Barriers to medication adherence in the emergency department: A cross-sectional study.

Background: Medication nonadherence is a common problem that leads to increased healthcare utilization. It is unclear how patient insight and attitude towards their medications affect adherence in the ED. Furthermore, it is unclear how perceived medication importance differs between patients and ED physicians.

At the intersection of toxicology, psychiatry, and genetics: a diagnosis of ornithine transcarbamylase deficiency.

Ornithine transcarbamylase (OTC) deficiency is a genetic disorder involving a mutation of the ornithine transcarbamylase gene, located on the short arm of the X chromosome (Xp21.1). This makes the expression of the gene most common in homozygous males, but heterozygous females can also be affected and may be more likely to suffer from serious morbidity.

Cation separation and preconcentration using columns containing cyclen and cyclen-resorcinarene derivatives.

The selectivity and separation of transition metal ions on two columns packed with cyclen-based macrocycles adsorbed onto 55% cross-linked styrene-divinylbenzene resin are presented. The N-cyclen and cyclen-resorcinarene stationary phases were made by adsorbing hydrophobically substituted N-cyclen or a cyclen-resorcinarene derivative (cyclenbowl) on the resin, respectively. The stability constants of cyclen with transition metal ions demonstrate that cyclen has selectivity for Cu²⁺ over other transition metal ions.

Acute bronchial and cardiovascular effects of oral pirbuterol and metaproterenol.

The acute pulmonary and cardiovascular effects of pirbuterol dihydrochloride 10 mg and 15 mg, a new orally active beta 2-selective sympathomimetic agent, were compared with those of placebo and metaproterenol 20 mg over a period of seven hours in 24 stable asthmatics. Pirbuterol 15 mg and metaproterenol 20 mg had a comparable onset of action (30 min) and magnitude of peak bronchodilator effect (29 +/- 5 mean % increase in FEV1) but the bronchodilatation following pirbuterol was longer lasting (seven hours) than that following metaproterenol (three hours). Pirbuterol 15 mg also caused a greater magnitude and duration of bronchodilatation than pirbuterol 10 mg.

Adult respiratory distress syndrome after venous air embolism.

Venous air embolism is not commonly believed to produce the adult respiratory distress syndrome. We present a nonsurgical case of venous air embolism followed by the development of this syndrome. Other causes of adult respiratory distress syndrome were excluded.