A 30-year-old woman crashed her car into a parked car after leaving work. She was restrained, and the car’s airbag did not deploy. When the paramedics arrived, she was confused and unable to answer questions appropriately. En route to the hospital, she had tonic-clonic seizure that lasted approximately 45 seconds. Upon arrival at the emergency department, she was unresponsive. Her vital signs w...

The condition of the respiratory system is more important for endurance exercise performance of healthy subjects than hitherto assumed. Not only do respiratory muscles fatigue during intensive endurance exercise, but prefatigued respiratory muscles can also impair performance. In turn, respiratory endurance training can improve endurance exercise performance.

This clinical report provides current recommendations regarding the selection and use of drugs in preparation for pediatric emergencies. It is not intended to be a comprehensive list of all medications that may be used in all emergencies. When possible, dosage recommendations are consistent with those used in current emergency references such as the Advanced Pediatric Life Support and Pediatric...

One of England's four homeopathic hospitals is at risk of closure because of primary care trusts' reluctance to refer patients outside the NHS mainstream. Other homeopathic hospitals are also facing severe financial problems Kent PCT, which runs Tunbridge Wells Homeopathic Hospital and also refers the majority of patients, is consulting on whether to vet all referrals made by GPs to the hospita...

Human hepatocyte transplantation is undergoing study as a bridge, or even alternative, to orthotopic liver transplantation (OLT). This technique has undergone multiple developments over the past thirty years in terms of mode of delivery, source and preparation of cell cultures, monitoring of graft function, and use of immunosuppression. Further refinements and improvements in these techniques w...

Microscopic colitis is a syndrome of chronic watery diarrhoea for which no cause can be identified other than the presence of diffuse, chronic inflammation in the lamina propria on colonic biopsy. Endoscopically and radiologically the colon appears normal. We studied case records of 215 patients presenting to our institution over a three year period with chronic diarrhoea. Nineteen patients wer...

Haematuria is a common finding in children. It is important to identify the underlying cause whenever possible so that appropriate follow-up is organised, particularly if the child is at risk of developing renal impairment or renal failure in later life. Until recently nephrologists relied on renal biopsy with examination under the electron microscope to make a diagnosis, but genetic testing ca...

2 9 The individual waste management quantities reported are mutually exclusive to avoid double-counting. For example, an incinerator may destroy 99% of the chemical in the waste; in this case, the amount reported as treated on-site would be the amount destroyed by the incinerator, not the amount that entered the incinerator. The amount not destroyed in incineration (1%) would be reported as rel...