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Pain in the marriage

Article Abstract:

Carbon monoxide poisoning may imitate heart conditions. An elderly couple with symptoms of chest pain and shortness of breath were taken to the hospital for evaluation and treatment. The man had symptoms indicating acute myocardial ischemia (heart attack) and the previously healthy wife also reported slight chest pain. Her examination also revealed signs of ischemic heart disease. The doctor thought that her distress over her husband's condition caused her to experience chest pain. The couple was treated for two days in the hospital, and discharged to their home. Two days later, they both came back to the hospital with similar symptoms. A detailed history of their home environment revealed that they used two kerosene heaters in an unventilated apartment, and the weather was cold at the time of their hospital admissions. The patients' carboxyhemoglobin levels indicated carbon monoxide poisoning. They were treated with 100% oxygen, and the heart symptoms resolved. Doctors should include environmental factors when diagnosing patients with similar symptoms who are from the same environment.

Author: Mevorach, Dror, Heyman, Samuel N.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1995
Evaluation, Diagnosis, Diagnostic errors, Carbon monoxide poisoning

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A twinning combination

Article Abstract:

Communities in the UK are forming relationships with other communities in foreign countries at an increasing pace, almost 1,600 for the 541 local authorities. The collapse of barriers to Eastern Europe has encouraged many local councils to seek relationships and offer assistance there. The Local Government International Bureau helps coordinate these efforts and seeks acceptance for 'twinning' and the encouragement of better international relations on a local, personal level.

Author: Donaldson, Liza
Publisher: Circle Publishing Ltd.
Publication Name: Geographical Magazine
Subject: Petroleum, energy and mining industries
ISSN: 0016-741X
Year: 1992
United Kingdom, International aspects, Eastern Europe, International relations, Cities and towns, Sister cities, Europe, Eastern

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Harriet Quimby

Article Abstract:

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Author: Quinby, Brie
Publisher: Viva International Ltd.
Publication Name: Viva
Subject: Women's issues/gender studies
ISSN: 0149-4473
Year: 1979
Women, History, Biography, Aviation, Air pilots, Aircraft pilots, Women in aeronautics, Quimby, Harriet

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