(See Pathogenesis of metabolic alkalosis and Clinical manifestations and evaluation of metabolic alkalosis and Treatment of metabolic alkalosis.) INTRACELLULAR SHIFT OF HYDROGEN. Metabolic alkalosis can be generated by a shift of hydrogen ions into the cells. This most often occurs in patients with potassium deficits and hypokalemia. This may be an important pathophysiologic mechanism in patients with metabolic alkalosis due to vomiting or nasogastric suction [7].
An estimated 30,000 to 40,000 people were executed by guillotine during the Reign of Terror. Although many were true criminals and threats to the Committee of Public Safety, many of these people were killed merely for not being supportive enough of the revolution.
In his appendix on casualty figures, he reviews a number of estimates of those that were killed under Stalin, and calculates that the number of executions 1936 to 1938 was probably about 1,000,000; that from 1936 to 1950 about 12,000,000 died in the camps; and 3,500,000 died in the 1930-1936 collectivization.