scholarly journals Use of traditional medicine in treatment of migraine during coronavirus disease 2019 (COVID-19) pandemic: an online survey

2021 ◽  
Author(s):  
Ismail Ibrahim Ismail ◽  
Jasem I Al-Hashel
Keyword(s):  
Traditional Medicine ◽  
Online Survey ◽  
Disease Duration ◽  
Older Age ◽  
Headache Disorders ◽  
New Normal ◽  
Headache Management ◽  
Self Administered Questionnaire

Since the declaration of coronavirus disease 2019 (COVID-19) pandemic, patients with migraine were specifically vulnerable to worsening of their headaches. Traditional medicine (TM) has been used to treat headache disorders for centuries, especially during times of a healthcare emergencies, similar to the current pandemic. We aimed to assess the use of TM in treatment of migraine amid COVID-19 pandemic in Kuwait, using an online, self-administered questionnaire. A total of 1018 patients completed the survey. TM was used by 39.9% respondents. The greatest users of TM were those with older age (p =0.04), and longer disease duration (p =0.005). TM users were found to be more compliant to treatments than non-TM users (p<0.02). However, they reported significantly less communication with their physicians (p <0.001) during the pandemic. This study showed higher rates of TM use, as a way of self-treatment, among patients with migraine during COVID-19 pandemic. Neurologists should prepare their patients with rescue strategies for headache management, and new means of communication, to face these new normal challenges.

scholarly journals AB0608 CARDIAC VESSELS CALCIFICATION IN A COHORT OF SYSTEMIC SCLEROSIS PATIENTS: POSSIBLE ROLE IN VASCULOPATHY AND HEART ABNORMALITIES.

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1600.2-1600
Author(s):  
S. Sciacca ◽  
C. Rotondo ◽  
A. Corrado ◽  
L. Giardullo ◽  
S. Stefania ◽  
...  
Keyword(s):  
Uric Acid ◽  
Systemic Sclerosis ◽  
Disease Duration ◽  
Vascular Complications ◽  
Hypovitaminosis D ◽  
Older Age ◽  
Vascular Involvement ◽  
Cvd Risk ◽  
1 John ◽  
The Impact

Background:Cardiovascular disease is the leading cause of morbidity and mortality worldwide. Myocardial calcifications have been related with cardiovascular diseases (CVD) such as focal wall motion abnormalities and arrhythmias. The impact of vascular calcifications is under investigation in order to define the risk of cardiovascular events. The relationship between cardiac calcification and systemic sclerosis (SSc) has not been investigated.Objectives:The aim of the study is to evaluate the frequency of different patterns of cardiac calcification in SSc patients, and to correlate them to other CVD risk factors.Methods:We analyzed thoracic-CT scanners of 35 SSc patients (88% female, aged 47,8 ys ±12,9, disease duration 12,8 ys ±9) to determine the location and extension of vascular and cardiac calcification. All recruited patients fulfilled the 2013 ACR-EULAR classification criteria for SSc. No one patients had renal failure, cardiomyopathy, myocarditis, history of cardiac surgery or radiotherapy.Results:We found myocardial vessels calcifications (MCv) in 37% SSc patients, aortic wall calcifications (ACw)in 60% SSc patients, cardiac valve calcifications (VC) in 28% SSc patient and heart wall calcifications (HCw) in 20%.The SSc patients with almost one calcification had older age (65±9,8 ys vs 50±8,8 ys; p=0,0001) and higher values of circulating NTproBNP (336,9±351,9 vs 144,2±107,8; p=0,04) compared to those without.In particular, the SSc patients with MCv had and uric acid (5,3 ±1,5 vs 4,1 ±1,3; p=0,05), higher rate of PAH (25% vs 0%; p=0,037), arrhythmia (38,5% vs 9%; p=0,036) and higher prevalence of CENP-B antibodies(46% vs 4%; p=0,01) compared to patients without MCv.Patients with HCw had lower C reactive protein (0,16 ±0,10 vs 0,7±0,7; p=0,008) compared to those without HCw. No differences in the rate of heart and vascular complications of SSc were observed.The SSc patients with ACw had higher frequency of arrhythmia (33% vs 0%; p=0,016) and longer disease duration (15,5 y ±9,9 vs 8,8 ±5,8; p=0,03).The SSc patients with VC had higher rate of PAH (33%vs0%; p=0,003) and uric acid (6±0,5vs3,8±1,2 p=0,0001).Regression analysis excluded any association with gender, BMI, systemic arterial hypertension, steroid therapy, hypovitaminosis D or smoke habit. No cardiovascular event was recorded in one year of observation.Conclusion:All patterns of calcifications may be related mostly with the older age. Myocardial vessels calcifications have been found in a high percentage of SSc patients and in particular in those with PAH and positive for anti CENP-B. Furthermore, myocardial vessels calcifications could be associated to the higher occurrence of arrhythmia. More studied are needed to assess the importance of vascular calcification as a part of the vascular involvement in SSc.References:[1]John W. Nance Jr. MD. Myocardial calcifications: Pathophysiology, etiologies, differential diagnoses, and imaging findings. Journal of Cardiovascular Computed Tomography 9 (2015) 58 e 67.[2]Pagkopoulou E, Poutakidou M. Cardiovascular risk in systemic sclerosis: Micro- and Macro-vascular involvement. Indian J Rheumatol 2017;12, Suppl S1:211-7[3]Plastiras SC, Toumanidis ST. Systemic sclerosis: the heart of the matter. Hellenic J Cardiol. 2012;53(4):287–300.Disclosure of Interests:None declared

scholarly journals Use of traditional medicine for primary headache disorders in Kuwait

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Jasem Y. Al-Hashel ◽  
Samar Farouk Ahmed ◽  
Fatemah J Alshawaf ◽  
Raed Alroughani
Keyword(s):  
Traditional Medicine ◽  
Primary Headache ◽  
Headache Disorders ◽  
Primary Headache Disorders

scholarly journals Awareness on usage of iodized salt and its treatment effect among dental students

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 840-842
Author(s):  
Praneeksha Ravichandran ◽  
Dhanraj Ganapathy ◽  
Keerthi Sasanka
Keyword(s):  
Iodine Deficiency ◽  
Treatment Effect ◽  
Online Survey ◽  
Dental Students ◽  
Iodized Salt ◽  
Cross Sectional ◽  
Iodised Salt ◽  
Salt Consumption ◽  
Development Disabilities ◽  
Self Administered Questionnaire

Iodised salt is table salt mixed with minute amounts of the element iodine. The ingestion of iodine prevents iodine deficiency. Worldwide, iodine deficiency affects about two billion people and is the leading preventable cause of intellectual and development disabilities. To create awareness among dental students on the iodizied salt and its treatment effect on iodine deficiency. The questionnaire was based on the observational cross-sectional type of study comprising 100 dental students from the Saveetha Dental College. A self-administered questionnaire was given to the students. It was designed to collect data on the use of iodized salt among dental students through an online survey mode containing a set of 10 questions about the use of iodized salt and is a yes or no type. The results were evaluated based on the answers given by the participants. 84% of the dental students use iodised salt, which is more than half but still, the rest of them did not use iodized salt. 26% of dental students have an iodine deficiency. 83% of the students use iodized salt for cooking. 61 % of the students think that iodised salt is healthy. 32%students have answered that sea salt and 7% Himalayan salt is healthy. 65% of the dental students were aware of average salt consumption per day. Majority of the dental students were aware of iodized salt and its treatment effect on iodine deficiency. However, more needs to create on its adverse effects and its role in dietary intake of iodine.

scholarly journals Camptocormia in patients with multiple system atrophy at different disease durations: frequency and related factors

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ling Yu Zhang ◽  
Bei Cao ◽  
Qian-Qian Wei ◽  
Ru Wei Ou ◽  
Bi Zhao ◽  
...  
Keyword(s):  
Multiple System Atrophy ◽  
Disease Severity ◽  
Disease Duration ◽  
Rating Scale ◽  
Cox Regression ◽  
Age Of Onset ◽  
Older Age ◽  
Related Factors ◽  
Cox Regression Analysis ◽  
The Impact

Abstract Background Camptocormia is common in patients with multiple system atrophy (MSA). The current study was aimed at assessing the frequency of camptocormia and its related factors in MSA patients with different disease durations. Also, the impact of camptocormia on disability was evaluated. Methods A total of 716 patients were enrolled in the study. They were classified into three groups based on disease duration (≤ 3, 3–5, ≥ 5 years). Specific scales were used to evaluate the motor and non-motor symptoms. Disease severity was assessed using the Unified Multiple System Atrophy Rating Scale (UMSARS). The binary logistic regression model was used to explore the factors related to camptocormia. To analyze the impact of camptocormia on disability in patients with disease duration less than 5 years, propensity score matching (PSM) and stratified Cox regression analysis were used. Results In the current study, we found that the frequency of camptocormia was 8.9, 19.7 and 19.2% when the disease duration was ≤3, 3–5, ≥ 5 years, respectively. In the disease duration ≤3 years group, we found that MSA-parkinsonian subtype (MSA-P) (OR = 2.043, P = 0.043), higher total UMSARS score (OR = 1.063, P < 0.001), older age of onset (OR = 1.047, P = 0.042), and lower score on the frontal assessment battery (FAB) (OR = 0.899, P = 0.046) were associated with camptocormia. Only greater disease severity was associated with camptocormia in the group of patients with disease duration 3–5 years (OR = 1.494, P = 0.025) and in the group of patients with disease duration ≥5 years (OR = 1.076, P = 0.005). There was no significant impact of camptocormia on disability in patients with a disease duration of < 5 years (HR = 0.687, P = 0.463). Conclusion The frequency of camptocormia increased with prolonged disease duration. Disease severity was related to camptocormia at different stages of the disease. The MSA-P subtype, older age of onset, and lower FAB score were associated with camptocormia in the early stage of the disease.

scholarly journals Atherosclerotic plaque in carotid arteries in systemic lupus erythematosus: frequency and associated risk factors

2005 ◽  
Vol 123 (3) ◽  
pp. 137-142 ◽  
Author(s):  
Alexandre Wagner Silva de Souza ◽  
Francisca Satomi Hatta ◽  
Fausto Miranda Jr. ◽  
Emília Inoue Sato
Keyword(s):  
Risk Factors ◽  
Systemic Lupus Erythematosus ◽  
Atherosclerotic Plaque ◽  
Lupus Erythematosus ◽  
Carotid Plaque ◽  
Carotid Arteries ◽  
Disease Duration ◽  
Significant Risk ◽  
Older Age ◽  
Systemic Lupus

CONTEXT AND OBJECTIVE: Atherosclerotic disease is an important cause of morbidity and mortality in systemic lupus erythematosus (SLE) patients. No previous study has estimated carotid disease prevalence in such patients in Brazil. The aim was to evaluate the prevalence of atherosclerotic plaque in carotid arteries, in SLE patients and controls, and to verify possible associations between risk factors and carotid plaque. DESIGN AND SETTING: Cross-sectional study, at Universidade Federal de São Paulo - Escola Paulista de Medicina. METHODS: Carotid plaque prevalence was assessed by B-mode ultrasound in 82 female SLE patients of mean age 34.0 years and 62 controls of mean age 35.7 years. Plaque was defined as a distinct area of hyperechogenicity and/or focal protrusion of the vessel wall into the lumen. Risk factors for coronary disease and SLE-related variables were determined. RESULTS: 50% of patients and 29% of controls presented carotid plaque. Older age, longer disease duration, higher Systemic Lupus International Collaborating Clinics (SLICC) score, higher levels of low-density lipoprotein and greater diabetes, obesity, premature ovarian failure and family history of coronary artery disease were found in patients with carotid plaque than in those without plaque. Patients with plaque were younger than controls with plaque. SLE diagnosis, obesity, older age, higher SLICC score and longer disease duration were independent risk factors for carotid plaque. CONCLUSION: Young patients with SLE present higher prevalence of carotid plaque than controls. SLE diagnosis was a significant risk factor for carotid atherosclerosis.

scholarly journals Knowledge, Attitudes, and Practices Among the General Population During COVID-19 Outbreak in Iran: A National Cross-Sectional Online Survey

2020 ◽  
Vol 8 ◽  
Author(s):  
Edris Kakemam ◽  
Djavad Ghoddoosi-Nejad ◽  
Zahra Chegini ◽  
Khalil Momeni ◽  
Hamid Salehiniya ◽  
...  
Keyword(s):  
Online Survey ◽  
Information Sources ◽  
Sample Population ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Knowledge And Attitude ◽  
High Level ◽  
Self Administered Questionnaire ◽  
Knowledge Attitudes And Practices ◽  
Staying At Home

Background: Emerged in December 2019, coronavirus disease 2019 (COVID-19) is one of the largest pandemics ever. During the early phase, little was known about public knowledge, attitudes, and practices (KAP) relating to coronavirus disease. This study was designed to determine KAP of Iranians toward COVID-19.Methods: A cross-sectional online survey was carried out in Iran from February 25 to April 25 using a self-administered questionnaire on 1,480 people. COVID-19-related KAP questions were adapted from other internationally validated questionnaires specific for infectious diseases.Results: All participants were aware of COVID-19. When asked unprompted, 80% of respondents could correctly cite fever, difficulty in breathing, and cough as signs/symptoms of COVID-19. Most of our sample population knew that staying at home and isolated (95.3%) as well as constant handwashing and using disinfectants (92.5%) could prevent COVID-19. However, there were also widespread misconceptions such as the belief that COVID-19 can be transmitted by wild animals (58%) and by air (48.3%). Unprompted, self-reported actions taken to avoid COVID-19 infection included handwashing with soap and water (95.4%), avoiding crowded places (93%), cleansing hands with other disinfectants (80.), and covering mouth and nose when coughing or sneezing (76.1%). The Internet and social media (94.5%) were the main coronavirus information sources. However, the most trusted information sources on coronavirus were health and medical professionals (79.3%). The majority of participants (77.0%) wanted more information about coronavirus to be available.Conclusion: Our findings suggest that people's knowledge and attitude toward COVID-19 at the time of its outbreak was at a high level.

Headache

2017 ◽  
Author(s):  
Kurt F. Dittrich
Keyword(s):  
Social Factors ◽  
Alternative Treatment ◽  
Treatment Options ◽  
Signs And Symptoms ◽  
Headache Disorders ◽  
Nonpharmacological Treatment ◽  
Anatomy And Physiology ◽  
Headache Management

Having a solid grasp of headaches is essential for the pain provider. This required knowledge should include understanding the anatomy and physiology of headaches; knowing how to classify headaches using the second edition of the International Classification of Headache Disorders; recognizing the physical, psychological, and social factors that may contribute to headaches; and understanding the role of counseling and nonpharmacological treatment options. It is essential to understand the pharmacological aspects of headache management as well as some of the nuances of the specific medications most often used. A pain provider should be able to recognize when signs and symptoms of a headache warrant further investigation as well as when to offer alternative treatment options to patients. The questions in this chapter are designed to assist in gathering this knowledge base and assist the pain provider in analyzing the headache condition.

scholarly journals Implementasi Belajar Dari Rumah dan Kesiapan Pembelajaran Tatap Muka di Madrasah

2021 ◽  
Vol 19 (2) ◽  
pp. 112-126
Author(s):  
Opik Abdurrahman Taufik ◽  
Husen Hasan Basri ◽  
Sumarni Sumarni
Keyword(s):  
Learning Process ◽  
Online Survey ◽  
Survey Method ◽  
New Normal ◽  
Face To Face ◽  
Assignment Method ◽  
Face To Face Learning ◽  
The Government ◽  
Role Of Parents ◽  
Open Face

AbstractDuring the pandemic, the government issued the policy to learning from home, followed by the other policy to open face-to-face learning in the New Normal era. This study aims to determine the implementation of learning from home policy and the readiness of madrasas to conduct face-to-face learning in the New Normal era. This research was conducted using an online survey method in 2021. The results showed that 85% of madrasas carried out the learning process online, of which 86.8% were carried out through the assignment method from the teacher. In the learning process at home, only 28.7% of students were accompanied, reminded, supervised, and assisted by their parents. It means that the role of parents in learning from home is minimal. However, 86.5% provide internet access. Regarding the readiness of madrasas in face-to-face learning, 62.24% were not ready to carry out face-to-face learning. This unreadiness relates to the difficulties in fulfillment of aspects that are required for face-to-face learning.AbstrakPada masa pandemi, pemerintah mengeluarkan kebijakan belajar dari rumah, lalu disusul dengan kebijakan untuk membuka pembelajaran tatap muka di era New normal. Penelitian ini bertujuan untuk mengetahui implementasi kebijakan belajar dari rumah dan kesiapan madrasah untuk melakukan pembelajaran tatap muka di era New normal. Penelitian ini dilakukan dengan metode survei dalam jaringan (daring) pada tahun 2021. Hasil penelitian menunjukkan bahwa sebanyak 85,0% madrasah melakukan proses pembelajaran dalam bentuk daring, di mana  86,8% dilakukan melalui metode penugasan dari guru. Dalam proses pembelajaran di rumah, hanya 28,7% siswa yang didampingi, diingatkan, diawasi, dan dibantu oleh orang tuanya. Hal ini mengindikasikan peran orang tua dalam pembelajaran dari rumah terlihat minim. Namun demikian sebesar 86,5% menyediakan akses internet. Terkait dengan kesiapan madrasah dalam pembelajaran tatap muka, dari 2040 madrasah yang disurvei sebesar 62,2% tidak siap melaksanakan pembelajaran tatap muka). Ketidaksiapan tersebut berkaitan dengan pemenuhan aspek yang menjadi syarat pembelajaran tatap muka. 

scholarly journals The Influence of Work-Life Balance with Work Motivation as Mediating Factor on Job Satisfaction A Prediction toward Transition to New Normal Situation

2021 ◽  
Vol 6 (1) ◽  
pp. 79
Author(s):  
Inayah Alfatihah ◽  
Antonius Soelistyo Nugroho ◽  
Elmarian Haessel ◽  
Anita Maharani
Keyword(s):  
Job Satisfaction ◽  
Structural Equation ◽  
Online Survey ◽  
Work Motivation ◽  
Equation Model ◽  
Work Life ◽  
Work Life Balance ◽  
Life Balance ◽  
New Normal ◽  
Analysis Technique

This study aimed to examine the effect of work-life balance and work motivation on job satisfaction. The literature review used to discuss the dynamics between variables is work-life balance, motivation and job satisfaction. The approach to this research is quantitative, and the number of respondents involved in this study was 212 people who filled out the survey through an online survey. We collect data during new normal situations. The data analysis technique in this study refers to the structural equation model. The results obtained show that all hypotheses are proven. In other words, this study has shown that work-life balance affects job satisfaction, then work motivation affects job satisfaction, and work-life balance can mediate work motivation on job satisfaction.

scholarly journals Genitourinary Dysfunction Prevalence in Parkinson Disease Patients

2019 ◽  
Vol 25 (1) ◽  
pp. 6-10
Author(s):  
Rasanu Irene
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Urinary Incontinence ◽  
Disease Duration ◽  
Medication Therapy ◽  
Patient Reported ◽  
Specific Medication ◽  
Study Population ◽  
Incomplete Bladder Emptying ◽  
Self Administered Questionnaire

Abstract The goal of this study was to estimate the prevalence of patient-reported genitourinary dysfunction symptoms in Parkinson’s disease patients from the Southeastern Romania. The study was performed on 86 patients with idiopathic Parkinson’s disease from 5 Outpatients Clinics of Constanta, 56% males, mean age 70.6 years, mean disease duration 6.33 years. The patients have been assessed for the presence of genitourinary symptoms using the Scale for Outcomes in Parkinson’s Disease for Autonomic Symptoms (SCOPA-AUT) as a self-administered questionnaire. The vast majority of study population (98.8%) reported at least one genitourinary dysfunction. The most common urinary symptom was nocturia (95.3%, 95% CI 90.8-99.7), followed by pollakiuria (82.5%, 95% CI 74.4-90.5), difficulty passing urine and urge to urinate (each present in 76.7% of studied PD patients, 95% CI 67.4-85.3), incomplete bladder emptying (75.5%, 95% CI 66.4-84.5), urinary incontinence (67.4%, 95% CI 57.5-77.3). As frequency, most of the study subjects experienced genitourinary symptoms only “sometimes”. None of the investigated PD patients affected by genitourinary symptoms used specific medication therapy.

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