Diagnostic Value of Positive Findings of Toxoplasma gondii-Specific Immunoglobulin M Serum Antibody in Uveitis Patients to Confirm Ocular Toxoplasmosis

Purpose: To assess the value of positive immunoglobulin (Ig) M serum antibody (Ab) findings in uveitis patients.

Methods: We reviewed medical records of patients who had a positive serological test for Toxoplasma gondii-specific IgM Ab. Their clinical data, including history, demographic characteristics, laboratory findings, clinical findings, treatment outcomes, and recurrences, were reviewed retrospectively.

Results: Of 2919 uveitis patients who underwent a serological test for suspected ocular toxoplasmosis (OT), 18 presented with positive Ig M results. All 18 patients (100.0% specificity) were clinically diagnosed with OT. None had any retinochoroidal scar at the initial visit, indicating the OT was a recent and primary infection. However, 15 patients (83.3%) had no history suspected to account for the Toxoplasma transmission.

Conclusions: The T. gondii IgM serum Ab is a specific biomarker for diagnosis of primary OT. Epidemiological studies are warranted to investigate the non-classic transmission routes of T. gondii in OT.     

Real-world cost-effectiveness of drug-eluting stents vs. bare-metal stents for coronary heart disease—A five-year follow-up study

Objective

To evaluate the cost-effectiveness of using drugeluting stents (DES) compared to bare-metal stents (BMS) for coronary heart disease (CHD).

The relationship between bicultural identity,acculturative stress,and psychological well‐being in multicultural adolescents: Verification using multivariate latent growth modelling

This study aimed to examine causal relationships between bicultural identity, acculturative stress, and subjective well‐being among multicultural adolescents. Secondary longitudinal data that were obtained from 1,635 multicultural adolescents were analysed. The results showed that bicultural identity had a positive effect on psychological well‐being and a negative impact on acculturative stress; in addition, greater acculturative stress was associated with lower psychological well‐being. Finally, bicultural identity indirectly affected psychological well‐being by mediating the effects of acculturative stress. These findings underscore the need to facilitate the adaptation of multicultural adolescents by reducing acculturative stress and promoting bicultural acceptance in educational institutions.     

Comparison of the Clinical Manifestations between Acute Vogt-Koyanagi-Harada Disease and Acute Bilateral Central Serous Chorioretinopathy

PurposeTo compare clinical, angiographic, and optical coherence tomographic characteristics between eyes with acute Vogt-Koyanagi-Harada (VKH) disease and eyes with acute bilateral central serous chorioretinopathy (CSC), and to demonstrate distinguishing features between the two diseases in confusing cases.MethodsThe medical records of 35 patients with VKH disease and 25 patients with bilateral CSC were retrospectively reviewed. Characteristics according to slit-lamp biomicroscopy, ophthalmoscopy, fundus photography, fluorescein angiography, indocyanine green angiography, and spectral-domain optical coherence tomography were compared between the two diseases.ResultsFive of 35 patients (10 of 70 eyes, 14.3%) with VKH disease were initially misdiagnosed as CSC patients, and six of 25 patients (12 of 50 eyes, 24%) with bilateral CSC were initially misdiagnosed as patients with VKH disease. Pigment epithelial detachment in CSC and optic disc hyperemia in VKH disease show the highest positive predictive values of 100% for each disease.ConclusionsOptic disc hyperemia in VKH disease and pigment epithelial detachment in bilateral CSC are the most specific clinical manifestations of each disease at initial patient presentation.     

Helical tomotherapy in patients with breast cancer and complex treatment volumes

Purpose  

To describe early clinical results of tomotherapy treatment in patients with breast cancer and complex treatment volumes.     

Kikuchi-Fujimoto Disease as a Differential Diagnosis for Cervical Lymphadenopathy in India: A Case Report and Review of Literature

Cervical Lymphadenopathy has a large list of differential diagnosis. In India, Tuberculosis and Malignant Neoplasms are the most common specific causes for cervical lymph node enlargement. Kikuchi–Fujimoto Disease (KFD), is an uncommon but increasingly reported cause, especially in Asia. Awareness of this condition amongst physicians leads to an accurate diagnosis without the need for expensive and often potentially harmful investigations. The disease is self limiting and responds well to symptomatic treatment.     

Educators’ Attitudes and Beliefs Towards the Sexuality of Individuals with Developmental Disabilities

This study presents educators’ attitudes and beliefs towards the sexuality of adolescents and adults with developmental disabilities. Open-ended, structured interviews were conducted with five Teachers in a School Program and five Instructors in an Adult Day Services Program at an educational facility for individuals with medically complex developmental disabilities. Results indicate that educators hold a positive view towards providing sexuality education and access to sexual expression for persons with developmental disabilities. Educators viewed sexuality as a basic human right, yet expressed concerns regarding capacity to consent to and facilitation of sexual activity. This study is an initial step to understanding barriers preventing the delivery of sexuality education to this underserved population.     

Comparison between two race/skin color classifications in relation to health-related outcomes in Brazil

Background  

This paper aims to compare the classification of race/skin color based on the discrete categories used by the Demographic Census of the Brazilian Institute of Geography and Statistics (IBGE) and a skin color scale with values ranging from 1 (lighter skin) to 10 (darker skin), examining whether choosing one alternative or the other can influence measures of self-evaluation of health status, health care service utilization and discrimination in the health services.