Cases reported "Death"

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1/9. The loss of Peyton.

    eclampsia, a convulsive disorder usually occurring near the end of pregnancy and more often than not occurring with primigravida mothers, represents a serious toxic condition that endangers the life of both the mother and child. Because of this possibility it is very important for women to receive prenatal care. Most obstetricians believe that the causes of eclampsia are unknown. However, midwives usually believe that good nutrition in combination with the reduction of stress prevents eclampsia. eclampsia can be insidious and can present itself with little warning.
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2/9. Near death: a nurse reflects.

    After reading about near-death phenomena in the December issue, this nurse was inspired to share her own experience. Her story and observations may help you better understand and help patients who've been to the brink of death and back.
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3/9. Postcesarean pulmonary embolism, sustained cardiopulmonary resuscitation, embolectomy, and near-death experience.

    BACKGROUND: survival after surgical embolectomy for massive postcesarean pulmonary embolism causing sustained cardiac arrest is rare. CASE: One day after an uneventful cesarean delivery, a woman developed cardiac asystole and apnea due to pulmonary embolism. Femoral-femoral cardiopulmonary bypass performed during continuous cardiopulmonary resuscitation allowed a successful embolectomy. Upon awakening, the patient reported a near-death experience. pulmonary embolism causes approximately 2 deaths per 100,000 live births per year in the united states, and postcesarean pulmonary embolism is probably more common than pulmonary embolism after vaginal delivery. CONCLUSION: Massive pulmonary embolism is a potentially treatable catastrophic event after cesarean delivery, even if continuous cardiopulmonary resuscitation is required until life-saving embolectomy is done.
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4/9. Near-death experiences in india. A preliminary report.

    The authors report some features of 16 cases of near-death experiences that they investigated in india. After presenting brief accounts of four such experiences, the authors describe and discuss features in which the Indian cases differ from a larger sample of American cases. They note that some of these features seem to be culture-bound, but they caution against accepting this observation as adequate evidence that the case derive only from culture-bound beliefs. Some differences may derive from the effects of a person's beliefs on what actually does happen after death, and some different features may, on closer examination, be found to be basically similar in nature if not in detail.
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5/9. Near-death experiences in a pediatric population. A preliminary report.

    Numerous accounts of a unique psychological state associated with near-fatal events have been described in adults; however, we know of no studies in the medical literature of the nature or incidence of such experiences in children. Four of seven children who survived cardiopulmonary arrests or coma associated with trauma, drownings, or hyperosmolar states reported near-death experiences. Their subjective accounts of their experiences included a sense of being out of the body, traveling in a tunnel or staircase, seeing beings dressed in white, and a decisional return to the body. Six patients hospitalized in the intensive care unit for epiglottitis, heart surgery, or guillain-barre syndrome, all of whom had mechanical ventilatory support and were treated with anesthetic agents and narcotics, had no memories of the time they were unconscious. Clearly, children report near-death experiences similar to ones previously described in adults. Further systematic study of this phenomenon is indicated.
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6/9. The theme of death in complex partial seizures.

    The theme of death highlighted the depersonalization phenomena of four patients with complex partial seizures. These patients became preoccupied with death in association with psychomotor seizures, visual hallucinations, and altered perception of time and reality. The episodic sense of being dead or of having an appointment with death is a clue to the diagnosis of recurrent complex partial seizures even without overt motor stigmata of seizures. The syndrome differs from fear of death, steroid psychosis, the "near death syndrome," and Cotard's syndrome. Adjustment of antiseizure medication is an important therapeutic maneuver.
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7/9. A near-death experience in a 7-year-old child.

    Near-death experiences occurring to persons who have survived near-terminal events, such as cardiac arrests or profound comas, have been widely reported in the lay literature; however, there is little documentation of such events in the medical literature. These experiences generally have a consistent core of euphoric affect, an out-of-the-body state, encountering a being of light, meeting others (especially dead relatives), and going from a dark tunnel to a world of light. This core remains consistently present despite wide variations in the religious or cultural background of the person. Such an event occurred to a 7-year-old near-drowning victim. Pediatricians should be alerted to the potential need for counseling in children who have survived near-fatal events.
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8/9. The near-death experience following multiple trauma.

    The NDE is a fascinating but not uncommon phenomenon that some trauma victims experience during physical crises or periods of apparent clinical death. When critical care trauma nurses are familiar with the characteristics of the experience, they are able to assist trauma victims to understand available information about NDEs. More important, critical care nurses are able to assist victims and their families to understand the meanings of the NDE and how it affects their lives.
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9/9. The near-death experience as a focus of clinical attention.

    Near-death experiences (NDEs) often produce profound changes in attitudes and behavior that can lead to psychosocial and psychospiritual problems. The diagnostic label of religious or spiritual problem, included in DSM-IV under the category of other conditions that may be a focus of clinical attention, was originally proposed to encompass NDEs and their aftereffects. Four cases are discussed in which patients presented with NDE-related problems, and differential diagnosis and current treatment strategies are reviewed. The inclusion of this new diagnostic category in the DSM-IV permits differentiation of NDEs and similar experiences from mental disorders and may lead to research into more effective treatment strategies.
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