OBJECTIVE We evaluate the prevalence, etiology, and outcomes of hypoglycemia requiring emergency medical services (EMS) in patients without diabetes mellitus (non-DM). METHODS We reviewed medical records of all ambulance calls for non-DM with blood glucose <70 mg/dl in Olmsted County, Minnesota, between January 1, 2003, and December 31, 2009. RESULTS A total of 131 patients (age 51 ± 19 yea...

Autoantibodies present in the serum of patients with a variety of inflammatory diseases have proven useful as diagnostic markers and as probes with which to elucidate biochemical and signaling pathways. The mechanisms governing the generation of autoantibodies remain elusive, constituting a critical missing link in our understanding of rheumatologic illnesses. Several lines of experimentation i...

More patients in the intensive care unit are surviving their critical illnesses because of advances in medical care. This change in survival has led to an increased awareness of the emotional consequences of being critically ill. Posttraumatic stress disorder has been identified in approximately 9% to 27% of critically ill patients compared with 7% of the general US population. Risk factors suc...

Neuromuscular disorders are commonly encountered in the critical care setting. Patients with known neuromuscular disorders, such as Guillain-Barré syndrome or myasthenia gravis, are admitted when weakness compromises the patient’s ability to protect his or her airway or threatens ventilatory failure. Patients admitted with ventilatory failure of unknown cause may be diagnosed with a neuromuscul...

BACKGROUND Time-sensitive, critical surgical illnesses require care at specialized centers. Trauma systems facilitate patient transport to designated trauma centers, but formal systems for nontraumatic critical illness do not exist. We created the critical care resuscitation unit to expedite transfers of adult critically ill patients with time-sensitive conditions to a quaternary academic medic...

background one of the main components involving in the pathogenesis and prognosis of sepsis and septic shock is natriuretic peptide. hemodynamic changes in sepsis or septic shock might explain increased plasma levels of these peptides circulations. objectives the present study aimed to assess the value of brain natriuretic peptide (bnp) in prediction of sepsis state and its related morbidity. w...

Neurodegenerative disorders are nervous system that result in the loss of neuronal structure and function. As shown Alzheimer's Parkinson's disease, these changes cause a various capacities, including cognition mobility. Several factors have been discovered to play critical role etiology common neurological illnesses, oxidative stress protein misfolding. It's still unclear if or contribute prog...

Effective patient care requires attending as much to patients' personal experiences of illnesses as to their diseases. Diseases are ferreted out by using the conventional medical model, but understanding illnesses requires a different approach. A patientcentred method focuses on four principal dimensions of patients' experiences: their ideas about what is wrong with them; their feelings about t...

sleep disturbance, known as insomnia, is a common symptom of many mental illnesses. insomnia is one of the most prevalent sleep disorders characterized by sleep difficulty that affects our life and work safety. several lines of evidence support the primary insomnia as a risk factor/predictor for depression and anxiety disturbances. anxiety disorders and insomnia are common, debilitating and hig...