Our study identifies the trends related to spontaneous ICH by analyzing the citation frequency of the most-cited articles in the field.

In addition to cardiac enzymes, K along with BUN and Cr may serve as important aid in diagnosis of ACS. BUN and Cr may also serve as important tools in mortality-risk assessment of ACS patients.

ADD regime was better tolerated by the patients than EDD regime. Alternate day therapy, with or without vitamin D supplementation, may be used by the physicians for troublesome muscular complains.

Objectives Health service cleaners play a key role in safeguarding patients' health. Limited research has been done on cleaners' workplace exposures and respiratory health. This study assessed the risk of asthma and chronic bronchitis among Scottish National Health Service (NHS) cleaners. Methods A cross-sectional survey of NHS Highland Region cleaners and administrative staff (never employed as cleaners), aged 16-75 years. A questionnaire, based on the European Community Respiratory Health Survey questionnaire, explored respiratory symptoms and occupational exposures. Asthma was defi ned as reported symptoms in the last year or current use of drugs to treat asthma. Chronic bronchitis was defi ned as regular dry or productive cough at least 3 months a year, for at least 2 successive years. Pack-years of smoking data were sought. ORs with 95% CI were calculated using adjusted unconditional logistic regression. Results The response rate was 55.5% (216 cleaners, 39.6%; 645 administrative staff, 62.2%). After adjusting for age and smoking, no signifi cant differences were found between the occurrence of asthma and chronic bronchitis in cleaners compared to administrative staff: current asthma OR 1.21, 95% CI 0.77 to1.84; chronic bronchitis 1.52, 0.98 to 2.33). Conclusions This study had suffi cient power to detect a 9% difference in asthma and chronic bronchitis point prevalence between the groups. Previous studies found cleaners were at increased risk of asthma and COPD. Exposure controls for NHS Highland cleaners (staff training, careful selection of cleaning agents, no sprays) may account for these negative results.

Background Smokeless tobacco (SLT) products of several different types are widely used in several South Asian countries including Pakistan. These products are consumed in different forms and with different names. The study aims to determine adverse effects of the SLT consumption on periodontal tissues. Methods This cross sectional study was conducted in Karachi, Pakistan. It recruited 377 users of (SLT) with 231 males (61.3%) and 146 females (38.7%) of age 15 to 45 years. After obtaining informed consent, quantitative data were collected via a questionnaire followed by intra oral clinical examination to determine presence of periodontal diseases using community periodontal index (CPI). To determine the association between periodontal diseases and smokeless tobacco consumption habits, Chi Square test was conducted. Results Gingival recession (Class II-IV) (65.8%) was the most prevalent periodontal disease among SLT users. CPI score was high (CPI score 3 and 4) in 31.3% participants, whereas tooth loss was found in 21%. Among types of SLT products, gutka (28.6%) and betel quid (23.3%) were most commonly used. Using SLT for five or more years was found to be associated with a high CPI score, gingival recession (Class II-IV), moderate to severe tooth mobility, and presence of tooth loss. Conclusions The study found statistically significant association between duration in years of using SLT and periodontal disease including gingival recession, tooth mobility and tooth loss. However, no significant results were found between retention during single use and frequency of SLT use per day. However, the link of these factors with the periodontal disease cannot be eliminated.