An extradural catheter was inserted at the third lumbar interspace for relief of pain during labour in a 21-year-old gravid patient. Attempts to withdraw the catheter met with resistance and produced severe pain in the distribution of the second left lumbar nerve. Radiography revealed an acutely angled loop of the catheter over the L2-3 nerve root.

This Essay analyses Islamic law and attempts to apply it to issues surrounding end-of-life care. The author concludes that Islam allows physicians to withdraw life-sustaining technologies if there is no hope for a cure, in the effort to prevent prolonged suffering.

Glucocorticoids are associated with immunosuppression and neuropsychiatric complications. We describe the case of a carcinoid patient with Cushing's syndrome (CS) and neurocognitive impairment due to ectopic ACTH production who developed sepsis and died because of his family's decision to withdraw antibiotic treatment. This report is presented to illustrate the importance of advanced-care plann...

Eighteen patients with polymyalgia rheumatica had corticosteroid treatment withdrawn abruptly under close observation. In each case polymyalgic symptoms reappeared but were controlled rapidly when prednisolone was reintroduced. Prednisolone withdrawal was then started by slow decrements of dose. In no patient was it possible to withdraw prednisolone treatment, after using either method, during ...

Quebec's government recently withdrew its proposal to impose a form of user fees for health care. The decision to withdraw was likely correct, and Quebec and other provinces may learn, from the proposal's flaws, how future reforms could be more successful.

The patient was a man with a Björk-Shiley mitral valve prosthesis. During a hemodynamic study, the angiographic catheter inserted into the left ventricle inadvertently passed into the atrium through the minor orifice of the prosthesis, which immobilized the disc (Figure 1). On trying to withdraw it, we noted resistance. All attempts to withdraw it failed. We were able to advance it once again, ...

Abstract Sustainable groundwater resources are a critical issue for national development in developing countries like Egypt, which is characterized by semi-arid to arid climate and low per capita share of fresh water as result progressive population increase especially after the construction Great Ethiopian Renaissance Dam. It mandatory adopt modify methods suitable preserving efficient use ava...

question, when, if at all, is it morally wrong to withdraw The case of a sperm donor objecting to the transfer of embryos consent? Arguably, moral questions are always open to interformed from his donation can be likened to disputes over pretation, however, until recently in Victoria, Australia, so too frozen embryos, where the sperm provider and the egg provider was the legal question. This ar...