TOPIC: Cardiovascular Disease TYPE: Medical Student/Resident Case Reports INTRODUCTION: Infective endocarditis (IE) affecting three cardiac valves is exceedingly rare and presents a unique clinical challenge due to concomitant sepsis, structural heart disease, arrhythmias. We present case of triple-valve IE highlighting the complexity management need for early multidisciplinary intervention. CA...

conclusions applying a simple and brief scale that incorporates the different dimensions of hiv transmission risk may provide policymakers and harm reductionists with a better understanding of hiv transmission in this key group and may be advantageous for evaluating intervention programs. results we extracted 7 items based on first factor, which were accounted for 21% of the variations. the fin...

Late infections with Actinomyces israelii have been described for prosthetic hip joints but not in association with intravenous drug use. We present a case of a 43-year-old intravenous drug user who developed A. israelii infection in connection with a hip prosthesis 11 years after implantation, and we review four previously reported cases of Actinomyces prosthetic joint infections.

This paper investigates architectural issues for prototyping infrastructures. DENIM’s architecture is studied because it has many features in common with the new prototyping infrastructure. This paper finds that DENIM’s concrete architecture is not well designed and, as a result, cannot easily be extended or reused. The paper then presents a proposed architecture for the new prototyping infrast...