From India
Article Abstract:
The practice of rheumatology in India differs from that in more developed countries. Tuberculosis is common there and provides many challenges to physicians. Diagnosis is more often based on symptoms and appearance of lesions, as laboratory facilities for bacterial study are often lacking. However, when tuberculosis affects multiple joints, it is not diagnosed easily or early. One patient had arthritis which spread to several joints which was diagnosed and treated as rheumatoid arthritis. Tuberculosis was not suspected until a discharge developed. Tuberculosis of bone is another variant that has been observed. Presentations of tuberculosis that are not typical are also a problem. One patient with systemic lupus erythematosus, treated with steroids, developed nodules and fever. Tests for bacteria were inconclusive, and tuberculosis was not diagnosed until a lesion softened and was examined. Patients who have depressed immune function due to steroid therapy or other treatment are also at risk for developing tuberculosis, as is also the case in more developed countries. It is not always clear whether such patients should be given preventive treatment. A recent study of patients given kidney transplants concluded that preventive therapy was not helpful. It is also not clear whether patients with rheumatic disorders, who often take immunosuppressive drugs, would not be helped by prophylactic therapy. Another aspect of rheumatology in India is the different incidence of diseases among the affluent and poor. Ulcerative colitis is frequently diagnosed among the affluent, and is accompanied by arthritis, as it is in industrialized countries. The more affluent are also prone to rheumatoid arthritis, but this is usually confined to joint disease. The poor have ulcerative colitis less often than the rich and rarely have accompanying arthritis. Reactive arthritis (noninfected inflammatory joint disease which arises after non-joint infections) is as common in the poor as rheumatoid arthritis, however. Whether these disease patterns also occur in other developing countries is uncertain. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: Annals of the Rheumatic Diseases
Subject: Health
ISSN: 0003-4967
Year: 1991
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Girl power
Article Abstract:
Nurses who wish to move into management may be dissuaded by the dominance of a hierarchial structure in the UK National Health Service often perpetuated by men. Nurses who do become leaders are accused, by other nurses, of lacking understanding. A more feminine style of management is more suitable to a caring profession. All workers are considered to be of equal value and the managers remain accessible to everyone. The workers try to work together rather than compete against each other and the managers are less secretive. Feminine leadership is based on collaboration, caring and understanding.
Publication Name: Nursing Times
Subject: Health
ISSN: 0954-7762
Year: 1998
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Borges in the afterlife
Article Abstract:
Jorge Luis Borge's poem 'The Web' serves as an autobiographical tribute to his multinational, multicultural upbringing. As possessive as the Argentines are about their late, renowned poet, the fact remains unchanged that he chose to die from cancer in Geneva despite his love for Buenos Aires. It was a quieter, more peaceful place. In his lifetime however, he was enthralled with the idea of his own immortality and would have enjoyed all of the events and festivities that are scheduled for the anniversary celebration of his 100th birthday in 1999.
Publication Name: The New York Times Book Review
Subject: Business, general
ISSN: 0028-7806
Year: 1999
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