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Malignant hyperthermia (MH) can be a life-threatening condition associated with an increased body temperature, hypermetabolism, hyperthermia, respiratory and metabolic acidosis, and cyanosis. The diagnosis is made when MH-susceptible (MHS) patients experience characteristic clinical and biochemical disturbances after administration of the inhalational or intravenous anesthetics, succinylcholine or dantrolene. In addition to the features of the standard MH crisis, patients with MH are also at risk for developing inappropriate physical, endocrine, and neurological symptoms, such as tachycardia, muscle rigidity, hypermetabolism, hyperthermia, tachypnea, dyspnea, and muscle spasms. These symptoms can be indistinguishable from those of the acute respiratory distress syndrome. We report a case of recurrent episodes of MH and the results of the tests performed to obtain a diagnosis. A 36-year-old African American man with a history of human immunodeficiency virus (HIV) and skin cancer presented to the emergency department with an altered mental status. He was known to be positive for the presence of opioid receptors and to be MHS. The patient had a past history of opioid overdose with an elevated baseline temperature. Metabolic acidosis and hyperglycemia with respiratory distress were present on presentation. Tachycardia, muscle rigidity, hyperthermia, and hypermetabolism were also noted. The patient was diagnosed with MH on hospital day 1 based on a clinical diagnosis of MH and an isolated metabolic acidosis on arterial blood gas analysis. The patient was given an intramuscular injection of dantrolene, and appropriate pharmacotherapy was instituted to manage the
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In the videos below, author Martin White, PhD, talks about the serious side of life, including the anxiety, depression, and help he has found to cope with the stress. He says the problem is epidemic because the stress has become endemic.
“The demands of modern life have increased by social contacts, the volume of communication, and speed of travel. Such factors, existing since the beginning of civilization, are potent elements of stress. Highstress societies are high-burnout societies.”
Dr. White shares his personal stories through out these videos. Here he has covered topics such as the inexistent connections between a workers hands per hour and the workers well being, and the expected raises to the workers income (DOUBLING LESS THAN 3 YEARS) to which he thinks cannot, and will not keep up with the increasing costs of living.
In one of the videos, Dr. White talks about the six signs of anxiety and compares them to the five levels of stress and gives some coping strategies.
In the video below, Dr. White explains some of the most important influences that cause stress, and his personal experience that the people who deal with someone stressed out on a daily basis have a hard time functioning.
Dr. White is an expert in occupational stress, he specializes in studying and working with the issues that arise from meeting people’s expectations and demands to their jobs.
He is a professor at the University of Florida and has worked with businesses, companies and organizations for nearly 40 years, he was the president of the American Psychological Association for a four year stretch and is a fellow of the American College of Occupational and Environmental Medicine.
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The Center for the Creative Arts, located in historic downtown Brattleboro, Vermont, is home to the Touchstone Theatre, the Theatre Department, including the College’s Summer Theatre program, the Summer Film Festival, and several major festivals.
The Center for the Creative Arts is home to the Touchstone Theatre, a Broadway-style theatre. It is used primarily for musical theatre. The playing season lasts from September to June.
Touchstone is part of the Theatre Department and is located on the first floor of the Center’s Shaw (Cambridge) Building, just off Main Street.
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Ambystoma major is a species of salamander in the family Plethodontidae.
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Solís, F., Ibáñez, R., Chavarría-Hernández, D., Wake, D. & Acevedo-Rodríguez, R. 2004. Ambystoma major. 2006 IUCN Red List of Threatened Species. Downloaded on 23 July 2007.
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Category:Taxonomy articles created by PolbotTo you and me, we learned in science class that the universe is only 13.8 billion years old. This is not true. Even we, the scientists, can’t be sure whether the universe is older or not – is it 13.7 billion years or 13.9 billion years?
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