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The overall mortality rate of identified cases is about 14% Mortality is age-related, ranging from less than 1% in persons under 24 years of age to greater than 50% in persons over 65 years of age Poor prognostic factors include advanced age, chronic hepatitis B infection treated with lamivudine, high initial or high peak lactate dehydrogenase concentration, high neutrophil count on presentation, diabetes mellitus, and low counts of CD4 and CD8 on presentation Many subclinical cases probably go undiagnosed Seasonality, as with influenza, is not established

public class ListBoxTest { private string[] strings; private int ctr = 0; // initialize the ListBox with strings public ListBoxTest( params string[] initialStrings ) { // allocate space for the strings strings = new String[256]; // copy the strings passed in to the constructor foreach ( string s in initialStrings ) { strings[ctr++] = s; } } // add a single string to the end of the ListBox public void Add( string theString ) { if ( ctr >= strings.Length ) { // handle bad index } else strings[ctr++] = theString; } // allow array-like access public string this[int index] { get { if ( index < 0 || index >= strings.Length ) { // handle bad index } return strings[index]; } set { // add new items only through the Add method if ( index >= ctr ) { // handle error } else { strings[index] = value; }

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rhagic cystitis (types 11 and 34) tend to develop in bone marrow and renal transplant recipients A rapid diagnostic direct fluorescence assay may assist with directing appropriate therapy and a rapid-cycle PCR is currently available Treatment is symptomatic Ribavirin and cidofovir are used in immunocompromised individuals with occasional success, although the use of cidofovir, especially in the immunocompromised, is attendant with significant renal toxicity Immunosuppression should be reduced if possible Adoptive immunotherapy with transfusion of adenovirus-specific T cells is currently being investigated Vaccines are not available for general use Live oral vaccines containing attenuated type 4 and type 7 are used in military personnel

Goncalves MA et al Adenovirus: from foe to friend Rev Med Virol 2006 May Jun;16(3):167 86 [PMID: 16710837] Ison MG Adenovirus infections in transplant recipients Clin Infect Dis 2006 Aug 1;43(3):331 9 [PMID: 16804849] Jin XH et al Molecular epidemiology of adenoviral conjunctivitis in Hanoi, Vietnam Am J Ophthalmol 2006 Dec;142(6): 1064 6 [PMID: 17157595] Yusuf U et al Cidofovir for the treatment of adenoviral infection in pediatric hematopoietic stem cell transplant patients Transplantation 2006 May 27;81(10):1398 404 [PMID: 16732176]

Chan PK et al SARS: clinical presentation, transmission, pathogenesis and treatment options Clin Sci (Lond) 2006 Feb;110(2): 193 204 [PMID: 16411895] Jiang S et al SARS vaccine development Emerg Infect Dis 2005 Jul;11(7):1016 20 [PMID: 16022774] Leung GM et al The epidemiology of severe acute respiratory syndrome in the 2003 Hong Kong epidemic: an analysis of all 1755 patients Ann Intern Med 2004 Nov 2;141(9):662 73 [PMID: 15520422] Li W et al Bats are natural reservoirs of SARS-like coronaviruses Science 2005 Oct 28;310(5748):676 9 [PMID: 16195424] Stockman LJ et al SARS: Systematic review of treatment effects PLoS Med 2006 Sep;3(9):e343 [PMID: 16968120] World Health Organization Severe Acute Respiratory Syndrome (SARS) wwwwhoint/csr/sars

Before you program anything, other than a trivial demonstration program, you need to take two steps: analysis and design. Analysis is the process of understanding and detailing the problem you are trying to solve. Design is the actual planning of your solution. With trivial problems (such as computing the Fibonacci series), you may not need an extensive analysis period, but with complex business problems the analysis process can take weeks, or even months. One powerful analysis technique is to create what are called use-case scenarios, in which you describe in some detail how the system will be used. Among the other considerations in the analysis period are determining your success factors (how do you know whether your program works ) and writing a specification of your program s requirements. Once you ve analyzed the problem, you design the solution. Imagining the classes you will use and their interrelationships is key to the design process. You might design a simple program on the fly, without this careful planning; but in any serious business application, you will want to take some time to think through the issues. There are many powerful design techniques you might use. How much time you put into design* before you begin coding will depend on the philosophy of the organization you work for; the size of your team; and your background, experience, and training.

Instruct the patient in proper anogenital hygiene after treating systemic or local conditions If appropriate, physical therapy and exercises to support the lower spine are recommended

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