A case of a 49-year-old male with exacerbation of eosinophilic granulomatosis with polyangiitis (EGPA) with heart involvement mimicking acute coronary syndrome is presented. Institution of intensive immunosupresive treatment resulted in the improvement of clinical condition and systolic left ventricular function. Coronary angiography excluded atherosclerosis as a primary cause of heart damage.

An 89-year-old man attempted suicide by ingesting a pesticide (trichlorfon). After surviving the initial critical period in the intensive care unit, he developed rapidly progressive distal weakness and sensory disturbance. Electrophysiological examinations revealed sensory motor axonal polyneuropathy. Delayed polyneuropathy is a rare manifestation of organophosphate poisoning. Nerve conduction ...

The present intervention study explored the word learning of 18 children with cochlear implants in response to E-book instruction. Capitalizing on the multimedia options available in electronic storybooks, the intervention incorporated videos and definitions to provide a vocabulary intervention that includes evidence-based teaching strategies. The extent of the children's word learning was asse...

We describe herein a case of a patient who, when in orthostatic positions, had severe hypoxemia and ventilatory dysfunction. Although the severity of symptoms required hospitalization in an intensive care setting, the initial tests only identified the presence of enlarged aortic root, which did not explain the condition. The association of these events with an unusual etiology, namely intracard...

IEEE 802.11 is the most famous protocol for implementation of wireless local area network (WLAN). To access the medium, IEEE 802.11 uses carrier sense multiple access with collision avoidance (CSMA/CA) mechanism, called distributed coordination function (DCF). Although DCF uses binary exponential backoff (BEB) algorithm to avoid frame collisions, wireless resources are wasted due to a lot of co...

The incidence of the shoulder-hand syndrome is unknown. Certainly the condition is less common since early mobilization of patients after myocardial infarction was instituted 10 to 15 years ago (Graham and Rosen, 1962; Woodhouse, 1968). However, the condition has received scant attention in the British literature (Plewes, 1956) and on the basis of published series of patients would seem to be r...

OBJECTIVE To analyze the influence of indigenous condition on essential health care among Mexican children, older people and women in reproductive age. METHODS The influence of indigenous condition on the probability of receiving medical care due to acute respiratory infection (ARI) and acute diarrheal disease (ADD), vaccination coverage; and antenatal care (ANC) was analyzed using the 2012 N...

BACKGROUND System approaches, such as improving working conditions, have been advocated to improve patient safety. However, the independent effect of many working condition variables on patient outcomes is unknown. OBJECTIVE To examine effects of a comprehensive set of working conditions on elderly patient safety outcomes in intensive care units. DESIGN Observational study, with patient out...

The finding that tissue δ(15)N values increase with protein catabolism has led researchers to apply this value to gauge nutritive condition in vertebrates. However, its application to marine mammals has in most occasions failed. We investigated the relationship between δ(15)N values and the fattening/fasting cycle in a model species, the fin whale, a migratory capital breeder that experiences s...

In this paper, we propose a Quality of Service (QoS) architecture, QUANTA, for an end system protocol suite. We use TCP(UDP)/IP over ATM as a testbed to develop the architecture. We measure the application-level QoS in terms of throughput, delay, round trip time, and loss to identify the base-line performance an application can expect from such an environment. From the no-load condition we meas...