Irish journal of medical science
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Case Reports
Anaphylaxis due to suxamethonium--manifested at induction of anaesthesia by bradycardia and cardiac arrest.
This case report describes an unusual presentation of a severe anaphylactic reaction following induction of anaesthesia in an elderly male patient. Full recovery followed protracted resuscitation.
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Modern treatment of foot and ankle disorders must be based around the restoration of normal function and only if the biomechanics of the foot and ankle are properly understood can appropriate treatment programmes be planned. In the past such programmes have been arbitrary, often based on fusion which could not ever restore normal foot function. However, when one combines the experience of historical treatment techniques with modern biomechanical principles, a new and modern approach can be adopted so that new treatment protocols can be developed.
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Analysis of renal stones may help in elucidating the pathogenesis of nephro-lithiasis. This study compared the use of 2 methods for the analysis of renal stones. One method is qualitative dry 'spot tests' whereas the other is quantitative 'wet chemistry.' In the wet chemistry method, dissolved stone material were analysed using automated chemistry analysers, whereas, the dry method involved spot colour end-point detection. ⋯ The majority of stones were calcium oxalate as determined by wet chemistry (57.4 per cent) and spot tests (50.0 per cent). Fewer mixed stones were obtained by the wet chemistry method (16.8 per cent) compared with the spot tests method (39.0 per cent), whereas, more uric acid stones were obtained by the wet chemistry method (5.6 per cent) compared with the spot tests method (1.9 per cent). 'Pure' calcium phosphate stones (3.0 per cent) were only obtained by the wet chemistry method. In the wet chemistry method, dissolved stone material did not show significant deterioration on storage for up to 9 days.