Nausea and vomiting are common in early pregnancy affecting 70-80 percent of pregnant mothers. In a majority of women vomiting begins between 4-7 weeks of pregnancy. Nausea and vomiting are usually mild and self-limiting, however some of the mothers have a more profound course which lead to hyperemesis gravidarum. Careful clinical evaluation is necessary to exclude underlying medical illnesses ...

Aim A major implication of natural selection is that species from different parts of the world will vary in their efficiency in converting resources into offspring for a given type of environment. This insight, articulated by Darwin, is usually overlooked in more recent studies of invasion biology that are often based on the more modern Eltonian perspective of imbalanced ecosystems. We formulat...

Resection of large sacrococcygeal teratomas (SCTs) in premature neonates has been associated with significant perinatal mortality, making this a high risk procedure requiring careful anesthetic management. Most deaths during resection of SCTs are due to cardiac arrest caused by electrolyte imbalances, such as hyperkalemia, and massive bleeding during surgery. We describe two premature neonates ...

Dengue fever has become a major health problem especially in tropical countries. Nowadays, the incidence has been increasing among adults and more cases of dengue fever and dengue hemorrhagic fever in pregnancy are being reported. A sound knowledge of its diagnosis and management plays a vital role for an obstetrician, particularly regarding the mode of delivery. Supportive care with analgesics...

We examined the influence of work-related effort-reward imbalance and overcommitment to work (OC), as derived from Siegrist's Effort-Reward Imbalance (ERI) model, on the hypothalamic-pituitary-adrenocortical (HPA) axis. We hypothesized that, among healthy workers, both cortisol and dehydroepiandrosterone (DHEA) secretion would be increased by effort-reward imbalance and OC and, as a result, cor...

Cholera continues to be an important public health problem among many poorer communities. In order to determine the epidemiology of Vibrio cholerae in southeastern Iran, 3,594 patients with watery diarrhea, who were referred to the hospitals from Zabol city and 45 neighboring rural populations of Sistan-Blouchestan province, were investigated over a period of 6 years (1997 - 2002). V. cholerae ...

Although depression is a major problem affecting the physical and mental health of the occupational population worldwide, little research is available among bank employees. The purpose of the study was to examine the effects of occupational stress and work-family conflict on depressive symptoms and the mediating role of psychological capital (PsyCap). A cross-sectional study was performed from ...

BACKGROUND Several instruments have been developed to assess psychosocial workload. We compared two of these instruments, the Effort-Reward Imbalance (ERI) model and the Copenhagen Psychosocial Questionnaire (COPSOQ) with regard to congruent validity and internal validity. METHODS This analysis is based on a population-based sample of the baseline examination of 2,783 employees from the Guten...

1. Boyden LM, Choi M, Choate KA, Nelson-Williams CJ, Farhi A, Toka HR, Tikhonova IR, Bjornson R, Mane SM, Colussi G, Lebel M, Gordon RD, Semmekrot BA, Poujol A, Välimäki MJ, De Ferrari ME, Sanjad SA, Gutkin M, Karet FE, Tucci JR, Stockigt JR, Keppler-Noreuil KM, Porter CC, Anand SK, Whiteford ML, Davis ID, Dewar SB, Bettinelli A, Fadrowski JJ, Belsha CW, Hunley TE, Nelson RD, Trachtman H, Cole ...

A pancreatoduodenectomy involves the removal of a tumor from the head of the pancreas. It is a technically difficult procedure requiring experienced anesthesia and surgical teams. The addition of a portal vein reconstruction increases the complexity of the case. A pancreatoduodenectomy is rarely performed on pediatric patients. Although reports of pediatric pancreatoduodenectomies exist in the ...