Scleroderma and body piercing.
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Biomedical subjects
Publications and source records attributed to Linda Myers.
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Pathogenic mechanisms of renal injury by thrombotic microangiopathies present a challenge to the multidisciplinary team caring for a patient with thrombotic thrombocytopenic purpura-hemolytic uremic syndrome (TTP-HUS). First recognized 77 years ago as a rare disorder characterized by reversible platelet aggregation in the microcirculation causing ischemia in various organs, the prognosis was always fatal. In the past 20 years, due to effective treatment with plasma exchange therapy, there has been a decline in the mortality rate to 10-20%. The classic pentad of symptoms of TPP-HUS include thrombocytopenia, microangiopathic hemolytic anemia, neurologic abnormalities, fever, and renal impairment. Frequency of TTP-HUS appears to be increasing. Due to the urgent need for a diagnosis, sufficient diagnostic criteria for TTP-HUS are currently thrombocytopenia and microangiopathic hemolytic anemia in the absence of another apparent cause. It is imperative to have a solid understanding of the pathophysiology and current standards of practice of TTP-HUS in order to facilitate positive patient outcomes in this unique group of patients.
BACKGROUND: For a blind or visually impaired person, a vital prerequisite to accessing any feature of the built environment is being able to find this feature. Braille signs, even where available, do not replace the functions of print signage because they cannot be read from a distance. Remotely readable infrared signs utilise spoken infrared message transmissions to label key environmental features, so that a blind person with a suitable receiver can locate and identify them from a distance. METHODS: Three problems that are among the most challenging and dangerous faced by blind travellers are negotiating complex transit stations, locating bus stops and safely and efficiently crossing light-controlled intersections. We report the results of human factors studies using a remote infrared audible sign system (RIAS), Talking Signs(R), in these critical tasks, examining issues such as the amount of training needed to use the system, its impact on performance and safety, benefits for different population subgroups and user opinions of its value. RESULTS: Results are presented in the form of both objective performance measures and in subjects' ratings of the usefulness of the system in performing these tasks. Findings are that blind people can quickly and easily learn to use remote infrared audible signage effectively and that its use improves travel safety, efficiency and independence.? CONCLUSIONS: The technology provides equal access to a wide variety of public facilities.
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