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Fluid and Electrolyte Requirements in Severe Burns
Published in Stephen M Cohn, Ara J. Feinstein, 50 Landmark Papers every Trauma Surgeon Should Know, 2019
EI Evans, OJ Purnell, PW Robinett, A Batchelor, Martin M. Ann Surg
was delayed, “vigorous” shock therapy was often required with the infused volumes increasing as the delay increased and might, when delay was prolonged, exceed the calculated requirements. Equally important, the authors established a urinary output of 25-50 cc per hour as a range that enabled them to protect both the lung and the kidney from iatrogenic excess or deficit.
The Twentieth Century
Published in Arturo Castiglioni, A History of Medicine, 2019
The third method of shock therapy is the electric convulsive shock treatment, which surely has the advantage of being easy to apply. It was first used by cerletti and bini, who published their result in 1938. Willis R. whitney, of Schenectady, discovered that a powerful high-frequency electric oscillator would raise the temperature of those working near it, and other methods of raising the temperature by electrical devices have since been developed.
Definition
Published in Alan Weiss, The Electroconvulsive Therapy Workbook, 2018
The journal was called Convulsive Therapy as this was the most descriptive and least pejorative term when compared to other common terms used to describe ECT at that time, "shock therapy, electroshock and seizure therapy" (McCall et al., 2014). The goal of the journal was to provide a forum for ongoing debate and argument, systematic observation, comparison, deduction and verification of experiences with seizures and psychotic behaviour (Fink, 1985). Over the years, ECT has embraced modern anaesthetic practice, which has largely abolished the convulsion, the outward
Genetic variants in miRNAs differentially expressed during brain development and their relevance to psychiatric disorders susceptibility
Published in The World Journal of Biological Psychiatry, 2021
Clarice Brinck Brum, Vanessa Rodrigues Paixão-Côrtes, Andressa Marques Carvalho, Thais Martins-Silva, Marina Xavier Carpena, Kauana Ferreira Ulguim, Karen Yumaira Sánchez Luquez, Angélica Salatino-Oliveira, Luciana Tovo-Rodrigues
Concerning MIR96, miR-96 expression was observed to be downregulated in mice that did not show learned helplessness – which is an analog for depressive symptoms – after repeated, inescapable shock (Smalheiser et al. 2011). Furthermore, miR-96 seems to regulate the serotonin receptor 1B (HTR1B) gene, which is associated with several psychiatric disorders, including ADHD, aggressive disorders, MDD, and SCZ (Jensen et al. 2009; Gizer et al. 2009; Drago et al. 2010; Sánchez-Mora et al. 2013; Xia et al. 2018). MIR217, which is highly expressed in the amygdala, was observed in response to the induction of PTSD (via stress exposure) in rats (Balakathiresan et al. 2014). In another study, its expression was modified after ketamine and electroconvulsive shock therapy (ECT) treatment enabled the ability to reverse several stress-induced changes to miRNAs (O’Connor et al. 2013). Vaishnavi et al. (2013) examined the Autism Database and observed a deletion in the region 2p16.1-p15, which specifically comprises MIR217. For MIR1249, we were not able to find any previous scientific reports relating to this topic.
Reprogramming the tachycardia parameters with long-detection strategy in patients with pre-existing implantable cardioverter-defibrillator
Published in Acta Cardiologica, 2019
Serdar Bozyel, Mujdat Aktas, Ferit Onur Mutluer, Tumer Erdem Guler, Emir Dervis, Onur Argan, Umut Celikyurt, Aysen Agir, Ahmet Vural
In our study, death occurred in 15 patients. Four patients died nearly one month after reprogramming, three patients at first year and others at second-year follow-up period. There were no hospitalisations recorded because of ICD shocks, electrical storm, syncope or SCD. When device recordings were analysed prior to reprogramming, shock therapy was detected in six of them. In the post- reprogramming period, only two of them received shock therapy. Two patients were shown to avoid possible treatment with new programming. Although lack of delivering well-timed therapy to VF can cause SCD with generically recommended programming, only one death (In PREPARE study) from untreated VF was stated in strategic programming groups of randomised clinical trials 9–12 and prospective observational studies 8.13. In our study, the most common cause of death is progressive congestive heart failure that occurred during hospitalisation. Our results can be regarded as a real-life data that confirms the above-mentioned studies about the relationship with SCD.
The Epidermal Barrier Structure and Function of Re-Harvested Skin from Non-Scalp Donor Sites
Published in Journal of Investigative Surgery, 2023
Bohan Zhang, Peng Luo, Jiachen Sun, Dawei Li, Zhaoxing Liu, Xinzhu Liu, Hongqing Zhao, Zhisheng Li, Xiaoye Xie, Jianqiu Yang, Chuan’an Shen
The enrolled patients were all male, with an average age of (32.33 ± 8.76) years old and an average burn area of (79.67 ± 14.09) %TBSA. Upon admission, the patients received active rehydration for anti-shock therapy to maintain hemodynamic stability, correct hypoalbuminemia, electrolyte balance disturbance, and acid-base imbalance, and protect vital organ functions. Early wounds were treated with silver sulfadiazine or bandaging and kept dry using a suspended bed; large-scale far-infrared irradiation was used to prevent early scab dissolution of necrotic tissue, in addition to active scab protection. Skin grafting was scheduled when the patients showed signs of stable conditions.