Posible relación de loratadina con el desenlace fatal en un paciente de riesgo

Un varón de 62 años, polimedicado de forma crónica por enfermedad mental grave y persistente, EPOC, diabetes e hipotiroidismo, estabilizado desde hace bastantes meses, inició un tratamiento con loratadina por rinitis. Al día siguiente es encontrado desvanecido sin conocimiento y trasladado de urgencia al hospital general para cuidados intensivos, donde fallece un día después. El análisis del caso revela un posible “efecto mariposa” con desenlace fatal, desencadenado por un fármaco de bajo riesgo, dada la situación “al límite” de la terapia previa

Denial and the individual with a suspected myocardial infarction

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Idiocentrism/Allocentrism and Psychological Sense of Community in a College Environment

(Statement of Responsibility) by Casey K. Mirch(Thesis) Thesis (B.A.) -- New College of Florida, 1995(Electronic Access) RESTRICTED TO NCF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE(Bibliography) Includes bibliographical references.(Source of Description) This bibliographic record is available under the Creative Commons CC0 public domain dedication. The New College of Florida, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.(Local) Faculty Sponsor: Callahan, Charlen

Effects of binge eating on satiation, satiety, and energy intake of overweight children

Background: Children who report episodes of binge eating gain more weight than do children not reporting binge eating. However, how binge eating affects children\u92s food intake at meals is unknown. Objective: We compared the energy intake and postmeal satiety of children with and without a history of binge eating during buffet meals. Design: Sixty overweight children aged 6\u9612 y were categorized into those reporting past binge-eating episodes (n =3D 10) and those reporting no such episodes (n =3D 50). Children selected lunch twice from a multiple-item, 9835 kcal, buffet meal: after an overnight fast and after a standardized breakfast. Children ate ad libitum, until they reported they were full. The main outcome measures were energy intake during meals and duration of postmeal satiety, after adjustment for covariates, including age, race, sex, socioeconomic status, and body composition. Results: After the overnight fast, children in the binge-eating group consumed more energy [ (\ub1SD): 1748 \ub1 581 compared with 1309 \ub1 595 kcal; P =3D 0.04] and exhibited a shorter satiety duration (194 \ub1 84 compared with 262 \ub1 89 min; P =3D 0.03) than did children in the non-binge-eating group. After the standardized breakfast, binge-eating children reported a shorter satiety duration (75 \ub1 62 compared with 132 \ub1 62 min; P =3D 0.01) and consumed more energy at the postbreakfast meal (1874 \ub1 560 compared with 1275 \ub1 566 kcal; P =3D 0.004). Conclusion: The ability to consume large quantities of palatable foods, coupled with decreased subsequent satiety, may play a role in the greater weight gain found in binge-eating children. Key Words: Child \u95 obesity \u95 binge eating \u95 energy intake \u9