It could be more serious than you think!

Fluid therapy might be more difficult than you think.

Robert G. Hahn, MD, PhD Young anesthesiologists have long been taught that the replacement of losses is the key target in the management of IV fluid therapy. During surgery, a fluid deficit is undoubtedly created by preoperative fasting, surgical blood loss, evaporation, and urinary excretion. The vasodilatation induced by many forms of anesthesia allows the vascular space to contain more plasm...

You have more capital than you think.

Senior executives typically delegate the responsibility for managing a firm's derivatives portfolio to in-house financial experts and the company's financial advisers. That's a strategic blunder, argues this Nobel laureate, because the inventiveness of modern financial markets makes it possible for companies to double or even triple their capacity to invest in their strategic assets and compete...

Celiac disease: more common than you think.

Celiac disease--a chronic immune-mediated disorder primarily affecting the gastrointestinal tract--is being increasingly recognized, but because half of all cases present atypically or silently, awareness needs to be high, especially in primary care. The diagnosis is based on clinical suspicion combined with laboratory testing and can be established by a primary physician. Early diagnosis will ...

Medicine's lottery losers: it could be you.

Social comparison theory and people with mild intellectual disabilities: it is more complex than you think

Social comparison theory offers an understanding of the effect of deinstitutionalisation on the development of self-concept for people with intellectual disabilities (Finlay & Lyons, 2000). Social comparison theory predicts that people with intellectual disabilities living in the community will make comparisons with nondisabled groups and as such their self-concept will decrease because of nega...