scholarly journals Evaluating Complications of Chronic Sinusitis

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Phillip Hong ◽  
Charles A. Pereyra ◽  
Uta Guo ◽  
Adam Breslin ◽  
Laura Melville

Chronic sinusitis is a relatively common diagnosis throughout the US. In patients with an otherwise unremarkable medical history the treatment is typically supportive, requiring only clinical evaluation. We present the case of a 25-year-old male with a history of chronic sinusitis that was brought to our emergency department with new-onset seizure. Three days before he had presented to his usual care facility with two days of headache and fever and was discharged stating headache, subjective fever, and neck stiffness. After further investigation he was diagnosed with a mixed anaerobic epidural abscess. The evaluation and management of chronic sinusitis are based on the presence of symptoms concerning for complication. Prompt investigation of complicated sinusitis is essential in preventing debilitating and fatal sequelae. Our case study underscores the importance of early diagnosis and appropriate management.

2019 ◽  
Vol 48 (1) ◽  
pp. 17-27
Author(s):  
Gabriela Baeza Ventura ◽  
Lorena Gauthereau ◽  
Carolina Villarroel

AbstractThis article focuses on the work and efforts put forth by the University of Houston’s Recovering the US Hispanic Literary Heritage program (Recovery) to create the first digital humanities center for US Latina/o Research: #usLdh. Recovery is a program to locate, preserve, and make available the written legacy of Latinas/os in the United States since colonial times until 1960. Through 27 years of successful work Recovery has not only been able to inscribe the excluded history of Latinas/os, but also has created an inclusive and vast digital repository that facilitates scholarship in this area of studies. This article focuses on the importance of recovery work in the writing, teaching, and understanding of history and considers how local personal archives have helped to fill in the gaps of mainstream history. We will detail the goals and challenges of this mission, as well as the importance of educating the community in digital methods that preserve and disseminate minority voices.


2021 ◽  
Vol 14 (2) ◽  
pp. e236644
Author(s):  
Laura Mroue ◽  
Harpreet Brar ◽  
Bernard Gonik

We report the case of retrograde varicella zoster virus (VZV) reactivation presenting as aseptic meningitis without rash in a generally healthy pregnant patient. A 27-year-old nulliparous woman at 25 weeks of gestation presented to the emergency department with a 1-day history of severe headache associated with nausea, photophobia and neck stiffness. After ruling out a space-occupying lesion by brain imaging, lumbar puncture was performed. Cerebrospinal fluid analysis by PCR revealed the presence of VZV, making the diagnosis of acute varicella meningitis. The patient had immunoglobulin studies consistent with a history of primary VZV infection, thus confirming reactivation of VZV rather than primary infection. The patient was treated with acyclovir for 14 days and recovered fully. Her neonate was delivered full term without any evidence of vertical transmission. This is only the second reported case of VZV meningitis in a pregnant patient in the medical literature, and the first case in the US that was reported.


2014 ◽  
Vol 69 (5) ◽  
pp. 389-398 ◽  
Author(s):  
A. Mountz ◽  
J. Loyd

Abstract. This article examines transnational framings of domestic carceral landscapes to better understand the relationship between offshore and onshore enforcement and detention regimes. US detention on mainland territory and interception and detention in the Caribbean serves as a case study. While the US domestic carceral regime is a subject of intense political debate, research, and activism, it is not often analyzed in relation to the development and expansion of an offshore "buffer zone" to intercept and detain migrants and asylum seekers. Yet the US federal government has also used offshore interception and detention as a way of controlling migration and mobility to its shores. This article traces a Cold War history of offshore US interception and detention of migrants from and in the Caribbean. We discuss how racialized crises related to Cuban and Haitian migrations by sea led to the expansion of an intertwined offshore and onshore carceral regime. Tracing these carceral geographies offers a more transnational understanding of contemporary domestic landscapes of detention of foreign nationals in the United States. It advances the argument that the conditions of remoteness ascribed frequently to US detention sites must be understood in more transnational perspective.


2018 ◽  
Vol 12 (1) ◽  
pp. 128-138 ◽  
Author(s):  
Mahdi Rezapour ◽  
Shaun S. Wulff ◽  
Khaled Ksaibati

Introduction:The number of truck-related injuries and deaths can be reduced by understanding the factors that contribute to the higher risk of truck-related crashes and violations. Truck drivers are at fault of more than 80% of all the truck crashes on Wyoming interstates, and the literature review indicated that in order to identify appropriate countermeasure to crashes, each crash type should be analyzed individually. The literature review also revealed that relationships exist between driving records and driver culpability in crashes.Method:This study employed two approaches to identify contributory factors to truck-at-fault fatal and injury crashes, and truck-related violations. Interstate 80, a Wyoming corridor in a mountainous area with one of the highest truck crash rates in the US, was selected as a case study. Only truck-at-fault crashes and specific types of truck-related violations were considered in this study. The analyses include two approaches. First, the logistic regression model was employed to explore vehicle, driver, crash, and environmental characteristics that contribute to truck-at-fault fatal and injury crashes. Second, truck violations were used as a proxy for truck crashes to examine the tendency to violate truck-related traffic laws in relation to driver and temporal characteristics. Based on the literature, only violations associated with higher risk of severe crashes were included in the analyses. The included violations accounted for more than 70% of all the violations.Result:This study considered more than 30 variables and found that only 10 variables impact truck-at-fault crashes. These factors included: gender, history of past violation, crashes involving multiple vehicles, exceeding the speed limit, occupant distraction, driver ejection, fatigued driving, non-seat belt usage, overturn, and head-on collision. Results of the second analysis indicated that both residency and time of crash are factors that impact truck-related violations. Results of the analysis also indicated that both residency and time of the crash are factors that impact truck-related violations.


Author(s):  
Marianna Astore

The surge in public debt during the recent pandemic crisis has made high debt a prominent policy issue. Italy is an interesting case study since it has experienced high levels of debt for a significant part of its history. This article revisits the history of Italian public debts in the inter-war period. Italy emerged from WWI with public debt that peaked around 160 percent of GDP. In the mid-1920s a significant reduction of public debt occurred, in concomitance with a regime of fiscal austerity and two restructuring agreements that wiped more than 80 percent of Italian foreign debts. By the early 1930s, the US reaction to the Great Depression that opposed any form of international cooperation, led to an Italian default on war debts in 1934 and a move toward autarky.


2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Dr. Sc. Bekë Kuqi ◽  
Dr. Sc. Petrit Hasanaj

Globalization represents an unavoidable phenomenon in the history of mankind, which is making the world smaller and smaller by increasing the exchange of goods, services, information, knowledge and cultures between different countries. Globalization is a process that has changed a lot in our everyday lives. This multidimensional and contradictory process brings to life the hopes and achievements that life can bring to it. The rush for greater competition is one of the main objectives of globalization. Such a thing can only be reached with market liberalization, economic integration and technology development. It is important for us to benefit from globalization. Therefore, during this paper we will discuss the importance of globalization for the integration and development of countries in the US and as a case study for Kosovo. Globalization is an unstoppable process for Kosovo, and a hope for integration and development that will impact on economic development and integration into the European Union. Following the Declaration of Independence of Kosovo on 17 February 2008 and the entry into force of the Constitution of the Republic of Kosovo on 15 June 2008, the same objectives, more than before, were introduced in Kosovo. Like other transition countries, Kosovo also declared membership in the EU not only objective of foreign policy, but also a strategic social and state goal. The definition of this decision puts Kosovo at the forefront of the transition, reform and harmonization process with EU criteria.


2019 ◽  
Vol 5 (1) ◽  
pp. 158
Author(s):  
Melissa Ziobro

This article is a modified version of the exhibit text used in “Tracking Sandy: Monmouth County Remembers.” Guest curated for the Monmouth County Historical Association (MCHA) by the author of this piece, this crowdsourced exhibit was installed in MCHA’s headquarters in October 2017. The text is being published in this format to allow distribution to a wider audience/in perpetuity after the exhibit has come down, and to ensure the stories shared for the creation of the exhibit can continue to be told. This is not intended to be a comprehensive history of Sandy’s impact globally, in the US, or even on the entire state of New Jersey (NJ) specifically, nor is it a thorough case study on the effectiveness of crowdsourcing community history (though that may be an interesting subject for another discussion).


Author(s):  
Andrew W. Neal

This chapter begins with the history of security as a form of ‘anti-politics’, from Hobbes to 20th century struggles to tame the ‘rogue elephant’ of the US intelligence services. It discusses the growth of security practices since 9/11 and reviews a range of key literature in security studies that perpetuates the ‘anti-politics’ idea. The chapter then explores the key concepts of the book including the meaning of ‘politics’, the stakes involved in defining what is and is not ‘political’, and the normative and analytical significance of the concept of ‘normal politics’ in relation to the ‘exceptional politics’ of security. It also discusses the ‘political game’ and ‘professional politics’ as the empirical focus of the book, framing this through works of Machiavelli, Weber, Foucault, and Bourdieu. The chapter closes by describing the overarching historical narrative and extended UK case study of the book: a four-decade shift from institutionalised forms of ‘exceptional’ security politics in 1980s to the current situation in which security is a ‘whole of government’ project that increasingly occupies the ‘normal’ activities of politics.


Author(s):  
James S. Bielo

This chapter examines the phenomenon of biblically inspired theme parks. Like Disney and other variants, biblical theme parks create experiential portals to other lifeworlds. They imagine, materialize, and choreograph stories from Christians’ sacred texts in order to heighten visitors’ relation of intimacy with scripture by conjuring particular, ideologically charged scriptural pasts. To illustrate this argument, the chapter outlines the history of the modern theme park and presents a case study analysis of a creationist theme park in the US state of Kentucky: Ark Encounter. Ethnographic work with park designers and participant observation at the park demonstrates how this site of religious tourism mobilizes strategies and imperatives of immersion that are resonant with the culture of entertainment more broadly.


2003 ◽  
Vol 30 (1) ◽  
pp. 111-131 ◽  
Author(s):  
Stephen J. Kobrin

The trans-Atlantic dispute over application of the European Union's Data Directive (1995) is discussed as a case study of an emerging geographic incongruity between the reach and domain of the territorially-defined Westphalian state and the deep and dense network of economic relations. The article reviews significant EU-US differences about the meaning of privacy and the means to protect it, the history of attempts to apply its provisions to information transferred to the US, and the less than satisfactory attempt at resolution – the Safe Harbor agreement. It then argues that attempting to apply the Directive to transactions on the Internet raises fundamental questions about the meaning of borders, territorial sovereignty and political space and explores the implications for territorial jurisdiction and global governance at some length.


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