Digital Commons Network^™

Autonomy And Rehabilitation, Mohammed A. Saadah, Loai M. Saadah

Neurosciences

In minority world countries, autonomy is central to client focused rehabilitation, as it represents a prerequisite for effective participation in the process of rehabilitation. The diverse and dynamic paradoxes within the “autonomy paradigm” will ensure its safe application and survival in such communities. However, the strong family relationships and different cultural backgrounds of majority world countries motivate us to conclude that a “patient-family interactive deliberative process” based on accommodation and negotiation is more acceptable, reliable and implementable in these communities. Our suggested model of decision making is more convenient, particularly in cases where competency is compromised by cognitive dysfunction, political …

False Beliefs And Medication Non-Compliance In Psychiatric Patients, Alireza G. Nejad, Fatemeh Pouya

Neurosciences

No abstract provided.

Relationship Between Dream Contents And Positive/Negative Symptoms In Schizophrenic Patients, Alireza G. Nejad, Batool A. Zadeh

Neurosciences

OBJECTIVE: The relationship between dreams and schizophrenia has been a subject of discussion for many years ago. Little is known about details of dream contents in schizophrenia. The aim of this study was to assess the relationship between dream contents and positive and negative symptoms in schizophrenia. METHODS: Fifty schizophrenic patients in Beheshti Hospital, Kerman, Iran, over a 6-month period from July to December 2002, were evaluated for dream contents using free recall of dreams and a checklist which was provided in a previous pilot study. Positive and negative symptoms were evaluated by the Positive and Negative Syndrome Scale (PANSS). …

Socio-Demographic Study Of Obsessive Compulsive Disorder In Qatar, Ehsane M. Gad, Taher E. Shaltout

Neurosciences

OBJECTIVE: We dedicated our work to study the socio-demographic aspect of obsessive compulsive disorder (OCD) patients seeking psychiatric treatment in the outpatient clinic of Hamad General Hospital for a duration of approximately 5 years of continuous follow-up. METHODS: Out of 8878 individual patients who attended the psychiatric outpatient clinic of Hamad General Hospital in Qatar, during the period from August 1996 to December 2001, we reviewed a total number of 348 patients with the diagnosis of OCD (according to International Classification of Diseases-10 diagnostic criteria). We divided them according to their age, sex, nationality, duration of illness, occupation and marital …

Acute Epidural Hematoma Following Restoration Of Ventriculoperitoneal Shunt Patency, Mohamed A. Alsheheri, Orighoye P. Binitie

Neurosciences

Acute bilateral frontal epidural hematoma developed in a child with long standing hydrocephalus following restoration of ventriculoperitoneal shunt patency. A CT brain scan revealed acute bifrontal epidural hematoma. The epidural hematoma developed as a result of rapid decompression of the hydrocephalus. An emergency neurosurgical evacuation of the hematoma saved the patient from this rather rare and potentially fatal complication that can occur in patients with hydrocephalus.

The Investigation Of A Wireless Medical Homecare Data Logger, Aisling Cronin

Masters

Modern, portable self-measurement devices such as hand-held glucometers and ECG instruments can provide feedback in electronic form to patients. However the information is mostly transmitted by proprietary cable and there is no agreed format for migrating this data to information systems in clinics where it can be used by clinicians. The result is a muddle of transport mechanisms and software. There is a clear need for a simple, open and agreed means of data communication to help patients to manage their condition and to support clinicians who engage in home telemonitoring. To allow patients freedom to move, the first stage …

Teaching Of An Integrated Human Nervous System Course In The Sultanate Of Oman, Abdul-Aleem Khan, Ragini Vaishnav, Omar Habbal

Neurosciences

The College of Medicine at Sultan Qaboos University, Muscat, Oman has opted for the credit system that makes the designing of an integrated, multidisciplinary course a challenging proposition. The human nervous system course is no exception to that. The aim of the course is to guide students to understand the structure and function of the brain and to learn about the disorders afflicting it. There are 4 major problems encountered in this course. First, due to the relative weighting of different subjects in the course, the students tend to ignore the topics that have less credit hours and contribute fewer …

Nicotine And Opium Dependence In Psychiatric Patients, Alireza G. Nejad, Fatemeh Pouya

Neurosciences

OBJECTIVE: Many psychiatric patients have nicotine and other substance dependence. The goal of this research is examining the frequencies of nicotine and opium dependence among psychiatric inpatients in Kerman, Iran. METHODS: Three groups of psychiatric inpatients, chronic medical patients and a sample from the local population, each including 400 subjects were selected. Psychiatric patients were evaluated in Kerman Psychiatric Hospital, Kerman, Iran in the year 2001. Nicotine dependence was evaluated via Fagerstrom test for nicotine dependence, score above 7 was considered positive for nicotine dependence. Opium dependence was evaluated by semi-structured interview based on The Diagnostic Manual of Mental Disorders, …

Sleep Disorders And Excessive Daytime Sleepiness In The Palestinian Population, Adnan R. El-Kharoubi

Neurosciences

OBJECTIVE: The aim of this study was to screen a sample Palestinian population for sleep habits and various sleep disorders using a standard questionnaire. METHODS: The questionnaire was designed to assess sleep habits, the degree of daytime sleepiness using the Epworth Sleepiness Scale (ESS), and specific sleep problems. A random sample of Palestinian people from Gaza City, Palestine was selected during August 2002. RESULTS: There were 361 respondents to the questionnaire (59 females and 302 males). The mean ESS score was 8.25 for males and 8.2 for females. There was 99 (27.4%) subjects with an ESS >10 (with excessive daytime …

Stroke And The Weather, Mohamed Z. Zawahri

Neurosciences

No abstract provided.

Prions. The Mysterious Infectious Agents., Barik A. Salih

Neurosciences

Prions, a novel biological entity are causative agents of fatal neurodegenerative diseases. Such diseases gain importance because of its effect on both humans and animals and because of the unique biological features of the infectious agent. Since its discovery the agent responsible has remained mysterious in its mechanism of action, pathogenesis and the ability to produce disease. In this review, the considerable evidence regarding the molecular biology, pathogenesis, epidemiology, diagnosis and therapeutic approaches are being discussed. The advances in understandings of fundamental biology of prion diseases may open the possibilities for the prevention and treatment of these unusual diseases.

Trigeminal Somatosensory Evoked Potentials In Trichloroethylene-Exposed Workers, Chokri Mhiri, Fakher Choyakh, Mohamed Ben Hmida, Imed Feki, Mounir Ben Messaud, Nouri Zouari

Neurosciences

OBJECTIVE: To assess the value of trigeminal somatosensory evoked potentials (TSEP) in evaluating toxicity of trichloroethylene to the trigeminal nerve. METHODS: Trichloroethylene (TCE), an excellent fat solvent largely used in industry, has a neurotoxic effect particularly on the trigeminal nerve. In March 2002, several TCE-exposed workers presented to Habib Bourguiba University Hospital, Sfax, Tunisia, for burned or numbness of the face. Twenty-three workers manipulating TCE underwent clinical, biological and toxicological assessment. Neurophysiologic study consisted of the measurement of the latencies and the amplitudes of TSEP in 23 exposed workers and 23 controls. RESULTS: Abnormal TSEP were observed in 6 workers …

Analysis Of Mental Health Publications From Arab Countries In Pubmed, 1987-2002, Mustafa M. Afifi

Neurosciences

OBJECTIVE: To perform geographical analysis of mental health publications produced in 22 Arab countries from 1987 to 2002 in PubMed, to compare the ratio of mental health to the total number of citations for each country as well as the percentage of each country’s mental health publication to the total mental health publications of the all Arab countries and to study the fields and types of mental health research publications in Arab countries during this period. METHODS: A MEDLINE search was performed in July 2003 at the Faculty of Health Sciences, American University of Beirut to ascertain the total number …

Hypokalemic Periodic Paralysis As A Presenting Manifestation Of Thyrotoxicosis, Subodh B. Banzal, Ayobanji E. Ayoola, Mustafa S. Sarangpurwala, Mohamed A. Hakami

Neurosciences

No abstract provided.

Transcranial And Carotid Doppler Study In Coronary Artery Bypass Graft Patients, Mehdi Farhoudi, Abbas Afrasiabi, Mohammad K. Tarzamni, Mohsen Khoshnan, Mohammad A. Arami

Neurosciences

OBJECTIVE: Atherosclerosis is a pathogenesis which is common in both coronary and intracranial arterial diseases. Therefore, we designed a group of coronary artery bypass graft (CABG) surgery patients for transcranial Doppler (TCD) to assess intracranial artery diseases and carotid duplex studies to assess carotid artery diseases. METHODS: In a prospective randomized study, 129 elective CABG patients with proven coronary artery disease by angiography, were examined by TCD and 45 patients by carotid duplex preoperatively. Neurologic examination was carried out pre- and post- operatively. This study was carried out from April 2001 to August 2002 at Imam Hospital of Tabriz Medical …

Common Bacteria Isolated From Brain Abscesses, Fatima M. Al-Rashdi, Latifa K. Al-Ismaily, Kokkuvayil L. Devi

Neurosciences

OBJECTIVE: This study was conducted to ascertain the common bacteria causing brain abscesses in patients admitted to the Neurosurgical Department at Khoula Hospital under the Ministry of Health, Sultanate of Oman. This is the only center that provides neurosurgical services in the Sultanate of Oman. The obtained data were further analyzed to find out what factors predisposed to abscess formation in these patients. METHODS: A retrospective study of cases of brain abscess from whom samples were received in the microbiology section of the laboratory of Khoula Hospital over the period January 1999 to December 2000 was carried out. The microbiology …

Febrile Seizures. Update And Controversies, Mohammed M. Jan, John P. Girvin

Neurosciences

Febrile seizures are the most common seizure disorder in children younger than 5 years of age. Most febrile seizures are brief, do not require any specific treatment or workup, and have benign prognoses. Generalists and pediatricians are frequently faced with anxious parents and are required to make rational decisions regarding the need to investigate and treat such a child. They subsequently need to provide further prognostic information and counseling to the families. The aim of this article is to provide an updated overview of febrile seizures and review the most recent diagnostic and therapeutic recommendations. Despite the progress in the …

Experience With Severe Head Injury And Role Of Intracranial Pressure Monitoring In Eastern Saudi Arabia, Abdulrahman H. Al-Anazi

Neurosciences

OBJECTIVE: Severe head injury is the leading cause of death in the younger age group and it is an epidemic health problem in Saudi Arabia. Several factors contribute to this observation. These include socio-economic prosperity, poor driving behavior and attitudes. The study was conducted to determine the magnitude of severe head injury in the Eastern Province of the Kingdom of Saudi Arabia (KSA) and to emphasize the importance of application of intracranial pressure (ICP) monitoring in severe head injury. METHODS: A retrospective study of 178 patients admitted to King Fahad Hospital of the University, Al-Khobar, KSA during the period from …

Establishing A Consultation-Liaison Psychiatry Service. Impact On Clinical Indices, Abdulrazzak M. Alhamad, Rabie A. Hawari, Daad M. Mardini, Khalid N. Al-Sabhan, Mohamed A. Al-Sughayir, Fatima A. Al-Haidar, Samia A. Abdullah, Yaser R. Al-Huthail, Kazi N. Asfina

Neurosciences

OBJECTIVE: To show prospectively the impact of establishing a consultation-liaison (C/L) psychiatry model on the consultation clinical indices. METHODS: A structured, organized model of C/L psychiatry was established in 1990 at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia and all clinical indices of the psychiatric consultations were compared prospectively over the first 3 years after January 1990 with those over the previous 2 years retrospectively before January 1990. RESULTS: Three hundred and two patients were referred over 3 years after January 1990, group A and 99 patients were referred over the 2 years before January 1990, group B …

General Practitioners Pre And Post Training Knowledge And Attitude Towards Psychiatry, Naseem A. Qureshi, Henk T. Van Der Molen, Henk G. Schmidt, Tariq A. Al-Habeeb, Mohieldin M. Magzoub

Neurosciences

OBJECTIVE: General practitioners (GPs) often lack sufficient knowledge of psychiatric diagnoses and have unfavorable attitudes towards mental illness. The first aim of this intervention study is to assess the pre-and post-psychiatric training knowledge and attitudes of GPs. The second aim is to explore certain factors, which predict gain in knowledge and changes in attitude. METHODS: This study was executed at Buraidah Mental Health Hospital in the year 2003. The research design consisted of a pre- and post-test comparison of GPs responses. The instruments were a Knowledge Test and an Attitude Questionnaire. RESULTS: The psychiatric training had a discernible impact on …

Angelman Syndrome, Fatima N. Mahmood, Fouad A. Ali, Ayman K. Ali

Neurosciences

Angelman syndrome is characterized by severe mental retardation, absence of speech, bursts of laughter, ataxia, seizure disorder and facial dysmorphism. This report describes the first 3 children with Angelman syndrome from Bahrain. The diagnosis was based on clinical features and confirmed by the presence of microdeletion of 15q11q13 using fluorescence in situ hybridization.

The Watched Structure Clinical Examination (Wasce) As A Tool Of Assessment

Saudi Medical Journal

OBJECTIVE: Assessment of medical students9 clinical competencies is still evolving. The aim of this study was to find out the effectiveness of a new tool of assessment to assess medical students at the end of clinical rotations. METHODS: A new tool has been developed in the College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain, called the Watched Structure Clinical Examination (WASCE). It was used at the end of the Family Medicine clinical rotation during the academic year 2000-2001 involving 62 final year students. RESULTS: The study found a significant statistical correlation between the students9 results in the …

Effects Of Short Term Metformin Administration On Androgens In Diabetic Men, Nadima S. Shegem, Anwar M. Batieha, Hatem El-Shanti, Kamel M. Ajlouni

Saudi Medical Journal

OBJECTIVE: Metformin, an oral hypoglycemic agent, has several other metabolic and hormonal effects. This study aims at identifying the metabolic effect of metformin on androgens in diabetic men. METHODS: The study was conducted at The National Center for Diabetes Endocrinology and Genetics, Jordan University Hospital, Amman, Jordan from April 2001 to September 2001. We studied 15 men with type 2 diabetes mellitus by measuring fasting serum glucose, insulin, glycosylated hemoglobin, total and free testosterone, sex hormone binding globulin, dehydroepiandrosterone sulphate, 17-OH progesterone, luteinizing hormone, and follicle stimulating hormone before and after a short course of metformin. RESULTS: There was a …

The Application Of Back Propagation Neural Network In The Prognosis Of Breast Cancer / Hazlina Hamdan, Hamdan Hazlina

Student Works (2000-2009)

Medical informatics is the application of computer technology, communications and information technology and system in medical fields. In Malaysia, medical informatics is a relatively young field, which is fast gaining popularity. This research is a step towards significant contributions in the field of medical informatics. Medical prognosis is a prediction of the future course and outcome of a disease and an indication of the likelihood of recovery from it. Prognosis can be used to monitor the progress of treatment programmes as an aid in choosing treatment types and suitable methodologies. Prognosis can also help patients and their relatives plan their …

Reinstatement Claims Under The Family And Medical Leave Act Of 1993: Leaving Behind The Inter-Circuit Chaos And Instating A Suitable Proof Structure, Amy Stutzke

NYLS Law Review

No abstract provided.

Anthony V. City Of New York, Roy G. Locke Jr.

NYLS Law Review

No abstract provided.

Abraham Lincoln; John Wilkes Booth. A Shared Time -- A Shared Tragedy, Patrick Neal Mccreary

Theses

Unavailable.

The Impact Of The Utilization Of Connected Mathematics Project With Direct Instruction On Grade 8 Mathematics Map Scores, Kelly Helmick

Theses

Unavailable.

Longwood University Catalog 2004-2005, Longwood University

Undergraduate Catalogs

No abstract provided.

Surveillance For Waterborne-Disease Outbreaks Associated With Recreational Water--United States, 2001-2002, Jonathan S. Yoder, Brian G. Blackburn, Gunther F. Craun, Vincent Hill, Deborah A. Levy, Nora Chen, Sherline H. Lee, Rebecca L. Calderon, Michael J. Beach

Journal Articles: Epidemiology

PROBLEM/CONDITION: Since 1971, CDC, the U.S. Environmental Protection Agency, and the Council of State and Territorial Epidemiologists have maintained a collaborative surveillance system for collecting and periodically reporting data related to occurrences and causes of waterborne-disease outbreaks (WBDOs) related to drinking water; tabulation of recreational water-associated outbreaks was added to the surveillance system in 1978. This surveillance system is the primary source of data concerning the scope and effects of waterborne disease outbreaks on persons in the United States.

REPORTING PERIOD COVERED: This summary includes data on WBDOs associated with recreational water that occurred during January 2001-December 2002 and on …