ABSTRACT
Neuroleptic malignant syndrome [NMS] is a rare but life threatening condition induced by neuroleptic medications. In severe cases, NMS can rapidly lead to death. NMS is reported less frequently since the advent of new antipsychotic We discuss a 44-year-old male diagnosed with schizoaffective disorder who presented with NMS induced by multiple antipsychotic drugsdrugs
ABSTRACT
Vitamin D deficiency is frequently seen all over the world and recognised as pandemic. This leads to widespread use of vitamin D supplements. Its indiscriminate use potentially may lead to enhance the incidence of vitamin D intoxication, which is considered a rare disorder. We present a case of an 82-year-old female patient diagnosed with rheumatoid arthritis, chronic renal failure, osteoporosis and hypertension controlled by single drug therapy-developed hypercalcemia and hypertensive pulmonary edema due to vitamin D overuse
ABSTRACT
The purposes of this study were [1] to investigate and [2] to compare effects of isometric exercises and electrical stimulation on isokinetic strength for healthy quadriceps femoris muscle. Twenty healthy volunteers [range, 20-25; mean age, 20.9 +/- 1.1 yr] participated in the study. All participants were divided into two groups [Group I and Group II]. Each group consisted of 10 subjects. While Group I received electrical stimulation with Russian current, Group II trained with maximal volunteer isometric exercises [10s contraction and 50 s relaxing periods with 10 repetitions] for three days per week for six weeks. Before and after the training program, each subject was evaluated using the following tests; anthropometrical measurements, fixed weight repetition, step-up, decline squat, single leg hop, and isokinetic assessments [peak torque, work per repetition, initial peak torque, fatigue index, total work done,%BW]. After a 6-week training program, significant differences in terms of physical functioning and isokinetic parameters in the two groups were found [p<0.05]. Physical functioning and isokinetic strength of quadriceps femoris muscle were seen to be increased in two group after training programs [p<0.05]. There were no significant differences between the groups [p>0.05]. Quadriceps femoris hypertrophy was only found in electrical stimulation group [p<0.05]. The results obtained from this study show that the two strengthening techniques just used in the study can be used to improve muscle strength, performance and isokinetic parameters in healthy quadriceps femoris muscle [p<0.05]. But, there is no superiority on each other. In conclusion, these results indicate that electrical stimulation and maximal volunteer isometric exercises can be used to increase isokinetic strength as an alternative for isokinetic dynamometer in clinical setting
Subject(s)
Humans , Muscle Fatigue/physiology , Muscle Strength/physiology , Muscle Stretching Exercises , Muscle Strength Dynamometer , Muscle Contraction , Isometric Contraction , Quadriceps Muscle/physiology , Muscle, Skeletal/physiology , ExerciseABSTRACT
The aim of this study is to investigate effect of enflurane that is a pro-convulsive anesthetic agent and propofol on seizure durations and recovery times during electroconvulsive therapy. The subjects were divided into two groups according to the induction anesthetics. Anesthesia was induced with enflurane 5% in group E or propofol 1. 2 mg x kg[-1] in group P. After the loss of consciousness, 0. 5 mg x kg[-1] of succinylcholine was given. The patients maintained normocapnia. There were no significant differences between groups regarding seizure times. Recovery times were shorter in group E, but postictal agitation was significantly lower in propofol group. High incidence of spike activity on EEG and grand mal seizure patterns could be induced by enflurane. But motor and EEG seizure times were not prolonged by enflurane in the presence normocapnia. In conclusion, propofol is more suitable anesthetic agent for ECT, but enflurane might be preferred in patients because of rapid recovery