The literature on economic voting notes that voter’s subjective evaluations of the overall state of the economy are correlated with vote choice, whereas personal economic experiences are not. Little is known about how voters acquire information about the general state of the economy, and how this information is then used to determine vote choice. To better understand this process, we asked a se...

This paper provides a uni ed theoretical and empirical analysis of three longstanding explanations for the consistent loss of support for the President's party in midterm Congressional elections: (1) a electoral penalty by voters in midterm elections against the President's party, (2) a surge and decline in voter turnout, and (3) a reversion to the mean in voter ideology. To quantify the contri...

POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) is a paraneoplastic syndrome driven by plasma cell dyscrasias. We report a patient with novel initial manifestation of polyneuropathy, which was considered due to Sjögren's syndrome but with poor response to methylprednisolone (120 mg/d) and intravenous immunoglobulin (IVIg). Further investiga...

Polyneuropathy, organomegaly, endocrinopathy, M-protein and skin changes (POEMS) syndrome is a rare paraneoplastic disorder associated with an underlying plasma cell dyscrasia and multiorgan failure. POEMS syndrome is potentially fatal and adversely affects quality of life. Oedema is common with many patients affected by pleural effusions, ascites and lower limb oedema. Bioelectrical impedance ...

Sheehan's syndrome or Simmond's disease is a rare endocrine disorder seen in clinical practice. The clinical spectrum is diverse and a high index of suspicion together with a good clinical acumen and proper diagnostic approach helps in early diagnosis and prompt treatment of this endocrinopathy. Sheehan's syndrome presenting as a major depressive disorder finds less mention in the literature. T...

POEMS syndrome is a rare paraneoplastic syndrome that is caused by an underlying plasma cell disorder. Its main features include polyradiculoneuropathy, organomegaly, endocrinopathy, monoclonal plasma cell disorder, and skin changes. Other important characteristics of POEMS include papilledema, extravascular volume overload, sclerotic bone lesions, and thrombocytosis/erythrocytosis (PEST). Vasc...

Introduction: Perioperative hypothermia is a common phenomenon with a wide differential diagnosis. We present a unique case of hypothermia following cesarean section under spinal anesthesia. Case report: A 32 years old female, first IVF pregnancy with twins, underwent cesarean section under spinal administration of bupivacaine and morphine. About four hours after operation’s end, body temperatu...