Acute Cytomegalovirus Infection Associated With Splenic Infarction: A Case Report and Review of the Literature.

Splenic infarction associated with acute cytomegalovirus infection (CMV) in immunocompetent patients was initially described as a very rare occurrence but has been reported in recent years with increasing frequency. Many cases undergo multiple investigations only to leave acute CMV as the likely cause. There is a risk of splenic rupture and, although this complication is rare, fatalities have occurred.

The use of videoconferencing to enhance tertiary mental health service provision to the island of Jersey.

A six-month trial of videoconferencing was undertaken between the States of Jersey Health and Social Services in the Channel Islands and the South London and Maudsley NHS Trust in England. The purpose of the project was to evaluate the effectiveness and benefits of obtaining specialist tertiary mental health services not normally available on the island of Jersey. During the six-month pilot project in 2001, five teleconsultations were conducted: two acute psychiatric assessments and three case reviews.

Death among U.S. Air Force basic trainees, 1956 to 1996.

Background: Basic military training in the U.S. Air Force exposes recruits to multiple environmental and psychological stressors.

Diagnosis of chronic ectopic gestation by hysterosalpingography.

Pelvic ultrasound and human chorionic gonadotropin assays are currently the standard methodology to detect tubal pregnancy. We report a case of infertility investigated by hysterosalpingography in which a clinically unsuspected chronic tubal pregnancy was identified with the predisposing factor of bilateral salpingitis isthmica nodosa. The radiographic findings of this very rare cause of tubal filling defect are shown.