Infective endocarditis is most often seen affecting the left side of the heart, with the pulmonary valve being the least frequently involved valve. The most common organisms responsible for infective endocarditis are Staphylococcus aureus and Streptococcus viridans. Here we report a rare case of pulmonary valve endocarditis due to Streptococcus pneumoniae, a rare pathogen for this setting. The clinical features, presentation, and review of the literature are discussed.
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Reduction of Bitterness and Enhancing Palatability of Cetirizine Oral Liquid Dosage Forms by Cyclodextrins
The aim of this manuscript is to study cyclodextrins (CDs) as a potential excipient to suppress bitterness and enhance palatability of pediatric liquid preparations for Cetirizine, an extremely bitter drug. Natural α, β and γ CDs; and β CD derivatives such as hydroxyl propyl (HP), randomly methylated (RM) and sulfobutyl ether (SBE) β-CDs were screened in different molar ratios of 1:1, 1:2 and 1:3 for their inhibition of the extremely bitter taste of Cetirizine using the human gustatory sensation test.
Criminal Review Board of Forensic Psychological Evaluations in Relation to Appeal Hearings: A Culturally Responsive Police Accountability Paradigm
This paper provides a paradigm for the creation of a civilian review board. To illustrate this model, themes of a civilian board’s connection to the community, establishment of the board, and criminal psychological implications for the future of the selection and retention of police officers are discussed.
Non-arteritic anterior ischemic optic neuropathy (NAION) is an entity that is caused by circulatory insufficiency which affects the proximal portion of the optic nerve. NAION is characterized by the following triad: abrupt and painless loss of vision, optic disc smelling and nerve fiber bundle defects in the visual field of the affected eye.