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Alcoholic Ketoacidosis Sudden Death

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What is DIABETIC KETOACIDOSIS? What does DIABETIC KETOACIDOSIS mean? DIABETIC KETOACIDOSIS meaning - DIABETIC KETOACIDOSIS definition - DIABETIC KETOACIDOSIS explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. SUBSCRIBE to our Google Earth flights channel - https://www.youtube.com/channel/UC6Uu... Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion, and occasionally loss of consciousness. A person's breath may develop a specific smell. Onset of symptoms is usually rapid. In some cases people may not realize they previously had diabetes. DKA happens most often in those with type 1 diabetes, but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke, and certain medications such as steroids. DKA results from a shortage of insulin; in response the body switches to burning fatty acids which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high blood sugar, low blood pH, and ketoacids in either the blood or urine. The primary treatment of DKA is with intravenous fluids and insulin. Depending on the severity, insulin may be given intravenously or by injection under the skin. Usually potassium is also needed to prevent the development of low blood potassium. Throughout treatment blood sugar and potassium levels should be regularly checked. Antibiotics may be required in those with an underlying infection. In those with severely low blood pH, sodium bicarbonate may be given; however, its use is of unclear benefit and typically not recommended. Rates of DKA vary around the world. About 4% of people with type 1 diabetes in United Kingdom develop DKA a year, while in Malaysia the condition affects about 25% a year. DKA was first described in 1886 and, until the introduction of insulin therapy in the 1920s, it was almost universally fatal. The risk of death with adequate and timely treatment is currently around 1–4%. Up to 1% of children with DKA develop a complication known as cerebral edema. The symptoms of an episode of diabetic ketoacidosis usually evolve over a period of about 24 hours. Predominant symptoms are nausea and vomiting, pronounced thirst, excessive urine production and abdominal pain that may be severe. Those who measure their glucose levels themselves may notice hyperglycemia (high blood sugar levels). In severe DKA, breathing becomes labored and of a deep, gasping character (a state referred to as "Kussmaul respiration"). The abdomen may be tender to the point that an acute abdomen may be suspected, such as acute pancreatitis, appendicitis or gastrointestinal perforation. Coffee ground vomiting (vomiting of altered blood) occurs in a minority of people; this tends to originate from erosion of the esophagus. In severe DKA, there may be confusion, lethargy, stupor or even coma (a marked decrease in the level of consciousness). On physical examination there is usually clinical evidence of dehydration, such as a dry mouth and decreased skin turgor. If the dehydration is profound enough to cause a decrease in the circulating blood volume, tachycardia (a fast heart rate) and low blood pressure may be observed. Often, a "ketotic" odor is present, which is often described as "fruity", often compared to the smell of pear drops whose scent is a ketone. If Kussmaul respiration is present, this is reflected in an increased respiratory rate.....

Alcoholic Ketoacidosis

Go to: CHARACTERISATION In 1940, Dillon et al1 described a series of nine patients who had episodes of severe ketoacidosis in the absence of diabetes mellitus, all of whom had evidence of prolonged excessive alcohol consumption. It was not until 1970 that Jenkins et al2 described a further three non‐diabetic patients with a history of chronic heavy alcohol misuse and recurrent episodes of ketoacidosis. This group also proposed a possible underlying mechanism for this metabolic disturbance, naming it alcoholic ketoacidosis. Further case series by Levy et al, Cooperman et al, and Fulop et al were subsequently reported, with remarkably consistent features.3,4,5 All patients presented with a history of prolonged heavy alcohol misuse, preceding a bout of particularly excessive intake, which had been terminated several days earlier by nausea, severe vomiting, and abdominal pain. Clinical signs included tachypnoea, tachycardia, and hypotension. In 1974, Cooperman's series of seven ketoacidotic alcoholic patients all displayed diffuse epigastric tenderness on palpation.4 In contrast to patients with diabetic ketoacidosis, the patients were usually alert and lucid despite the severity of Continue reading >>

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  1. kristafb

    Just wanted to share with you all. I am not endorsing the site, know nothing about them other than someone on the facebook group posted the link & the price for the box of 50, even with $15 shipping (for canada anyway) is decent.
    http://www.storenvy.com/stores/194693-ketosis-tools

  2. Booksandbeaches

    Thanks!

  3. EddieHaskell97

    I hate them as a company, but Wally-World sells them for $6.84.
    http://www.walmart.com/ip/ReliOn-Ketone-Test-Strips-50-count/33574014

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What is MATERNAL DEATH? What does MATERNAL DEATH mean? MATERNAL DEATH meaning - MATERNAL DEATH definition - MATERNAL DEATH explanation. Source: Wikipedia.org article, adapted under https://creativecommons.org/licenses/... license. Maternal death is defined by the World Health Organization (WHO) as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes." The world mortality rate has declined 45% since 1990, but still every day 800 women die from pregnancy or childbirth related causes. According to the United Nations Population Fund (UNFPA) this is equivalent to "about one woman every two minutes and for every woman who dies, 20 or 30 encounter complications with serious or long-lasting consequences. Most of these deaths and injuries are entirely preventable." UNFPA estimated that 289,000 women died of pregnancy or childbirth related causes in 2013. These causes range from severe bleeding to obstructed labour, all of which have highly effective interventions. As women have gained access to family planning and skilled birth attendance with backup emergency obstetric care, the global maternal mortality ratio has fallen from 380 maternal deaths per 100,000 live births in 1990 to 210 deaths per 100,000 live births in 2013, and many countries halved their maternal death rates in the last 10 years. Worldwide mortality rates have been decreasing in modern age. High rates still exist, particularly in impoverished communities with over 85% living in Africa and Southern Asia. The effect of a mother's death results in vulnerable families and their infants, if they survive childbirth, are more likely to die before reaching their second birthday. Factors that increase maternal death can be direct or indirect. Generally, there is a distinction between a direct maternal death that is the result of a complication of the pregnancy, delivery, or management of the two, and an indirect maternal death. that is a pregnancy-related death in a patient with a preexisting or newly developed health problem unrelated to pregnancy. Fatalities during but unrelated to a pregnancy are termed accidental, incidental, or nonobstetrical maternal deaths. The most common causes are postpartum bleeding (15%), complications from unsafe abortion (15%), hypertensive disorders of pregnancy (10%), postpartum infections (8%), and obstructed labour (6%). Other causes include blood clots (3%) and pre-existing conditions (28%). Indirect causes are malaria, anaemia, HIV/AIDS, and cardiovascular disease, all of which may complicate pregnancy or be aggravated by it. Sociodemographic factors such as age, access to resources and income level are significant indicators of maternal outcomes. Young mothers face higher risks of complications and death during pregnancy than older mothers, especially adolescents aged 15 years or younger. Adolescents have higher risks for postpartum hemorrhage, puerperal endometritis, operative vaginal delivery, episiotomy, low birth weight, preterm delivery, and small-for-gestational-age infants, all of which can lead to maternal death. Structural support and family support influences maternal outcomes. Furthermore, social disadvantage and social isolation adversely affects maternal health which can lead to increases in maternal death. Additionally, lack of access to skilled medical care during childbirth, the travel distance to the nearest clinic to receive proper care, number of prior births, barriers to accessing prenatal medical care and poor infrastructure all increase maternal deaths. Unsafe abortion is another major cause of maternal death. According to the World Health Organization, every eight minutes a woman dies from complications arising from unsafe abortions. Complications include hemorrhage, infection, sepsis and genital trauma. Globally, preventable deaths from improperly performed procedures constitute 13% of maternal mortality, and 25% or more in some countries where maternal mortality from other causes is relatively low, making unsafe abortion the leading single cause of maternal mortality worldwide.

Alcoholic Ketoacidosis As A Cause Of Death, Who Came First?

I read with interest the article ‘The Postmortem Diagnosis of Alcoholic Ketoacidosis’ by Palmiere and Augsburger (2014). However for the sake of truth I must protest against the statement on page 272: ‘The first report in the forensic field suggesting that ketoacidosis could be partially responsible for unexplained deaths in alcoholics dates back to 1993 and concerns a study performed by L.N. Denmark on 49 autopsy cases that included chronic alcohol-abuse related deaths’. Together with my co-authors I submitted an article that was acknowledged by Forensic Science International on 19 January 1993 and published in vol. 60 (Thomsen et al., 1993). In that article we described our results as ‘strongly indicative of ketoacidosis as the sole or contributing cause of death…’. We were convinced that we solved the riddle of ‘Fatty liver deaths’. L.N. Denmarks excellent work on beta-hydroxybutyrate was received at Forensic Science International, 4 April 1993 and published in vol. 62. It had been known for many years that alcoholics, who stop drinking after a binge, may be found dead shortly after. The only abnormality to be found is a fatty liver. There are no drugs to be de Continue reading >>

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  1. pencala

    > When do you start to lose weight only after you are in ketosis?

    Hi,
    It took me 5 days to get into ketosis (waaaay longer than I anticipated). I'm assuming I had a lot of built up carbs in my system before I started on my diet. I haven't lost any weight. In fact, I've gained 3 lbs! I'm wondering if the weight will start to come off now that I'm in ketosis. Is that when it begins? Also, I am really starving without the carbs, so I'm eating a lot more than I usually would. Can I be gaining weight from this diet??
    Thanks!

  2. girlbug2

    Hi,
    It took me 5 days to get into ketosis (waaaay longer than I anticipated). I'm assuming I had a lot of built up carbs in my system before I started on my diet. I haven't lost any weight. In fact, I've gained 3 lbs! I'm wondering if the weight will start to come off now that I'm in ketosis. Is that when it begins? Also, I am really starving without the carbs, so I'm eating a lot more than I usually would. Can I be gaining weight from this diet??
    Thanks!
    Don't Panic!!
    It entirely depends not only on how much you are eating, but what type of food whether or not you could gain weight.
    I notice that anything high in salt makes me retain water. Cheese, cured meats, salted pork rinds, pickles. These are Atkins friendly and will not hinder ketosis per se, but may cause you to retain water. Think back over the last 5 days and remember if you have eaten these foods or anything else, such as broth which may be high in salt.( Read labels for hidden salt/sodium.)If so, you may be losing fat while retaining water and it could register on the scale as a gain. When you stop eating the hidden salt, it may be a day or two before you experience your body flushing all that extra water quickly and then finally your scale will show a loss.
    Another common error is relying a lot on artificially sweetened products, which a lot of LCers have noticed can stall their weight loss. Diet soda is notorious, so are Atkins bars. Not everybody has a problem with these things, but you may find out that you do.
    Those are just the possibilities that come to my mind, I'm sure other seasoned LCers can think of other things. Don't ditch the diet, you've barely started and there are bound to be setbacks along the way.
    Meanwhile, if you are extra hungry, perhaps you could post an example of a day or two of your menu so some of the more sophisticated LCers can help you spot trouble?
    Good luck!

  3. jcass

    Low carb diets will not cause you to lose weight unless you are overweight. Do you consider yourself overweight? Nevertheless they will make you much healthier.

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Football is by far the world's most popular sport and because of this, the occurrence of sudden cardiac death appears more prevalent. It also seems to be African players who are more likely to fall victim to the problem...the question is why are healthy players dying and what needs to be done to stop it from happening again. CGTN's Sias du Plessis takes a look. Subscribe to us on YouTube: http://ow.ly/Zvqj30aIsgY Follow us on: Facebook: https://www.facebook.com/cgtnafrica/ Twitter: https://twitter.com/cgtnafrica

Sudden Unexpected Death In Alcohol Misusean Unrecognized Public Health Issue?

Int J Environ Res Public Health. 2009 Dec; 6(12): 30703081. Published online 2009 Dec 4. doi: 10.3390/ijerph6123070 Sudden Unexpected Death in Alcohol MisuseAn Unrecognized Public Health Issue? Alexa H. Templeton ,1,* Karen L.T. Carter ,1 Nick Sheron ,1,2 Patrick J. Gallagher ,3 and Clare Verrill 3 1 Liver Research Group, University of Southampton, Southampton General Hospital, Southampton University Hospitals NHS Trust, Tremona Road, Southampton, SO16 6YD, UK; E-Mails: [email protected] (K.L.T.C.); [email protected] (N.S.) 2 Clinical Hepatology, Division of Infection, Inflammation and Immunity, University of Southampton Medical School, Southampton, SO16 6YD, UK 3 Department of Histopathology, Southampton University Hospitals NHS Trust, Southampton, UK; E-Mails: [email protected] (P.J.G.); [email protected] (C.V.) * Author to whom correspondence should be addressed; E-Mail: [email protected] ; Tel.: 07841427173; Fax: +44(0)23 8079 6603. Received 2009 Oct 29; Accepted 2009 Nov 29. Copyright 2009 by the authors; licensee Molecular Diversity Preservation International, Basel, Switzerland. This article is an open-access article distributed under the ter Continue reading >>

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  1. connie7

    I used to use the ketostix every morning -- was in moderate zone most days. After a while I stopped checking. That was about 2 months ago. Last week, I took my daughter to college orientation session, and had some chicken nuggets at Chik-Fil-A (my only cheat in about 6 months), so when I got home I decided to check. The result was negative ketones, so I tried to go back to induction levels for a few days. It's been a week, and they still register negative every morning. Could the sticks have "gone bad"? The scale is not changing too much -- the normal fluctuations, but nothing dramatic. Should I go out and get some more ketostix, or just stick with it and not worry so much?

  2. hayes

    The sticks have a 6month shelf life after opening. The least little moisture inside the bottle can effect the reading also as can other conditions.
    If your very curious, get a new bottle.
    Remember that some people never make the sticks change color.

  3. omgtwins

    Because Ketosis stix don't really do much when it comes to encouragment - I don't use them. There are way too many variables - you could be in ketosis and it may not show, you are'nt in ketosis but loosing weight...IMNSHO I stick to the scale once a week and the measurements every month - the clothes in the back of the closet that are slowly moving up are also better indicators. You know what you're eating - good or bad, so save some money and get rid of those sticks!

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