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A 56-year-old woman with mixed connective tissue disease, who was on maintenance immunosuppression, developed asymptomatic left ventricular…, A 56-year-old woman with mixed connective tissue disease, who was on maintenance immunosuppression, developed asymptomatic left ventricular dysfunction, ventricular arrhythmia, and high troponin I. Heart catheterization showed normal coronaries and biopsy-proven, virus-negative lymphocytic myocarditis. A biopsy-guided immunosuppression upgrade effectively treated autoimmune myocarditis, which resulted in ventricular function recovery, resolution of arrhythmia, and of troponin release. (Level of Difficulty: Advanced.), Graphical abstract

Introduction Studies on sudden infant death syndrome (SIDS) in Saudi Arabia are limited due to strict religious faith-related observances. The aim of this study was to assess Saudi mothers’ awareness about SIDS. Methodology A cross-sectional online electronic survey was administered in different Saudi regions. A self-reported validated Arabic questionnaire was used for collecting data. The study sample included 363 respondents from 384 sample members. Results The final sample consisted of 363 (94.8%) respondents, a reduction in size due to 21 non-responders from the total 384 sample members. Two-hundred and thirty-two (63.9%) of the 363 respondents reported not having heard of any SIDS prevention messages, while 36.1% of them had received such messages. Most of the respondents (53.2%) correctly reported that babies should be laid on their backs while putting them to sleep, and only 5.5% reported that babies should be laid in their stomachs when being put to rest. Participants > 50 years, of urban residence, and with primary education had higher knowledge levels. Participants with an age of 18 to 29 years and those with higher education had higher knowledge levels about the correct baby position. Participants with an age between 30 and 39 years, of urban residence, and those with a primary educational level had a higher prevalence of receiving messages about SIDS. Conclusion A very good understanding of the proper way to put a baby to sleep among the participants was found, and most of them thought that messages about SIDS were not useful. This study suggests that health education messages regarding SIDS should be directed to all pregnant mothers.

Mercury (Hg) and potentially toxic elements (PTEs) are components of household dust and are a risk for human health. The aim of this study was to determine the concentrations of Hg and PTEs in household dust in individual housing facilities in the town of Šid, Serbia and their correlation to the content of the elements found in the surrounding garden soil. Total of 64 samples of household dust were collected from 16 locations of individual housing facilities on 4 occasions. Samples of surrounding yard and garden soil were simultaneously collected. None of the 64 analysed soil samples exceeded the threshold limit (TL) prescribed by law for non-agricultural soil, which is 0.3 mg kg-1 DM. Content of Hg in household dust was much higher than in the surrounding soil and ranged from 0.005 to 1.566 mg kg-1 DM. The resulting values of PTEs (As, B, Co, Cr, Cu, Ni, Pb, and Zn) in household dust had a significantly higher range than in the soil. Contents of Hg, B, Cu, and Zn were much higher in household dust than in the soil. According to the results of correlations of the analysed elements in household dust and surrounding soil, and according to the analysed locations, direct effect of Hg and PTEs contents on the content of the same elements in household dust was not confirmed. Živa i potencijalno toksični elementi (PTE) kao sastavni deo kućne prašine predstavljaju rizik za ljudsko zdravlje. Cilj ovog rada je utvrđivanje koncentracija Hg i PTE u kućnoj prašini, u objektima individualnog stanovanja, grada Šida i njihova veza sa sadržajem elemenata u okolnom zemljištu baštâ i okućnica. Uzeto je 64 uzorka kućne prašine na 16 lokacija individualnog stanovanja u četiri vremenska perioda. Istovremeno su uzeti uzorci okolnog zemljišta okućnicâ i baštâ. Nijedan od 64 ispitivana uzorka zemljišta ne prelazi zakonski propisanu graničnu vrednost (GV) za nepoljoprivredno zemljište od 0,3 mg kg-1 SM. Sadržaj Hg u kućnoj prašini je mnogo viši od okolnog zemljišta i kretao se u intervalu od 0,005 do 1,566 mg kg-1 SM. Dobijene vrednosti PTE (As, B, Co, Cr, Cu, Ni, Pb, Zn) u kućnoj prašini imaju statistički značajan veći raspon u odnosu na zemljište. Sadržaj Hg, B, Cu, Zn je mnogo veći u kućnoj prašini u odnosu na okolno zemljište. Prema dobijenim korelacijama posmatranih elemenata u prašini i zemljištu, kao i prema posmatranim lokacijama, generalno nije utvrđen direktni uticaj sadržaja Hg i PTE u zemljištu na sadržaj ovih elemenata u kućnoj prašini.

In this work, a methodology for the classification of breathing patterns in order to prevent sudden infant death (SID) incidents is presented. The basic idea is to classify breathing patterns which might lead to SID prior to an incident. A thorax sensor is proposed, which is able to simulate breathing patterns given by certain parameters. A sensor combination of conductive strain fabric and an inertial measurement unit is used for data acquisition. The data is then classified using a neural network.

This paper highlights the development of UKM-SID teaching module for solar flare detection utilizing VLF technique. This module consists of three segments namely, the antena development, preamplifier and data logger. It was introduced in selected high schools in Selangor, Malaysia, where students need to build the antenna, assemble the preamplifier and analyze the data. They were also required to keep a log book of their activities. With the aid of the teaching module, the students gained hands-on experience in carrying out a team project and indirectly enhance their knowledge in space science.

International audience; Networks are growing in complexity because of several factors, including number of user, applications, and different technologies. Indeed the management in this case is relativistic. The QoS management mechanisms proposed by 3GPP allow providing the IMS network entities controls and efficient service delivery; however the 3GPP approach focuses entirely on the step of providing the service without consideration the type of customer, which requires a monitoring architecture. Furthermore the TMForum groups within specification scenario type of monitoring based end to end business process oriented Assurance to a permanent monitoring of the services provided. However these scenarios are generic and haven’t specification for IMS networks. We propose in this paper a new approach to monitor IMS networks, which based specifications TMForum and use WS-Composite and XML Communication, and it provides a platform for continuous monitoring of services

Background: Switching primary/secondary immunodeficiency (PID/SID) patients from intravenous immunoglobulin (IVIg) to home-based subcutaneous immunoglobulin (SCIg) therapy reduces nurse time. A nurse shortage in Canada provides an important context to estimate the net economic benefit, the number of patients needed to switch to SCIg to recoup one full-time equivalent (FTE), and potential population-wide savings of reduced nurse time to a payer. Methods: The net economic benefit was estimated by multiplying the hourly compensation for nurses in Canada by the hours required for each administration route. The number needed to switch to SCIg to gain one nurse FTE was estimated by dividing the work hours in a year by the average annual savings in nursing time in a PID population in Canada. The prevalence of treated PID/SID in Canada was calculated using provincial IgG audit data to extrapolate the potential population-wide savings of switching patients to SCIg therapy. Findings: The net economic gain from switching one patient to home-based SCIg care would be C$2,603 (Canadian Dollars) in year 1 and C$2,948 each year thereafter. Switching 37 IVIg patients to SCIg would gain one nurse FTE. Switching 50% of the estimated 5,486 PID and SID patients in Canada receiving IVIg therapy to SCIg has the potential to save 223.3 nurse FTEs (C$23.2 million in labor costs). Conclusions: A shift from IVIg to less labor-intensive SCIg has the potential to help alleviate nurse shortages and reduce overall health care costs in Canada. Health care professionals might consider advocating for home-based SCIg therapy for PID/SID patients when clinically appropriate.

The Silicon Detector (SiD) is a collider detector concept based on all-silicon tracking and a silicon-tungsten sampling calorimeter, complemented by a powerful silicon pixel vertex detector, a hadronic calorimeter contained within the solenoidal magnet and an instrumented flux return functioning as the muon system. Optimized forward detectors are deployed to ensure hermiticity and provide luminosity measurements. In order to meet the International Linear Collider (ILC) physics goals, we have designed a general purpose detector taking full advantage of the silicon technology. The silicon detector is performant, robust against machine-induced background and, by now, a mature concept.