To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Libman–Sacks endocarditis is rare in children and adolescents, more so as a first manifestation of systemic lupus erythematosus. Currently, sterile verrucous lesions of Libman–Sacks endocarditis are recognised as a cardiac manifestation of both systemic lupus erythematosus and antiphospholipid syndrome. They are clinically silent in a majority of the cases. The presence of antiphospholipid antibodies in systemic lupus erythematosus is associated with three times higher prevalence of mitral valve nodules and significant mitral regurgitation. We present the case of isolated mitral regurgitation with abnormal looking mitral valve, detected in early childhood, which deteriorated to a severe degree in the next decade and was diagnosed as Libman–Sacks endocarditis after surgical repair from histopathology. The full-blown clinical spectrum of systemic lupus erythematosus with antiphospholipid antibodies was observed several weeks after cardiac surgery. We discuss the atypical course of Libman–Sacks endocarditis with follow-up for 10 years, along with a review of the literature.
Background and objective: To evaluate the ease with which successful insertion of a laryngeal mask airway can be performed in comparison with endotracheal intubation by medical personnel wearing chemical protective equipment.
Methods: Anaesthetists and non-anaesthetists (each n = 20) participated in the prospective comparative trial in an animal laboratory. The time and success rates of laryngeal mask airway vs. endotracheal tube insertions were measured as performed on anaesthetized monkeys.
Results: The results showed that the laryngeal mask airway was inserted more rapidly than the endotracheal tube by both groups (3.6 s and 28.6 s, P < 0.0001). Failed intubation occurred in 35% (anaesthetists) vs. 55% (non-anaesthetists) (P = 0.17).
Conclusions: In view of the 100% success rate of insertion even in unfavourable conditions, the possible role of the laryngeal mask airway in the scenario of a toxic mass casualty event should be considered.
Cultural, linguistic, and developmental evidence was taken into consideration
in constructing the HCDI, a Hebrew adaptation of the
MCDI. The HCDI was then administered to a stratified sample of
Israeli mothers of 253 toddlers aged 1; 6 to 2; 0 (M = 1; 8·18). Hebrew
results are presented and compared with scores from the original MCDI
sample (Fenson, Dale, Reznick, Bates, Thal & Pethick, 1994). The
HCDI is a reliable and sensitive measure of lexical development and
emergent grammar, capturing wide variability among Israeli toddlers.
In comparison with English, the relation between vocabulary size and
age, as well as the shape of the growth curves for nouns, predicate terms,
and closed class words relative to size of lexicon, were strikingly similar.
These results indicate that conclusions concerning cross-linguistic
similarities can be best documented by using parallel methods of
measurement. The HCDI results support the claim that early lexical
development in Hebrew and in English follow remarkably similar
development patterns, despite the typological differences between the
two target languages.
Email your librarian or administrator to recommend adding this to your organisation's collection.