation with complications is usually due to delay in diagnosis ...

Background: Pain control after every surgery, especially cesarean section, is very important, and physicians strive to discover pain methods using the least amount of opioids. Paracetamol a non-opioid analgesic with few complications. Objectives: The present study aimed investigate effect preoperative intravenous administration paracetamol on post-cesarean pain. Methods: This randomized, double...

CASE REPORT A 28-year-old Connecticut woman had fever and rash 3 days after returning from the Dominican Republic. During her trip, she ate the food, drank the water, and suffered many mosquito bites. The rash involved her neck, chest, and extremities. Accompanying the rash, she had chills, fever, headache, and malaise. She had no arthralgias, myalgias, or diarrhea. During childhood, she immigr...

BACKGROUND Malaria is a big problem of public health in many tropical countries where socioeconomic development is deficient. Four species of plasmodium are capable of infecting human: P. falciparum, P. malaria, P.vivax, P. ovale. Southeastern corner of Iran, including Sistan and Baluchestan, Hormozgan and the tropical part of Kerman Province, are endemic region of malaria. This study aimed to ...

The ethical review of research on human beings, and indeed the ethical review of broader ranges of human activity, is a growth industry. I want to look here at the ethical review of research on humans and raise some questions about the direction it is taking. I am pessimistic about where the institutions that we have set up are leading us and I want to sound a warning note and suggest some chan...

In a changing environment the ability to adjust physiological functions to new conditions might be especially valuable for long-living ectothermic animals such as ants. With a simple method for estimating critical thermal minima of Myrmica ants we assessed variation of the minima and their response to lowered temperature. At a cooling rate of about 1 degree C per minute the ants first displayed...

It is usually thought that adequate winter chill is required for the full flowering of many temperate woody species. This paper investigates the sensitivity of blackcurrant bud burst and flowering to natural weather fluctuations in a temperate maritime climate, and compares a range of chill models that have been proposed for assessing the accumulation of winter chill. Bud break for four contras...

We are glad to find that so many of our most active and scientific medical officers in this part of India are anxious to add to our stock of knowledge by means of carefully recorded facts regarding the action of quinine in cases of malarious fever. In the Indian Medical Gazette for December last, Dr. J. Butler Hamilton, e.a., recorded a case of ague showing the action of quinine as influencing ...

A40-year-old man with no significant past medical history developed fever, dry cough, night sweats, chills, and malaise 1 week after hiking in the mountains in Michigan. He visited his primary care physician (PCP) and was treated with oral azithromycin for 5 days with no improvement. The patient then traveled to Europe for 2 weeks. During this trip, he had daily fevers, chills, cough, and sweat...

We report a randomized, double-blind, multicenter trial in which amphotericin B colloidal dispersion (ABCD [Amphotec]; 6 mg/kg/day) was compared with amphotericin B (AmB; 1.0-1.5 mg/kg/day) for the treatment of invasive aspergillosis in 174 patients. For evaluable patients in the ABCD and AmB treatment groups, respective rates of therapeutic response (52% vs. 51%; P=1.0), mortality (36% vs. 45%...