Pub Date : 2020-09-28DOI: 10.31829/2641-7456/ahs2020-4(1)-140
Euthyroid multinodular goiters are common in some geographic areas, and they can cause compressive symptoms. We present a case of a giant compressive goiter. Surgical excision is the best treatment to avoid the gravity of complete airway obstruction. however in some situations it seems difficult requiring a high level of expertise and can lead to serious complications.
{"title":"A Historic Multi-Nodular Goiter Presenting with Compressive Symptoms: A Case Report","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-140","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-140","url":null,"abstract":"Euthyroid multinodular goiters are common in some geographic areas, and they can cause compressive symptoms. We present a case of a giant compressive goiter. Surgical excision is the best treatment to avoid the gravity of complete airway obstruction. however in some situations it seems difficult requiring a high level of expertise and can lead to serious complications.","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"640 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123928503","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}
Pub Date : 2020-09-23DOI: 10.31829/2641-7456/ahs2020-4(1)-139
The study was aimed to investigate the phytochemical constituents and antibacterial activity of Commiphora africana leaf extracts against some bacteria associated with persistent diarrhea. Aqueous and methanol extracts from Commiphora africana leaves were prepared, screened for phytochemicals analysis and tested for antibacterial activity against Salmonella typhi, Klebsiella sp, Shigella sp and Escherichia coli. Phytochemical screening of the extracts showed that Commiphora africana leaf extracts contain Alkaloid, saponin, tannin, phenol, steroid, flavonoid, terpenoid and glycoside. Statistical analysis of the result showed that methanol extract demonstrated highest antibacterial activity with average zone of inhibition of 14.5 mm among the isolates than aqueous extracts (13.2 mm). Based on the susceptibility of the organisms to the extracts, E. coli was found to be the highest susceptible organisms with average zone of inhibition of 14.9 mm, followed by Klebsiella sp (14.2 mm), Shigella (13.9 mm), while least average zone of inhibition is shown by Salmonella typhi (12.4 mm). The MIC and MBC of the extracts ranges from 3.125 to 50 mg/ml There is no significant different on the susceptibility of the organisms against the extracts at p<0.05. The results of the present study have provided the justification for therapeutic potential of Commiphora africana leaf.
{"title":"Antibacterial Activity of Commiphora Africana Leaf Extracts on Some Bacteria Associated with Persistent Diarrhea","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-139","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-139","url":null,"abstract":"The study was aimed to investigate the phytochemical constituents and antibacterial activity of Commiphora africana leaf extracts against some bacteria associated with persistent diarrhea. Aqueous and methanol extracts from Commiphora africana leaves were prepared, screened for phytochemicals analysis and tested for antibacterial activity against Salmonella typhi, Klebsiella sp, Shigella sp and Escherichia coli. Phytochemical screening of the extracts showed that Commiphora africana leaf extracts contain Alkaloid, saponin, tannin, phenol, steroid, flavonoid, terpenoid and glycoside. Statistical analysis of the result showed that methanol extract demonstrated highest antibacterial activity with average zone of inhibition of 14.5 mm among the isolates than aqueous extracts (13.2 mm). Based on the susceptibility of the organisms to the extracts, E. coli was found to be the highest susceptible organisms with average zone of inhibition of 14.9 mm, followed by Klebsiella sp (14.2 mm), Shigella (13.9 mm), while least average zone of inhibition is shown by Salmonella typhi (12.4 mm). The MIC and MBC of the extracts ranges from 3.125 to 50 mg/ml There is no significant different on the susceptibility of the organisms against the extracts at p<0.05. The results of the present study have provided the justification for therapeutic potential of Commiphora africana leaf.","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122117995","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}
Pub Date : 2020-09-14DOI: 10.31829/2641-7456/ahs2020-4(1)-138
The currently practiced medical care results are [ 1]: Expert Opinion: COVID-19 Vaccine Rollout. Unlikely Before Fall 2021. October 1, 2020 | McGill University. Experts working in the field of vaccine development tend to believe that an effective vaccine is not likely to be available for the general public before the fall of 2021. In a paper published recently in the Journal of General Internal Medicine, a McGill-led team published the results of a recent survey of 28 experts working in vaccinology[ 2].
目前实践的医疗结果如下[1]:专家意见:COVID-19疫苗的推出。2021年秋季之前不太可能。2020年10月1日|麦吉尔大学。在疫苗开发领域工作的专家倾向于认为，在2021年秋季之前，不太可能为公众提供有效的疫苗。在最近发表在《普通内科杂志》(Journal of General Internal Medicine)上的一篇论文中，麦吉尔大学领导的一个研究小组发表了最近对28名疫苗学专家的调查结果[2]。
{"title":"New Information Revealed about the Trial of the Discontinued Vaccine Astrazeneca-Oxford Project. Losing Hopes","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-138","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-138","url":null,"abstract":"The currently practiced medical care results are [ 1]: \u0000\u0000Expert Opinion: COVID-19 Vaccine Rollout.\u0000\u0000Unlikely Before Fall 2021.\u0000\u0000October 1, 2020 | McGill University.\u0000\u0000Experts working in the field of vaccine development tend to believe that an effective vaccine is not likely to be available for the general public before the fall of 2021. In a paper published recently in the Journal of General Internal Medicine, a McGill-led team published the results of a recent survey of 28 experts working in vaccinology[ 2].","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126556748","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}
Pub Date : 2020-09-09DOI: 10.31829/2641-7456/ahs2020-4(1)-136
The author utilizes quantitative analysis results based on diabetes control for two periods: the pre-COVID-19 period, from 5/5/2018 to 1/18/2020, and the COVID-19 period, from 1/19/2020 to 8/25/2020, within a duration of 2.3 years. Special attention has been placed on the comparison of quantitative glucose results, including FPG, PPG, daily glucose, and HbA1C, especially the COVID-19 quarantine period from 1/19/2020 to 8/25/2020. From his collected big data, it is obvious that the COVID-19 period has lower glucose values which are expressed in the following format, all in the unit of mg/dL: (pre-period, COVID-19 period, glucose difference).
{"title":"Glucoses and HbA1C Comparison Study between preCOVID-19 and COVID-19 using GH-Method: MathPhysical Medicine (No. 318)","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-136","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-136","url":null,"abstract":"The author utilizes quantitative analysis results based on diabetes control for two periods: the pre-COVID-19 period, from 5/5/2018 to 1/18/2020, and the COVID-19 period, from 1/19/2020 to 8/25/2020, within a duration of 2.3 years. Special attention has been placed on the comparison of quantitative glucose results, including FPG, PPG, daily glucose, and HbA1C, especially the COVID-19 quarantine period from 1/19/2020 to 8/25/2020. From his collected big data, it is obvious that the COVID-19 period has lower glucose values which are expressed in the following format, all in the unit of mg/dL: (pre-period, COVID-19 period, glucose difference).","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132186250","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}
Pub Date : 2020-09-09DOI: 10.31829/2641-7456/ahs2020-4(1)-137
Telehealth services have grown exponentially in 2020. Both the government and more than 275 technology companies have made significant investments in this new industry. The Trump Administration has streamlined the process to benefit 13.7 million Medicare Advantage enrollees. Amwell, the leading telemedicine company in the United States received a $100 million investment from Google, plus $100 million towards a pilot program from the FCC. Attorneys will be affected because any life care plan attributes the largest expense to the hiring of a Licensed Practical Nurse (LPN), and their services are being impacted by telehealth technology in the last five years. Thanks to telehealth technology, nurses can work remotely, and this may lower the cost of support care mentioned in the life care plans that attorneys use.
{"title":"Post COVID-19 Will Telemedicine replace Traditional Medicine?","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-137","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-137","url":null,"abstract":"Telehealth services have grown exponentially in 2020. Both the government and more than 275 technology companies have made significant investments in this new industry. The Trump Administration has streamlined the process to benefit 13.7 million Medicare Advantage enrollees. Amwell, the leading telemedicine company in the United States received a $100 million investment from Google, plus $100 million towards a pilot program from the FCC. Attorneys will be affected because any life care plan attributes the largest expense to the hiring of a Licensed Practical Nurse (LPN), and their services are being impacted by telehealth technology in the last five years. Thanks to telehealth technology, nurses can work remotely, and this may lower the cost of support care mentioned in the life care plans that attorneys use.","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121901683","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}
Pub Date : 2020-09-01DOI: 10.31829/2641-7456/ahs2020-4(1)-123
G. Bollig, Boris Knopf, S. Meyer, M. Schmidt
Care for seriously ill and dying people at home is a public health issue and should according to Kellehear be everyone’s business (1,2). In the future we do need a cooperation of citizens and professionals in order to provide palliative care at home for all in need (1-5). The COVID-19 pandemic has shown that end-of-life care is especially challenging in times of a pandemic with limited healthcare resources and the need for isolation measures. We have been told a number of stories of people who did not receive adequate palliative care or relatives who were not able to say farewell to dying people due to isolation measures. In nursing homes isolation and lack of contact to relatives and others may lead to psychological, social and existential suffering. Last Aid courses for citizens have been started in 2015 in Norway, Germany and Denmark in order to raise awareness about death and dying, to encourage the public debate and to improve the citizens knowledge about palliative care (4). The so-called public knowledge approach as described by Bollig seeks to make knowledge about palliative care and end-oflife care part of public knowledge of all citizens (3). The aim of Last Aid courses is to provide public palliative care education (PPCE) for citizens in order to enable them to participate in end-of-life care provision at home (3-5). At present Last Aid courses have already been established or are being introduced in 16 countries in Europe and Australia.
{"title":"A New Way of Learning End-of-Life Care and Providing Public Palliative Care Education in Times of the COVID-19 Pandemic – Online Last Aid Courses","authors":"G. Bollig, Boris Knopf, S. Meyer, M. Schmidt","doi":"10.31829/2641-7456/ahs2020-4(1)-123","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-123","url":null,"abstract":"Care for seriously ill and dying people at home is a public health issue and should according to Kellehear be everyone’s business (1,2). In the future we do need a cooperation of citizens and professionals in order to provide palliative care at home for all in need (1-5). The COVID-19 pandemic has shown that end-of-life care is especially challenging in times of a pandemic with limited healthcare resources and the need for isolation measures. We have been told a number of stories of people who did not receive adequate palliative care or relatives who were not able to say farewell to dying people due to isolation measures. In nursing homes isolation and lack of contact to relatives and others may lead to psychological, social and existential suffering. \u0000\u0000Last Aid courses for citizens have been started in 2015 in Norway, Germany and Denmark in order to raise awareness about death and dying, to encourage the public debate and to improve the citizens knowledge about palliative care (4). The so-called public knowledge approach as described by Bollig seeks to make knowledge about palliative care and end-oflife care part of public knowledge of all citizens (3). The aim of Last Aid courses is to provide public palliative care education (PPCE) for citizens in order to enable them to participate in end-of-life care provision at home (3-5). At present Last Aid courses have already been established or are being introduced in 16 countries in Europe and Australia.","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127400642","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}
Pub Date : 2020-08-27DOI: 10.31829/2641-7456/ahs2020-4(1)-134
Germ cell tumors constitute a heterogeneous group of neoplasms derived from primitive germ cells, arising as a consequence of an embryogenic error. A clinical case of a 16-year-old white male patient, with no previous pathological history or toxic habits, who was admitted to the internal medicine room for presenting a clinical picture of asthenia and anorexia was added, to whom light fever was added in evening schedule. Several examinations were performed, including: Immunohistochemistry, biopsy, Computed Axial Tomography, X-ray of the chest and Mixed germ cell tumor of Mediastinum was diagnosed. Chemotherapy was started. The prognosis of the disease depends on the precociousness with which the diagnosis and treatment are made.
{"title":"Mixed Mediastinal Germ Cell Tumor: A Case Report","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-134","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-134","url":null,"abstract":"Germ cell tumors constitute a heterogeneous group of neoplasms derived from primitive germ cells, arising as a consequence of an embryogenic error. A clinical case of a 16-year-old white male patient, with no previous pathological history or toxic habits, who was admitted to the internal medicine room for presenting a clinical picture of asthenia and anorexia was added, to whom light fever was added in evening schedule. Several examinations were performed, including: Immunohistochemistry, biopsy, Computed Axial Tomography, X-ray of the chest and Mixed germ cell tumor of Mediastinum was diagnosed. Chemotherapy was started. The prognosis of the disease depends on the precociousness with which the diagnosis and treatment are made.","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126270515","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}
Pub Date : 2020-08-11DOI: 10.31829/2641-7456/ahs2020-4(1)-132
At the end of 2019, Corona’s outbreak appeared in Wuhan in China then rapidly the World Health Organization (WHO) stated Coronavirus disease 2019 (COVID-19) as a pandemic infection. This infection can transmit by areosal, direct contact, fomite, oral or a vector. So, as a matter of course, we expect mass gathering will over spread this infection as large numbers of people attending in close contact in certain location for extending time like Hajj, major sporting or other religious and culture events.1 In situation of Hajj, an estimated two million pilligrimes attend from 184 countries, present in crowded condition & performed religious rites in close contact and exposing themselves. An increase prevalence of infectious disease has been described also other than the Hajj as the annual celebration of day of Ashura in Karbala in Iraq which involved about 2-3 million of Muslim from and outside Iraq. Evidence of outbreaks is not limited to Muslims gathering, they also occur at Christian ones. Also respiratory tract infection outbreak was recorded during world youth day 2008 in Australia. So we should take precautions about these meetings and avoid spreading of infection.
{"title":"COVID-19: How Does Religion Interact with Pandemic?","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-132","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-132","url":null,"abstract":"At the end of 2019, Corona’s outbreak appeared in Wuhan in China then rapidly the World Health Organization (WHO) stated Coronavirus disease 2019 (COVID-19) as a pandemic infection. This infection can transmit by areosal, direct contact, fomite, oral or a vector. So, as a matter of course, we expect mass gathering will over spread this infection as large numbers of people attending in close contact in certain location for extending time like Hajj, major sporting or other religious and culture events.1\u0000\u0000In situation of Hajj, an estimated two million pilligrimes attend from 184 countries, present in crowded condition & performed religious rites in close contact and exposing themselves. An increase prevalence of infectious disease has been described also other than the Hajj as the annual celebration of day of Ashura in Karbala in Iraq which involved about 2-3 million of Muslim from and outside Iraq. \u0000\u0000Evidence of outbreaks is not limited to Muslims gathering, they also occur at Christian ones. Also respiratory tract infection outbreak was recorded during world youth day 2008 in Australia. So we should take precautions about these meetings and avoid spreading of infection.","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125296128","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}
Pub Date : 2020-08-01DOI: 10.31829/2641-7456/ahs2020-4(1)-130
Objective: To summarize the effect of exposure to COVID-19 pandemic on the children's mental health Methods: We reviewed the published literature about the factors affection the children's mental health and its relation to the situation of COVID-19 pandemic. Conclusions: Social support, good quality diet and healthy life style can enhance the children's mental health during the unexpected situations facing the families during COVID-19 pandemic.
{"title":"Effect of COVID-19 Pandemic on Children's Mental Health","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-130","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-130","url":null,"abstract":"Objective: To summarize the effect of exposure to COVID-19 pandemic on the children's mental health Methods: We reviewed the published literature about the factors affection the children's mental health and its relation to the situation of COVID-19 pandemic. Conclusions: Social support, good quality diet and healthy life style can enhance the children's mental health during the unexpected situations facing the families during COVID-19 pandemic.","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129418545","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}
Pub Date : 2020-07-29DOI: 10.31829/2641-7456/ahs2020-4(1)-129
Introduction: A Transcranial Doppler (TCD) is an inexpensive noninvasive ultrasonography technique that helps provide a rapid real time measure of blood flow from the basal intracerebral vessels, which may be used for the diagnosis and follow-up of cerebrovascular disease. By placing the ultrasound probe on the scalp; it utilizes low frequency soundwaves to record cerebral blood flow velocity, and its change in multiple conditions. Technology offers several diagnostic tests available in the evaluation and treatment of cerebrovascular diseases (CVD). Transcranial ultrasonography may represent a valuable tool for patients with CVD in neurocritical care unit. However due to geographic, financial or patient tolerance of procedures, physicians may be limited to the tools they can utilize. Method: Diagnostic accuracy of transcranial ultrasonography in acute stroke was subjected to systematic review. This study will set to demonstrate that the Transcranial Doppler (TCD) ultrasound is a viable piece of technology, which overcomes barriers mentioned in both the diagnosis and treatment of CVD. Cerebral flow peak systolic velocity (CBFVs), mean flow velocity (CBFVm), and the end diastolic velocity CBFVd) values are three components, which characterize the spectral waveform derived from TCD. These flow velocities provide valuable physiologic perspectives in various intracranial pathologies. We have demonstrated TCD to be highly predictive of evidence of vasospasm in patients with an aneurysmal subarachnoid hemorrhage with a 95% confidence interval. In patients with traumatic brain injury, TCD has been shown to be effective with a 95% confidence interval in the assessment of intracranial pressure and cerebral flow velocity. For strokes, TCD was shown to be effective with an overall sensitivity of 83% for the diagnosis, prognosis and treatment of ischemic strokes. Results: Due to its portability, affordability, and noninvasive application along with the high confidence intervals seen in our study, our data suggests the successful application of TCD in various pathologies in both diagnosis and monitoring of patients with various CVD.
{"title":"Transcranial Doppler Sonography for Detecting Stenosis or Occlusion of Intracranial Arteries in People with Acute Ischemic Stroke in Neurocritical Care Unit.","authors":"","doi":"10.31829/2641-7456/ahs2020-4(1)-129","DOIUrl":"https://doi.org/10.31829/2641-7456/ahs2020-4(1)-129","url":null,"abstract":"Introduction: A Transcranial Doppler (TCD) is an inexpensive noninvasive ultrasonography technique that helps provide a rapid real time measure of blood flow from the basal intracerebral vessels, which may be used for the diagnosis and follow-up of cerebrovascular disease. By placing the ultrasound probe on the scalp; it utilizes low frequency soundwaves to record cerebral blood flow velocity, and its change in multiple conditions. Technology offers several diagnostic tests available in the evaluation and treatment of cerebrovascular diseases (CVD). Transcranial ultrasonography may represent a valuable tool for patients with CVD in neurocritical care unit. However due to geographic, financial or patient tolerance of procedures, physicians may be limited to the tools they can utilize. \u0000\u0000Method: Diagnostic accuracy of transcranial ultrasonography in acute stroke was subjected to systematic review. This study will set to demonstrate that the Transcranial Doppler (TCD) ultrasound is a viable piece of technology, which overcomes barriers mentioned in both the diagnosis and treatment of CVD. Cerebral flow peak systolic velocity (CBFVs), mean flow velocity (CBFVm), and the end diastolic velocity CBFVd) values are three components, which characterize the spectral waveform derived from TCD. These flow velocities provide valuable physiologic perspectives in various intracranial pathologies. We have demonstrated TCD to be highly predictive of evidence of vasospasm in patients with an aneurysmal subarachnoid hemorrhage with a 95% confidence interval. In patients with traumatic brain injury, TCD has been shown to be effective with a 95% confidence interval in the assessment of intracranial pressure and cerebral flow velocity. For strokes, TCD was shown to be effective with an overall sensitivity of 83% for the diagnosis, prognosis and treatment of ischemic strokes. \u0000\u0000Results: Due to its portability, affordability, and noninvasive application along with the high confidence intervals seen in our study, our data suggests the successful application of TCD in various pathologies in both diagnosis and monitoring of patients with various CVD.","PeriodicalId":127914,"journal":{"name":"Archives of Health Science","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133803269","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}
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