Tatum R Dam Dam, Cassandra J Liew, Ria Soni, Anjali Mangla, Medha Illindala, K. Bs, Ank A. Agarwal, B. Baccouche, Shravika Lam, A. Bhamidipati, B. Mangla
{"title":"Holistic Solutions to Schizophrenia Management in Geriatric Populations","authors":"Tatum R Dam Dam, Cassandra J Liew, Ria Soni, Anjali Mangla, Medha Illindala, K. Bs, Ank A. Agarwal, B. Baccouche, Shravika Lam, A. Bhamidipati, B. Mangla","doi":"10.47363/jnrrr/2021(3)137","DOIUrl":"https://doi.org/10.47363/jnrrr/2021(3)137","url":null,"abstract":"Schizophrenia is a psychiatric condition characterized by dysfunction in thoughts, behavior, and emotions. The illness is typically diagnosed in late adolescence to early adulthood, and generally lasts throughout a patient’s lifetime. This debilitating condition affects approximately 25% of adults aged 55 years old and older. With numbers of elderly adults afflicted by psychiatric illnesses increasing in the future, special precautions need to be taken to address this underserved population. This increase in schizophrenia frequency among elderly populations also has repercussions not just for future healthcare, but health costs as well, with schizophrenia expenses being costly in comparison to other psychiatric ailments. A major theory explaining the genetic and physiological basis of schizophrenia is the dopamine hypothesis, which describes a disruption in the normal transmission of the dopaminergic pathway as well as the mesolimbic system. Current treatments of schizophrenia often involve pharmacological interventions that create heightened side effects in the elderly. There is a need for more research into efficient and effective treatments for the future, especially treatments that can be safe for elderly use such as brain stimulating interventions. Destigmatizing mental health issues and advocating for safer and more efficient therapies are the key to improving outcomes of geriatric schizophrenic patients","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43923987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Episodic Unilateral Limb Pain and Migraine–A Case Report, Hitherto an Unnamed Entity!","authors":"A. Bansal, Neurologist","doi":"10.47363/jnrrr/2021(3)136","DOIUrl":"https://doi.org/10.47363/jnrrr/2021(3)136","url":null,"abstract":"Background: Migraine limb pain is a very under-recognized manifestation of migraine in which episodic pain happens in the peripheral limbs. Despite its description for many years, only limited clinical details are known. Only case reports and case series with limb pain as a symptom of migraine are reported in the literature. In this case report, important features of episodic unilateral limb pain and it’s association with migraine has been discussed. Case presentation: Here the author (a neurologist) describes episodic limb pain from his own experience, which started in childhood and used to be episodic, unilateral and with changing sides. In view of various features mimicking migraine, classical manifestation of migraine in later life and a strong family history , episodic unilateral limb pain in childhood is likely a form of peripheral migraine. Conclusion: Unilateral episodic limb pain with various features mimicking migraine is a very important clinical entity. This case should help in understanding the clinical details of peripheral limb pain -a relatively under-diagnosed symptom of migraine","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49209021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tumefactive Acute Disseminated Encephalomyelitis after Recent Covid-19 Infection: A Case Report","authors":"B. Kelley","doi":"10.47363/jnrrr/2021(3)130","DOIUrl":"https://doi.org/10.47363/jnrrr/2021(3)130","url":null,"abstract":"Objective: To report a case of a patient with recent mild to moderate COVID-19 infection who developed tumefactive acute disseminated encephalomyelitis. Methods: Patient data were obtained from medical records from the University of Wisconsin – Madison Hospitals in Madison, WI, USA. Results: We report a 59-year-old man with past medical history notable for atrial fibrillation, biventricular pacemaker, end-stage renal disease secondary to idiopathic fibrillary glomerulonephritis, on hemodialysis awaiting transplantation, who presented with ongoing cognitive changes and pneumonia. He was repeatedly COVID-19 positive with minimal symptoms for 4 weeks prior to admission. He developed right sided hemiparesis and persistent, progressive encephalopathy manifesting primarily with disorientation, agitation, and aggression. CSF was notable for cell count of 7, protein of 48, and glucose of 65. Anti-MOG antibody and AQP-4 antibody were negative. A series of CT/CTA head imaging with and without contrast showed progressive multifocal supratentorial areas of white matter hypoattenuation and MRI head with and without contrast demonstrated progressive multi-focal large ovoid T2 FLAIR hyperintensities, partially ring enhancing on contrasted portion of study, consistent with tumefactive demyelinating disease. Significant improvement in mental status and right sided hemiparesis symptoms was observed with initiation of corticosteroids. Conclusion: This case study provides neuroimaging evidence and clinical correlation to support that SARS–CoV-2 and resultant COVID-19 infection can lead to tumefactive acute disseminated encephalomyelitis. This complication has not been previously documented associated with recent COVID-19 infection.","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47538796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Review of Epileptic Seizure Prediction: Physiological Mechanism and Data Based Attempts","authors":"Agboola Ha, Susu Aa","doi":"10.47363/jnrrr/2021(3)135","DOIUrl":"https://doi.org/10.47363/jnrrr/2021(3)135","url":null,"abstract":"Epilepsy is a chronic brain disorder and epileptic patients encounter recurrent seizures caused by abnormally synchronous electrical activity in parts of the brain. Over 50 million people spread across the world have epilepsy amongst whom approximately 30% suffer from refractory epilepsy which cannot be controlled by existing treatment protocols. For all epileptic sufferers, the thought that their next seizure could come at any time is agonizing and traumatic. However, if seizures could be predicted reliably, associated dangers and inconveniences will be greatly mitigated. Although the epileptic seizure prediction challenge has been tackled headlong by researchers through different modelling methods the problem of prediction has not yet been satisfactorily solved. In this paper, a systematic literature review of prominent epileptic seizure prediction attempts was carried out. We focus majorly on the two predominant classes of modelling attempts used: physiological mechanism and data based. The review underscores the richness and utility of the diverse modeling strategies as well as the gainful contribution of researchers in the field of epilepsy. It shows that meaningful progress has been made towards discovering the exact mechanism of seizure generation and realization of reliable and consistent seizure prediction algorithm","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47604437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Depression and Associated Factors Among Refugees Amidst Covid-19 in Nakivale Refugee Camp in Uganda","authors":"Kabunga Amir, Anyayo Lucas","doi":"10.47363/jnrrr/2021(3)132","DOIUrl":"https://doi.org/10.47363/jnrrr/2021(3)132","url":null,"abstract":"The COVID-19 pandemic and health measures to prevent it have unprecedented effects on the mental health of the refugees. However, the situation of refugees in developing countries is unclear. Thus, this study estimated the prevalence of and associated demographic factors during the COVID-19 pandemic. The study employed a cross-sectional survey carried out in June 2020 in which 146 adult refugees from Nakivale settlement camp were randomly selected to fill out a questionnaires-demographics and PHQ9. Results revealed that the majority of respondents were female (53%) and 47% had a depressive disorder. There was no statistical relationship between demographics (gender, age, and marital status) and depressive disorders. In Conclusion, findings indicate that depressive disorders are prevalent among refugees in the Nakivale settlement and it is important to identify refugees affected mentally and given proper treatment","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49053068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Richam Faissal El Hossain Ellakkis, Beatriz Larentis de Souza
{"title":"Early Decompressive Craniectomy in Subdural Hematoma and Good Outcome – Case Report","authors":"Richam Faissal El Hossain Ellakkis, Beatriz Larentis de Souza","doi":"10.47363/jnrrr/2021(3)134","DOIUrl":"https://doi.org/10.47363/jnrrr/2021(3)134","url":null,"abstract":"A 20-year-old man presented to our Hospital with severe brain trauma, hit by a car while he was riding a bike. On the arrival at the emergency room (ER) his Glasgow Coma Scale (GCS) was 4 (eyes 1; verbal 1 and motor 2) with fixed midriatic pupils and submitted to mechanical ventilation. A CT scan was performed and revealed a subdural hematoma, midline shift greater than 5mm and a swelling, Marshall V (surgically evacuated). The patient was submitted to a decompressive craniectomy and hematoma evacuation two hours after the accident and sent to ICU with ICP monitoring. About 48 hours after surgery a new CT scan was performed and revealed a good outcome with regression of the edema, no midline shift and then we suspended the sedation and 7 days after the trauma the patient woke up without neurological deficits. Some authors did not see benefits in early surgery although the average time of surgical approach was 5 hours after the accident and in many cases the worse patients that underwent to early surgery had a poor outcome. We did not find a specific paper describing the outcome in patients with a very poor GCS ( less than 5 ) and fixed pupils, although the pupils abnormalities remains a critical feature for surgical indication. We believe that even in patient with severe brain trauma, poor GCS and non-reactive pupils, early surgery especially if it is performed before 4 hours can probable improves the outcome, considering other clinical features such as blood pressure and oxygen saturation","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42999131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Chaudhari, Aparna S. Chaudhari, Nilambari Chaudhari
{"title":"The Role of Indian Post-Partum Care Followed by Specific Diet in Women Psychological Functioningâl","authors":"R. Chaudhari, Aparna S. Chaudhari, Nilambari Chaudhari","doi":"10.47363/jnrrr/2021(3)133","DOIUrl":"https://doi.org/10.47363/jnrrr/2021(3)133","url":null,"abstract":"“The Role of Indian Post-partum Care followed by specific diet in Women’s Psychological Functioning and mental health” • The postpartum period starts from 1hr after delivery to 42 days and is a critical period for the mothers’ health • Women experience various physical, mental, and emotional changes during this period, which may interfere with their daily routine. • A wide range of complications have been reported during this period such as physical, mental, and emotional problems including fatigue, concerns with regard to sexual intercourse, haemorrhoids, constipation, breastfeeding problem, anxiety, acidity, stress, depression, sleep disorders, bleeding, urinary incontinence, and posttraumatic stress disorder. • Women’s health after delivery is the most important factor affecting the health of her new born. • Close knit Indian family system structure and community helps new mother’s faster recovery. • Mother’s food intake, appropriate resting pattern, massage &bathing pattern are the three key steps closely observed and offered to mother by elderly female family member along with community woman in India. • Study also shows mother digestion and increase in the milk supply are interrelated and is the main focus of her post partum diet. In the olden days this used to be closely watched and taken care by grandmoms or the elders female member of the family. Grandmas home remedy was the main source of information for new mom’s recovery path rituals. • Until 42 days new mom and baby used to be kept in separate room called ‘balantroom’ where only caretaker woman used to be allowed to stay with her. She used to be completely detached from everyone so she could concentrate on her recovery and her little one","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45779598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Javier Carreón Guillén, Jorge H. Valdés, Arturo Sánchez Sánchez, Wilfrido Isidro Aldana Balderas, C. Lirios
{"title":"Model Adherence to Treatment of Diseases Acquired by Asymmetries Between Job Demands and Self-Control","authors":"Javier Carreón Guillén, Jorge H. Valdés, Arturo Sánchez Sánchez, Wilfrido Isidro Aldana Balderas, C. Lirios","doi":"10.47363/JNRRR/2020(2)122","DOIUrl":"https://doi.org/10.47363/JNRRR/2020(2)122","url":null,"abstract":"Background: Psychological studies of adherence to treatment have established; 1) indicators models -frequency of medical consultation, prevalence of medication intake over any other treatment, attendance at therapeutic and rehabilitation sessions-; 2) determining models -sex, age, income, level of instruction, reading comprehension, interpersonal relationships-; 3) mediating models-beliefs, attitudes, knowledge, intentions, and strategies. Objective: Specify a model of the organizational and subjective determinants of adherence to treatment in cases of injured or sick workers due to their work activity, climate of relationships and task climate. Method: Documentary study with a selection of indexed sources in repositories of Latin America -Dialnet, Latindex, Publindex, Redalyc and Scieloconsidering the variables reported in the state of the art. Results: The specification of the model included four explanatory hypotheses of the trajectories of dependency relationships among the six variables - demands, social support, control, effort, reward and adhesion - taken from the literature review. Discussion: In relation to the models of indicators, the determinant models and the models of mediation, it is recommended to include the variables of work culture, quality of life and subjective well-being in the specified model to study the process that goes from the labor culture and it would culminate with the reinsertion of accident and disease cases. Conclusion: The new specification of the model would include explanatory hypotheses of the trajectories of correlations between the variables used in the present work with the purpose of establishing differences between the organizations that provide social security with respect to the companies managed from labor flexibility, as well as their effects on the occupational health of its workers","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48785376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Covid-19 Potentially Caused By A Corticosteroid Injection: A Case Report","authors":"A. Chhatre, Interventional Spine, Y. Mehta","doi":"10.47363/JNRRR/2020(2)123","DOIUrl":"https://doi.org/10.47363/JNRRR/2020(2)123","url":null,"abstract":"This is a case regarding a 50-year-old female from Maryland, USA, with no pertinent past medical history, presenting with a 1 year history of low back pain, elicited by an exercise-related injury. During this time, she had low back and right buttock pain without radiation or neurological signs. The patient tried and failed conservative measures including OTC medications, oral steroids, and Physical Therapy. Based on the discussion between the physician and the patient, a decision was made to proceed with bilateral L3-S1 lumbar facet joint corticosteroid injections on September 21st, 2020, as she was very low risk for COVID-19. 6 days post-procedure, on September 27th, the patient began developing COVID-like symptoms, including fatigue, DOE and anosmia. She later had a positive COVID-19 test on October 1st, 2020. Contact tracing for the patient did not reveal any recent contacts who had COVID-19, and her contacts tested negative for the virus. An in-depth literature review was conducted regarding the nature of this case. While there were many articles with recommendations on steroid injections for pain interventions, there were no cases found directly linking COVID-19 as caused by such an intervention. It is proposed that, while this may not be the first case of its kind, this may certainly be the first case published in the literature, which can open the door for further investigation","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45239653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bilateral Tortuous Upper Limb Arterial Tree and Their Clinical Significance","authors":"A. Bhingardeo","doi":"10.47363/JNRRR/2020(2)124","DOIUrl":"https://doi.org/10.47363/JNRRR/2020(2)124","url":null,"abstract":"The detailed knowledge about the possible anatomical variations of upper limb arteries is vital for the reparative surgery of the region. Brachial artery is the main artery of upper limb; it is a continuation of axillary artery from the lower border of teres major muscle. During routine cadaveric dissection, we found bilateral tortuous brachial artery which was superficial as well as tortuous throughout its course. It is called superficial as it was superficial to the median nerve. At the neck of radius, it was divided into two terminal branches radial and ulnar arteries which were also tortuous. Tortuosity of the radial artery was more near the flexor retinaculum. When observed, the continuation of ulnar artery as superficial palmar arch also showed tortuosity throughout, including its branches. Being superficial such brachial artery can be more prone to trauma. Tortuous radial artery is one of the causes of access failure in trans-radial approach of coronary interventions. To the best of our knowledge, this is the first case where entire post axillary upper limb arterial system is tortuous bilaterally. So knowledge of such tortuous upper limb arterial tree is important for cardiologist, radiologist, plastic surgeons and orthopedic surgeons","PeriodicalId":73862,"journal":{"name":"Journal of neurology research, reviews & reports","volume":"75 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41274441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}