ABSTRACT
A 13 year old adopted girl who was 6 months pregnant was presented with altered consciousness and bleeding from the vagina. Based on the signs and symptoms of edema, severe hypertension and heavy proteinuria, accompanied by the abdominal ultrasound results, she was diagnosed with severe pre-eclampsia /eclampsia complicated by an abruption of the placenta and a dead fetus in utero. These serious conditions resulted in acute renal failure due to both pre-renal and renal causes. With proper management of hypertension and fluid therapy, the renal function returned to normal. Neurological manifestation was transient but complete recovery through psychological testing was in doubt. A multidisciplinary team, including psychiatrist, pediatrician, social worker and legal consultant, was established to address the issue of child abuse and neglect.
ABSTRACT
Objective: To determine the effect of low-dose blood alcohol level on reaction time (RT), representing to the driving skill. Methods: Three groups of 72 healthy volunteers (36 men and 36 women) divided by age, gender and drinking - practice characteristics (light, moderate and heavy drinker). They were monitored in an attempt to identify changes in reaction time after the administration of low doses of alcohol. They took part in a computer-based response reaction time system before and after administration of low doses of alcohol. The low doses of alcohol were identified to the blood alcohol concentration (BAC) values between 0 and 30-80 mg% by breathalyzer. Results: In all categories, the means of reaction time (RT) at the BAC values between 0 and 30-80 mg% in all volunteers showed a statistically significant difference at p < 0.05, except in light drinkers and moderate drinkers, there was no statistically significant difference between BAC 0 and 30 mg% (p > 0.05) but a statistically significant difference at BAC between 0 and 40-80 mg% (p < 0.001). Conclusions: The effect of low-dose blood alcohol level on reaction time in this study suggests that the BAC values lower than 50 mg% (legalistic limit) may impair driving skills which leads to a high risk of traffic accident.