Clinical Medical

Reviews and Case ReportsISSN: 2378-3656

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Research Article Open Access

Effect of Yogic Practices on Mental Health of Orphans Children

Morteza Alibakhshi Kenari
Clin Med Rev Case Rep Volume 1, Issue 1

Abstract: Orphan children suffer greatly from much physical, physiological and mental disorders leading to the bad effect on their, over-all adjustment, emotional stability autonomy, security-insecurity, intelligence and self concept. Yogic practices are providing the best method to achieve good mental health. Thus keeping in view the benefits of yogic practices, an attempt has made to investigate scientifically the effect yogic practices on mental health of orphan children. In this study the investigator has selected the 60 (Boys and Girls) orphan children from Guru Nanak Ananth Ashram (Orphan Home) Jalandhar Punjab India. After the pre test subjects were divided into two groups i.e. Yogic group (experimental) and Control Group (non experimental). Mental health battery by Singh and Gupta was applied to collect the data. Training of yoga practices was given to Yogic group for eight weeks. No training was imparted to control group. The results of the investigation shown significant effect of yogic practices on the different parameters of mental health i.e. overall adjustment, emotional stability, autonomy, security-insecurity, intelligence and self concept which were tested on 0.01 level of confidence.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410006

Case Report Open Access

Cerebellar Stroke in Children, Case report from Qatar & Brief Literature Review

Abdulhafeez M Khair, Mahmoud Elseid, Khalid Mohamed, Rana Al-shami, Khalid Ibrahim and Ahmed Elsotouhy
Clin Med Rev Case Rep Volume 1, Issue 1

Abstract: Introduction: Cerebro-vascular accidents do happen for both adults & children. Pediatric data in contrary to adult data are clearly defiient & lacking behind. Childhood cerebellar strokes are much more rare & diffiult to pick up. Case Report: We are reporting a toddler girl, who happened to be an ex premature & part of quadruplet. She presented with severe headache & head tilting in the absence of other focalizing CNS symptoms. Her brain MRI showed changes suggestive of cerebellar stroke. Patient improved clinically & radiologically after proper therapy. Discussion: Cerebellar infarctions are likely to be arterial occlusion as a result of vertebral artery dissection, mainly with PICA involvement. An association with some biomarkers & antibodies like anti-2GPI which has been suggested. Trauma, drugs & CNS infection have all been explored as risk factors for childhood cerebellar strokes. Long term outcomes remain poorly studied. Conclusion: High index of suspicion is required to diagnose cerebellar strokes in children. Clinical presentation is often non specifi. Our case report represents a successful story of diagnosis, treatment 7 improvement. However, our understanding of underlying pathological processes, risk factors, management guidelines & future outcome is very limited. Further large scale studies are apparently needed.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410005

Research Article Open Access

Anti Citrullinated Protein / Peptide Antibody Assay, Rheumathoid Factor or Both as Shifted Test in Diagnostic and Prognostic Evaluation in Patients with Rheumathoid Arthritis

Dejan Spasovski, Tatjana Sotirova, Svetlana Krstevska-Balkanov, Maja-Slaninka-Micevska, Trajan Balkanov, Sonja Alabakovska, Sonja Genadieva-Stavric
Clin Med Rev Case Rep Volume 1, Issue 1

Abstract: Aim: The aim of this study was to compare the diagnostic values of laboratory variables, to present quantitative evaluations of the anti citrullinated protein / peptide antibody (ACPA), or anti CCP ( anti-cyclic citrullinated peptide, anti-CCP 2) antibodies in second generation antibody assay diagnostic test with reference to sensitivity and specifiity, the predictive value of the positive and negative test and precision of the test for ACPA antibodies, rheumatoid factor, C-reactive protein and DAS 28 index, in the early diagnosis of untreated rheumatoid arthritis. Materials and methods: 70 participants (35 patients with rheumatoid arthritis not treated, 35 individuals as healthy controls) took part in the study. Their serum was examined using ELISA technology of DIA-STATTM Anti-CCP (Axis–Shield Diagnostics). Rheumatoid factor was examined with the test for agglutination (Latex RF test). Results: We found the presence of ACPA antibodies (sensitivity of the test 65.71%) in 23 of the 35 examined patients with rheumatoid arthritis while rheumatoid factor appeared in 17 patients (sensitivity of the test 48.57%). Twelve patients were ACPA and rheumatoid factor positive, 11 were ACPA positive, but rheumatoid factor negative. Five patients were ACPA negative and rheumatoid factor positive. In 17 rheumatoid factor positive patients, ACPA antibodies were positive in 12 patients. Of 18 rheumatoid factor negative patients, 11 were ACPA positive. In the healthy control group, 1 patient was anti-CCP 2 positive, while 2 patients were rheumatoid factor positive. Conclusion: ACPA antibodies have higher sensitivity and specifiity than rheumatoid factor in rheumatoid arthritis.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410004

Research Article Open Access

Status of Bilateral Cochlear Implantation in Malaysia

Tan SN and Saim L
Clin Med Rev Case Rep Volume 1, Issue 1

Abstract: Advantages of bilateral Cochlear Implantation (CI) over unilateral implantation in individuals with severe to profound sensorineural hearing loss are well established. In most developed countries, cochlear implant recipients receive full funding for bilateral implantation. In Malaysia, we have been advocating bilateral implantation since 2003.Our objective is to review all cases of unilateral & bilateral implantation that used the Cochlear Nucleus implants (Cochlear Ltd. Australia) and determined the percentage of bilateral implantation & investigate their affordability and sources of funding. Data were collected from all individuals who underwent CI from 1995 until 2013 to determine bilateral or single sided recipients, sources of funding and time interval for both the first and the second implant. 510 individuals underwent CI from 1995 to 2013. Overall, only 34 individuals have bilateral implantation (6.7%). Amongst these, all except one were done after 2003 (93.3%).Time interval of the sequential implantation were 5 months as shortest interval and 15 years as longest interval with an average interval of 3 years. Majority of individuals received full or partial funding from the government for the first implantation. With regards to second implantation, 26 were self funded & 5 were government funding. Less than ten percent of cochlear implant recipients in Malaysia received bilateral implantation. Although bilateral CI is highly recommended, only a small number of individuals can afford bilateral implantation in Malaysia. With increasing advancement of this technology & Malaysia as one of the developing countries, thus advocating bilateral cochlear implant to the government should be strongly pursued.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410003

Original Article Open Access

Expanding Access to Higher Education for Rural, Latina/o Students: Lessons from a Pilot Distance Degree Program in Family Science

Morteza Alibakhshi Kenari
Clin Med Rev Case Rep Volume 1, Issue 1

Abstract: Latina/o students in rural communities face unique challenges in their efforts to pursue a 4-year college degree. I describe a 2+2 pilot program in which a large land grant university partnered with a rural community college to offer a distance Bachelor of Science degree in family studies and human development. In this program, students located near the community college attend courses both on that campus and virtually at the partnering university. I address specific experiences and lessons learned regarding the partnership required to maintain high academic standards, while being culturally responsive, and meeting the unique needs of the participating students.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410002

Research Article Open Access

Validity of Creatine Kinase as an Indicator of Muscle Injury in Spine Surgery and its Relation with Postoperative Pain

Domingo Lombao Iglesias, Joan Bago Granell, Teresa Vilor Ribero
Clin Med Rev Case Rep Volume 1, Issue 1

Abstract: Injury to the paraspinal muscle during posterior spinal surgery has been related to the intensity of postoperative pain. The aim of the study was to confirm the validity of serum postoperative creatine kinase (CK) values as an indicator of muscle lesion as well as to assess the relationship of CK with variables indicating surgical invasiveness and investigate the association between CK values and excessive postoperative pain. Material and Method: The study included 96 patients (mean age 62.8 years) who underwent instrumented spine fusion for degenerative lumbosacral disorders. Serum CK concentration was determined on the first postoperative day. All patients received intravenous paracetamol and metamizole, and in cases of intense pain, rescue analgesia with intravenous meperidine. Patients were categorized according to whether or not they required rescue analgesia. Data on the number of levels fused, the duration of surgery, and operative bleeding were recorded in each patient. Results: Values were higher in men and in younger patients. Significant correlations were found between CK, number of fused levels and duration of surgery. Only 17.7% of patients required rescue analgesia. CK levels did not significantly differ between patients who did not need rescue analgesia (1135 IU/L) and those who did (1421.5 IU/L). Conclusions: In open posterior spine surgery serum CK concentration is a valid marker of surgical muscle injury and is affected by the age and sex. Factors such as the magnitude and duration of surgery show a relationship with postoperative CK values. The incidence of severe postoperative pain is not significantly related to CK level.

PDF   | Full Text  DOI: 10.23937/2378-3656/1410001

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