A Blood Pressure Lowering Effect Only through Complex Korean Medical Treatment, without Antihypertensive Drugs, for Patients with Stress Induced Hypertension - A Case Report

Objectives: This study considered the effectiveness of integrative Korean medical treatment for stress-induced hypertensive patients without the use of conventional medication.Methods: A 62-year-old female with stress-induced hypertension (HTN) was hospitalized for 33 days. Her pattern identification was ascendant hyperactivity of liver yang (Ganyangsanghang)-type HTN. Herbal medicine and acupuncture were used for the treatment: Cheonggansoyo-san for 33 days and Chunwangbosim-dan for 15 days, together with acupuncture for 20 minutes twice a day. Blood pressure was checked daily during hospitalization with a digital sphygmomanometer in the brachial artery.Results: After 33 days of treatment, blood pressure decreased. The Handicap Inventory (DHI) scale and Pittsburg Sleep Quality Index (PSQI) scores both decreased. The patient also reported fewer complaints. A five-month follow-up after discharge, with no further treatment, confirmed stable blood pressure. Symptom improvements continued with no significant side effects.Conclusions: This study indicates that Korean medical treatment is effective for stress-induced hypertensive patients.

Management of Uterine Fibroid in the Ayurvedic perspective - A Case Study

Uterine fibroids are commonest benign tumor of the uterus. Histologically this tumor is composed of smooth muscle and fibrous connective tissue, so named as uterine leiomyoma, myoma or fibroma. The cause for some of the most common gynecological problems among women presenting to gynecology emergency and outpatient departments. They are often asymptomatic but they can cause a multitude of symptoms such as abnormal uterine bleeding, a feeling of pelvic pressure, urinary incontinence or retention, or pain. Uterine fibroids are a major cause of morbidity in women of a reproductive age (and sometimes even after menopause). There are several factors that are attributed to underlie the development and incidence of these common tumors, but this further corroborates their relatively unknown etiology. The most likely presentation of fibroids is by their effect on the woman’s menstrual cycle and pelvic pressure symptom.

To Study the Effectiveness of Positive Affirmation on Stress, Anxiety and Depression of Cardio Vascular Disease Female Patients

This research paper is an attempt to study the effectiveness of positive affirmation on stress, anxiety and depression of cardio vascular disease female patients. The sample was consisted of 30 female subject of age group 35-80 year of age suffering from cardio vascular heart disease from at least 6 months or before. In the present study case record Sheet cum blood pressure symptom Checklist, Perceived Stress Scale (Sheldon (1983), Sinha’s Comprehensive Anxiety Scale (A.K.P) and List of Affirmations were used. Mean, S.D and t-test were applied for data analysis. The results reveal there is significant effect of affirmations on stress, anxiety and depression of cardio vascular disease female patients.

Abstract 157: A Streamlined Hyperacute MRI Protocol Identifies IV tPA-Eligible Stroke Patients When Initial Clinical Assessment Favors Stroke Mimic

Background: The possibility of a stroke mimic (SM) challenges the initial clinical assessment of patients presenting with suspected acute ischemic stroke (AIS). When SM is deemed likely, IV tPA may be withheld, risking an opportunity to treat an AIS. Though not routinely used in the hyperacute setting, MRI may help in diagnosing stroke when SM is favored but not certain. We hypothesized that a streamlined, hyperacute MRI (HMRI) protocol would identify a small, but important, group of IV tPA-eligible AIS patients among those initially favored to have SM. Methods: A streamlined HMRI protocol was designed based on several identified barriers to rapid patient transport, MR image acquisition, and post-MRI tPA delivery. Treating neurologists were trained to only order HMRI when SM was favored and IV tPA was being withheld (Fig). Use of HMRI for tPA decision-making, as well as baseline variables, door-to-needle times (DNT), and discharge outcomes were compared before HMRI implementation (“Pre-HMRI”: 8/1/2011-7/31/2013) and after (“Post-HMRI”: 8/1/13-7/31/14). Results: Post-HMRI, 53 patients with suspected SM, who were otherwise IV tPA eligible, underwent HMRI (median MRI order to start time 29 min). Seven of 53 patients (13%) were subsequently diagnosed with AIS based on HMRI, of whom 4 received IV tPA; 3 were excluded from IV tPA due to blood pressure, symptom improvement, and change in last known normal time. Pre-HMRI, 158 patients were treated with IV tPA, of whom none received IV tPA aided by HMRI. Post-HMRI, 80 patients were treated with IV tPA, of whom 4 patients (5%) were treated with IV tPA utilizing HMRI results (0 vs 5%, p=0.012). In pre- and post-HMRI IV tPA-treated patients, DNT (39 vs 37 min, p=0.95), symptomatic hemorrhage rate (5 vs 2%, p=0.28), and favorable discharge location (85 vs 90%, p=0.32) did not differ. Conclusions: A streamlined HMRI protocol permitted IV tPA administration to a small, but significant, subset of AIS patients initially deemed to have a SM.