Abstract: The study of the electrical signals produced by neural activities of human brain is called Electroencephalography. Epilepsy is one of the most common neurological diseases and the most common neurological chronic disease in childhood. Electroencephalography (EEG) still remains one of the most useful and effective tools in understanding and treatment of epilepsy. EEG signal when decomposed into frequency subbands, gives us several statistical features in each band. Some of these features that may be employed for detection of epilepsy are explored in this paper.Abstract: The study of the electrical signals produced by neural activities of human brain is called Electroencephalography. Epilepsy is one of the most common neurological diseases and the most common neurological chronic disease in childhood. Electroencephalography (EEG) still remains one of the most useful and effective tools in understanding and treatmen...Show More
Abstract: Background: Nursing is a highly stressful occupation, and nurses have job-related stressors. There are limited data regarding stress among nurses of intensive care unit in Bangladeshi hospitals. Objective: This study aimed to identify the prevalence of stress among staff nurses working in ICU and factors influencing stress in the past 12 months. Methods: A descriptive cross sectional study was conducted among 50 Staff Nurse of intensive care unit in Square Hospital Ltd. from 1st September, 2012 to 30th January, 2013. Data were collected by face to face interview using semi-structured questionnaire. Results: Majority of nurses (90%) had experienced stress. Most of nurses (72%) had experienced back pain as physical stress. Majority of nurses (64%) had experienced boredom as psychological stress. Most of nurses (62%) had experienced common mistakes or errors during work. 74% nurses used prayers and 88% nurses used sharing problems with others in coping stress. Majority (86%) of nurses were having diploma in nursing. Most of nurses (68%) had been working experience of more than three years. 100% nurses feel much stressed when one nurse give care to the more than one patient. There is no association between stress and work stressors (work experiences, ratio of nurse to patient, working relationship with doctors, and working relationship with nurse manager). Conclusion: High stressful among intensive care unit (ICU) nurses in Square Hospital Ltd. had been identified and impact on the health and well-being of critical care nurses due to stress. Large scales should be conducted for study.Abstract: Background: Nursing is a highly stressful occupation, and nurses have job-related stressors. There are limited data regarding stress among nurses of intensive care unit in Bangladeshi hospitals. Objective: This study aimed to identify the prevalence of stress among staff nurses working in ICU and factors influencing stress in the past 12 months. Me...Show More
Abstract: Cognitive changes in Alzheimer’s diseases have been linked to synaptic degeneration and dysfunction. Hence, a biomarker of early synaptic defect like neurogranin, is clinically useful to enhance early diagnosis of the disease in susceptible individuals. This review ass the various works done by various authors and researchers from various parts of the world on the role of neurogranin and its clinical usefulness in the early diagnosis of Alzheimer’s disease, a degenerative brain disease with symptoms of progressive dementia. Using the internet and search engines as pubmed, google scholar, medline, index Copernicus etc, studies on Alzheimer’s disease biomarkers and neurogranin were checked for to assess the conclusions of the researchers and also references of the retrieved articles were searched for further facts and information on the subject. Over the years, many researchers have been done to ascertain a suitable biomarker for Alzheimers disease. The pathophysiological process of Alzheimher’s is linked to synaptic degeneration and elevated cerebrospinal fluid neurogranin has been linked to this pathologic process. In this review, many authors find neurogranin a useful, accurate and reliable biomarker in the diagnosis and prognosis of Alzheimer’s disease as neurogranin levels are elevated in patients with Alzheimer’s disease when compared with controls. Elevated cerebrospinal fluid (CSF) levels of neurogranin is a promising biomarker of Alzheimer’s diseases and tends to be clinically useful in early diagnosis and prognosis of the disease.Abstract: Cognitive changes in Alzheimer’s diseases have been linked to synaptic degeneration and dysfunction. Hence, a biomarker of early synaptic defect like neurogranin, is clinically useful to enhance early diagnosis of the disease in susceptible individuals. This review ass the various works done by various authors and researchers from various parts of ...Show More
Abstract: Cervical compressive myelopathy (CM) remains a common entity in the practice of spine surgery. Though MRI is the diagnostic modality for CM, there are a subset of patients whose clinical features are suggestive of multilevel compression caused by dynamic factors, which however cannot be detected by a static MRI study. The causes include buckling of ligamentum flavum, collapse of disc height and changes in posterior longitudinal ligaments at the level of compression. These changes can only be detected on dynamic MRI. The application of Dynamic MRI can reveal not just additional levels of compression but even the site of maximum pressure, thus playing a vital role in surgical planning. It is also seen that adjaent level disease, commonly thought to be secondary to Cervical fusion was actually pre-existing and could have been picked up if dynamic MRI were used. We thus planned a prospective cohort of 24 patients of multilevel cervical compessive myelopathy who were studied with dynamic MRI at the Sakra Spine centre in Bangalore India. The clinical symptoms were correlated to the dynamic changes in MRI and were considered for planning appropriate treatment. Of the 24 patients in our study, 17 patients had a change in the original plan of treatment, either between conservative therapy and surgery, or the approach (Anterior vs. Posterior) of surgery. It was also noted that additional levels of compression discovered on the dynamic MRI were instrumental in changing the treatment protocol. Thus Flexion and Extension MRI is an important tool in planning the appropriate management in cervical compressive myelopathy.Abstract: Cervical compressive myelopathy (CM) remains a common entity in the practice of spine surgery. Though MRI is the diagnostic modality for CM, there are a subset of patients whose clinical features are suggestive of multilevel compression caused by dynamic factors, which however cannot be detected by a static MRI study. The causes include buckling of...Show More