Severe cardiac and neurologic toxicities of tricyclic antidepressant (TCA) overdose have been reported since the introduction of TCAs in 1950s. Despite the decreased numbers of TCA overdoses, the mortality and morbidity rates of TCA overdose have remained constantly high. Clinical manifestations of TCA overdose are characterized by unconsciousness and specific electrocardiography (ECG) abnormal...

Crimean-Congo hemorrhagic fever (CCHF) is a potentially fatal systemic disease in children caused by a tick- borne virus. Many different clinical and laboratory findings are seen in CCHF. We report here an atypical presentation of CCHF with hyponatremia. CCHF with electrolyte imbalance is not reported before. A 4-year-old girl presented with fever, fatigue and unconsciousness with hyponatremia....

In the present essay, we aim to develop an expressivist reading of the phenomenon of first-person authority and the adverbial meaning of unconsciousness. In the first part, Wittgenstein's grammatical remarks on the asymmetry between the first -and third-persons in psychological self-ascriptions are developed as an alternative to detectivist explanations according to which first-person authority...

With modern light anaesthesia the problem of awareness during surgery has defied analysis, because no physical sign reliably signals the conscious level. A test has been developed which entails direct communication with the patient at the end of surgery, noting the earliest moment after withdrawal of nitrous oxide at which he makes the appropriate response to a verbal request, the "time to corr...

BACKGROUND The term, "triphasic wave" originally described an EEG pattern believed to be a marker for a specific stage of hepatic coma. For 4 decades, the diagnostic and prognostic specificity of the pattern remains controversial. Its pathophysiology also continues to be elusive. METHODS EEG recordings were obtained in three patients known or suspected to have primary generalized epilepsy. In...