[A philosophical viewpoint on abortion...].
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Biomedical subjects
Publications and source records attributed to M Lambert.
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A 32-year-old man was admitted semi-comatose with digestive troubles to the hospital. A diabetic keto-acidosis was discovered. The diabetes was known by the patient for one year and a half, but it was not treated. Furthermore the laboratory studies showed a hyperlipidemia (type V) and an increase in pancreatic enzymes. The hyperlipidemia disappeared with insulin therapy. The chronology of the facts was probably: a hyperlipidemia associated with the diabetes, responsible of an acute pancreatitis, which induced a keto-acidosis.
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Several drugs are known to interfere in thyroid hormone metabolism: 1) They can affect directly and specifically T4 to T3 conversion. This can be observed in vivo and in vitro. In vivo serum T3 concentrations will decrease and rT3 concentrations increase. Amiodarone, other iodinated compounds (cholecystographic agents: ipodate and iopanoic acid), propylthiouracil and propranolol are known to act in this way. 2) Other drugs which induce the hepatic capacity to catabolize drugs will also affect thyroid hormone metabolism, e.g. diphenylhydantoine. Clinically, inhibitors of conversion will increase serum total and free T4, however this finding per se does not proof hyperthyroidism as in some cases serum TSH will increase after i.v. injection of 400 micrograms TRH. Furthermore the increase in serum T4 can be explained in part by a low metabolic clearance rate, T4 production being barely increased.
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Impactions in the primary dentition are rare and usually are found in the posterior regions. They tend to be asymptomatic and are found on routine radiographic examination when the patient is in the mixed dentition or permanent dentition stage. A literature review shows no reports of impactions of primary incisors, but there is mention of possible etiologies for anterior impactions. An impacted lateral primary maxillary incisor was identified during routine radiographic examination of a young child. There is no known etiology for this particular case. Treatment options are discussed.
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