A traumatic experience
Doctors should consider domestic violence when taking histories. A 41-year-old divorced woman was admitted to the hospital with symptoms of a stroke. A computed tomographic scan found a cerebral blood clot. A clot in a woman of this age is unusual in the absence of a clotting disorder. The next day the patient's mother told doctors the woman's ex-husband had strangled her three months previously. Doctors decided the strangling had damaged the carotid artery, a clot had formed, and a piece had broken off, causing a stroke. Treatment dissolved the clot, but the patient remained paralyzed on one side. Domestic violence is common and happens to women of all races and socioeconomic groups. Associated medical problems include death, injury, suicide attempts, and premature labor. Children are also likely to be victims and to suffer adverse physical and emotional consequences. Doctors should question patients about domestic violence, and they should be prepared to counsel patients and provide referrals.
Publication Name: The New England Journal of Medicine
Diaspirin Cross-Linked Hemoglobin (DCLHb) in the Treatment of Severe Traumatic Hemorrhagic Shock: A Randomized Controlled Efficacy Trial
Diaspirin cross-linked hemoglobin (DCLHb) does not appear to be beneficial for patients in hemorrhagic shock and may even be detrimental. DCLHb is a chemically modified human hemoglobin solution. It should provide oxygen to these critically ill patients. Researchers randomly assigned 98 patients in hemorrhagic shock to receive DCLHb or a saline solution. Mortality rates were actually higher in the patients who received DCLHb. They were also sicker over the following 28 days than those who received a saline solution.
Publication Name: JAMA, The Journal of the American Medical Association
Violence and reproductive health
London-based Panos Institute said in a published report that violence against women is a global epidemic. The report, "The Intimate Enemy: Gender Violence and Reproductive Health," reports that women all over the world are more endangered by their partners, fathers, colleagues and neighbors than by strangers. The UN World Conference on Human Rights declared violence against women in the home a breach of human rights in 1993.
Publication Name: World Health
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