INTRODUCTION The potential of alcohol withdrawal to cause acute coronary events is an area that needs the urgent attention of clinicians and researchers. CASE PRESENTATION We report the case of a 52-year-old heavy-alcohol-using Sri Lankan man who developed electocardiogram changes suggestive of an acute coronary event during alcohol withdrawal. Despite the patient being asymptomatic, subseque...

Delirium Tremens (DT), which contains severe mental and nervous system changes, is a clinical manifestation associated with withdrawal from alcohol. Occurrence of symptoms after stopping of alcohol is diagnostic criteria for DT. It occurs acutely. DT follows sudden alcohol withdrawal after prolonged intake of it. It is possible to be precipitated by external factors like infections, injury etc....

This paper proposes a problem-based digital textbook (DT) by defining an instructional model of problem-based learning (PBL) for DTs. The objective was to develop a DT that stimulates self-directed learning through the support of a wide range of student-centered learning activities to enhance the overall learning experience and effectiveness. As an application, a problem-based DT that performs ...

The change of global-mean precipitation under global warming and interannual variability is predominantly controlled by the change of atmospheric longwave radiative cooling. Here we show that tightening of the ascending branch of the Hadley Circulation coupled with a decrease in tropical high cloud fraction is key in modulating precipitation response to surface warming. The magnitude of high cl...

Previous reports described significant differences in serum creatine kinase (CK) activity in bipolar disorder and various forms of depression. The comorbidity of depression and alcohol syndromes was also widely described. We aim to examine potential differences in serum CK level in different alcohol-related syndromes. We assessed morning serum CK activity in 114 inpatients, diagnosed by the Str...

The alcohol withdrawal syndrome is charac terised by symptoms such as anxiety, insomnia, anorexia, nausea, tremor, sweating and distur bances in coordination. These symptoms tend to occur within 6 to 12 hours of alcohol-dependent patients stopping or reducing their alcohol in take. Less frequently, convulsions, hallucinosis and delirium tremens can occur. Delirium tremens (disturbed orientation...

The alcohol withdrawal syndrome is charac terised by symptoms such as anxiety, insomnia, anorexia, nausea, tremor, sweating and distur bances in coordination. These symptoms tend to occur within 6 to 12 hours of alcohol-dependent patients stopping or reducing their alcohol in take. Less frequently, convulsions, hallucinosis and delirium tremens can occur. Delirium tremens (disturbed orientation...

AIMS Alcohol delirium tremens suggests dysfunction of numerous brain regions. Several Authors suggest that alcohol and withdrawal from alcohol could cause neurotoxic lesions in the frontal lobe and thereby affect cognitive function. However, it is not that well known whether the consequences of the damage following delirium are only quantitative or qualitative. PATIENTS AND METHODS Thirty alc...

Heavy drinkers who suddenly decrease their alcohol consumption or abstain completely may experience alcohol withdrawal (AW). Signs and symptoms of AW can include, among others, mild to moderate tremors, irritability, anxiety, or agitation. The most severe manifestations of withdrawal include delirium tremens, hallucinations, and seizures. These manifestations result from alcohol-induced imbalan...

and commentary also appear in ACP Journal Club. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . For correspondence: Dr M F Mayo-Smith, Veterans Administration Medical Center, Manchester, NH, USA. [email protected] Sources of funding: American Society of Addiction Medicine and Stepping Stones Foundation. Commen...