Glasgow Royal Infirmary: Case of Acute Dementia. Treatment by heat and cold to head, electricity, general massage, etc.: Recovery

1891 ◽  
Vol 37 (156) ◽  
pp. 92-94
Author(s):  
Alex. Robertson

Dr. Robertson stated that the patient had been admitted under his care on the 10th of January last, when she had been ill for about seven weeks. She was a girl of 24 years of age, and her occupation was a linen-dresser. There was no known cause, and her family history was good, except that her father had been subject to some sort of “fits.” She had become gradually weaker, both in body and mind. At first there had been hallucinations both of sight and hearing, and she had complained of headache; but it appeared that these had passed away or been superseded by the advancing stupor. Menstruation had been quite regular, but on the last occasion her mental state had been worse while it continued. When admitted she had a vacant expression of countenance and seemed unable to understand any remark, however simple. She was of filthy habits and required to be fed by the nurse. She was quite passive in every respect. There was marked emaciation; the heart's action was very weak, the pulse was very feeble, and there was coldness and blueness of the extremities. The tongue was coated and brown, the lips were blackish, and there were sordes about them and the teeth. The bowels were constipated, but had been acted on by medicine before admission.

BMJ ◽  
1885 ◽  
Vol 1 (1260) ◽  
pp. 404-404
Author(s):  
M. Thomas

The Lancet ◽  
1877 ◽  
Vol 109 (2796) ◽  
pp. 458-459
Author(s):  
Charteris

Author(s):  
Lívia Perissé Baroni Wagner ◽  
Verônica de Azevedo Mazza ◽  
Silvana Regina Rossi Kissula Souza ◽  
Anna Chiesa ◽  
Maria Ribeiro Lacerda ◽  
...  

Abstract Objective: To describe the strengthening and weakening factors for breastfeeding. Method: This is a descriptive multiple case qualitative study, conducted in Curitiba, Parana, with members of 17 families with children between 6 and 12 months old, through semi-structured interview and construction of genograms, analyzed by the strategy of cross case synthesis. Results: 28 people participated in the study. Strengthening factors for breastfeeding were: the desire to breastfeed; child with facility for breastfeeding; mother with time available to the child; previous breastfeeding experience and family history of breastfeeding; the support and encouragement to breastfeed. Weakening factors were: negative expectations; the myth of weak milk; child’s disease; maternal illness; negative experiences of the mother; the absence of family history of breastfeeding; lack of a support network. Conclusion: Breastfeeding is a family and social phenomenon. Therefore, practices that go beyond the mother-baby dyad are necessary. The care process should include the social and subjective dimension, strengthening the support network of nursing mothers, in order to obtain more satisfactory professional practices that promote breastfeeding.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Isma N Javed ◽  
Nazir AHMAD ◽  
Deborah J Lockwood ◽  
Karen J J Beckman ◽  
Stavros Stavrakis

Introduction: Long QT syndrome (LQTS) was first described in the 1960s. It manifests clinically as syncope, cardiac arrest or sudden cardiac death. LQTS can be caused by 15 different genes. These mutations lead to action potential prolongation by causing impaired repolarizing currents. Case Discussion: A 29-year-old previously healthy Caucasian woman was admitted after recurrent episodes of syncope that happened within 1-month prior to the presentation. She was hemodynamically stable with normal vitals. Her ECG showed normal sinus rhythm with corrected QT (QTc) of 598ms. In the ED, she suffered an episode of sustained monomorphic ventricular tachycardia (VT) and underwent cardioversion. She was started on amiodarone infusion. Serial ECGs showed prolonged QTc. She had another episode of pulseless VT that terminated without defibrillation. She was transferred to our facility for further care. Her family history was significant for paternal aunt who had died unexpectedly at the age of 39. All her lab work including electrolytes, thyroid panel, cardiac enzymes, inflammatory markers and extended drug screen was unrevealing. Transthoracic echocardiogram showed normal biventricular size and function. Decision making: She was started on propranolol for possible LQTS. Cardiac MR did not show any evidence of structural abnormalities. Genetic panel was sent. Since myocarditis or familial LQTS could not be ruled out, we proceeded with implantable cardioverter defibrillator (ICD) implantation for secondary prevention. She was discharged home on nadolol. Conclusion: In the absence of genetic information, LQTS can be diagnosed in symptomatic patients with QTc >480msec on serial ECGs after excluding secondary causes. Schwartz score comprising of ECG findings, symptoms, clinical & family history is diagnostic when greater than 3.5. Beta-blockers are indicated in all patients with a clinical diagnosis. Patients must avoid any QT prolonging agents and strenuous exercise. An ICD is indicated in patients who suffered cardiac arrest. ICD may also be considered for primary prevention in high risk patients.


BMJ ◽  
2012 ◽  
pp. e8178
Author(s):  
Rishi Srivastava ◽  
Claudia Nogueira

Author(s):  
Jie Jack Li

Surgical standards before antiseptics starkly contrasted to the surgical art today. Conditions were especially atrocious for amputations and for compound fractures in which the bones penetrated the skin and were exposed to the air. Patients who did not die from the surgery often died of postsurgical infections and subsequent blood poisoning. James Young Simpson, a Scottish surgeon and obstetrician who was the first to use chloroform as an anesthetic (see chapter 7), once said of surgical operations: “A man laid on the operating table in one of our surgical hospitals is exposed to more chance of death than the English soldier on the battlefield of Waterloo.” The mortality rate in hospitals after surgeries was 40–60%. During the American Civil War, the surgical fatalities were just as horrific as those from combat. A commonly used antiseptic in the battlefield was exceedingly corrosive nitric acid (HNO3— ouch!). However, in 1867, Joseph Lister’s use of carbolic acid, whose chemical name is phenol, as an antiseptic changed the prospect of surgery. In Greek, septic means “rotten.” Antiseptics, in turn, are substances used to treat a person to prevent the occurrence of infection. They are also known as germicides. Joseph Lister (1827–1912) was born to a Quaker family in southern England. His father, Joseph Jackson Lister, was a wine merchant and a wellknown microscopist. In his youth, Joseph Lister practiced surgery under the tutelage of James Syme in Edinburgh and married Agnes, his mentor’s daughter. He had to give up his religion because Quakers at that time did not allow marriages outside the faith. That turned out to be a worthwhile sacrifice, because his marriage brought him lifelong joy. Lister became a surgeon at Glasgow Royal Infirmary in 1860. He was acutely conscious of the appalling conditions in the infirmaries and determined to do something about postsurgical infections. In 1865, Lister was introduced to Louis Pasteur’s exploits with germs by Thomas Anderson, chair of the chemistry department at Glasgow. Afterward, he personally repeated all the experiments that Pasteur published. However, simple and direct applications of the Pasteurization process would not be ideal during surgery—after all, boiling patients would not be acceptable.


1993 ◽  
Vol 3 (2-3) ◽  
pp. 239-253
Author(s):  
Ernst van Alphen

Abstract Charlotte Salomon's painted life history took shape in an extremely gruesome period: World War II. But Salomon's personal family history is also excep-tional: Almost her whole family committed suicide. This article explores the question of whether it is meaningful, or even legitimate, to refer to a work emerging from such a violent reality as a work of art. The article focuses on the many self-reflective passages in the images and text that deal with the function of art and the ways it is made. It is argued that Salomon did not provide the fate of her family and the horrible war with a deeper meaning in order to liberate herself from their horror. She did not write a realistic account of her reality, nor did she create an alternative world for it. Rather, her life history is a performance in the strictest sense: doing the work of working through her reality. (History; art criticism) A "life-testimony" is not simply a testimony to a private life, but a point of conflation between text and life, a textual testimony which can penetrate us like an actual life. (Shoshana Felman & Dori Laub, 1992, Testimony. Crises of Witnessing in Literature, Psychoanalysis, and History, p.


BMJ ◽  
1872 ◽  
Vol 1 (587) ◽  
pp. 334-335
Author(s):  
W. T. Gairdner

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