Beyond Fever and Pain: Diagnostic Methods for Chikungunya Virus Minireviews

Chikungunya virus (CHIKV) is an alphavirus that is primarily transmitted by Aedes species mosquitoes. Though reports of an illness consistent with chikungunya date back over 200 years, CHIKV only gained worldwide attention during a massive pandemic that began in East Africa in 2004. Chikungunya, the clinical illness caused by CHIKV, is characterized by a rapid onset of high fever and debilitating joint pain, though in practice, etiologic confirmation of CHIKV requires the availability and use of specific laboratory diagnostics. Similar to infections caused by other arboviruses, CHIKV infections are most commonly detected with a combination of molecular and serological methods, though cell culture and antigen detection are reported. This review provides an overview of available CHIKV diagnostics and highlights aspects of basic virology and epidemiology that pertain to viral detection. Although the number of chikungunya cases has decreased since 2014, CHIKV has become endemic in countries across the tropics and will continue to cause sporadic outbreaks in naive individuals. Consistent access to accurate diagnostics is needed to detect individual cases and initiate timely responses to new outbreaks.
Source: Journal of Clinical Microbiology - Category: Microbiology Authors: Tags: Minireviews Source Type: research

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Hello, I am a current fellow. I have been talking with a group (PMR) and they are asking me to take call. I don't know exactly how this works from a monetary standpoint and I was hoping someone could fill me in. It is 1:4 call and it is a week on at a time. Rounding Sat and Sun on a unit of around 10-12. I am assuming I don't get paid for taking call at night which means I will only make what I bill on the weekends. Is that correct? If there is anyone who has done this as a PMR doc does this... Advice on Taking Call
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Conclusion: Hypothetical risk factors for obstruction of the vermifor m appendix detected on CT were not associated with acute appendicitis. That suggests that factors other than those related to mechanical obstruction are implicated in the pathogenesis of acute appendicitis.Resumo Objetivo: Avaliar a correla ção de critérios morfológicos do apêndice cecal por tomografia computadorizada (TC) e o risco de apendicite aguda. Materiais e Métodos: Casos foram definidos como apendicite aguda confirmada cirurgicamente que tiveram pelo menos dois exames de TC: um no diagnóstico de ap...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Abstract Objective: To determine the size of the ischiofemoral space (IFS) and quadratus femoris space (QFS) in patients with and without ischiofemoral impingement (IFI). Materials and Methods: Case-control study including consecutive patients submitted to magnetic resonance imaging (MRI) of the hip joint during a three-month period. Patients with deep gluteal pain who tested positive for IFI on at least one clinical test and showed signal changes in the quadratus femoris muscle on MRI were categorized as having a confirmed diagnosis of IFI. Results: Final sample comprised 50 patients submitted to unilateral MRI of the hip...
Source: Radiologia Brasileira - Category: Radiology Source Type: research
Publication date: Available online 19 August 2019Source: Aggression and Violent BehaviorAuthor(s): Heng Choon Chan, Rebecca W.Y. WongAbstractAnimal cruelty has been a growing concern worldwide, and is broadly defined as all socially unacceptable behaviors that are intentionally perpetrated to cause unnecessary pain, suffering, distress, and/or death to an animal. This review synthesizes more than 87 research studies identified through online databases and manual search of specific studies. Findings denote that beating, hitting, or kicking, shooting, strangling or smothering, stabbing, and sexual abusing are reported to be ...
Source: Aggression and Violent Behavior - Category: Psychiatry & Psychology Source Type: research
Uvodich M, Schwend R, Stevanovic O, Wurster W, Leamon J, Hermanson A. Patterns of Pain in Adolescents with Slipped Capital Femoral Epiphysis. J Pediatr 2019;206:184-9.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Current Best Evidence Source Type: research
Conclusion Auricular acupuncture is a promising practice for the treatment of chronic back pain in adults.
Source: Revista da Escola de Enfermagem da USP - Category: Nursing Source Type: research
WORCESTER (CBS) – It’s the latest generation of robotic surgery, but don’t worry there’s a doctor controlling its every move. And that means increased precision and shorter recovery times. WBZ got a surgeon’s eye view of how it works. “What’s important about the robot for me is that this is the way technology is going to go for the next generation,” said Dr. John Kelly, the chief of general surgery at UMass Memorial Medical Center in Worcester. We were able to observe him performing gastric sleeve surgery for weight loss and he used four robotic arms to do it. “I can ...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Boston News Health Syndicated CBSN Boston Syndicated Local Watch Listen Dr. Mallika Marshall Robotic Surgery UMass Memorial Medical Center Source Type: news
Sammy Margo, a physiotherapist in North London, and Dr Rod Hughes, a consultant rheumatologist, give the lowdown on gadgets and remedies for the pain. We then rated them.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
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