Stress cardiomyopathy should be considered with unexpected hypotension in pregnant women

Staphylococcus lugdunensis; a pathogen that should be considered in Iran

Background: Staphylococcus lugdunensis is Gram-positive cocci of the staphylococcaceae family. S. lugdunensis despite having a clotting factor (wall coagulase), was classified in the coagulase negative staphylococcus group (CoNS) for lack of free coagulase. Although this bacterium is part of the human normal flora, in terms of virulence, S. lugdunensis is in second place after S. aureus. S. lug...

Should intravenous thrombolysis be considered the first option in pregnant women?

T he current package insert for tissue plasminogen activator (t-PA) indicates that consideration of its use in pregnancy must include risks weighed against anticipated benefits. Major risks in the current patient include a bad functional outcome from an evolving stroke with a National Institutes of Health Stroke Scale of 12 and known M2 occlusion, risk of intracere-bral hemorrhage from thrombol...

Should Euthanasia Be Considered Iatrogenic?

As more countries adopt laws and regulations concerning euthanasia, pediatric euthanasia has become an important topic of discussion. Conceptions of what constitutes harm to patients are fluid and highly dependent on a myriad of factors including, but not limited to, health care ethics, family values, and cultural context. Euthanasia could be viewed as iatrogenic insofar as it results in an out...

Should all pregnant women be screened for hypothyroidism?

Should antioxidant status be considered in interventional trials with antioxidants?

The last decade has seen many trials with antioxidants in patients with cardiovascular disease, with equivocal results. One possible explanation for the disappointing findings is the lack of identification criteria of patients who are potential candidates for antioxidant treatment. Several studies have been carried out in patients at risk of cardiovascular disease, indicating that enhanced oxid...