Cardinal symptoms of encephalitis include fever, headache, neck stiffness, photophobia, confusion and seizures. Clinical examination will reveal altered mental status ranging from somnolence to lethargy and coma. Delirium, cranial nerve palsies, ataxia, rash and sign of increased intracranial pressure may be seen. It is not always possible to ascertain the specific cause of encephalitis from cl...

A 15-year-old man presented with stupor following a motorcycle traffic accident. The patient was diagnosed with a traumatic left carotid cavernous fistula (CCF) with pseudoaneurysm of the left internal carotid artery. Brain magnetic resonance imaging (MRI) showed transiently restricted diffusion in the left centrum semiovale white matter and lower temporo-occipital area extending to the spleniu...

INTRODUCTION The term narcotic has had wide and inconsistent usage in lay, legal and scientific circles. Some use the word to characterize any drug which produces stupor, insensibility or sleep; many apply it only to derivatives of the opium plant ( `opiates'); others consider the term equivalent to 'addiction-producing'; and in legal matters, 'narcotics' may refer to almost any allegedly dange...

According to geographical distribution, Nezara viridula (Heteroptera: Pentatomidae) can be found across tropical, subtropical, and temperate regions and this pattern is assumed to reflect differences in thermal adaptation, particularly in cold tolerance. Here the lethal temperature (LT) and critical thermal limits (CTL) (thermal tolerance) are examined for N. viridula. The upper LT for N. virid...

A two-week-old male neonate was admitted to a district hospital with a short history of poor feeding, rapid grunting respirations and pyrexia. Bilateral extensive consolidation was noted and the patient was transferred to a general hospital for further management. On admission, the neonate was obtunded with tachypnoea, pyrexia and extensive crepitations in the chest. Chest radiographs (Fig. 1a)...

This article focuses on the traumatic memory of technogenic disasters in human history XX and early XXI. The uses method oral history, which is based biographical testimonies people who were at epicenter explosion Chernobyl nuclear power plant Fukushima-1 plant. notes that trauma its study are becoming more common today scientific interests researchers various sciences, namely concept - continu...

A 45-year-old man was brought to our hospital by Ambulance having been found lying unconscious on the pavement. On admission he was obtunded with a Glasgow Coma Score (GCS) of 6 (E1, V1, M4), but maintaining his airway. He was pyrexial (temperature 38.58C) and tachycardic with a pulse rate of 106 beats per minute. His blood pressure was 142/96mmHg and capillary blood glucose 6.2mmol/l. There wa...

The capacity of morphine to suppress natural and precipitated withdrawal was compared in morphine-dependent rhesus monkeys. A similar severity of withdrawal was induced by 14-hr deprivation or precipitated by naloxone, naltrexone, cyclazocine, Win 44,441 or MR 2266. Regardless of the procedure used to induce withdrawal, behavioral signs were completely suppressed by a cumulative dose of 17.5 mg...

The cerebellar infarction resulting from supratentorial craniotomy is uncommon event and its management has been controversial. After removal of space occupying lesion on right frontal area, two cases of remote cerebellar infarctions occurred. We reviewed each cases and the techniques to manage such complications are discussed. Early extraventricular catheter insertion and midline suboccipital ...

Sir: I would like to make a few comments on an article that appeared in the July 1980 issue of your Journal, 'Double-blind crossover trial of oral meptazinol, pentazocine and placebo in the treatment of pain in the elderly'. The authors state that the equi-analgesic dose of 100 mg of meptazinol is 60 mg of Talwin. The authors then compare 100 mg of meptazinol to 25 mg of Talwin, 1/2 the equi-an...