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hyperglycemic hyperosmolar nonketotic coma
Summary: A serious complication of TYPE 2 DIABETES MELLITUS. It is characterized by extreme HYPERGLYCEMIA; DEHYDRATION; serum hyperosmolarity; and depressed consciousness leading to COMA in the absence of KETOSIS and ACIDOSIS.
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Publications109 found, 100 shown here
- [Hyperglycemic hyperosmolar nonketotic syndrome]Dagmara Reingardiene
Clinic of Intensive Care, Kaunas University of Medicine, Eiveniu 2, 3007 Kaunas, Lithuania
Medicina (Kaunas) 39:707-12; quiz 713-4,717. 2003..A discussion of complications management of hyperosmolar hyperglycemia, mortality rate and prevention are included in this review...
- Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar stateJean Louis Chiasson
Division of Endocrinology Metabolism, Centre Hospitalier de l Universite de Montreal, and the Department of Medicine, Universite de Montreal, Montreal, QC
CMAJ 168:859-66. 2003..The diagnosis is confirmed by the blood pH, serum bicarbonate level and serum osmolality. Treatment consists of adequate correction of the dehydration, hyperglycemia, ketoacidosis and electrolyte deficits...
- [Management of water electrolyte imbalance associated with diabetes mellitus]Koji Hasegawa
Nihon Naika Gakkai Zasshi 92:784-9. 2003
- A 71-year-old man with hyperglycemia and mental status changesChristopher Naquin
Louisiana State University Health Sciences Center, Family Practice Residency Program, New Orleans, USA
J La State Med Soc 155:238-41. 2003..We report herein a patient presenting with hyperglycemic hyperosmolar coma with three possible precipitating infections: pharyngitis, urinary tract infection, and infective endocarditis...
- Ketoacidosis and the hyperosmolar hyperglycemic state in adult diabetic patients. Diagnosis and treatmentZ Yared
Division of Endocrinology, Metabolism and Nutrition, Research Centre, Centre Hospitalier de l Universite de Montreal, and Department of Medicine, Universite de Montreal, Montreal, Quebec, Canada
Minerva Med 94:409-18. 2003..Excess mortality still occurs, particularly for HHS, emphasizing the importance of patient education and regular follow-up to prevent these potentially fatal complications...
- Severe hyperglycemic hyperosmolar nonketotic coma in a nondiabetic patient receiving aripiprazoleLisa Marie Campanella
Department of Emergency Medicine, St Joseph s Medical Center, Wayne, NJ, USA
Ann Emerg Med 53:264-6. 2009..We present a case of a patient without a history of diabetes mellitus who presented to the emergency department in severe hyperosmolar nonketotic coma while using aripiprazole...
- Olanzapine-induced hyperglycemic hyperosmolar nonketotic coma: a case reportMariposa McCall
J Clin Psychopharmacol 24:670-3. 2004
- Hyperglycemic crises in diabetes mellitus: diabetic ketoacidosis and hyperglycemic hyperosmolar stateAbbas E Kitabchi
Division of Endocrinology, Diabetes and Metabolism, University of Tennessee Health Science Center, Memphis, TN 38163, USA
Endocrinol Metab Clin North Am 35:725-51, viii. 2006..DKA and HHS also are economically burdensome; therefore, any resources invested in their prevention would be rewarding...
- Diabetic emergencies in adultsTina Moore
School of Health and Social Sciences, Middlesex University, Middlesex
Nurs Stand 18:45-52; quiz 54. 2004..In this article the author discusses three diabetic emergencies: diabetic ketoacidosis, hyperosmolar non-ketotic syndrome and hypoglycaemia, which all require prompt recognition and appropriate intervention...
- A survey of reports of quetiapine-associated hyperglycemia and diabetes mellitusElizabeth A Koller
Division of Metabolic and Endocrine Drug Products, Center for Drug Evaluation and Review, US Food and Drug Administration, Rockville, MD, USA
J Clin Psychiatry 65:857-63. 2004..To explore the clinical characteristics of hyperglycemia in patients treated with quetiapine...
- Hyperglycaemic crises and lactic acidosis in diabetes mellitusP English
Diabetes and Endocrinology Research Group, Clinical Sciences Centre, University Hospital Aintree, Liverpool, UK
Postgrad Med J 80:253-61. 2004..As far as is possible, the recommendations are based on clear published evidence; failing that, what is considered to be a common sense synthesis of consensus guidelines and recommendations is provided...
- Pathophysiology of diabetes mellitusRichard A Guthrie
Mid America Diabetes Associates, 200 S Hillside, Wichita, KS 67211, USA
Crit Care Nurs Q 27:113-25. 2004..and symptoms to be aware of when the person is in the acute state of diabetic ketoacidosis, hyperglycemic hyperosmolar nonketotic coma (or state), and severe hypoglycemia...
- Hyperglycemic crisis. Regaining controlVeronica Crump
Morristown Memorial Hospital, Morristown, N L, USA
RN 67:23-4, 26-7; quiz 28. 2004
- Death caused by hyperglycemic hyperosmolar state at the onset of type 2 diabetesAlba E Morales
Division of Pediatric Endocrinology, University of Florida College of Medicine, Gainesville, Florida 32608 1153, USA
J Pediatr 144:270-3. 2004..All had previously unrecognized type 2 diabetes, and death may have been prevented with earlier diagnosis or treatment...
- Management of hyperglycemic emergenciesZara R Brenner
Department of Nursing, State University of New York at Brockport and Rochester General Hospital, 14621, USA
AACN Clin Issues 17:56-65; quiz 91-3. 2006....
- [Hyperglycemic hyperosmolar non-ketotic coma]Kazuhiro Hiramine
The Third Department of Internal Medicine, Tokyo Medical University
Nihon Rinsho . 2006
- Can you rapidly distinguish these endocrine emergencies?Kim Pearson
- Approach to management of malignant hyperthermia-like syndrome in pediatric diabetes mellitusBrendan J Kilbane
Department of Pediatrics, Cincinnati Children s Hospital Medical Center and University of Cincinnati, Cincinnati, OH, USA
Pediatr Crit Care Med 7:169-73. 2006..However, a fatal malignant hyperthermia-like syndrome (MHLS) with rhabdomyolysis associated with new-onset diabetes mellitus and HHNS in adolescents has been described...
- Nontraumatic rhabdomyolysis: an unusual complication of diabetic hyperosmolar nonketotic (HONK) stateK K Gangopadhyay
Medicine, Diabetes and Endocrinology, City Hospital, Manchester
J R Soc Med 99:200. 2006
- Acute necrotizing pancreatitis in an adolescent with type 2 diabetesOrit Pinhas-Hamiel
Pediatric Endocrinology and Diabetes, Sheba Medical Center, Ramat Gan and Maccabi Juvenile Diabetes Center, Raanana, Israel
Curr Opin Pediatr 18:206-8. 2006..Since adolescents with type 2 diabetes are susceptible to the same complications that accompany type 2 diabetes in adults, pediatricians are now encountering new diagnosis entities...
- Pediatric hyperglycemic hyperosmolar syndrome: diagnostic difficulties and high mortality rateJoel B Cochran
Pediatric Department, Medical University of South Carolina, Charleston, SC 29425, USA
Am J Emerg Med 24:297-301. 2006..Of the 18 cases, there were 13 deaths (72%). The purpose of this report and literature review is to emphasize the importance of early diagnoses and treatment of pediatric HHS...
- Hyperglycemic crises: improving prevention and managementAbbas E Kitabchi
Am Fam Physician 71:1659-60. 2005
- Diabetic emergenciesLynda Latham
University Hospital, North Staffordshire
Nurs Stand 19:64. 2005
- [Diabetic metabolic emergencies]Zoltan Balogh
Debreceni Egyetem, Orvos és Egészségtudományi Centrum, Általános Orvostudományi Kar, Belgyógyászati Intézet, I Belgyógyászati Klinika, Anyagcsere betegségek Tanszék
Orv Hetil 146:443-50. 2005..The authors summarize clinical presentation and therapeutic possibilities of hypoglycaemia on the basis of the literature...
- New-onset type II diabetes mellitus, hyperosmolar non-ketotic coma, rhabdomyolysis and acute renal failure in a patient treated with sulpirideOmer Toprak
Nephrol Dial Transplant 20:662-3. 2005
- A case of hyperglycemic hyperosmolar state associated with Graves' hyperthyroidism: a case reportSung Won Moon
Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, Korea
J Korean Med Sci 21:765-7. 2006..Here, we described the case of a woman with Graves' disease and type 2 DM developing to HHS...
- A new challenge in pediatric obesity: pediatric hyperglycemic hyperosmolar syndromeRebecca M Carchman
Pediatric Critical Care Fellow, University of North Carolina Hospital, Chapel Hill, NC, USA
Pediatr Crit Care Med 6:20-4. 2005..To describe four adolescents with hyperglycemic hyperosmolar syndrome, an uncommon presentation of type 2 diabetes in pediatric patients...
- [Diabetic hyperosmolality. Retrospective study of 60 cases]Maria Vitor Campos
Serviço Endocrinologia, Diabetes e Metabolismo dos Hospitais da Universidade de Coimbra
Acta Med Port 16:13-9. 2003....
- Hyperosmolar hyperglycemic state of pregnancy with intrauterine fetal demise and preeclampsiaJuan M Gonzalez
Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA
Am J Perinatol 24:541-3. 2007..The practitioner should have a high index of suspicion for HHS in obese patients presenting with hyperglycemia...
- Fatal malignant hyperthermia-like syndrome with rhabdomyolysis complicating the presentation of diabetes mellitus in adolescent malesAbby S Hollander
Division of Pediatric Endocrinology and Metabolism, Washington University School of Medicine and St Louis, Children s Hospital, St Louis, MO 63110, USA
Pediatrics 111:1447-52. 2003..The features include hyperglycemic hyperosmolar coma complicated by a malignant hyperthermia-like picture with fever, rhabdomyolysis, and severe cardiovascular instability...
- Diabetes emergencies in the patient with type 2 diabetesL Quinn
Department of Medical-Surgical Nursing, University of Illinois at Chicago College of Nursing, Chicago, Illinois 60612, USA
Nurs Clin North Am 36:341-60, viii. 2001..This article explores the acute complications of type 2 diabetes and some of the issues associated with managing these patients in the hospital setting...
- Thirty years of personal experience in hyperglycemic crises: diabetic ketoacidosis and hyperglycemic hyperosmolar stateAbbas E Kitabchi
Division of Endocrinology, Diabetes, and Metabolism, University of Tennessee Health Science Center, 920 Madison Avenue 909, Memphis, TN 38163, USA
J Clin Endocrinol Metab 93:1541-52. 2008..This paper summarizes the results of these prospective studies on the management and pathophysiology of DKA...
- Diabetic ketoacidosis and hyperglycaemic hyperosmolar syndrome - clinical guidelinesKaren de Beer
ICU, Royal Free Hampstead NHS Trust, London, UK
Nurs Crit Care 13:5-11. 2008..The admission of patients to the intensive care unit (ICU) with DKA and HHS is rare, and management of patients' diverse problems is prone to error because of a lack of familiarity...
- Influence of age on the presentation and outcome of acidotic and hyperosmolar diabetic emergenciesR J MacIsaac
Austin and Repatriation Medical Centre, Department of Medicine, University of Melbourne, Heidelberg, Victoria, Australia
Intern Med J 32:379-85. 2002..Traditionally, DKA and HHS have been classified as distinct entities but there is evidence to suggest that patients can present with elements of both conditions...
- Hyperosmolar hyperglycaemic nonketotic coma associated with acute myocardial infarction: report of three casesMustafa Yildiz
Trakya University, School of Medicine, Cardiology Department, Edirne, Turkey
Acta Cardiol 57:271-4. 2002..This article presents three patients with this association and aimed to discuss the clinical course and treatment strategies of this rare condition...
- [Our experience in continuous administration of insulin using infusion dispenser at a metabolic intensive care unit (MICU)]J Charvat
Jednotka intenzivní metabolické péce Interní kliniky 2 lékarské fakulty UK a FN Motol, Praha
Vnitr Lek 53:1047-52. 2007....
- Hyperosmolar hyperglycemic stateGregg D Stoner
University of Illinois College of Medicine, Peoria, Illinois 61602, USA
Am Fam Physician 71:1723-30. 2005..Finally, physicians should focus on preventing future episodes using patient education and instruction in self-monitoring...
- [Rhabdomyolysis in the diabetic state]Satoru Yamada
Department of Internal Medicine, Kitasato Institute Hospital
Nihon Rinsho 60:443-8. 2002
- Home health nursing care agenda based on health policy in KoreaHosihn Ryu
College of Nursing, Korea University, Anam Dong, Sungbuk Ku, Seoul, South Korea
Nurs Health Sci 7:92-8. 2005..Accordingly, the major function and role of nursing policy makers in Korea is to develop an agenda and alternatives for policy-making in a systematic manner and to present implementation strategies clearly...
- Investigation of markers to indicate and distinguish death due to alcoholic ketoacidosis, diabetic ketoacidosis and hyperosmolar hyperglycemic state using post-mortem samplesJoanna Hockenhull
Toxicology Unit, Imperial College London, Charing Cross Hospital, London, United Kingdom
Forensic Sci Int 214:142-7. 2012....
- Epidemiology of hyperglycemic hyperosmolar syndrome in children hospitalized in USADayanand Bagdure
Department of Pediatrics, University of Maryland School of Medicine, Division of Pediatric Critical Care Medicine, Baltimore, MD 21201, USA
Pediatr Diabetes 14:18-24. 2013..Previous studies of hyperglycemic hyperosmolar syndrome (HHS) in children are limited to case series or single-institution reviews, which describe HHS primarily in children with type 2 diabetes mellitus...
- Procedures and medications to help patients control their diabetesMaria del Carmen Garcia-Pascual
Bronglais General Hospital, Aberystwyth, Ceredigion
Emerg Nurse 20:30-5. 2012..This article outlines the similarities and differences in the symptoms and treatment of the conditions, and discusses prevention strategies...
- Evidence-based management of hyperglycemic emergencies in diabetes mellitusEbenezer A Nyenwe
Division of Endocrinology, Diabetes and Metabolism, University of Tennessee Health Science Center, Memphis, TN 38163, USA
Diabetes Res Clin Pract 94:340-51. 2011..The evidence for the role of preventive measures in DKA and HHS is also discussed. The unanswered questions and future research needs are also highlighted...
- Short-term case fatality rate and associated factors among inpatients with diabetic ketoacidosis and hyperglycemic hyperosmolar state: a hospital-based analysis over a 15-year periodHua Fen Chen
Department of Endocrinology, Far Eastern Memorial Hospital, Taipei Hsien, Taiwan
Intern Med 49:729-37. 2010..Our aim was to evaluate the 28-day case-fatality rate among hospitalized DKA and HHS patients in a teaching hospital in Taiwan from 1991 to 2005...
- A successfully treated case of hyperosmolar hyperglycemic state complicated with rhabdomyolysis, acute kidney injury, and ischemic colitisTomoko Izumi
Depertment of Internal Medicine, Japan Self Defense Forces Central Hospital, Tokyo
Intern Med 49:2321-6. 2010..After surgery, his general condition improved. Careful monitoring of complications related to HHS is important...
- Hyperosmolar hyperglycaemic syndromeA Scott
The Diabetes Centre, Northern General Hospital, Sheffield, UK
Diabet Med 23:22-4. 2006
- Diabetic ketoacidosis and hyperosmolar hyperglycemic stateIoanna Gouni-Berthold
Clinic II and Polyclinic for Internal Medicine, University of Cologne, Germany
Med Klin (Munich) 101:100-5. 2006..Improved patient education and implementation of measures such as home glucose and ketone monitoring might decrease the number of hospital admissions due to DKA and HHS, which are, in their majority, preventable)...
- Central pontine myelinolysis in a patient with epilepsia partialis continua and hyperglycaemic hyperosmolar stateShanying Mao
Department of Neurology, Second Affiliated Hospital of Zhejiang University, School of Medicine, 88 Jiefang Road, Hangzhou 310009, China
Ann Clin Biochem 48:79-82. 2011..This report is the first documented case of long-term hyperglycaemic hyperosmolar state leading to CPM, and highlights that CPM can present as an isolated hemiplegia...
- Predictors of hyperglycaemic crises and their associated mortality in JamaicaStephanie T Chung
Tropical Medicine Research Institute, University of West Indies, Mona, Jamaica
Diabetes Res Clin Pract 73:184-90. 2006..59; 95% CI: 1.24-10.41). Hence, hyperglycaemic crises in a Jamaican tertiary care hospital are associated with significant mortality especially in patients who are older or with altered mental status...
- [Hyperglycemic acute crisis in type 1 diabetes mellitus in youth]Durval Damiani
Instituto da Criança, Hospital das Clinicas, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brasil
Arq Bras Endocrinol Metabol 52:367-74. 2008..DKA is still a high-mortality condition. And to be in a hurry frequently leads to neurologic sequelae and even to a fatal outcome...
- Nonketotic hyperosmolar coma in a patient with type 1 diabetes-related diabetic nephropathy: case reportEkrem Dogan
Department of Internal Medicine, Division of Nephrology, Yuzuncu Yil University, Van, Turkey
Adv Ther 22:429-32. 2005..The presumptive diagnosis on admission was nonketotic hyperosmolar syndrome precipitated by urinary infection. This is the first case report of hyperosmolar coma in a patient with type 1 diabetes with chronic kidney disease...
- Hyperosmolar hyperglycemic syndrome with rhabdomyolysisMary E Stunkard
Department of Clinical Sciences, Northern Michigan University, Marquette, MI 49855, USA
Clin Lab Sci 24:8-13. 2011..This patient was found to have nonketotic hyperosmolar hyperglycemia with concomitant rhabdomyolysis and myocardial infarction...
- Diabetic emergencies in small animalsMauria A O'Brien
Department of Veterinary Clinical Medicine, University of Illinois at Urbana Champaign, 1008 West Hazelwood Drive, Urbana, IL 61802, USA
Vet Clin North Am Small Anim Pract 40:317-33. 2010..This article reviews the biochemical alterations contributing to these conditions, and discusses traditional and controversial management strategies...
- [Efficacy of total removal or subtotal removal combined gamma knife radiation on giant pituitary adenoma: a report of 160 cases]Qi Hua Xiao
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P R China
Ai Zheng 26:742-7. 2007..However, the outcome, especially for giant pituitary adenoma, is not very satisfactory. This study was to explore the efficacy of total tumor removal or subtotal tumor removal combined gamma knife radiation on giant pituitary adenoma...
- Ventricular septal rupture presenting with hyperosmolar hyperglycemic nonketotic comaErsan Tatli
Department of Cardiology, School of Medicine, Trakya University, Edirne, Turkey
Saudi Med J 28:972-3. 2007
- Diabetes mellitus and periodontal diseaseBrian L Mealey
Department of Periodontics, University of Texas Health Sciences Center at San Antonio, USA
Periodontol 2000 44:127-53. 2007
- Type 2 diabetes in children and adolescentsChayim Y Newmark
Saint Barnabas Medical Center Ambulatory Care Center, Livingston, New Jersey 07039, USA
Pediatr Ann 36:109-13. 2007
- Hyperglycemic crises and their complications in childrenArlan L Rosenbloom
Division of Endocrinology, Department of Pediatrics, University of Florida College of Medicine, Children s Medical Services Center, 1701 SW 16th Avenue, Gainesville 32608, USA
J Pediatr Endocrinol Metab 20:5-18. 2007..The prevention of DKA and HHS at the onset of diabetes mellitus requires a high degree of awareness and suspicion by primary care providers; prevention of recurrent DKA necessitates a diligent team effort...
- [An elderly case of hyperglycemic hyperosmolar non-ketotic coma (HHNC)]Akio Kawakami
Geriatrics and Vascular Medicine, Tokyo Medical and Dental University
Nihon Ronen Igakkai Zasshi 44:756-60. 2007..It is thought that a number of elderly diabetic patients who need insulin therapy do not receive or continue it for various reasons. Discussion is necessary to grasp the actual situation and defensive actions that can be taken...
- Extensive venous thrombosis of the upper extremity in a diabetic patient with a hyperosmolar hyperglycemic stateJuri Park
Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
Korean J Intern Med 21:244-7. 2006..Therefore, our patient was treated with early catheter-directed thrombolysis followed by anticoagulation...
- [Current status of costs and utilizations of hospital based home health nursing care in Korea]Hosihn Ryu
College of Nursing, Korea University, Sungbuk Ku, Seoul, Korea
Taehan Kanho Hakhoe Chi 36:1193-203. 2006..The purpose of this study was to describe the current status of utilization and costs of home health nursing care by the levels of medical institutes in Korea...
- Acute postoperative metabolic complications of diabetesD Grimaud
Département d Anesthésie Réanimation Est Hôpital Saint Roch, Nice, France
Minerva Anestesiol 67:263-70. 2001..as it would in an non diabetic patient. Lactic acidosis due to a treatment with metformin is now very rare and occurs almost only in patients having a contraindication to the use of metformin...
- Olanzapine-induced hyperglycaemic coma and neuroleptic malignant syndrome: case report and review of literatureN Ahuja
Wallsend Community Mental Health Team, Sir GB Hunter Hospital, Wallsend, Tyne and Wear, UK
J Psychopharmacol 24:125-30. 2010..These questions are considered in the context of currently available literature...
- Methods for the quantitative assessment of electrolyte disturbances in hyperglycaemiaE Bartoli
Dipartimento di Medicina Clinica e Sperimentale, Universita degli Studi del Piemonte Orientale A Avogadro, Novara, Italy
Nutr Metab Cardiovasc Dis 19:67-74. 2009..When Posm(1)=Posm(0), GA must equal the loss of ions induced by the osmotic diuresis (2 x DeltaNa), and the math solution is exact. We herein report data validating these new computational methods...
- Hyperosmolar coma due to exclusive glucose accumulation: recognition and computationsEttore Bartoli
Internal Medicine, Department of Clinical and Experimental Medicine, Eastern Piedmont University, Novara, Italy
Nephrology (Carlton) 14:338-44. 2009....
- Case of the month. The details prevailPaul A Werfel
University Medical Center, State University of New York, USA
- Very high cerebrospinal fluid protein in a patient with hyperosmolar comaMartin Rodriguez
Am J Med 118:1437. 2005
- Hyperglycemic comas in children: new insights into pathophysiology and managementArlan L Rosenbloom
Division of Endocrinology, Department of Pediatrics, College of Medicine, Children s Medical Services Center, University of Florida, 1701 SW 16th Avenue, Gainesville, 32608, USA
Rev Endocr Metab Disord 6:297-306. 2005
- Tap-induced blink reflex and central nervous system dysfunction in diabetics with hyperosmolalityY Tachibana
Department of Internal Medicine, Mejiro 2nd Hospital, Tokyo, Japan
Eur Neurol 30:145-8. 1990..In some patients with similar elevations in serum osmolality the R2' component was absent at a time when consciousness was preserved. Hence, TBR may be useful in monitoring CNS dysfunction in diabetics with hyperosmolality...
- [Diabetic coma. Management of diabetic ketoacidosis and nonketotic hyperosmolar coma]J Hensen
Medizinische Klinik, Klinikum Hannover Nordstadt
Internist (Berl) 44:1260-74. 2003..With today's therapeutic possibilities the therapeutic goal, i.e. a low mortality, may be achieved, dependent on the underlying illness...
- Hyperglycaemic hyperosmolar syndrome in young obese Afro-Caribbean adults--a diagnostic dilemma. Report of two casesT M Ibrahim
West Indian Med J 52:259. 2003
- Hyperosmolarity and acidosis in diabetes mellitus: a three-year experience in Rhode IslandT J Wachtel
Rhode Island Hospital, Providence 02903
J Gen Intern Med 6:495-502. 1991....
- [Acute complications due to diabetes mellitus: Hyperosmolar nonketotic coma]Koichi Kawanishi
Kagawa Prefectural College of Health Sciences
Nihon Rinsho 60:124-8. 2002
- [Proper help can save lives. Often symptoms are misinterpreted, nonetheless every second counts for the diabetic patient]Mario Hohenegger
Pflege Aktuell 56:413-5. 2002
- Acute complicationsM Cypress
Lovelace Health Systems, Albuquerque, USA
RN 64:26-31; quiz 32. 2001..You'll need to be able to quickly identify and know how to manage the acute complications of diabetes to help a patient avoid a tragic outcome. Here's how...
- Hyperglycemic crises in diabetes mellitus type 2D L Trence
Division of Metabolism, Endocrinology, and Nutrition, Department of Medicine, University of Washington School of Medicine, Seattle, Washington, USA
Endocrinol Metab Clin North Am 30:817-31. 2001..Medications such as the protease inhibitors may in the future lead to a better understanding of the pathophysiology of the metabolic derangements seen in the development of type 2 diabetes mellitus...
- [Diabetic emergencies]W Berger
Abteilung Endokrinologie, Kantonsspital Basel
Praxis (Bern 1994) 86:308-13. 1997..When the renal function is impaired, biguanide treatment is not indicated because of the risk of lactic acidosis. Most of the diabetic emergency situations are avoidable by proper education of the patients...
- One of the two genomic copies of the glycine decarboxylase cDNA has been deleted at a 5' region in a patient with nonketotic hyperglycinemiaT Sakakibara
Department of Biochemistry, Toyama Medical and Pharmaceutical University School of Medicine, Japan
Biochem Biophys Res Commun 173:801-6. 1990....
- Hyperosmolar nonketotic diabetic coma: diagnosis and managementJ T Braaten
Faculty of Health Sciences, University of Ottawa, Ontario, Canada
Geriatrics 42:83-8, 92. 1987..Complications of therapy can be congestive heart failure secondary to excessive fluid administration, hypoglycemia if too much insulin is given, and hypokalemia if potassium is inadequately replaced...
- Diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic comaA E Kitabchi
Division of Endocrinology and Metabolism, University of Tennessee, Memphis
Med Clin North Am 72:1545-63. 1988..The physiology of the fed and fasted state, evaluation, therapeutic issues, recommendations for therapy, immediate follow up care, and complications of therapy are reviewed for both syndromes...
- Fluid and electrolyte disorders associated with diabetic ketoacidosis and hyperglycemic hyperosmolar nonketotic comaD E Butts
Mount Carmel Medical Center, Columbus, Ohio
Nurs Clin North Am 22:827-36. 1987..Assessment of the patient's knowledge about diabetes is essential so that proper education can be incorporated into his or her plan of care...
- Diabetic hyperosmolar non-ketotic decompensationM Small
University Department of Medicine, Royal Infirmary, Glasgow
Q J Med 66:251-7. 1988....
- Lateral pontine and extrapontine myelinolysis associated with hypernatremia and hyperglycemiaR D McComb
Department of Pathology, University of Nebraska Medical Center, Omaha 68105
Clin Neuropathol 8:284-8. 1989..In both hypo- and hypernatremic states, the significant event may be an increase in serum sodium or serum osmolality of sufficient rapidity and magnitude...
- Treatment of hyperglycaemic hyperosmolar non-ketotic syndromeS N Levine
Department of Medicine, Louisiana State University Medical Center, Shreveport
Drugs 38:462-72. 1989..This review discusses the current state of knowledge concerning the pathogenesis of HHNS, the clinical features of the disorder, and a systematic approach to treatment...
- Significance of increased serum elastase 1 level during the hyperosmolar hyperglycemic non-ketotic syndromeS Umeki
Department of Medicine, Kawasaki Medical School, Okayama, Japan
Hepatogastroenterology 34:212-4. 1987..Rehydration therapy with half-normal saline solution immediately produced negative urine glucose, but the serum elastase 1 level only gradually normalized after improvement of HHNS...
- [Treatment of acute metabolic crisis in diabetes mellitus]Gyorgy Jermendy
Bajcsy Zsilinszky Kórház, III Belgyógyászati Osztály, Budapest
Orv Hetil 145:81-3. 2004
- Hyperosmolar non-ketotic diabetic syndrome associated with rhabdomyolysis and acute renal failure: a case report and review of literatureT Ka
Division of Endocrinology and Metabolism, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan
Diabetes Nutr Metab 16:317-22. 2003..This rare case is presented along with a review of literature...
- Reversibile quadriplegia and nonketotic hyperosmolar coma: is it an exceptional association or an overlooked complication?Attilio Allione
Diabetes Care 27:1239-40. 2004
- Childhood diabetes presenting with hyperosmolar dehydration but without ketoacidosis: a report of three casesM J R Kershaw
Birmingham Children s Hospital, Endocrinology and Diabetes, Birmingham, UK
Diabet Med 22:645-7. 2005..Hyperglycaemia and hyperosmolality without ketoacidosis has high mortality in adults, although there is no data on mortality in children...
- Hyperosmolar hyperglycemic stateBruce W Nugent
Division of Emergency Medicine, Spectrum Health Butterworth, 100 Monroe NW, MC 49, Grand Rapids, MI 49503, USA
Emerg Med Clin North Am 23:629-48, vii. 2005..Identification of any precipitating illness is essential. The emergence of HHS as a critical presentation of type 2 diabetes mellitus in adolescents is highlighted...
- Common causes of hemiballismHahn Shick Lee
Am J Emerg Med 23:576-8. 2005
- Hyperosmolar hyperglycemic crisis: an acute life-threatening event in children and adolescents with type 2 diabetes mellitusSamar K Bhowmick
Department of Pediatrics and Adolescent Medicine, Division of Endocrine and Metabolic Disease, University of South Alabama College of Medicine, Mobile, AL 36617 2297, USA
Endocr Pract 11:23-9. 2005....
- Hemorrhagic pituitary apoplexy in an 18 year-old male presenting as non-ketotic hyperglycemic coma (NKHC)Manmohan K Kamboj
Department of Pediatrics, Division of Pediatric Endocrinology, New York University School of Medicine, New York, USA
J Pediatr Endocrinol Metab 18:611-5. 2005..Data confirmed preoperative panhypopituitarism; serum prolactin was 396 ng/ml (microg/l). Immunostudies demonstrated tumoral labeling for prolactin, but not for ACTH, GH, TSH, LH, FSH, or P53...
- Insulin resistance in an 18-year-old patient with Down syndrome presenting with hyperglycaemic coma, hypernatraemia and rhabdomyolysisE J Hoorn
Department of Internal Medicine, Erasmus Medical Center, Rotterdam, The Netherlands
J Intern Med 258:285-8. 2005
- Therapeutic management of hyperglycaemic hyperosmolar syndromeHaralampos J Milionis
Department of Internal Medicine, Medical School, University of Ioannina, 451 10 Ioannina, Greece
Expert Opin Pharmacother 6:1841-9. 2005..This review provides an outline of the diagnostic approach of patients with manifestations of hyperglycaemic hyperosmolar syndrome and discusses the contemporary therapeutic recommendations...
- Diabetic emergenciesLouise Hankin
St Richards Hospital, Chichester
Nurs Stand 19:67. 2005
- Hyperglycemic hyperosmolar nonketotic syndrome in a child with acute lymphoblastic leukemia undergoing induction chemotherapy: case reportR Venkatraman
Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, 160012 Chandigarh, India
J Pediatr Hematol Oncol 27:234-5. 2005..The syndrome has been rarely reported in children with leukemia undergoing induction therapy. The authors' aim is to sensitize physicians to this life-threatening illness, which can be treated effectively if diagnosed early...
- Cerebral edema without ketoacidosis or hyperosmolar coma in a 16-year- old boyRam M Shastry
Diabetes Care 28:753-4. 2005
- [Progress in diagnosis of and therapy for nonketotic hyperosmolar coma]Hiroshi Bando
Nihon Naika Gakkai Zasshi 93:1513-8. 2004
- Nonketotic hyperosmolar coma associated with splenic rupture in congenital afibrinogenemiaMustafa Akcakus
Paediatric Intensive Care Unit, Erciyes University, School of Medicine, Kayseri, Turkey
J Pediatr Hematol Oncol 26:668-71. 2004..Management consisted of correction of the nonketotic hyperosmolar condition and increasing fibrinogen concentration by blood products, followed by splenectomy, resulting in the survival of the patient...
- Overview of diabetesJoan K Bardsley
MedStar Research Institute, 6495 New Hampshire Ave, Suite 201, Hyattsvile, MD 20783, USA
Crit Care Nurs Q 27:106-12. 2004..There are specific methods for recognition and treatment of both acute and chronic complications in the hospitalized patent with diabetes. Managing blood glucose control is essential for favorable outcomes...


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The Swiss firm anticipates that the common currency will drop to $1.23 by year-end and that it could trade at $1.19 within one year. We bring this to your attention in order to remind that gold and the euro have had a "BFF" relationship for the better part of a year now. One of the currently most impactful factors running against the euro is the fast-accelerating flight of deposits from four of Europe's countries (Spain, Portugal, Ireland and Greece). Mind you, with that kind of developments under way, we are yet to learn of massive gold coin and bar demand coming out of Europe. It would only be logical for such worried account deserters to seek the warm glow of the yellow metal.
Nearly half a trillion dollars' worth of deposits in those countries grew wings and took flight in the year that ended in July (and that was well before the crisis mushroomed into a larger one recently). Here is a disintegration pattern that no policymaker at the ECB or the Bundesbank or the Spanish cabinet can paper over with encouraging words. Question: "What's in your wallet?" Answer: "Oh, only my life's savings…"
The opening of the final trading session of the week saw the metals' complex move higher once again after a few sessions marked by indecision and tandem-trading with the euro. Spot gold was bid near $1,777 early on Friday while spot silver hovered near $34.90 on the bid. Standard Bank (SA) analysts surveying the silver market "believe that [Chinese] domestic silver stockpiles are extremely large when compared to the lackluster fabrication demand. PMI readings out of China remain un-inspiring; consequently we do not expect Chinese fabrication demand for silver to improve any time soon. We estimate that since 2009, China has amassed stockpiles of around 15 months of fabrication demand, up from only four months at the start of 2009."
Platinum moved $18 higher to touch $1,639 and palladium advanced $10 to the $671 per ounce mark. EW midweek analysis shows gold "sitting on the outer portion of its exponentially rising bowl, bringing prices to the edge of a reversal. Gold has continued to hold up relative to a falling RSI (like silver)."Rhodium was unchanged at $1,325 per ounce on the bid-side.
No sooner was the costly (in more ways than one) strike over at Lonmin, than another similar action appeared to start over at Anglo-Gold Ashanti. The firm 's Anglo American Plc is the world's largest producer of platinum and it is now facing a new pattern of illegal pay strikes that are bypassing conventional wage-talk conventions. Some analysts feel that Lonmin's headline (22%) pay settlement is the new paradigm and that workers at other firms might follow suit in disrupting output until adequate offers are made to them.

subset: commoncrawl


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For Sale: 2012 Harley Davidson Elctraglide Ultra Lmtd
Ad #182253912 Posted:2014-07-30 17:08:06
This ad expired 60 days ago.
2012 Vivid Black Harley Davidson Electra Glide Ultra Limited, 2,153 miles and in great shape. 103 motor with 6 speed transmission, titanium gauges, heated hand grips, aftermarket shield, smoked lenses, RC Components slip on pipes, bag filler panels painted to match, Streetglide bag Mounts. Purchased new and serviced regularly, stored inside and babied, comes with travel bags and headset. No time to ride. Bike has never been dropped, and has no scratches or dents anywhere.
Seller Phone Number: (317) 753-0910
This item is USED
Trades NOT ACCEPTED
Payment options:
Item Location:
BROWNSBURG, IN Get Directions To This City
This item is USED
Trades NOT ACCEPTED
Payment options:
Seller Information
Ad posted by:
Ad posted by:
suepeak78 (#629905)
Member Since: 2012-05-14
Phone Number: (317) 753-0910
Member Feedback
Number of Honor Payments: 0
Average Accepted Sale Price: $0.00
Average Honor Payment: $0.00
- Member has no other classified ads.
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Cassino and Caserta
General Information
- Type:
- Sightseeing
- Price from:
- 360 EUR /person
- Phone:
- +390657305406
- Fax:
- +39065745900
- Payment Types:
- Cash
- Credit Card
- Cheque
- Travellers cheque
- Paypal
- Wire Transfer
- Duration:
- 8 hours
- Location Start:
- Naples/ Amalfi Coast
- Location Finish:
- Naples/ Amalfi Coast
- Start time:
- 09.00 am
- End time:
- 05.00 pm
- We Speak:
- English
Last updated: 06/21/2006
Visit to the Royal Palace and the delightful gardens and ponds in the huge park. Back to the Highway towards Cassino , ascent to Mount Cassino and visit to the renowned Abbey...
Day 1
Cassino: the monastery located high above the town of Cassino, a top Montecassino, has been destroyed and rebuilt a total of 4 times during its 1500 year history -the last time following a massive World War II bombing raids. Today you will find it returned more than ever to its ancient splendor.The Montecassino Monastery is home to illustrious works of art and rare books in its library, archives and museum, which the Benedictine monks will proudly show you when visiting.
Caserta: on our way back to Naples we will stop at the Caserta Palace -the so-called "Versailles" of Italy - built by King Charles the Borbon in the 18th century to give his Kingdom of Naples a new and fortified capital from naval invasions and similar military offensives. You will be astounded by the immensity of the palace's 1200 rooms packed with precious artwork and the property's 5 hectares of carefully manicured gardens, 75-meter high waterfall and numerous marble fountains.
Extra Information
- Extras -
- We inform our clients that in order to ensure top quality service, our drivers are trained to give informative explanations of the local areas you visit .
Yet strict Italian tourist board regulations prohibit chauffeurs from commenting excessively at official tourist sites outside their vehicles. This is agreement with labour union agreements struck with licensed walking tour guides. They can, of course, speak to you from inside the vehicle anywhere organized tourism is in place.
Couldn't find what you're looking for? Check out more tours & excursions in Naples
1-day tours
- Naples Walking Tour - from 200 EUR
- Naples city tour - from 320 EUR
- Amalfi & Grotta Smeraldo & Positano - from 320 EUR
- Vietri & Paestum - from 360 EUR
Long tours
Email the tour operator - Cassino and Caserta
Important Notice : Avoiding Fraud
It's rare, but some helpful hints to watch out for with regards to fraud:
- It is important to NEVER wire funds or use/employ other fund transfer mechanisms such as western union: Always use a credit card to protect yourself against fraud. If owners pressure you into providing a deposit or refuse to accept credit cards, there is a high probability that this is a scam.
- If at all suspicious of fraud, ask to see their website, or any other literature they can provide or send to you. Ask them for contact details for guests who have previously stayed on their property insisting on telephone numbers. Be suspicious of emails that originate from free email services (yahoo, hotmail, gmail, etc)
- Research the property thoroughly on the internet to see if there is any history or mention of scams associated with the property.


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The 2014 Indian Chief Classic is everything an Indian Motorcycle was and ever should be. It's a sculpted, powerful cruiser, built with the purest necessities of Indian style, wrapped around the innovation of tomorrow.
Price: $18,999
Technical information and specification:
Engine Type: Thunder Stroke™ 111
Displacement: 111 cu in
Bore x Stroke: 3.976″ x 4.449″ (101mm x 113mm)
Compression Ratio: 9.5:1
Electronic Fuel Injection System: Closed loop fuel injection / 54mm bore
Peak Torque RPM: 3000 rpm
Peak Torque (J1349 ft-lbs): 119.2 ft-lbs/ 161.6 N m
Primary Drive: Gear Drive Wet Clutch
Clutch: Wet, Multi-Plate
Gear Ratio (Overall):
1st: 9.403 : 1
2nd: 6.411 : 1
3rd: 4.763 : 1
4th: 3.796 : 1
5th: 3.243 : 1
6th: 2.789 : 1
Final Drive: 2.2 : 1
Suspension: Front – Type/Travel: Telescopic Fork/4.7 in (119 mm)
Brakes/Front: Dual / Floating Rotor / 4 Piston Caliper
Suspension: Rear – Type/Travel: Single Shock / 3.7 in
Brakes/Rear: Single / Floating Rotor / 2 Piston Caliper
Tires/Front: Dunlop® American Elite 130/90B16 67H
Tires/Rear: Dunlop® American Elite 180/65B16 81H
Wheels: 60 Spoke 16″ x 3.5″ Front and 16″ x 5″ Rear
Exhaust System: Split dual exhaust w/ cross-over
Length: 103.5 in
Width (Intl): 39.8 in
Height: 46.3 in
Seat Height: 26.0 in
Wheelbase: 68.1 in
Ground Clearance:
Rake: 29°
Trail: 6.1 in
Fuel Capacity: 5.5 gallons
Weight (empty tank / full of fuel): 778 lbs / 812 lbs
GVWR: 1260 lbs
Available Colors: Thunder Black, Indian Motorcycle® Red, Springfield Blue
Standard Equipment: ABS; Cast Aluminum Frame with Integrated Air-Box; Cruise Control; Keyless Start; Light Bar; Premium Leather Seats
Electric: Tank mounted electronic speedometer with odometer; dual tripmeters; digital tachometer; ambient air temperature; fuel range; average fuel economy; battery voltage; gear position display; real-time clock; vehicle trouble code readout; heated grip level (if heated grips installed); low engine oil pressure; and 9 LED telltale indicators: cruise control enabled, cruise control set, neutral, high beam, turn signal, ABS, check engine, and MPH or km/h unit designation; Tank mounted electronic fuel gauge with low fuel LED indicator
Coverage: 5 years [of coverage]: 1 year limited warranty + 5 year extended service contract subject to $50 deductible with no mileage limitations.


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The nation's oldest transit system has lessons for us about planning for tomorrow.
Representatives from all of the city's planning, zoning, and technical departments are now available for consultation in one office.
The AIA has named the winners of the 2011 Institute Honor Awards for architecture, interior architecture, and urban and regional design, and the Twenty-Five Year Award winner.
The technical director of Penn State's federally funded Energy Innovation Hub describes its research into energy efficiency.
The recent Amendment 4 on the ballot in Florida highlights the problems faced when trying to reform the development process.
When a town in Sweden began crumbling into a giant crater, the local authorities took action—by convening a global design summit.
This year's jury selected 11 winners—ranging from sustainable housing to steam-bending and rubber sinks—based on a combination of performance, aesthetics, and progressive thinking.
Promoted by New Urbanists, form-based codes are gaining in popularity around the country. What do they mean for architects?
Home to many financial companies, Wilmington has been hit particularly hard by the recession. But local architects aren't completely without hope.
Simple steps create an effective green building program.
ARCHITECT offers architecture news, market intelligence, business and technology
solutions, continuing education, building products, and other resources for practicing
Copyright ©
2014 Hanley Wood Media, Inc. All rights reserved.


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Beyonce - Bey should have quit after Carmen on MTV. But she's still acting for some reason. We like her better when she's mommying and singing.
Struggle Actresses: We Love These Ladies, But They Can't Act Worth A Damn!
Posted on April 27th, 2012 - By Bossip Staff
Categories: Hollyweird, News, The List, We Broke It Here First!


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Crown Ring
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Platinum, 18K and Diamond "Crown" Ring, Malaya Garnet 11x9mm (approx. 5.00ct), 12 dias. (0.33ct) *Stone subject to market price.
Batu Bamboo Silver Small Round Ring
18k gold and diamond "Martini" ring (round center stone 6-6.5mm)
Diamond sold separately
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