“Difficult to Flush Chemoport: An Important Clinical Sign”

A clinical sign to predict difficult tracheal intubation: a prospective study.

It has been suggested that the size of the base of the tongue is an important factor determining the degree of difficulty of direct laryngoscopy. A relatively simple grading system which involves preoperative ability to visualize the faucial pillars, soft palate and base of uvula was designed as a means of predicting the degree of difficulty in laryngeal exposure. The system was evaluated in 21...

Neonatal hypoglycaemia: an important early sign of endocrine disorders.

The incidence of hypoglycaemia is greatest in the neonatal period, and the condition is usually associated with "small for dates" infants, although rare causes have been described.' Persistent neonatal hypoglycaemia, however, is usually caused by endocrinopathies or disorders of hepatic metabolism.2 We present some ofour experience of endocrine disease presenting as neonatal hypoglycaemia as th...

Micropenis: an important early sign of congenital hypopituitarism.

Micropenis is an important sign in neonates, since it may be the only clue to the diagnosis of panhypopituitarism, a potentially lethal but eminently treatable condition. Case reports Case 1-A boy infant was delivered at 37 weeks' gestation after an uncomplicated pregnancy. Birth weight was 2200 g. He was asphyxiated and successfully resuscitated but remained hypotonic. Jaundice developed on th...

Don't rush to flush

Encouraging sustainable water use is a critical endeavor in addressing issues associated with shortand long-term droughts. Toilets account for up to 26.7% of indoor household water use. Therefore substantial opportunity exists to conserve water via reduced flushing after urination at home. Here, we use an online survey (N 1⁄4 1008) to identify barriers to reduced flushing. The majority of parti...

Prevention of Iodine Deficiency: Difficult to Implement, More Difficult to Sustain