Hypokalemic respiratory paralysis due to distal renal tubular acidosis as the presenting manifestation of Sjögren's syndrome
We report a 48-year-old lady, who presented with respiratory paralysis, bulbar weakness, and flaccid quadriplegia. She had severe hypokalemia (1.11 mEq/L), metabolic acidosis (pH = 7.09), hyperchloremia (120.8 mEq/L), and normal anion gap (11.2). An ammonium chloride test was consistent with the diagnosis of distal RTA. She recovered completely with potassium and alkali supplementations. Clinical features, positive Schirmer's test, and autoantibody screening were suggestive of diagnosis of SS. Hypokalemic periodic paralysis and respiratory involvement may occur as a first and rare complication of SS with distal RTA. Im...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Spontaneous intramural small-bowel hematoma due to a rare complication of warfarin therapy: Report of two cases
Publication date: March 2014 Source:Journal of Acute Medicine, Volume 4, Issue 1 Author(s): Chih-Ming Ou Yang , Tien-Fa Hsiao , Yenn-Hwei Chou , Juei-Shan Chang , Tong-Jong Chen Spontaneous intramural small-bowel hematoma secondary to warfarin therapy has been reported in the literature, but this complication of anticoagulant therapy is still considered rare. Here we report two cases of spontaneous nontraumatic jejunal intramural hematoma treated in our institution. After emergent admission for acute abdomen, both cases were found to have a history of warfarin therapy for atrial fibrillation. Prothrombin time, act...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Effect of Aloe vera gel on antioxidant enzymes in streptozotocin-induced cataractogenesis in male and female Wistar rats
Conclusion In conclusion, our data demonstrate the protective role of AV leaf extract in inhibiting STZ-induced diabetic oxidative stress, and therefore, this plant could be used as an adjuvant agent for the prevention and/or management of diabetes and aggravated antioxidant status. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
In vitro combinational efficacy of ceftriaxone and leaf extract of Combretum albidum G. Don against multidrug-resistant Pseudomonas aeruginosa and host-toxicity testing with lymphocytes from human cord blood
Conclusion This study provided the result of synergistic activity of the combination of crude leaf extract of C. albidum with CE against MDR P. aeruginosa. The leaf extract was nontoxic to human lymphocytes. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Acetylcholinesterase inhibitor and cytotoxic activity of some novel acetazolamide cyclocondensed azetidinones
Conclusion Acetazolamide-cyclocondensed azetidinones might prove interesting as potential AChE inhibitors and cytotoxic compounds, and should be investigated further. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
The needs and potential solutions for improvement of workplace violence management in emergency departments in Taiwanese hospitals
Conclusion This study investigated the need for improvement in the management of workplace violence in Taiwanese EDs. It provides suggestions for integrated and comprehensive approaches to assist hospital managers, policy makers, and occupational health and safety practitioners in developing further effective programs to minimize the risk of workplace violence. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Antibacterial activity of seed extracts of Callistemon lanceolatus DC on uropathogenic bacteria
Conclusion This study shows that C. lanceolatus has an inhibitory effect on uropathogenic bacteria. The antibacterial activity of this plant could be exploited as a therapeutic agent for further investigation of the bioactive compounds responsible for antibacterial activity. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
The role of trauma team activation by emergency physicians on outcomes in severe trauma patients
Conclusion This study shows that TTA may shorten the time from ED to operation room in trauma patients with an ISS > 15. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Lazarus phenomenon in a patient with Duchenne muscular dystrophy and dilated cardiomyopathy
Publication date: June 2014 Source:Journal of Acute Medicine, Volume 4, Issue 2 Author(s): Müge Adanalı , Tolga Sinan Güvenç , Murat Yıldırım Kale , Sibel Onaç , Ülfettin Hüseyinoğlu , Yavuz Karabağ , Bahattin Balcı Lazarus phenomenon (LP) is the spontaneous return of circulation after cessation of resuscitation. We herein report the case of a 21-year-old man with Duchenne muscular dystrophy and dilated cardiomyopathy who was hospitalized in the intensive care unit because of respiratory distress. Three days after the initial admission, the patient experienced asystole and did not respond to resusci...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Noninvasive ventilation in pediatric acute respiratory failure: Two case reports
Publication date: June 2014 Source:Journal of Acute Medicine, Volume 4, Issue 2 Author(s): Gee-Gwo Yang , Neng-Huang Pan , Hui-Ping Tung Acute respiratory failure (ARF) is the main cause of cardiac arrest in children. Many studies suggest noninvasive ventilation (NIV) without endotracheal tube intubation (ETI) in the treatment of pediatric ARF. However, there are many important considerations, such as identifying the patient, proper timing for the NIV procedure, and the appropriate setting. We used NIV in a 6-year-old ARF patient and a 14-year-old ARF patient. NIV can produce positive results in children with ARF as...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Refractory status epilepticus after accidental intrathecal injection of tranexamic acid
Publication date: June 2014 Source:Journal of Acute Medicine, Volume 4, Issue 2 Author(s): Gourav Goyal , Atulabh Vajpayee , Rama Kant , Rambir Singh Tranexamic acid (TXA) is an antifibrinolytic agent that is commonly used in cardiac, gynecologic, and obstetric surgeries. Inadvertent intrathecal injection of the TXA may lead to serious side effects including myoclonus, seizure, and ventricular fibrillation. So far, the proconvulsive properties of TXA and its mechanism of action are poorly understood. Medical error leads to serious adverse effects that can be attributed to similar appearance of ampoules, location of...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Relationship between medical specialty and emergency department rotation performance of postgraduate year 1 residents
Conclusion The success of PGY-1s in achieving learning outcomes after 1-month EM training was correlated with the degree of primary care of the specialty. The structured workplace assessment tool, mini-CEX, provided a more accurate evaluation compared with the single monthly global rating score. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Evaluation of central nervous system stimulating and analgesic activities of Murraya koenigii leaves
Conclusion It is evident that ethanol extract of M. koenigii leaves exhibits CNS stimulating and analgesic activities in in vivo models. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Antibacterial activities of acetonides prepared from the seed oils of Calophyllum inophyllum and Pterocarpus osun
In this study, oil was extracted from the seeds of C. inophyllum and P. osun, analyzed for fatty acid composition, and the oils were then converted into acetonides by simple chemical reactions. The acetonides synthesized from these oils were tested for antimicrobial activities. The oil yield from C. inophyllum (41.96 ± 2.0%) and P. osun (10.16 ± 0.5%) was fairly high. C18:1 was the most dominant fatty acid in C. inophyllum (36.88 ± 0.20%), whereas C18:2 was the most dominant form in P. osun (38.97 ± 0.50%). Acetonides were produced from the oils with a yield of 91.70% for C. inophyllum and 92.10% for P. osun. T...
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
Protective effect of Emilia sonchifolia on azaserine-induced pancreatic dysplasia
Conclusion The results suggest that Emilia sonchifolia can be used as a therapeutic agent against precancerous lesions which could prevent pancreatic dysplasia. (Source: Journal of Acute Medicine)
Source: Journal of Acute Medicine - October 12, 2014 Category: Emergency Medicine Source Type: research
