Rotation among opioids to minimize side effects and improve analgesia is a common clinical strategy in pain and palliative care. Methadone is frequently prescribed during opioid rotation, either by mouth or intravenously (IV) with patient-controlled analgesia (PCA) at home. However, there is a lack of consensus on rotation strategies from other opioids to methadone, as well as on conversion rat...

Three tourists developed eosinophilic meningitis after visiting the Fijian Islands. Two had a severe and long lasting illness with chronic intractable pain. In one patient electrophysiological studies and MRI scan of the brain were abnormal and provided evidence of both radicular and cerebral parenchymal involvement by the most likely causative agent, Angiostrongylus cantonensis.

Background: Seborrheic dermatitis is one of the most common skin diseases. Objective: The purpose of this study was to compare the topical and oral ketoconazole in treatment of intractable cases of seborrheic dermatitis referring to Faghihi Hospital in Shiraz. Patients and Methods: This study was performed on 80 cases of intractable seborrheic dermatitis in 1376-1378. The patients were randomiz...

Carvedilol (6.25 mg, 4 times daily) relieved 2 years of constant hiccupping, marked tardive dyskinesia, compulsive self-induced vomiting, and feelings of hopelessness and low mood in a 59-year-old African-American man. He previously failed trials of ranitidine, chlorpromazine, promethazine, tegaserod, ondansetron, metoclopramide, pantoprazole, pyloric injections of botulinum toxin A, and a vaga...

We examine several variants of the Diffie-Hellman and Discrete Log problems that are connected to the security of cryptographic protocols. We discuss the reductions that are known between them and the challenges in trying to assess the true level of difficulty of these problems, particularly if they are interactive or have complicated input.

This paper presents a new concept in cryptography called the sibling intractable function family SIFF which has the property that given a set of initial strings colliding with one another it is computationally infeasible to nd another string that would collide with the initial strings The various concepts behind SIFF are presented together with a construction of SIFF from any one way function A...

Corresponding Author: J. Akhondian MD Ghaem Medical Center,Mashad,Iran Tel: +98 511 8012469 Fax: +98 511 8417451 Email: [email protected] Abstract Objective Epilepsy is a common disorder affecting approximately 1% of the population. It is estimated that about 2030% of the patients become refractory to proper medical therapies. Such cases are often termed intractable. Intractable epilepsy (I...

(i) a theorem that is closely related to Erdös and Rado’s sunflower lemma, and claims a stronger statement in most cases, (ii) a new approach to prove the exponential monotone circuit complexity of the clique problem, (iii) NC 6= NP through the impossibility of a Boolean circuit with poly-log depth to compute cliques, based on the conctruction of (ii), and (iv) P 6= NP through the exponential c...

OBJECTIVE Some patients with treatment resistant depression may have a difficult to recognize and therefore untreated thought disorder. Even a subtle disorder may significantly impact patients' lives. This case illustrates a mechanism for identifying and treating this subgroup of patients. METHOD The treatment of a 67-year-old female with intractable depression is described. RESULTS The Ror...

67 ACUPUNCTURE IN MEDICINE 2003;21(1-2):63-64. www.medical-acupuncture.co.uk/aimintro.htm Dear Editor A gentleman (RH) of my acquaintance was unfortunate enough to be involved in a road traffic accident where he mistakenly pulled out in front of a Cherokee Jeep. The Jeep’s near-side struck RH’s car at a speed between 45 and 55 miles per hour. RH was treated in the local hospital after various X...