Irish journal of medical science
-
To detail our experience using dexmedetomidine in combination with propofol for airway foreign body removal in spontaneously breathing patients. ⋯ Dexmedetomidine and propofol intravenous anesthesia provided good anesthesia without causing respiratory depression. However, this technique related to more hemodynamic depression in elderly patients than in pediatrics.
-
To investigate the efficacy of the Ilizarov technique with bone segment extension in tibial infected nonunion. ⋯ The Ilizarov technique with bone segment extension is effective in treating tibial infected nonunion with large bone defects.
-
Dense deposit disease (DDD) is a rare renal disease related to the dysregulation of the alternative pathway of the complement cascade, caused by several factors including the presence of an autoantibody to C3 nephritic factor, mutations in factor H and autoantibodies to this protein. DDD is characterized by C3 accumulation with absent or scanty immunoglobulin deposition. ⋯ In conclusion, a program of urine screening for asymptomatic proteinuria and hematuria to detect children with kidney disease before they experience loss of kidney functions should be considered. Children diagnosed with DDD should have the opportunity to get treatment early on and to be followed very closely.
-
Biography Historical Article
Daniel John Cunningham-a multifaceted person: anatomist, author, anthropologist, academician and an able administrator.
Daniel John Cunningham was born on 15 April 1850 in Scotland. After his initial schooling at his home town, Crieff, he took up the study of medicine at the University of Edinburgh and passed with honours. He is best known for the excellent series of dissection manuals, namely Cunningham's Dissection Manuals. ⋯ He was a much respected man at both the cities of Edinburgh and Dublin. Above all, he strove for excellence with a human touch and his colleagues remembered him as a great human being. He passed away on 23 June 1909 at his home in Edinburgh.
-
Pre-pregnancy care improves pregnancy outcomes in type 1 diabetes mellitus (T1DM). Continuous subcutaneous insulin infusion (CSII) therapy and multiple daily injection (MDI) therapy can both be used to achieve glycaemic targets, but few data are available to compare their efficacy in pre-pregnancy care. ⋯ Pre-pregnancy care delivered by a specialist multi-disciplinary team effectively reduces HbA1c levels peri-conception. CSII use results in lower HbA1c levels in pre-pregnancy care in selected individuals and should be considered in women with T1DM planning pregnancy.