Background: Cerebral venous and sinus thrombosis (CVT) is one of the common causes of stroke in young people. It is a relatively uncommon neurologic disorder that is potentially reversible with prompt diagnosis and appropriate medical care. The purpose of this study is to identify the clinical and radiological features aiding diagnosis of cortical vein thrombosisMethods: A cross-sectional study was conducted from November 2015 to May 2017 in tertiary care centre in Manipal after institutional ethical clearance. A total of 46 patients diagnosed with CVT were included in the study. Clinical symptoms and signs at admission and radiological features were documented.Results: A total of 46 subjects were included. Males (53.3%) were more affected than females (46.7%), mostly in the 3rd decade. The most common risk factors were polycythaemia (31.1%) and oral contraceptive pill intake (17.7%). Headache was the most common symptom followed by paralysis and seizures. Multiple sinuses were involved in two-thirds of the patients. Superior sagital sinus thrombosis was the most common sinus involved followed by transverse sinus thrombosisConclusions: The most common clinical feature is headache followed by paresis and seizures. Superior saggital sinus thrombosis is more common than transverse and sigmoid sinus thrombosis in Indian population. Normal CT scan of brain doesn’t rule out cerebral venous sinus thrombosis.
Aim and objective: To assess the child's anxiety level for various dental procedures using a standard questionnaire and by measuring the salivary cortisol level. Study design: Cross-sectional study. Materials and methods: A sample of 24 healthy children (8-10 years) visiting the Department of Pedodontics and Preventive Dentistry, DAPM RV Dental College, Bengaluru were selected. They were divided into three groups: group I-eight children having their first dental visit, group II-eight children requiring oral prophylaxis after their first visit, group III-eight children requiring extraction of 1 or 2 teeth after their first visit. Levels of dental anxiety were assessed in children using the State-Trait Anxiety Inventory for Children State (STAIC-S) before and after the treatment. Salivary cortisol was assessed in children before and after the treatment using the ELISA test. Statistical analysis used: Student paired t-test was used to compare the mean anxiety score and cortisol levels between pre-and post-time intervals for different procedures within the child group. Results: In children, the mean anxiety score was reduced after the treatment. There was a proportionate decrease in the mean anxiety level among children irrespective of the procedure. Also, there was a reduction in the cortisol level from pre-to post-procedure among children. Conclusion:Assessment of cortisol level in children could be a significant factor that can be used as one of the physiological parameters for various dental procedures.
Gastronomy, an intelligent knowledge of whatever concerns with man's nourishment, is a broad and fertile field that is increasingly explored during recent decades. But, far from the ancient period Ayurveda explains the concepts of Matrasan, Aharavidhi, Anupan, Aharakal etc. A compiled knowledge of both concepts will be fruitful for the mankind in different ways. The main objective is to correlate the ancient Ayurvedic concepts and modern gastronomy to establish a food habit for proper nourishment and prevention of diseases. An extensive analysis and compilation of salient information regarding the concepts of food and nutrients were done by reviewing Ayurveda literature, Pubmed and other scientific databases. Ayurveda has its own universally accepted principles, methods and practices revolving around the concept of food. According to that food is one among the factors used to determine the health of an individual. Several examples given in Ayurveda literature in terms of wholesome food supplement (Pathya) are practically indicated in disease management. Understanding of incompatibilities of food materials and processing i.e. Virudhaahara, Prakriti as a key determinant of effect of food on body system, rules and regulations while intake and preparation of food were other gastronomical concepts in Ayurveda. Since the incidences of lifestyle disorders are increasingly demanding a proper food habit, both Ayurvedic and gastronomic concepts can be utilized for a better life.
Benign Recurrent Intrahepatic Cholestasis (BRIC) is a rare autosomal recessive disorder characterized by intermittent episodes of jaundice and pruritus. It is also known as Summerskill-Walshe-Tygstrup syndrome. It is a benign disease with no progression to end stage liver disease.. The first episode of cholestatic jaundice occurs early in life and there are asymptomatic periods between attacks lasting weeks to years. This case report presents a young male who presented with severe pruritus and acute onset jaundice. He had his first episode of jaundice at the age of twelve and had several intermittent episodes since then. Diagnosis was made by the unique clinical presentation with exclusion of other causes of cholestatic jaundice. This case report highlights the importance of detecting such cases of rarity and preventing unnecessary invasive diagnostic procedures on such patients.
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