T patient was a 49-year-old man with no significant past medical history, normal body mass index, and normal oral/ nasal airway anatomy, who presented with a 4-month history of episodic loss of consciousness while working as a cemetery caretaker. The patient lost consciousness while using a riding lawnmower at the cemetery during his morning landscaping duties; this caused him to lean forward i...

Care research in coaching has repeatedly prioritised the voice of carer rather than those cared-for. This article addresses this shortfall and examines notions care through eyes female footballers. These voices are pertinent because football (soccer) United Kingdom (UK) been labelled micro-political, cut-throat, competitive, at times, uncaring. Further, women’s often marginalised sport research...

Forensic psychiatric evaluators of adolescent defendants are often asked to address open-ended questions that affect what court an adolescent will be tried in and what sentence he might receive. Such questions often involve the extent to which the adolescent should be considered less culpable than an adult who has committed a similar offense. Assessing partial or diminished culpability in an ad...

History A 54-year-old Chinese male with stage 3 HIV infection presented with preputial swelling and ulcerations for a few days in November 1996. He denied any sexual intercourse since his HIV infection was diagnosed in mid-1996. He didn't take any medication other than the anti-retrovirals for his HIV infection. These ulcers healed spontaneously after 1 week though they recurred several times i...

The earliest doubts of the validity of the Principle of the Excluded Middle (PEM) can be found in Brouwer’s notes for his dissertation. The actual formulation had to wait for the “Unreliability of the logical principles” paper one year later. It is a curious fact that in the dissertation Brouwer shrugged off the PEM as obvious and ‘uninformative’. He denied it mathematical significance, because...

BACKGROUND In 2008, it has been 175 years since the publication of Vincenc Alexandr Bochdalek's thesis. RESULTS On October 22, 1833 he defended his inaugural dissertation in the Greater Hall of Carolinum in Prague and six days later he got his degree in the Lesser Hall of Carolinum. The dissertation was called Anleitung zur praktischen Zergliederung des menschlichen Gehirnes (A guide of the p...

A46-year-old African American man presented to the emergency department with severe chest pain that awakened him from sleep. The pain was substernal, radiated to the neck and back, and was continuous, lasting approximately 1 hour. It was associated with nausea, diaphoresis, and dizziness. The patient denied dyspnea, orthopnea, paroxysmal nocturnal dyspnea, dysphagia, odynophagia, vomiting, feve...

Case report A 30 year old man of Indian extraction presented at a dermatology clinic with a six month history of photosensitivity. After being exposed to summer sunshine in London in the middle of the day he would develop erythema and itching of the hands and ears the same evening and blistering the following day. He had had extensive vitiligo for 20 years, but the photosensitivity also affecte...

CASE A 19-year-old man presented to the emergency department complaining of two days of right arm pain and swelling. The pain started while lifting weights. He did not experience a pop or pulling sensation. He stated his arm felt a little cold but otherwise denied numbness or tingling. He denied chest pain, neck pain or shortness of breath. Examination demonstrated a diffusely edematous right u...