scholarly journals An Overview of Psychogenic Non-Epileptic Seizures: Etiology, Diagnosis and Management

2018 ◽  
Vol 45 (2) ◽  
pp. 130-136 ◽  
Author(s):  
Ángela Milán-Tomás ◽  
Michelle Persyko ◽  
Martin del Campo ◽  
Colin M. Shapiro ◽  
Karl Farcnik
Keyword(s):  
Poor Prognosis ◽  
Multidisciplinary Approach ◽  
Treatment Algorithm ◽  
Family Physicians ◽  
Epileptic Seizures ◽  
National Registry ◽  
Diagnosis And Management ◽  
Ovid Medline ◽  
The Family ◽  
Embase Database

AbstractThe purpose of this review is to provide an update of the research regarding the etiology, diagnosis and management of psychogenic non-epileptic seizures (PNES). A literature search using Pubmed, Ovid MEDLINE and EMBASE database was performed from 2000 up to August 2017. We have evaluated the different factors leading to PNES as well as the diagnostic approach and management of this disorder which continue to be very difficult. The coexistence of epilepsy and PNES poses special challenges and requires the coordinated efforts of the family physicians, psychiatrists, psychologists and neurologists. Although this condition has an overall poor prognosis, a multidisciplinary approach in the diagnosis and management of this disorder would likely improve the outcomes. We have proposed a diagnostic and treatment algorithm for PNES and suggested a national registry of patients suffering from this condition. The registry would contain data regarding treatment and outcomes to aid in the understanding of this entity.

Cyclical Cushing’s Syndrome: A Multidisciplinary Approach to Diagnosis and Management

2019 ◽  
Author(s):  
Ghaith Habboub ◽  
Lee Hwang ◽  
Shahed Tish ◽  
Zahrae Sandouk ◽  
Philip Johnston ◽  
...  
Keyword(s):  
Cushing’S Syndrome ◽  
Multidisciplinary Approach ◽  
Cushing's Syndrome ◽  
Diagnosis And Management

Case of oculo-auriculo-vertebral spectrum: rare clinical features

2021 ◽  
Vol 14 (3) ◽  
pp. e234181
Author(s):  
Daisy Khera ◽  
Saurabh Agarwal ◽  
Prawin Kumar ◽  
Kuldeep Singh
Keyword(s):  
Multidisciplinary Approach ◽  
Loud Sound ◽  
The Family ◽  
Bifid Rib ◽  
Depressor Anguli Oris ◽  
Bone Anchored Hearing Aid ◽  
Canal Atresia ◽  
Brain Stem Evoked Response ◽  
Evoked Response Audiometry

A 2-month-old boy presented to us with bilateral microtia, left lower motor neuron facial palsy, micrognathia, hemivertebra, bifid rib, bifid thumb and absent/hypoplastic right-sided depressor anguli oris. He had bilateral external auditory canal atresia, although response to loud sound was present. Brain stem evoked response audiometry (BERA) was advised at 3 months of age. Karyotype was normal. We diagnosed him as a case of oculo-auriculo-vertebral spectrum. Child was discharged on request by the family with the plan for bone-anchored hearing aid after BERA and plan for pinna and ear canal reconstruction at a later age but child did not come for any follow-up visit. On telephonic enquiry, it was found that he is thriving well but has developmental delay including speech delay. We conclude that children presenting with external ear abnormalities should be screened for multiple congenital anomalies so that a multidisciplinary approach to management can be planned.

Catastrophic Antiphospholipid Syndrome Following Lower Extremity Arterial Bypass Surgery: Case Report and Evidence Review

2021 ◽  
pp. 153857442110462
Author(s):  
Ahmed A. Sorour ◽  
Levester Kirksey ◽  
Sarah Keller ◽  
Michael S. O’Connor ◽  
Sean P. Lyden
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Antiphospholipid Syndrome ◽  
Current Literature ◽  
Bypass Surgery ◽  
Multidisciplinary Approach ◽  
Catastrophic Antiphospholipid Syndrome ◽  
Diagnosis And Management ◽  
Life Threatening ◽  
Evidence Review

Catastrophic antiphospholipid syndrome (CAPS) is a rare life threatening presentation of antiphospholipid syndrome. Surgery has been proposed as one of the triggering factors for this life threatening entity. There are no detailed published reports in the current literature describing CAPS as a complication after surgery. We report a case of a 21 year old that developed CAPS postoperatively and discuss the multidisciplinary approach for diagnosis and management.

scholarly journals Socio-Ecological Nature of Drowning in Low- and Middle-Income Countries: A Review to Inform Health Promotion Approaches

2020 ◽  
Vol 12 (2) ◽  
Author(s):  
Muthia Cenderadewi ◽  
Richard Franklin ◽  
Sue Devine
Keyword(s):  
Health Promotion ◽  
Protective Factor ◽  
Prevention Strategies ◽  
Water Safety ◽  
Middle Income ◽  
Drowning Prevention ◽  
Middle Income Countries ◽  
Ovid Medline ◽  
The Family ◽  
Low And Middle Income

Most deaths by drowning (91%) have occurred in low- and middle-income countries (LMICs), particularly in Southeast Asia (35%) and Africa (20%), in proportion to total drowning deaths worldwide. Poor data collection in LMICs hinders the planning, implementation, and evaluation of prevention strategies. The objective of this study was to review the rates and risk factors of unintentional drowning in LMICs and to identify drowning prevention strategies within a socio-ecological health promotion framework. A systematic search, guided by PRISMA, was conducted on Ovid MEDLINE, CINAHL, Informit health, PsycINFO (ProQuest), Scopus, SafetyLit, Google Scholar, and BioMed Central databases for all relevant studies published between 2012 and 2017. McMaster appraisal guideline was used for critical review. The disparity of available drowning data was observed across selected countries. The highest rates were identified in low-middle income South-east Asian countries. The socio-economic background of the family, overcrowding, and living close to water bodies were important predictors for paediatric drowning in LMICs, while the presence of mother as caregiver was identified as a protective factor. The over-reliance on active injury prevention strategies was identified. Further research focusing on developing relevant upstream drowning prevention and water safety promotion is needed to ensure the sustainability of drowning prevention in LMICs.

scholarly journals Awareness of Family Physician Residents of their Roles in Disaster Health Management: A Cross-Sectional Study in Saudi Arabia

2021 ◽  
pp. 254-261
Author(s):  
Fawaz Hassan Alamri ◽  
Faisal Dhahi Aldahash ◽  
Sa’ad Alqahtani
Keyword(s):  
Saudi Arabia ◽  
Disaster Management ◽  
Family Physician ◽  
Emergency Services ◽  
Health Management ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Disaster Medicine ◽  
Cross Sectional ◽  
The Family

Background: Family physicians have a pivotal role in responding to the medical community's needs and have a crucial role in disaster health management. Family physicians have several tasks and duties during and after the disaster, such as event detection, critical information’ collection and distribution, and rehabilitative activities. It is important to identify the level of awareness of the family physicians regarding their role in the management of disasters. Aim: To assess the awareness of family physician residents of their roles in disaster health management, Saudi Arabia. Methods: This study was cross-sectional; it was performed on Saudi family physician residents in family practice clinics and centers in Saudi Arabia. A self-administrated questionnaire has been sent electronically to the participants to investigate their awareness. IMB SPSS version 22 was used to analyze the collected data. Results: This study included 400 family physicians; more than one-half 52.75%were in the age of 28-30 years old. There were 61.5% worked previously at hospital emergency services. A few percentages reported receiving training on disaster medicine management in the clinic, 38.5%. 47.75% reported willingness to train on disaster management. There was 71% of physicians had high knowledge regarding their role in disaster management. Conclusion: There was high awareness among the family physicians regarding their role in the management of disaster with an acceptable attitude toward receiving training.

Diagnosis and Management of Suspected Pediatric Autoimmune Encephalitis: A Comprehensive, Multidisciplinary Approach and Review of Literature

2021 ◽  
pp. 088307382110646
Author(s):  
Melissa A. Wright ◽  
Cristina C. Trandafir ◽  
Gary R. Nelson ◽  
Aimee O. Hersh ◽  
C. J. Inman ◽  
...  
Keyword(s):  
Iterative Process ◽  
Multidisciplinary Approach ◽  
Pediatric Patients ◽  
Treatment Initiation ◽  
Young Patients ◽  
Autoimmune Encephalitis ◽  
Comprehensive Approach ◽  
Review Of Literature ◽  
Duration Of Treatment ◽  
Diagnosis And Management

Autoimmune encephalitis is an increasingly recognized entity in children. When treated promptly, favorable outcomes are seen in a majority of pediatric patients. However, recognition of autoimmune encephalitis in young patients is challenging. Once autoimmune encephalitis is suspected, additional difficulties exist regarding timing of treatment initiation and duration of treatment, as evidence to guide management of these patients is emerging. Here, we review available literature regarding pediatric autoimmune encephalitis and present our institution's comprehensive approach to the evaluation and management of the disease. These guidelines were developed through an iterative process involving both pediatric neurologists and rheumatologists.

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