A review of attendances at Paediatric Accident and Emergency Department at Mater Dei Hospital for neurological complaints patient

Aims: Attendances at paediatric accident and emergency department (A&E) during a six month period were reviewed to determine the proportion of children with neurological complaints, type of symptoms and the outcomes in terms of admissions, discharges and out-patient referrals. Methods: Neurological complaints were classified as (a) febrile convulsions, (b) unprovoked seizures, (c) status epilepticus, (d) headaches, (e) altered consciousness, (f) acute ataxia, (g) flaccid weakness, (h) visual loss, or (i) others. Outcomes of these attendances were also recorded as either admission, referrals to out-patient clinics or discharges from A&E. Results: A total of 7670 children attended paediatric A&E during the study time of which 352 (4.5%) presented with neurological complaints. 173 children (49%) presented with headache, 54 (15.3%) presented with unprovoked seizures, 51 (14.4%) presented with febrile convulsions, 34 (9.6%) presented with altered consciousness and the remaining 40 children (11.7%) presented with various other complaints. 24.8% of children who presented with headache were admitted, 34.1% were referred to out-patient clinics and 41% were discharged. In contrast, 75.5% of children you presented with unprovoked seizures were admitted, 22.2% were referred to out-patient clinics and 3.7% were discharged. There were no deaths. Conclusion: 1 in 20 children who attended paediatric A&E presented with neurological complaints. One half of these children presented with headache, around one third presented with seizures (febrile and unprovoked), around 10% presented with altered consciousness. Around a half of these children were admitted, a quarter were discharged home and the other quarter were referred to out-patient clinics.peer-reviewe

Da liberdade e da necessidade, ou das ações voluntárias em Hume

O texto examina a concepção humiana de vontade no quadro da teoria das paixões delineada na segunda parte do Tratado da natureza humana, com o objetivo de mostrar como ela responde às exigências da doutrina da liberdade e necessidade tal comos se encontra na Investigação sobre o entendimento humano

A crítica à abstração e à representação no imaterialismo de Berkeley

O presente texto tem por objetivo examinar as relações existentes entre a crítica às idéias abstratas, apresentada por Berkeley na Introdução ao Tratado sobre os princípios do entendimento humano, e a argumentação desenvolvida nos primeiros parágrafos da Parte I do mesmo texto, em que o autor propõe seu imaterialismo. A hipótese levantada a partir de tal exame defende uma relação direta entre o nominalismo de Berkeley e o caráter inaceitável, para o autor, da distinção entre o ser e o aparecer da matéria postulada pelas teorias da representação. Critique of abstration and representation in Berkeleys immaterialism Abstract The objective of this essay is to examine the relations that exist between the critique of abstract ideas, presented by Berkeley in the Introduction to the A Treatise Concerning the Principles of Human Knowledge and the arguments developed in the first paragraphs of its Part I, in which Berkeley proposes his immaterialism. The hypothesis advanced, based on our analysis, is that there is a direct relation between Berkeleys nominalism and the unacceptable character, according to Berkeley, of the distinction between the appearance and the matter postulated by the theories of representation

Comentário a “Bergson y El acontecimiento: el caso de la democracia”

Commented Article: RUIZ STULL, Bergson and the event the case of democracy. Trans/Form/Ação: Unesp journal of philosophy, v. 45, n. 1, p. 171-188 2022.Referência do artigo comentado: RUIZ STULL, M. Bergson y el acontecimiento el caso de la democracia. Trans/form/ação: revista de Filosofia da Unesp, v. 45, n. 1, p. 171-188 2022

Comparison of Two Entry Methods for Laparoscopic Port Entry: Technical Point of View

Laparoscopic entry is a blind procedure and it often represents a problem for all the related complications. In the last three decades, rapid advances in laparoscopic surgery have made it an invaluable part of general surgery, but there remains no clear consensus on an optimal method of entry into the peritoneal cavity. The aim of this paper is to focus on the evolution of two used methods of entry into the peritoneal cavity in laparoscopic surgery

Primary orthostatic tremor and orthostatic tremor-plus in dogs: 60 cases (2003-2020).

BACKGROUND: Orthostatic tremor (OT) is a rare movement disorder characterized by high-frequency (>12 Hz) involuntary, rhythmic, sinusoidal movements affecting predominantly the limbs while standing. OBJECTIVE: To describe the signalment, presenting complaints, phenotype, diagnostic findings, treatment, and outcome of a large sample of dogs with OT. ANIMALS: Sixty dogs diagnosed with OT based on conscious electromyography. METHODS: Multicenter retrospective case series study. Dogs were included if they had a conscious electromyography consistent with muscle discharge frequency >12 Hz while standing. RESULTS: Fifty-three cases were diagnosed with primary OT (POT). Giant breed dogs represented most cases (83%; 44/53). Most dogs (79%; 42/53) were younger than 2 years of age at onset of signs, except for Retrievers which were all older than 3.5 years of age. The most common presenting complaints were pelvic limb tremors while standing (85%; 45/53) and difficulty when rising or sitting down (45%; 24/53). Improvement of clinical signs occurred in most dogs (85%; 45/53) treated medically with phenobarbital, primidone, gabapentin, pregabalin or clonazepam, but it was mostly partial rather than complete. Orthostatic tremor-plus was seen in 7 dogs that had concurrent neurological diseases. CONCLUSIONS AND CLINICAL IMPORTANCE: Primary OT is a progressive disease of young, purebred, giant/large-breed dogs, which appears to begin later in life in Retrievers. Primary OT apparently responds partially to medications. Orthostatic tremor-plus exists in dogs and can be concomitant or associated with other neurological diseases

Freedom in Bergson: Spontaneity, Creation and Self-engendering

O objetivo do artigo é examinar as noções de espontaneidade, criação e auto-engendramento na obra de Bergson, com ênfase na maneira como elas se articulam em Os dados imediatos da consciência e A evolução criadora, destacando as articulações e diferenças entre as duas obras a esse respeito.The aim of the article is to show how the notions of spontaneity, creation and self- engendering such as they occur in the An Essay on the Immediate Data of Consciousness and on Creative Evolution, paying attention to continuities and changes they go through from one work to the other

Democracia em as duas fontes da moral e da religião: Resistência e Aspiração

O presente artigo tem por objetivo refletir sobre a concepção de democracia, apresentada por Bergson, em As duas fontes da moral e da religião, enquanto movimento humano e social de resistência e de aspiração, no contexto de uma teoria da vida concebida, ela própria, como um movimento que se dá em dois sentidos, o da determinação e o da criação

Diálogo entre autores: Berkeley e Bergson

Neste artigo, proponho interpretar a redução berkelianista das coisas às ideias levando em conta uma aproximação entre a crítica à dupla existência dos objetos, subjacente a essa redução, e a crítica às teorias clássicas da representação, desenvolvida por Bergson no âmbito de sua teoria da percepção