Tuberculous meningitis (TBM) is the most common form of central nervous system tuberculosis (TB) and has very high morbidity and mortality. TBM is typically a subacute disease with symptoms that may persist for weeks before diagnosis. Characteristic cerebrospinal fluid (CSF) findings of TBM include a lymphocytic-predominant pleiocytosis, elevated protein, and low glucose. CSF acid-fast smear an...

BACKGROUND/OBJECTIVE The diagnosis of tuberculous meningitis (TBM) in resource poor TB endemic environments is challenging. The accuracy of current tools for the rapid diagnosis of TBM is suboptimal. We sought to develop a clinical-prediction rule for the diagnosis of TBM in a high HIV prevalence setting, and to compare performance outcomes to conventional diagnostic modalities and a novel lipo...

The purpose of the present study was to evaluate the enhancement of tolbutamide (TBM) oral bioavailability and hypoglycaemic activity through complexation with beta-cyclodextrin (beta-CD) and hydroxypropyl-beta-cyclodextrin (HP-beta-CD). TBM and its freeze-dried inclusion complexes were administered to rabbits (New zealand breed; n=6), in a dose of 20 mg/kg. TMB plasma levels were measured by H...

BACKGROUND Varicella-zoster virus (VZV) is one of the most common etiologies of aseptic meningitis. The severest manifestation of VZV meningitis is occasionally confused with tuberculous meningitis (TBM). Thus, we investigated the clinical manifestations of VZV meningitis as compared with those of TBM. MATERIALS AND METHODS All adult patients who were diagnosed with VZV meningitis or TBM were...

This paper deals with the conceptual design of Experimental Helium Cooling Loop (EHCL) for Indian Test Blanket Module (TBM) and its related thermal hydraulic experiments. Indian TBM team is developing Lead Lithium cooled Ceramic Breeder (INLLCB) TBM to be tested in ITER. The TBM box structure is cooled by high pressure (8 MPa) and high temperature (300-500C) helium gas. The first wall of TBM ma...

Tuberculous meningitis (TBM) is a common entity n children and also in adults with prediosposing factors such as AIDS, alcoholism, diabetes mellitus, malignancy and use of steroids. TBM often leads to considerable morbidity and mortality. We present here CSF culture positive cases of TBM reported between 2000 and 2004 from our institution. CSF specimens from patients suspected of TBM were proce...

Safety analysis is a part of the ITER Test Blanket Module (TBM) design process to ensure that the TBM does not adversely affect the safety of ITER. To get the license for TBM as a whole with International Thermonuclear Experimental Reactor (ITER), the relevant safety analysis is required for each TBM system proposed by each party. The safety analysis for the Chinese Dual-Functional Lithium-Lead...

Practical Tunnel-boring Machine (TBM) guidance systems usually use sophisticated instruments to obtain the orientation of the TBM. These systems require frequent calibration and work shutdown, making the procedure complex and time consuming. Besides, the majority of current TBM guidance solutions cannot provide the position of the invisible cutter head analytically including commonly used laser...

To investigate the maternal-fetal transfer of tobramycin (TBM) and its distribution in the fetus, a single dose of 2 mg/kg was administered intramuscularly to 35 pregnant patients (13 first trimester, 22 second trimester) 0.5 to 34 h before hysterectomy. TBM concentration was assayed microbiologically in maternal serum, fetal tissues (placenta, brain, lung, liver, and kidney), and fluids (amnio...

BACKGROUND The incidence of cryptococcal meningitis (CM) and tuberculous meningitis (TBM) have gradually increased in recent years. These two types of meningitis are easily misdiagnosed which leads to a poor prognosis. In this study we compared differences of clinical features and prognostic factors in non-HIV adults with CM and TBM. METHODS We retrospectively reviewed the medical records of ...