Near drowning

This patient, who had autosomal dominant polycystic kidney disease (ADPKD), almost drowned and then developed ALPE. On July 20, 1990, he nearly drowned in the sea at 1500 hours, and was brought to our hospital by ambulance for dyspnea and severe loin pain at 1620 hours. On admission, metabolic acidosis was observed. His CRP, serum creatinine, CPK, amylase, and urinary protein levels were 1+, 1.5mg/dl, 116 U/l, 592IU/1 (derived from the salivary gland), and 2+, respectively. His body temperature was 37.7°C, and his blood pressure was 110/60 mmHg. His pulse and respiratory rate were 120/min and 22/min, respectively. Delayed CT 6h after the administration of contrast medium showed wedge-shaped contrast enhancement in the noncystic renal parenchyma (Fig. 34). On July 24, a bone scan with MDP revealed patchy lesions (Fig. 35). His serum creatinine level was 1.3 mg/dl, which had decreased to 1.0 mg/dl on July 27. The patient was then discharged. 

Stop that. Stop it. Foolish girl. We made a choice, and we stuck to it. Why not see yourself as blessed rather than cursed That mother of yours was nearly drowned with you inside her. You might never have lived. You might have been turned onto the parish. Instead, your father made you his own child. ... 

Cerebral ischemia can be classed by topography as global or focal and by chronology as reversible and irreversible. Focal hypoxia-ischemia also occurs in such contexts as traumatic insults or cerebral hemorrhages, while global hypoxia-ischemia occurs in cardiac arrest, near drowning and carbon monoxide poisoning [9]. 

Segev D, et al. (1999) Kerosene-induced severe acute respiratory failure in near drowning Reports on four cases and review of the literature. Critical Care Medicine 27(S) 1437-1440. 

Hemorrhagic telangiectasia Hepatitis Leukemia Lightening strikes Near drowning Organic solvent poisoning Paroxysmal nocturnal hemoglobinuria... 

Hyperbaric oxygenation may also be used to treat other abnormal conditions or injuries, such as certain heart disorders, carbon monoxide poisoning, crush injuries, certain hard-to-treat bone infections, smoke inhalation, near-drowning, asphyxia, and bums. 

The maximum in U — Ap curves at constant i was interpreted [20] by a shortening of the three-phase boundary (gas/electrolyte/electro-catalyst) at small and large gas pressures on the basis of an idealized structure consisting of parallel cylindrical pores of different radii and equal length. Such a structure is called homoporous . The electrochemical reactions were assumed to occur at this boundary. The homo-porous structure is nearly drowned at low gas pressures while gas fills too many pores at high pressures. The insufficiency of the above interpretation of the U — Ap curves and i — Ap curves was pointed out [7]. A linear relation... 

Usually the outflow temperature shows no seasonal variations. Thus such waters represent an interesting potential for direct use, provided that potential heat consumers are situated at or near the portals. Contrary to the use of mine waters for space heating, as for example in Canada (Sanner 1993) or Germany (Bussmann 1994), where electrical energy is needed to lift the warm waters from the drowned mines to the surface, there is no need for pumps in the case of tunnel waters. 

Near shore, the interaction between the ocean and coastal rivers results in the formation of fresh-salt water interfaces, known as estuaries. Depending on coastal geology, they can assume various forms, such as fjords, drowned river valleys, or bar-built estuaries, characterized by barrier islands. Tidal effects, storms, and the mixing, or lack thereof, of salt water and freshwater strongly influence the biology... 

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