Randomised controlled trial comparing effectiveness and acceptability of an early discharge, hospital at home scheme with acute hospital care

Objective: To compare effectiveness and acceptability of early discharge to a hospital at home scheme with that of routine discharge from acute hospital.

Hospital at home or acute hospital care? A cost minimisation analysis

Objective: To compare, from the viewpoints of the NHS and social services and of patients, the costs associated with early discharge to a hospital at home scheme and those associated with continued care in an acute hospital.

BAliBASE (Benchmark Alignment dataBASE): enhancements for repeats, transmembrane sequences and circular permutations

BAliBASE is specifically designed to serve as an evaluation resource to address all the problems encountered when aligning complete sequences. The database contains high quality, manually constructed multiple sequence alignments together with detailed annotations. The alignments are all based on three-dimensional structural superpositions, with the exception of the transmembrane sequences. The first release provided sets of reference alignments dealing with the problems of high variability, unequal repartition and large N/C-terminal extensions and internal insertions. Here we describe version 2.0 of the database, which incorporates three new reference sets of alignments containing structural repeats, trans­membrane sequences and circular permutations to evaluate the accuracy of detection/prediction and alignment of these complex sequences. BAliBASE can be viewed at the web site http://www-igbmc.u-strasbg.fr/BioInfo/BAliBASE2/index.html or can be downloaded from ftp://ftp-igbmc.u-strasbg.fr/pub/BAliBASE2/.

Severe Cutaneous Leishmaniasis in a Human Immunodeficiency Virus Patient Coinfected with Leishmania braziliensis and Its Endosymbiotic Virus.

Leishmaniaparasites cause a broad range of disease, with cutaneous afflictions being, by far, the most prevalent. Variations in disease severity and symptomatic spectrum are mostly associated to parasite species. One risk factor for the severity and emergence of leishmaniasis is immunosuppression, usually arising by coinfection of the patient with human immunodeficiency virus (HIV). Interestingly, several species ofLeishmaniahave been shown to bear an endogenous cytoplasmic dsRNA virus (LRV) of theTotiviridaefamily, and recently we correlated the presence of LRV1 withinLeishmaniaparasites to an exacerbation murine leishmaniasis and with an elevated frequency of drug treatment failures in humans. This raises the possibility of further exacerbation of leishmaniasis in the presence of both viruses, and here we report a case of cutaneous leishmaniasis caused byLeishmania braziliensisbearing LRV1 with aggressive pathogenesis in an HIV patient. LRV1 was isolated and partially sequenced from skin and nasal lesions. Genetic identity of both sequences reinforced the assumption that nasal parasites originate from primary skin lesions. Surprisingly, combined antiretroviral therapy did not impact the devolution ofLeishmaniainfection. TheLeishmaniainfection was successfully treated through administration of liposomal amphotericin B.

Lithology and measurement of largest grains in ODP Hole 152-918D (Table 1)

Shipboard analysis of the 1183-m sedimentary section recovered at Site 918 in the Irminger Basin during Ocean Drilling Program Leg 152 revealed material of glacial origin (diamictons, ice-rafted debris (IRD) and dropstones) as deep as 543 m below sea floor (bsf). The sediment containing the deepest dropstone was biostratigraphically dated shipboard as approximately 7 Ma, pushing back the date for the onset of glaciation on southern Greenland by 5 Ma. Thin layers of fine sand were found as much as 60 m deeper in the core, raising the possibility of an even earlier date for glaciation. To determine the sedimentary history of these deeper sand layers, the surface textures on quartz grains from eleven cores bracketing the interval of interest were analyzed by scanning electron microscope. The results suggest that the grains in the 60-m interval below the deepest dropstone have a glacial history. At that level, an 11 -Ma Sr-isotope date was obtained from planktonic foraminifers. This late Miocene timing is supported biostratigraphically by both nannofossil and foraminifer assemblages, indicating a new minimum age for the onset of glaciation on southern Greenland and in the North Atlantic.

Aventuras literarias del iracundo aestremen̄o don Bartolo Gallardete /

Includes bibliographical references.

Gli ordini di architettura del Barozzi da Vignola /

Pages 49-56 are Vocabolario de' termini d'architettura.

Les sérénades. pour baryton ou contralto /

For voice and piano.

Evaluation of environmental control technologies for magnetic fields /

August 1978.

The history of England from the invasion of Julius Cæsar to the abdication of James the Second, 1688.

Mode of access: Internet.

Arte de conservar la salud y prolongar la vida ó Tratado de higiene /

Mode of access: Internet.

Arte de conservar la salud y prolongar la vida o Tratado de higiene /

Mode of access: Internet.

Scriptorum arabum loci de Abbadidis /

Contiene : Vol. 2.

Ensayo de una biblioteca española de libros raros y curiosos /

Obra premiada por la Biblioteca Nacional, en la junta pública del 5 de enero de 1862.

Diccionario crítico-burlesco del que se titula "Diccionario razonado manual para inteligencia de ciertos escritores que por equivocación han nacido en España"

Mode of access: Internet.