scholarly journals Narcolepsy

2019 ◽  
pp. 81-83
Author(s):  
Lj. Radulovic ◽  
S. Vujisic ◽  
N. Ivanovic ◽  
S. Vodopic

A.M. is a 19 years old university student without any previous illness. During the fourth year of high school, episodes of motor paralysis began to occur during awakening when she is conscious, but she needs a few minutes to start to move. The episodes are manifested a couple of times monthly. Simultaneously, but rarely, there are hypnagogic hallucinations such as sound and fear in a semi awake condition and she cannot react. Practically, last three years she has attacks of irresistible sleepiness, especially when she feels comfortable. She falls asleep during lectures or when she writes a message. She sleeps for a short time during writing and that refreshes her. An 77 year-old man repeatedly experienced what he described as occasional “trance-like” states accompanied by drowsiness for about 9 years after he experienced ischemic stroke. These became increasingly frequent, finally reaching 3-5 times daily. In addition, he experienced sudden “drop attacks” during the previous 3 years. During that time, he did not receive a proper diagnosis or treatment despite several hospitalizations. Initially he was treated for epilepsy before receiving a proper diagnosis of narcolepsy.

Author(s):  
Naomi Katayama ◽  
Shyoko Kondo

A dental questionnaire survey conducted on 34 high school students, 55 university students, 23 Middle-age who participated in the university festival. Participants answered yes or no to ten self-administered questions. Also, participants described the hardness of meals, brushing teeth after meals, and time to spend eating in a questionnaire. As a result, some students even had some guminflammation. Middle –Ages had many people who had experience with swollen gums (52.2%). Of the participants, the Middle Ages were few who applied fluorine (17.4%), and many were students (high school students 64.7%, university students 90.9%). Most people brush their teeth after breakfast or dinner. Participants replied that they usually eat a little hard (52.0%) or soft (38.1%) food. One high school student replied that he usually eats soft food. The time to eat was longer than breakfast and then dinner, but it was less than 30 minutes ever for dinner. Middle-Ages ad an average time to spend eating of fewer than 10 minutes for breakfast, 14 minutes for lunch, and 22 minutes for dinner. Middle ages had shorter meal times in all than students. Form the results of the participants; we wondered if they did not chew food very well because they eat soft food in a short time.


2004 ◽  
Vol 52 (2) ◽  
pp. 167-178 ◽  
Author(s):  
John M. Geringer ◽  
Michael L. Allen

We investigated vibrato performance of university student and high school string players. Forty violinists and cellists performed an eight-measure passage both with and without vibrato. Analyses indicated that the mean rate of vibrato was approximately 5.5 Hz, with no significant differences between instruments or performer experience level. The mean width of violin vibratos was larger than cello vibratos. Violinists' mean pitch levels were sharper than cellists' in both vibrato and nonvibrato performances. Analysis of intonation patterns within the duration of tones showed that performers were more stable when using vibrato. University players tended to become sharper during both vibrated and nonvibrated tones compared to the younger players. Pitch oscillations during vibrato were alternations both above and below conceived pitch, rather than oscillations only above or only below the conceived pitch.


2019 ◽  
Vol 17 (1) ◽  
pp. 97-102
Author(s):  
Dariusz Kotlęga ◽  
Barbara Peda ◽  
Tomasz Trochanowski ◽  
Monika Gołąb-Janowska ◽  
Sylwester Ciećwież ◽  
...  

For rtPA treatment to be effective it should be initiated within the first 4.5 hours following the onset of a stroke. Such a short therapeutic window demands a rapid diagnosis and decision making on the part of the physician. There are patients with stroke-like symptoms and an initial diagnosis of a stroke, but who are finally diagnosed as suffering from another condition. According to the subject literature, stroke mimics are diagnosed in about 1.4 – 3.5% of patients initially diagnosed as having had an ischemic stroke. Psychogenic strokes (conversion disorders) may be found in as many as 8.2% of stroke patients. Proper diagnosis is especially important in patients eligible for thrombolytic treatment when there is usually not enough time to establish the diagnosis of a stroke mimic, especially one of psychogenic origin. A patient with an initial diagnosis of an ischemic stroke who was treated with intravenous alteplase infusion. The previous two ischemic strokes treated in the same manner had been diagnosed one and two years earlier. In all hospitalizations no rtPA treatment complications had been observed. In our patient a proper neuropsychological examination was performed and a conversion disorder diagnosed. We would like to underline the importance of cooperation between the neuropsychologist and neurology physician within clinical practice.


2020 ◽  
Vol 04 (1) ◽  
pp. 10-26
Author(s):  
Mohammed Kadir ◽  
Zheno Latif ◽  
Noor Ramadan

Introduction: patients with HIV/AIDS in developing countries have to face discrimination in the society and in health care system .The knowledge of people in such countries also not good enough as many of them don’t know the main information about this disease and some of them get infected because of lack of information Objective: To examine the knowledge of people about HIV/AIDS in Kirkuk city among different educational background. Subjects and Methods: A structured questionnaire form related to HIV/AIDS was administrated on the 6000 person included (primary, secondary, high school, university student and employers as well as public people). The questionnaire form included demographic items including gender, age, setting, and educational level and questions on AIDS related knowledge covering main topics. The data was analysed and evaluated by chi-square and student t-test. Result: The results of this study showed that the rate of knowledge about HIV/AIDS regarding the knowledge of people about the causative agent the highest knowledge was virus (80.86%) followed by bacteria (8.9%), parasite (3.38%), fungus (2.23%). the rate of knowledge about HIV/AIDS according to being zoonosis in females (32.1%) was higher than males (21.18%). The knowledge of university student (45.13%) was highest followed by high school (28%), secondary school (19.75%), and the primary school (8.68%). The knowledge of people about the prevention and control of the disease, the rate of correct answer (66.8%) was higher than incorrect one (28.9%). Conclusion: There is a gap in the existing knowledge of HIV/AIDS regarding route of transmission, causative agent, and general appearance of the disease.


2021 ◽  
pp. 159101992110579
Author(s):  
Rosalie McDonough ◽  
Johanna Ospel ◽  
Nima Kashani ◽  
Manon Kappelhof ◽  
Jianmin Liu ◽  
...  

Background Current guidelines recommend that eligible acute ischemic stroke (AIS) patients receive intravenous alteplase (IVT) prior to endovascular treatment (EVT). Six randomized controlled trials recently sought to determine the risks of administering IVT prior to EVT, five of which have been published/presented. It is unclear whether and how the results of these trials will change guidelines. With the DEBATE survey, we assessed the influence of the recent trials on physicians’ IVT treatment strategies in the setting of EVT for large vessel occlusion (LVO) stroke. Methods Participants were provided with 15 direct-to-mothership case-scenarios of LVO stroke patients and asked whether they would treat with IVT  +  EVT or EVT alone, a) before publication/presentation of the direct-to-EVT trials, and b) now (knowing the trial results). Logistic regression clustered by respondent was performed to assess factors influencing the decision to adopt an EVT-alone paradigm after publication/presentation of the trial results. Results 289 participants from 37 countries provided 4335 responses, of which 13.5% (584/4335) changed from an IVT  +  EVT strategy to EVT alone after knowing the trial results. Very few switched from EVT alone to IVT  +  EVT (8/4335, 0.18%). Scenarios involving a long thrombus (RR 1.88, 95%CI:1.56–2.26), cerebral micro-hemorrhages (RR 1.78, 95%CI:1.43–2.23), and an expected short time to recanalization (RR 1.46 95%CI:1.19–1.78) had the highest chance of participants switching to an EVT-only strategy. Conclusion In light of the recent direct-to-EVT trials, a sizeable proportion of stroke physicians appears to be rethinking IVT treatment strategies of EVT-eligible mothership patients with AIS due to LVO in specific situations.


2019 ◽  
Vol 7 (2) ◽  
pp. 182
Author(s):  
Baiq Muli Harisanti

Verbal scientific communication skills observed in this study include: asking questions, answering questions, contributing ideas / opinions, responding to other students' opinions, and conveying the results of the discussion. Based on the results of the study concluded that the oral communication skills of Al-Azhar Kayangan high school students through learning the integration model of local wisdom are still in the low category. A skill cannot be taught in a short time so it needs to be practiced repeatedly so that students become more skilled. Further research is needed to be related to non-verbal communication skills at the same location and students so that observation of students' communication skills is more comprehensive.


Author(s):  
Ludmila Babajeva

<p>Folk high schools during last 160 years have been known for being unique nonformal education institutions with their own philosophical conception established by Danish philosopher N.F.S. Grundtvig (1783-1872). Founded as national consciousness and Danish culture supportive institutions, folk high schools in short time became centres of democracy. The main ideas of these conception – „living word”, „enlightenment”, „enliving”, „school for life”, „personal development” – have made these institutions as providers of personal enlightenment, development and self-realization, where students enlived their transformations through dimensions of body, feelings and mind.</p>


1986 ◽  
Vol 118 ◽  
pp. 93-94
Author(s):  
Syuzo Isobe ◽  
Nobuo Shinohara ◽  
Hidehiko Agata

The Sundai senior high school built a telescope with an alt-az mounting and an aperture of 75cm. A photographic camera at the prime focus, and an SIT camera, a photomultiplier, and a spectrograph at the Nasmyth focus are prepared. Time needed for the exchange between instruments is in less than a minute. Therefore, effective observations are performed by changing the instruments which are proper for the sky condition at the observed night.


Sign in / Sign up

Export Citation Format

Share Document