scholarly journals COLD CASE: MYXEDEMA COMA TRIGGERED BY PNEUMONIA

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A648
Author(s):  
Kyle Gronbeck
Keyword(s):  
Author(s):  
Cheryl Allsop

This chapter is concerned with the place of forensic science in cold case reviews and the differences in its positioning when comparing cold case murders and cold case stranger rape reviews. It will be suggested in this chapter that there is a reliance on science in cold case reviews but this reliance is not without issue. However, it is a good place to start an investigation, especially in sexually motivated offences, when it can identify a previously unknown offender, link crimes, or open new investigative lines of enquiry to implicate or eliminate offenders. The issues inherent with relying on forensic science in cold case reviews will also be made clear.


Author(s):  
Cheryl Allsop

This chapter considers the development of, and growing interest in, cold case reviews, distinguishing between the instrumental and symbolic politics which surround their development. What becomes clear in this chapter is that the rise in interest can be attributed to a number of individual and interlocking events, including changes in police legitimacy, the introduction of a number of police reforms, and initiatives resulting in changes to police practices, pressure from victims’ rights groups for more attention from the criminal justice system, and advances in scientific techniques and technologies with increasing uses found for them. The chapter briefly considers the political background to cold case reviews, and how this connects with the broader politics of policing along with the instrumental politics of maintaining major crime review teams and the symbolic politics which helps to justify expenditure in cold case reviews.


Author(s):  
Xi Wang ◽  
Hassan Naji ◽  
Ahmed Mezrhab

In the present study, a numerical investigation is carried out for an isothermal case, a hot case and a cold case with FLUENT code. Three turbulence models are considered: the k-ε realisable model, the RNG k-ε model and the RSM linear model. The obtained results are compared to experiments and show generally a good agreement for the mean velocities and temperatures, but less satisfactory for the turbulent stress. The performance of the RSM model is remarkable. Even if none of the models is able to give the exact experimental pattern on the map of turbulence, the RSM model seems able to predict such configuration.


2018 ◽  
Vol 299 ◽  
pp. 61-71
Author(s):  
Magdalena Zubańska ◽  
◽  
Przemysław Knut ◽  

The article addresses the issues relating to the operations of the police Cold Case Units as well as the role of modern forensic tools in solving cases that were dismissed at the pre-trial stage, due to a failure to detect the perpetrators. The second part of the article describes selected methods and tools used at different stages of the X-Files investigations. The innovative solutions described are classified according to the place and purpose of application. Exemplary cases which have been solved with the use of innovative technological solutions are indicated.


2019 ◽  
Author(s):  
Rick Gill ◽  
Matthew McCoyd ◽  
Sean Ruland ◽  
José Biller

Normal neurologic function requires a constantly balanced environment of electrolytes.  Normal hepatic and renal function is critical in maintaining this balance while removing toxins, maintaining a physiologic pH and regulating the excretion of electrolytes.  Nutritional intake provides essential nutrients but deficiencies can lead to characteristic syndromes such as Wernicke's encephalopathy and pellagra and exposure to neurotoxic substances such as heavy metals can lead to encephalopathy.  Thyroid and adrenal dysfunction are common endocrine causes of encephalopathy and symptoms can often improve rapidly with treatment.  A subset of idiopathic encephalopathy is increasingly being recognized as having an autoimmune basis, often presenting as a paraneoplastic process, and having a constellation of symptoms which can aide in the diagnosis.  Timely recognition and treatment of the autoantibodies which target neural structures, with immunosuppressive therapy, can improve outcome in these patients.   This review contains 4 figures, 3 tables, and 42 references. Key words: osmotic demyelination syndrome,hepatic encephalopathy, renal failure, triphasic waves, dialysis disequilibrium syndrome, Wernicke encephalopathy, Korsakoff syndrome, myxedema coma, Hashimoto encephalopathy


2019 ◽  
Author(s):  
Rick Gill ◽  
Matthew McCoyd ◽  
Sean Ruland ◽  
José Biller

Normal neurologic function requires a constantly balanced environment of electrolytes.  Normal hepatic and renal function is critical in maintaining this balance while removing toxins, maintaining a physiologic pH and regulating the excretion of electrolytes.  Nutritional intake provides essential nutrients but deficiencies can lead to characteristic syndromes such as Wernicke's encephalopathy and pellagra and exposure to neurotoxic substances such as heavy metals can lead to encephalopathy.  Thyroid and adrenal dysfunction are common endocrine causes of encephalopathy and symptoms can often improve rapidly with treatment.  A subset of idiopathic encephalopathy is increasingly being recognized as having an autoimmune basis, often presenting as a paraneoplastic process, and having a constellation of symptoms which can aide in the diagnosis.  Timely recognition and treatment of the autoantibodies which target neural structures, with immunosuppressive therapy, can improve outcome in these patients.   This review contains 4 figures, 3 tables, and 42 references. Key words: osmotic demyelination syndrome,hepatic encephalopathy, renal failure, triphasic waves, dialysis disequilibrium syndrome, Wernicke encephalopathy, Korsakoff syndrome, myxedema coma, Hashimoto encephalopathy


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