Crumpler’s aunt was a woman who spent much of her time caring for sick neighbors and friends. In the beginning of her book, A Book of Medical Discourses, she explained that being surrounded by the work of her aunt is what made her form a liking to relieving the suffering of others, which is what pushed her to go into medicine. Crumpler became a nurse, a profession that did not require formal education in that time, and cared for patients in Massachusetts for eight years. She was eventually admitted to the New England Female Medical college in 1860, and graduated in 1864. She was the first and only African American to graduate the school due to it closing in 1873.
Most rare finding is splenic rupture(18-19). Also in our case no spesific symptom or sign was present. İn this case report; an advance stage HCC patient which has no spesific symptom, incidentally detected and has rarely seen multiple splenic metastases was summarized. İn our country a case report including 2 cases about this subject is present(8). İn conclusion; it shouldnt be forgotten that HCC can metastate to spleen even it is rarely seen and HCC should be considered when the splenic metastases were
It was discovered that was 160 percent of plasma levels that value of controls of 95 percent. Seventeen out of nineteen subjects had free L-tryptophan and plasma level. It also other components like substance abuse and levels of plasma can result in violent behavior. The low levels of plasma in L-tryptophan can cause aggression. High levels of plasma an cause no significant difference in aggressive behaviors patterns of criminal offenders (Tihonen, Virkkunan, Rusanen, Pennnanen, Sainio, Callaway, Halonwn, &Liesiviouri,
METHODS In a prospective clinical trial study of 80 patients, with displaced mid-shaft fractures of the clavicle were referred to Ortho OPD in a tertiary care hospital. These patients were deliberately placed into two treatment groups: non-surgical (with figure-eight bandage) and surgical (with DCR plate fixation). All patients of the surgical group underwent ORIF. Clinical examination, fracture radiography and shoulder scores were recorded for all patients at the end of 12 weeks. Shoulder function is measured by the constant shoulder
Furthermore, the results produced at 6 months in 6 patients post attack failed to demonstrate any significant difference between the phacomorphic and contralateral eye but there was already significant RNFL thinning detected on OCT. Lee et al faced the same problem, the mean deviation (MD) in there study was −5.8 ± 3.7 decibels (db) and the PSD was 4.2 ± 3.0 db. There was no significant difference in the PSD between the attack (4.2 ± 3.0 db) and contralateral eye (3.1 ± 1.1 db) (p = 0.7). There was also no significant correlation between the RNFL thickness on OCT and the PSD on VF (p = 0.2)29. Hence our study demonstrated that there is progressive RNFL thinning going on despite of removal of cause of raised IOP (cataract). The effect was seen some where between 3 months and 6 months post attack in superior and inferior
Peripheral smear study showed reduced number of RBC which were normocytic and hypochromic along with tear drop cells and moderate anisopoikilocytosis, WBCs with reduced number and normal distribution and platelets with reduced number and normal morphology which was suggestive of pancytopenia. Serological testing of blood sample by ELISA showed a positive reaction to HIV-1 antibodies which was confirmed by further analysis. CD 4 count was 18 cells/mm3. Blood culture and urine analysis did not reveal any abnormality. Serological testing for HBsAG, Anti-HCV, toxoplasma were negative.
(Kapur et al, 2000). These patients appeared to have normal flashbulb memories. But these memories were inconsistent with the FL damage impairing memory of source. When the same was asked to older adults, no relation was found between flashbulb memory and FL function (Davidson and Glisky, 2002). Healthy people, MTL/D patients and FL patients were tested about the tragedy of September 11.
(Borrel-Carrio,Suchman,Epstein, 2004). This model was devised by George L. Engel in 1977 and is now used worldwide by physicians instead of the biomedical model. (Wise Geek,2014) With the biomedical model, physicians simply considered the pathology, physiology and biochemistry of a disease before giving a diagnosis. Doctors never discussed treatment options with patients, instead giving them one treatment option which patients were expected to accept. This model was devised in the mid-nineteenth century and was used widely by physicians until the biopsychosocial model came into existence.
They concluded that in a population of medical intensive care unit spontaneously breathing patients, just before extubation, the presence of leaking around the endotracheal tube rules out postextubation stridor. On the other hand Engoren(12) in his study that was conducted in a cardiovascular ICU after cardiac surgery over 531 extubations in 524 cardiac surgery patients disagree with all previous results. Twenty patients among them had positive leak test (a leak ≤ 110 mL). None of the 20 patients with a positive leak test developed problems. Three patients had postextubation stridor.
In the current study, a new treatment (bladder distension) was compared with the currently available treatment (misoprostol). This study aimed to reveal that uterine straightening by bladder distension was not inferior to misoprostol in relieving the pain experienced by postmenopausal patients during office hysteroscopy. At the time of study design, there were no studies in literature that reported the use of vaginal misoprostol (400µg) 12 hours before office hysteroscopy in postmenopausal patients. Available studies either included heterogeneous population of patients (postmenopausal patients and patients of reproductive age) or investigated different regimens of misoprostol administration in postmenopausal patients undergoing office hysteroscopy[6, 7,