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Deep Learning Technology: Sebastian Arnold, Betty van Aken, Paul Grundmann, Felix A. Gers and Alexander Löser. Learning Contextualized Document Representations for Healthcare Answer Retrieval. The Web Conference 2020 (WWW'20)
Funded by The Federal Ministry for Economic Affairs and Energy; Grant: 01MD19013D, Smart-MD Project, Digital Technologies
At the time of first PANS presentation, note any family history of pharyngitis, impetigo, perianal dermatitis, and GAS infections. If possible, family members should have a throat swab cultured for GAS. Ongoing vigilance against GAS infections in any of the patient’s close contacts is important, as symptom exacerbations have been reported following exposure to a sibling with GAS (even when the PANDAS patient had no evidence of infection). Prompt medical attention to symptoms suggestive of streptococcal infection is important not only to protect the patient, but also siblings, who may be at an increased genetic risk for PANS.
Additionally, studies have shown a high rate of concurrent autoimmunity in patients with PANS and their first degree family members further supporting a role for inflammation in PANS.
Brief psychotic disorder is a period of psychosis whose duration is generally shorter, is not always non-recurring, but can be, and is not caused by another condition.
The exact incidence and prevalence of brief psychotic disorder is not known, but it is generally considered uncommon. Internationally, it occurs twice as often in women than men, and even more often in women in the United States. It typically occurs in the late 30s and early 40s. The exact cause of brief psychotic disorder is not known. One theory suggests a genetic link, because the disorder is more common in people who have family members with mood disorders, such as depression or bipolar disorder. Another theory suggests that the disorder is caused by poor coping skills, as a defense against or escape from a particularly frightening or stressful situation. These factors may create a vulnerability to develop brief psychotic disorder. In most cases, the disorder is triggered by a major stress or traumatic event. Childbirth may trigger the disorder in some women. Approximately 1 in 10,000 women experience brief psychotic disorder shortly after childbirth. There are general medical causes of brief psychosis that should also be considered when being evaluated. Post-natal depression, HIV and AIDS, malaria, syphilis, Alzheimer's disease, Parkinson's disease, hypoglycaemia (an abnormally low level of glucose in the blood), lupus, multiple sclerosis, brain tumor and PANS.
The European Food Safety Authority concluded that chromium is not an essential nutrient, making this the only mineral for which the United States and the European Union disagree. The proposed mechanism for cellular uptake of Cr via transferrin has been called into question. There is no proof that chromium supplementation has physiological effects on body mass or composition, and its use as a supplement may be unsafe. A 2014 systematic review concluded that chromium supplementation had no effect on glycemic control, fasting plasma glucose levels, or body weight in people with or without diabetes.
Chromium may be needed as an ingredient in total parenteral nutrition (TPN), since deficiency may occur after months of intravenous feeding with chromium-free TPN. For this reason, chromium is added to normal TPN solutions for people with diabetes, and in nutritional products for preterm infants.
The symptoms of chromium deficiency caused by long-term total parenteral nutrition are severely impaired glucose tolerance, weight loss, and confusion. However, subsequent studies questioned the validity of these findings.
The United States Environmental Protection Agency (EPA) does not generally recommend sampling unless an occupant of the space has symptoms. Sampling should be performed by a trained professional with specific experience in mold-sampling protocols, sampling methods and the interpretation of findings. It should be done only to make a particular determination, such as airborne spore concentration or identifying a particular species. Before sampling, a subsequent course of action should be determined.
In the U.S., sampling and analysis should follow the recommendations of the Occupational Safety and Health Administration (OSHA), National Institute for Occupational Safety and Health (NIOSH), the EPA and the American Industrial Hygiene Association (AIHA).
Types of samples include air, surface, bulk, and swab. Air is the most common form of sampling to assess mold levels. Indoor and outdoor air are sampled, and their mold-spore levels compared. Air sampling often identifies hidden mold. Surface sampling measures the number of mold spores deposited on indoor surfaces, collected on tape or in dust. Bulk removal of material from the contaminated area is used to identify and quantify the mold in the sample. With swab, a cotton swab is rubbed across the area being sampled, often a measured area, and subsequently sent to the mold testing laboratory. Final results indicate mold levels and species located in suspect area.
Multiple types of sampling are recommended by the AIHA, since each has limitations; for example, air samples will not identify a hidden mold source and a tape sample cannot determine the level of contamination in the air.
The first step in assessment is to non-intrusively determine if mold is present by visually examining the premises; visible mold helps determine the level of remediation necessary. If mold is actively growing and visibly confirmed, sampling for its specific species is unnecessary.
Intrusive observation is sometimes needed to assess the mold level. This includes moving furniture, lifting (or removing) carpets, checking behind wallpaper or paneling, checking ventilation ductwork and exposing wall cavities. Detailed visual inspection and the recognition of moldy odors should be used to find problems. Efforts should focus on areas where there are signs of liquid moisture or water vapor (humidity), or where moisture problems are suspected.
Anti-ligature is the "prevention" of tying or binding. Anti-ligature devices are used to prevent vulnerable people from accidentally or intentionally self harming, (typically hanging). Anti-ligature devices and equipment are primarily used where people are considered to be 'at risk' such as hospitals, prisons and nursing homes, but can also be found in some offices and schools.
They are designed to withstand high levels of abuse and as a result are constructed from solid stainless steel and have minimal moving parts. They typically feature sloped or curved corners to which nothing can be attached and are proportioned at specific critical angles and distances with no protruding parts to prevent ligature points.
Examples of anti-ligature devices can include electronically controlled tap-less wash basins and seat-less WC pans with concealed WC cisterns and anti-ligature shower controls and shower heads.
Strangling is compression of the neck that may lead to unconsciousness or death by causing an increasingly hypoxic state in the brain. Fatal strangling typically occurs in cases of violence, accidents, and is one of two main ways that hanging may cause death (alongside breaking the victim's neck).
Strangling does not have to be fatal; limited or interrupted strangling is practised in erotic asphyxia, in the choking game, and is an important technique in many combat sports and self-defence systems.
Strangling can be divided into three general types according to the mechanism used:
- Hanging—Suspension from a cord wound around the neck
- Ligature strangulation—Strangulation without suspension using some form of cord-like object called a garrote
- Manual strangulation—Strangulation using the fingers or other extremity
Diagnosis typically is based on physical signs, X-rays, and improvement after treatment.
Almost all plant and animal species synthesize vitamin C. Notable mammalian exceptions include most or all of the order Chiroptera (bats), and one of the two major primate suborders, the "Anthropoidea" (Haplorrhini) which include tarsiers, monkeys, and apes, including human beings. The Strepsirrhini (non-tarsier prosimians) can make their own vitamin C, and these include lemurs, lorises, pottos, and galagos. Ascorbic acid is also not synthesized by at least two species of Caviidae, the capybara and the guinea pig. There are known species of birds and fish that do not synthesize their own Vitamin C. All species that do not synthesize ascorbate require it in the diet. Deficiency causes scurvy in humans, and somewhat similar symptoms in other animals.