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Diagnostic Accuracy of Computed Tomography Scan to Diagnose Subarachnoid Hemorrhage in Patients Presenting with Thunderclap Headache
Sajan Lal,
Bhesham Shahani,
Maria Hassan,
Ayub Mansoor,
Reshma Sajan
Issue:
Volume 3, Issue 2, June 2019
Pages:
17-21
Received:
4 May 2019
Accepted:
11 June 2019
Published:
26 June 2019
Abstract: Introduction: Thunderclap headache (TCH) is a severe headache that peaks within 60 seconds of onset. It’s an uncommon type of headache, but recognition and diagnosis are important because of the possibility of a serious underlying brain disorder. Severe headache has long been recognized as a signature feature of subarachnoid hemorrhage (SAH). Lumbar puncture (LP) has the advantage of picking up cases missed on computed tomography (CT) scan, owing to its ability to detect small bleeds directly from the cerebrospinal fluid (CSF). This study can help us in understanding the role of this modality for early diagnosis and therefore timely management of patients. Subject and methods:A retrospective cross-sectional study for a period of six months was conducted at a tertiary care hospital in Karachi, Pakistan. A total of 189 patients presenting with TCH were included in this study. CT was performed on Toshiba Activion 16 slice CT scanner (Toshiba Medical Systems, Otawara, Japan). Presence of SAH was confirmed by CSF analysis after LP. Data were registered on proforma, then transferred to IBM SPSS Statistics for Windows, Version 20.0 (IBM Corp., Armonk, NY) for statistical analysis. Diagnostic accuracy of CT scan in detecting SAH was calculated. Stratification was done on age and sex to see the effect of these modifiers on outcome using chi square test; p≤0.05 was considered as significant. Results:The average age of the patients was 47.97±9.96 years. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of CT was 88%, 91.4%, 78.6%, and 95.5%, respectively while diagnostic accuracy of CT scan in the detection of SAH was 90.48%.Conclusion:This study concludes that CT is the preferred non-invasive approach for the majority of patients who present with suspected SAH.
Abstract: Introduction: Thunderclap headache (TCH) is a severe headache that peaks within 60 seconds of onset. It’s an uncommon type of headache, but recognition and diagnosis are important because of the possibility of a serious underlying brain disorder. Severe headache has long been recognized as a signature feature of subarachnoid hemorrhage (SAH). Lumba...
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A Device for Separating and Recycling Materials of Needle Warming Therapy
Ni Zhexin,
Tang Xiaodong,
Li Weihong
Issue:
Volume 3, Issue 2, June 2019
Pages:
22-24
Received:
10 May 2019
Accepted:
10 May 2019
Published:
29 June 2019
Abstract: Background: Needle Warming Therapy is built on the therapeutic characteristics of Acupuncture and Moxibustion. This kind of therapy is proved to be able to treat many kinds of diseases and disorders. After Needle Warming Therapy, the waste needles and burned moxa cone ashes are always in a mess. Additionally, the dangerous of being pricked by the needle tip and the waste of burned moxa cone ashes were verified. Study Aim: To design a device for separating and recycling waste materials after Needle Warming Therapy, and protecting medical staff from hurt by acupuncture needle tips. Method: We found the main contradictions through communication with clinical acupuncturists and clinical practice. Design style based on full communication with medical staff. Then we used cardboard model to make physical objects according to the drawing style for clinical verification. The final style was determined after repeated modification and practice. Result: After repeated experiments, a more mature style was born. Its main advantages are lightweight, portable, detachable, and low production cost. It makes medical staff more convenient and secure to separate and recycle materials of Needle Warming Therapy.
Abstract: Background: Needle Warming Therapy is built on the therapeutic characteristics of Acupuncture and Moxibustion. This kind of therapy is proved to be able to treat many kinds of diseases and disorders. After Needle Warming Therapy, the waste needles and burned moxa cone ashes are always in a mess. Additionally, the dangerous of being pricked by the n...
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Observations on the Therapeutic Effect of Different Frequency Electroacupuncture on Poststroke Hemidysesthesia
Teng Xiuying,
Gao Changle,
Wang Chenran,
Du Xiaowei,
Zhang Ruyue,
He Xu
Issue:
Volume 3, Issue 2, June 2019
Pages:
25-29
Received:
5 May 2019
Accepted:
13 June 2019
Published:
1 July 2019
Abstract: Objective to observethe clinical effect of electroacupuncture with different frequency in the treatment of hemidysesthesia after stroke. Methods Sixty patients with hemidysesthesia after stroke were randomly divided into treatment group and control groups, with 30 cases in each group. Both groups were treated with electroacupuncture with the same acupoint selection. The electroacupuncture frequency was 100 Hz in the treatment group and 1 Hz in the control group. The clinical effficacy of the two groups was observed after 30 days of treatment. Results The total effective rate and the recovery rate of the treatment group were 93.3% and 80.0%, respectively, and the control group were 86.0% and 43.3%, respectively The difference in the total effective rate between the two groups was statistically significant (p < 0.05). And the difference in the recovery rate between the two groups was statistically significant (p < 0.05). There were was a statistically significant differences in the scores of limb dysesthesia score between the two groups after treatment and before treatment (p < 0.01). There was a statistically significant difference in the limb dysesthesia score after treatment between the treatment group and control group (p < 0.05). Conclusions Electroacupuncture is an effective method to treat poststroke hemidysesthesia. High frequency electroacupuncture is more obvious than low frequency electroacupuncture.
Abstract: Objective to observethe clinical effect of electroacupuncture with different frequency in the treatment of hemidysesthesia after stroke. Methods Sixty patients with hemidysesthesia after stroke were randomly divided into treatment group and control groups, with 30 cases in each group. Both groups were treated with electroacupuncture with the same a...
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Evaluation of Serum Calcium, Phosphorus and Progesterone in Post-Menopausal Women in Khartoum State-Sudan
Rawan Alobied Saad,
Salman Taha Ahmed Elmukashfi,
Amar Mohamed Saeed,
Mosab Omer Khalid
Issue:
Volume 3, Issue 2, June 2019
Pages:
30-33
Received:
1 May 2019
Accepted:
3 June 2019
Published:
22 July 2019
Abstract: Objective: This study was conducted to show importance of preventive measures like calcium supplementation or hormonal therapy to prevent fractures. Material and Methods: This is a comparative (analytical study), case control study. This study includes 50 blood samples, a 30 blood samples were collected from Sudanese post menopause women in a period between March to June 2018, chosen randomly from Umdwanban village, and 20 apparently healthy individuals as control to assess the effect of post menopause on calcium, phosphorus and progesterone. Self-administered questionnaire was used to collect the data. Three ml of venous blood were collected by using sterile disposable syringes and poured into lithium heparin containers, immediately centrifuged and plasma separated transferred in a plain container and processed. Stored at-20°C until analysis. These samples were evaluated for the serum levels of calcium and phosphorus determined by colorimeter and progesterone by Tosoh AIA 360, and the obtained results were analyzed by SPSS. Results: The study results showed that serum level of calcium and phosphorus was significantly changed (p<0.05) in post menopause women, the serum level of calcium is decreased and phosphorus is increased in post menopause women. The mean of serum calcium was 6.733 in test group and 8.955 in control group with p.value of 0.029 and the mean of serum phosphorus was 5.570 in test group and 3.480 in control group with p.value of 0.031. And show a non-significant difference in the serum level of progesterone between the test group and control group (P-value =0.447). Also the study showed the age and social status of the post menopause women have no effect on the serum level of calcium, phosphorus and progesterone. Conclusion: This study concluded that the serum level of calcium is decrease and phosphors is increase while progesterone is unaffected. And the age and social status of post menopause have no effect on the serum level of calcium, phosphors and progesterone.
Abstract: Objective: This study was conducted to show importance of preventive measures like calcium supplementation or hormonal therapy to prevent fractures. Material and Methods: This is a comparative (analytical study), case control study. This study includes 50 blood samples, a 30 blood samples were collected from Sudanese post menopause women in a perio...
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