It is common to see people behaving in a way which will negatively affect their future goal for the sake of attaining immediate pleasure. Such need for instant gratification besiege people and make them to chase flimsy immediate gratification by abandoning awesome benefits awaiting them in long term. Studies indicated that such needs are among predictors of health and financial problems. Drug addiction, eating disorder, financial crisis and compulsive buying are the frequently sited problems associated with inability to delay gratification. Ability of delaying gratification on the other hand is among predictors of important life outcomes including good health, academic achievement and success. Nevertheless, people are different in their level of resisting temptation of attaining immediate goal. Thus, in this review an attempt is made to get deeper understanding on the possible predictor variables of impulsivity and measurement methods associated with it. Apart from what is frequently studied predictors, in this review, an attempt was made to see the role of external and contextual variables like parenting style, birth order and religiosity on delay of gratification. In line to this, I tried to address the consequences of chasing immediate gratification and some methodological issues regarding studies conducted in addressing gratification.
The author discusses a case of drug induced vasculitis caused by spironolactone which is very rare complication of the drug. The authors give account on the type of vasculitis caused by drug induced allergy and also the differential diagnoses if the presentation is unusual with only hematuria and kidney injury. The benefits of Spironolactone and the side effects are also illustrated.Painful gynecomastia, hyperkalemia, hypomagnesemia, hyponatremia, or hypocalcemia are rare side effects of the
Case Report GJUN (2019) 2:13 Two Options the sweetest among them is bitter: Fournier-gangrene associated with sodium-glucose co-transporter 2-inhibitors The authors discuss a case of sodium-glucose co-transporter 2 inhibitor associated with Fournier-gangrene in a patient with type-2 diabetes millets. The patient had extensive surgical intervention and skin graft but succumbed to her disease.
Case Report GJUN (2019) 2:14 Turning complexity into clarity: polyuria and hypernatremia The patient is 65-year old African American male with history of hypertension. He was admitted to hospital with lethargy, disorientation, and confusion. His clinical evaluation and CT of the head revealed subarachnoid hemorrhage. He had h/o stroke 5 years ago. The patient didn't have fever, but did have a diarrhea of 1-day duration. He is receiving parenteral feeding and his urine output is 4L/day. His physical examination revealed blood pressure of 100/70mmHg, with heart rate of 100 BPM. He has dry mucous membranes and the rest of examination was unremarkable. His laboratory investigation showed sodium 159meg/L, K+ 4.6meg/L, chloride 114mEq/L, HCO3 26mEq/L, creatinine 1.9mg/L, Blood urea nitrogen 64mg/L, and glucose 200mg/L His urine sodium 70mEq/L, and urine osmolality 380mOsm/Kg H2O. His volume status is slightly dry, and he weighs 70Kg.
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