scholarly journals Migratio ovi et seminis extrauterina

2020 ◽  
Vol 8 (3) ◽  
pp. 259
Author(s):  
N. Kakushkin

Case I. Peasant woman, 31 years old, giving birth; after a two-month absence of menstruation, sudden pain in the lower abdomen and loss of consciousness. Hemorrhage in the posterior Douglas space and general peritonitis. The posterior fornix was opened through the vagina (blood and pus). The patient died.

2020 ◽  
Vol 7 (4) ◽  
pp. 355-356
Author(s):  
A. Hermonius

The patient, 32 years old, came to the author at the end of May with suspicion of some abdominal tumor. She has been married for 6 years, was not pregnant. Since the end of last year, she began to suffer from bleeding and pain in the lower abdomen. On examination, the patient turned out to be a well-fed woman. In the abdomen, a swelling is felt that goes 3 fingers above the navel and resembles a pregnant uterus when examined; dorsum of the fetus to the right, small parts to the left. The heartbeat could be heard only for a very short time, to the right of the navel, and upon repeated auscultation, it was not heard at all. The vaginal part is soft and loosened. Resistance is felt in the anterior and posterior fornix, which is softer than the fetal head. Diagnosis: pregnancy, complicated by presentation of the child's place or endometritis.


2014 ◽  
Vol 19 (5) ◽  
pp. 3-12
Author(s):  
Lorne Direnfeld ◽  
David B. Torrey ◽  
Jim Black ◽  
LuAnn Haley ◽  
Christopher R. Brigham

Abstract When an individual falls due to a nonwork-related episode of dizziness, hits their head and sustains injury, do workers’ compensation laws consider such injuries to be compensable? Bearing in mind that each state makes its own laws, the answer depends on what caused the loss of consciousness, and the second asks specifically what happened in the fall that caused the injury? The first question speaks to medical causation, which applies scientific analysis to determine the cause of the problem. The second question addresses legal causation: Under what factual circumstances are injuries of this type potentially covered under the law? Much nuance attends this analysis. The authors discuss idiopathic falls, which in this context means “unique to the individual” as opposed to “of unknown cause,” which is the familiar medical terminology. The article presents three detailed case studies that describe falls that had their genesis in episodes of loss of consciousness, followed by analyses by lawyer or judge authors who address the issue of compensability, including three scenarios from Arizona, California, and Pennsylvania. A medical (scientific) analysis must be thorough and must determine the facts regarding the fall and what occurred: Was the fall due to a fit (eg, a seizure with loss of consciousness attributable to anormal brain electrical activity) or a faint (eg, loss of consciousness attributable to a decrease in blood flow to the brain? The evaluator should be able to fully explain the basis for the conclusions, including references to current science.


1997 ◽  
Vol 35 (1) ◽  
pp. 67 ◽  
Author(s):  
D I Chung ◽  
H H Kong ◽  
H S Yu ◽  
J Kim ◽  
C R Cho

2008 ◽  
Vol 5 (1) ◽  
pp. 81-88
Author(s):  
Philip Berry

When life-threatening illness robs a patient of the ability to express their desires, medical personnel must work through the issues of management and prognosis with relatives. Management decisions are guided by medical judgement and the relatives’ account of the patient’s wishes, but difficulties occur when distance grows between these two factors. In these circumstances the counselling process may turn into a doctor-led justification of the medical decision. This article presents two strands of dialogue, in which a doctor, counselling for and against continuation of supportive treatment in two patients with liver failure, demonstrates selectivity and inconsistency in constructing an argument. The specific issues of loss of consciousness (with obscuration of personal identity), statistical ‘futility’ and removal of autonomy are explored and used to bolster diametrically opposed medical decisions. By examining the doctor’s ability to interpret these issues according to circumstance, the author demonstrates how it is possible to shade medical facts depending on the desired outcome.


2019 ◽  
Vol 26 (3) ◽  
pp. 227-234 ◽  
Author(s):  
Meriem Bencharif ◽  
Ibrahim Sersar ◽  
Maroua Bentaleb ◽  
Fatima Zohra Boutata ◽  
Youcef Benabbas

Abstract Background and aims: The diabetic exempted from fasting by religion, wishing or not to observe the fast, is exposed like any other during Ramadan to a change in lifestyle. The objective of this study was to highlight the effects of Ramadan fasting on diabetes. Material and methods: Multicentre study on 899 diabetics was carried to collect data on the behaviour of diabetics with regard to the fast of Ramadan, biochemicals and anthropometry parameters. Results. The sample consists of 541 diabetic fasters (DTMF) and 358 no fasters. The causes of interruption of fasting were: hypoglycemia (82.4%), dehydration (44.5%), hyperglycemia (12.6%), high blood pressure (13.7%), loss of consciousness (8.3%). The risk factors related to fasting for DTMF were the type of diabetes and gender. Discussion and modifications about dietary, blood glucose monitoring and nutritional education sessions showed a protective effect against the occurrence of hypo and hyperglycemia and loss of consciousness. Decreasing differences were noted for Hb1Ac, LDL and Total-Cholesterol between before and after Ramadan. The weight of DTMF decreased in post-Ramadan (p=0.0000). Conclusion. There is a need to consider regular preventive measures based on public information on the effects of diabetes related complications and the benefits of a balanced diet combined with regular physical activity in nutrition education sessions.


2020 ◽  
Vol 20 (2) ◽  
pp. 253-256 ◽  
Author(s):  
Mahnaz Arian ◽  
Mina AkbariRad ◽  
Ahmad Bagheri Moghaddam ◽  
Abdollah Firoozi ◽  
Mohammad Jami

: Allopurinol is an FDA -Approved xanthine oxidase inhibitor, which is effective in the treatment of gout, hyperuricemia and uremic kidney stones in patients with an increased level of uric acid excretion. Xanthine oxidase acts by converting hypoxanthine and xanthine into uric acid, and therefore its inhibition results in decreased production of uric acid. The most common side effects of this medication are as follows: maculopapular rashes, hives, itching, headache, dizziness, abnormal hair loss, fever and hypersensitivity reaction. Case Presentation: This report represents a case of drug-induced meningitis of a senile man who ended up in the ICU due to the remarkably reduced state of consciousness.


Sign in / Sign up

Export Citation Format

Share Document