Utility analysis of management strategies for suspected subarachnoid haemorrhage in patients with thunderclap headache with negative CT result

AbstractThis article highlights the virtue of integrating well-being metrics (e.g., psychological well-being, perceived meaning) into aspects of utility analysis for the purpose of enhancing human resource management strategies and worker performance. We present the reader with a review of conceptual and practical developments in this field and examples of utility analysis calculations, while we advocate for the necessity of including well-being metrics in utility analysis for the 21st century. The basic thrust of this effort is to encourage the greater employment by managers of quantitative models that allow decision makers to generate all the factors needed to estimate long-term financial gains and/or losses before any intervention strategy is implemented in the workplace. As indicated, the use of quantitative models to estimate the net financial gains of using particular intervention strategies, accompanied with the value estimation of certain types of employee states (e.g., psychological well-being) and worker behaviors (e.g., employee turnover), can ultimately save companies from making gross tactical errors and, more positively, can assist management in promoting the organization's long-term economic goals in conjunction with the enhanced well-being of employees.

Download Full-text

Not just another thunderclap headache: a case of isolated cortical vein thrombosis and subarachnoid haemorrhage

BMJ Case Reports ◽

10.1136/bcr-2015-212273 ◽

2015 ◽

Vol 2015 (nov12 1) ◽

pp. bcr2015212273-bcr2015212273

Author(s):

E. Vassallo ◽

C. Azzopardi ◽

R. Grech

Keyword(s):

Subarachnoid Haemorrhage ◽

Thunderclap Headache ◽

Cortical Vein ◽

Vein Thrombosis ◽

Cortical Vein Thrombosis

Download Full-text

Neurology

Obstetric Medicine ◽

10.1093/med/9780198821540.003.0007 ◽

2020 ◽

pp. 221-262

Author(s):

Charlotte Frise ◽

Sally Collins

Keyword(s):

Subarachnoid Haemorrhage ◽

Myasthenia Gravis ◽

Ischaemic Stroke ◽

Antiepileptic Drugs ◽

Management Strategies ◽

Pregnant Patient ◽

Artery Dissection ◽

Cervical Artery Dissection ◽

Cervical Artery ◽

Neurological Conditions

This chapter considers the effects of neurological conditions in the pregnant patient. This includes epilepsy, the use of antiepileptic drugs and any contraindications and problems for the fetus, and the management of seizures both pre- and postnatally. Ischaemic stroke, intracranial and subarachnoid haemorrhage, cervical artery dissection, moyamoya, headaches, migraine, and neonatal effects of myasthenia gravis are all discussed, along with management strategies. Inherited and acquired neuropathies are also covered, along with other neurological conditions.

Download Full-text

Chronic migraine and medication overuse headache

Oxford Textbook of Headache Syndromes ◽

10.1093/med/9780198724322.003.0031 ◽

2020 ◽

pp. 275-283

Author(s):

David W. Dodick ◽

Stephen D. Silberstein

Keyword(s):

Subarachnoid Haemorrhage ◽

Chronic Migraine ◽

Cerebral Aneurysm ◽

Medication Overuse Headache ◽

Abrupt Onset ◽

Severe Headache ◽

Thunderclap Headache ◽

Work Up ◽

Neurologically Intact ◽

Secondary Causes

Thunderclap headache refers to the abrupt onset of a severe headache. Characteristics of the pain are not strictly defined, but intensity is considered to peak in seconds to a minute. This chapter focuses on the work-up of alert neurologically intact patients presenting with an acute and severe headache, not related to trauma. Work-up to detect or exclude a subarachnoid haemorrhage is described first, followed by an overview of investigations to detect a cerebral aneurysm. Thereafter, other secondary causes of thunderclap headache and their suitable analysis will be discussed, followed by a brief overview of primary thunderclap headaches.

Download Full-text