COVID-19 as a Risk Factor for Ischemic Stroke, A Case Report, Khartoum, Sudan, 2020 |
Author : Amira Sidig, Mazin Salah-Eldien, Khabab Abbasher Hussien Mohamed Ahmed, Hussien Abbasher, Radi Tofaha Alhusseini, Mohammed Abbasher and Abbasher Hussien |
Abstract | Full Text |
Abstract :Introduction: Covid-19 is associated with common neurological diseases including stroke. It is believed that COVID-19-19 can cause hypercoagulability status which can induce thrombotic events which may predispose for stroke.
Objective: To document COVID-19 as a risk factor for Ischemic Stroke.
Case Report: A 62 years Sudanese male known diabetic, hypertensive, hypercholesterolemia, presented to the casualty with left sided weakness. Full medical history and physical examination was done, routine and specific investigations were done |
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Intelligent Eating to Support Mitochondrial Function |
Author : Jennifer Gantzer |
Abstract | Full Text |
Abstract :Intelligent Eating includes purposely choosing food for
meals and snacks which support the body’s metabolic demands maximizing its amazing intrinsic abilities to repair and regenerate. Intelligent Eating optimizes nutritional dietary intake which maximizes cellular processes at the molecular level supporting optimal function which then prevents and slows aging and degeneration. Instead of eating healthy which many people WANT to do but don’t always know how to, I hope to shift the perception of eating healthy and the idea of dieting for health into the concept of Intelligent Eating as a Dietary Lifestyle where it’s a normal part of everyday, not a fad or a diet, thereby to support repair and regeneration, sustain anti-aging, and restore and/or improve quality of life in ourselves, our families, and our patients |
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Outcome of Adult and Pediatric Posterior Fossa Tumors Linked with Histopathological subtypes - Observations of Two Decades |
Author : Abdul Rashid Bhat, Muhammed Afzal Wani and Altaf Rehman Kirmani |
Abstract | Full Text |
Abstract :Objectives: To analyze the link between histopathological-type of posterior fossa tumors (PFTs) and the outcome in children and
adults. The postoperative quality and span-of-life in these tumors is complicated by the residual disease, progression, recurrence, disabilities and mortality.
Materials and Methods: The histopathological records of 410 PFTs out of 589 patients were compared with their clinical outcome up to first postoperative-year in a single-centre, amounting to regional epidemiological-value. In this observational study, retrospectively postoperative records of 589 PFTs from November 1990 to December 2010 (20 years) were retrieved, scrutinized and compiled. The post-operative records of 410 patients with proved histopathological-examination results were included. The statistical law of Variance was applied where-ever necessary. |
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Telemedicine for an Accessible Healthcare System in Rural India |
Author : Sneha Chakraverty |
Abstract | Full Text |
Abstract :COVID-19 has completely changed our perspective and lifestyle.
It led a digitalized revolution in industries and also impacted the healthcare industry. Telemedicine can be seen as a digitalized form of healthcare delivery. |
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Surgical Treatment of Spinal Nerve Sheath Tumors of the Cervical Spine with Paravertebral Growth |
Author : Slynko Ievgenii, Derkach Urii, Agboola Kayode K and Alao Oluwateniola O |
Abstract | Full Text |
Abstract :Object: Still, the question about the specific treatment of patients with SNSTs of the cervical spine segment with paravertebral growth(PG) is insufficiently studied. This requires close attention and needs further improvement, which proves the relevance of the chosen topic and research area. Solving the problem of improvement of treatment of SNSTs of cervical spine consists of evaluating the results of surgical treatment,
and advanced surgical approaches used to remove these tumors.
Methods: The research is based on analysis of results from the diagnosis and surgical treatment of 65 patients who were surgically treated for (SNST) of the cervical segment with paravertebral growth. The research took place in the Department of Spine and Spinal Cord Pathology, Romodanov Institute of Neurosurgery, from the year 1999 to 2019. We collect preoperative through 15-day postoperative data (medical charts, MRI, CT, vertebral and spinal angiography, Rographs) on patients at our hospital. |
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Supporting Gut Health by Homeostasis and Intrinsic Mechanisms |
Author : Jennifer Gantzer |
Abstract | Full Text |
Abstract :Optimal digestion serves many physiological roles including assimilation of nutrients, sustaining the commensal bacterial environment of the gut microbiome, supporting daily bowel movements and elimination of toxins. An individual’s health and quality of life can be sustained and/or lost at the interface of the external world entering the gut as gut-brain, nervous system, and microbial forces all interact to influence gut function and digestion. This review of digestive function and loss thereof focuses on ways to optimize gut health by mimicking the intrinsic homeostasis of the Rest and Digest parasympathetic regulation of secretions and motility and the bidirectional gut-brain cross-talk of the microbial commensals. Supporting mastication, digestive secretions, motility, and the microbiome can significantly restore gastrointestinal homeostasis and its vital role in overall health. |
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How COVID-19 Affects the Brain? |
Author : Suprakash Chaudhury, Tahoora Ali and Daniel Saldanha |
Abstract | Full Text |
Abstract :Warping the 21st century into an intangible reality is the
SARS-CoV-2 triggered COVID-19 pandemic. With its myriad
presentations and indefinite modes of management, it continues
to confound the world with an unparalleled medical, societal, and
economic crisis [1,2]. Attracting particular attention is the way SARS-CoV-2 affects the human brain. With newer clinical and preclinical data revealing that the virus doesn’t restrict itself to just the respiratory, gastrointestinal and cardiovascular systems, and well surpasses into the nervous system; various conjectural hypotheses have arisen [3]. Occurring independent of and unrelated to other systems, the Central Nervous System (CNS) implications are seen in almost 20-70% of the infected patients [4]. The evident neurotropism and neuroinvasion further complicates the already disruptive pandemic. How does the SARS-CoV-2 enter the brain?
How does it infect the neurons? What is its contribution to the pathophysiology of the presentation of COVID-19 infection? Is it relevant to the present situation? And most protuberantly, what will the sequelae comprise? |
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Pre-discharge Predicting the 5-years Hospital Readmission in Patients with Schizophrenia and Schizoaffective Disorders |
Author : Yael Ratner and Michael Ritsner |
Abstract | Full Text |
Abstract :Background: Unplanned patient readmission is frequent and costly in healthcare settings. This study aimed to create a prediction model for predischarge detection of 5-years UPRA of patients with schizophrenia and schizoaffective (SZ/SA) disorders.
Methods: Consecutively admitted inpatients were comprehensively assessed before discharge from the hospital. After discharge, the readmission was tracked via computerized medical records for 5 years.
Results: Of 125 patients, 80.8% of participants were readmitted for the 5-year period (63.2% had readmissions within the first
year). Regression analyses suggest the following predischarge predictors of readmissions: previous hospitalizations, elevated suicide risk, sensitivity and hostility scores, while better satisfaction with the quality of life and social support, lower depression and paranoid ideations, good adherence to treatment decreased readmission rates. Sociodemographic, background, and clinical variables did not reach a significant level to be predictors. The logistic regression model correctly classified 83.1% of subjects by their readmittance status. |
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Neuro Rehabilitation Care during COVID Times and Beyond |
Author : Vijay Janagama |
Abstract | Full Text |
Abstract :COVID-19 has created unprecedented stress across all sectors, including healthcare. However, we have seen some success points during this long and ongoing battle. Early in the pandemic itself we were able to diagnose the disease, knew preventive tactics using face mask, hand hygiene and physical distance. We could also make vaccines available in the shortest time in the history of vaccines. Many shortcomings were evident too. Definitive treatment approaches are yet to get consensus from medical community, faith in
efficacy and safety of vaccination, timing of relaxing COVID norms are a few that fall into diverse opinions. While all these issues are staged around COVID, one critical point that still awaits definitive answer is the concrete approach on managing non COVID services across health care spectrum. One such pivotal area is continuing Rehabilitation Care during and beyond COVID times. This applies
to every condition that can benefit from rehabilitation.Specialities like Neurology and Neurosurgery need particular attention as these diseases impact all aspects of society if not handled well. |
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Neuropsychological Commentary on Effective Speaking Ability of Doctors |
Author : Madhav Gajananrao Raje |
Abstract | Full Text |
Abstract :Doctors across the globe undermine the need to develop speaking ability despite awareness. This behavior can be explained on the basis of theory of lateralization; whereby they focus unreasonably on intellectual reasoning rather thanemotional accommodativeness. Focus on intellectual reasoning has over the years become an ingrained habit of medical fraternity; creating an invisible wall in between them and patients. Many authors have explored this area of ineffective communication in between doctor and patient. But medical fraternity’s habit could not be reversed efficaciously; may be because of lack of neurobiopsychological evidence base explanation. |
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