We present a clinical case that we did not find described in literature and yet is quite common in primary care. The patient described is female with a diagnosis of diabetes mellitus treated with insulin and poor clinical response according to glycated haemoglobin measurements. In addition to the main diagnosis, she also shows excessive sweating in palms and feet, which explains why her blood s...

BACKGROUND Plantar hyperhidrosis is a common illness with significant impact on quality of life. Oxybutynin presents good short-term results, but longer follow-up results are lacking. We evaluated oxybutynin effectiveness in patients who were not surgically treated and who had at least six months of follow-up. METHODS From September 2007 to September 2013, 85 consecutive patients were enrolle...

BACKGROUND The purpose of this study was to identify predictors of health decline among older adults with clinically diagnosed community acquired pneumonia (CAP). It was hypothesized that older adults with CAP who had lower levels of social support would be more likely to report a decline in health. METHODS A telephone survey was used to collect detailed information from older adults about th...

Nyctanthes arbortristis Linn. is a well documented plant. The present study is done to establish the diuretic activity of the water-soluble portions of the ethanolic extracts of its flowers, barks, seeds and leaves. In toxicity study, the extracts were seen to be safe up to the dose of 2.0 gm/kg. For the estimation of diuretic activity, the parameters studied were total urine volume and urine c...

Ticagrelor is an antiplatelet agent prescribed to prevent the development of adverse cardiac events after acute coronary syndrome (ACS). According to the PLATO trial, ticagrelor is associated with ventricular pauses in the first week of treatment; however, these episodes were felt to be asymptomatic and nonfatal to the patient. We present a case of ticagrelor related second-degree type II heart...

The aqueous and ethanolic extract of leaves of Coleus aromaticus was evaluated for diuretic activity. Both extracts were evaluated by determination of urine volume and electrolyte concentration in albino rats. Results revealed that both the aqueous and ethanolic extract at dose 500mgl kg showed significant diuretic activity by increasing the total volume of urine and concentration electrolyte. ...

Metastatic paragangliomas are rare tumours, which characteristically secrete high levels of catecholamines, thereby giving rise to symptoms such as headaches, palpitations and profuse sweating. Orthostatic hypotension also results from these types of tumours, however the aetiology of this remains unclear. Here we describe a 40 year old lady with metastatic paraganglioma whose initial diagnosis ...

TNF: tumor necrosis factor INTRODUCTION Hyperhidrosis is a disorder caused by overactivity of the eccrine glands and characterized by excessive sweating beyond what is essential for thermoregulation. Its prevalence is 3% in the US population and affects men and women equally. Hyperhidrosis can be classified as either primary, which tends to be focal, or secondary, which tends to be more general...

A doctoral student in a lab where I had previously worked was apparently doing well. Bill had already published a first author manuscript in a high impact journal and had a second under review. Unfortunately, however, Bill's laboratory colleagues were less than professional, and he was frequently the butt of jokes and catty whispering. These unprofessional behaviors were, in my view, typical of...

Two unusual anaerobic vibrio-like organisms were recovered from blood cultures of two patients. One isolate was identified as Desulfovibrio desulfuricans. It appeared to be the cause of a 24-h episode of fever, chills, and profuse perspiration. This is apparently the first documented report of human infection due to this organism. The second isolate was a Succinivibrio species. It has rarely be...