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Myasthenia gravis (MG) is an autoimmune illness that causes neuromuscular junctions to be damaged by anti-acetylcholine receptor antibodies. It is a very rare condition that is more common among women. Fatigable fluctuating diplopia or ptosis is the characteristic early appearance of this condition. Dysphagia or dysphonia may be present in rare cases. This illness can affect any group of skeletal muscles, including those in the neck and upper limbs. It can also affect the muscles that help you breathe, which can lead to breathing failure. We present a case of a 20-year-old female diagnosed with mixed connective tissue disease presenting with acute respiratory failure as the initial presentation of MG. Clinicians have to have a high index of suspicion for myasthenia when patients arrive with fatigable muscle weakness. This will cut down on the amount of money spent on investigations and the risk of morbidity.
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http://dx.doi.org/10.7759/cureus.29092 | DOI Listing |
Pain Med Case Rep
October 2023
Adena Medical Center, Chilicothe, OH.
Background: Peripheral nerve stimulation has been available for many years, yet there is relatively little information available regarding stimulation of many of the large sensory and mixed nerves.
Case Report: A 42-year-old woman presented to the clinic for a 10-year history of intractable left upper extremity and forearm pain following a motor vehicle accident requiring skin grafting. Based on the patient's failure of more conservative therapy, a shared decision was made to pursue opioid sparing interventional modalities.
Rev Bras Enferm
September 2025
Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil.
Objective: To analyze the workplace resilience of nursing professionals who worked in hospitals in southern Brazil during the COVID-19 pandemic and the associated factors.
Methods: A mixed-methods study with an explanatory sequential design, conducted in four hospitals in Rio Grande do Sul. A cross-sectional study with 845 nursing workers was followed by an exploratory descriptive study involving 17 of these workers.
PLoS Negl Trop Dis
September 2025
Universitat Oberta de Catalunya, Barcelona, Spain.
Background: Originally adapted from a paper-based guide for skin-related neglected tropical diseases (NTDs), version 3.0.0 of the World Health Organization (WHO) SkinNTDs app aims to strengthen disease surveillance and frontline health worker capacity in NTD-endemic settings.
View Article and Find Full Text PDFJMIR Hum Factors
September 2025
Department of Community Health Systems, University of California, San Francisco, School of Nursing, San Francisco, CA, United States.
Background: The COVID-19 pandemic forced the world to quarantine to slow the rate of transmission, causing communities to transition into virtual spaces. Asian American and Pacific Islander communities faced the additional challenge of discrimination that stemmed from racist and xenophobic rhetoric in the media. Limited data exist on technology use among Asian American and Pacific Islander adults during the height of the COVID-19 shelter-in-place period and its effect on their physical and mental health.
View Article and Find Full Text PDFAngew Chem Int Ed Engl
September 2025
Department of Chemistry, Inorganic Chemistry Laboratory, University of Oxford, South Parks Road, Oxford, OX1 3QR, UK.
Topochemical reduction of the n = 2 Ruddlesden-Popper oxide, LaSrCoRuO, yields LaSrCoRuO, a phase containing (Co/Ru)O squares which share corners to form 1D infinite double-chains. In contrast, fluorination of LaSrCoRuO yields the oxyfluoride LaSrCoRuOF, which can then be reduced to form LaSrCoRuOF. This reduced oxyfluoride is almost isoelectronic with LaSrCoRuO, but LaSrCoRuOF has a crystal structure in which the (Co/Ru)O squares are connected into 2D infinite sheets.
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