Epilepsy: Asia versus Africa

Is epilepsy truly an “African ailment”? We aimed to determine this, since international health agencies often refer to epilepsy as an African disease and the scientific literature has spoken the same tone. Various published materials, mainly reports, articles, were used to gather Asian and African evidence on various aspects of epilepsy and many of its risk and associated factors. Our results suggest that in no way can epilepsy be considered as an African ailment and such characterization is most likely based on popular beliefs rather than scientific evidence. In comparison to Africa, Asia has a 5.0% greater burden from all diseases, and is 17.0% more affected from neuropsychiatric disorders (that include epilepsy). Given that more countries in Asia are transitioning, there may be large demographic and lifestyle changes in the near future. However these changes are nowhere close to those expected in Africa. Moreover, 23 million Asians have epilepsy in comparison to 3.3 million Africans and 1.2 million sub‐Saharan Africans. In comparison to Africa, Asia has more untreated patients, 55.0% more additional epilepsy cases every year, because of its larger population, with greater treatment cost and possibly higher premature mortality. Of several associated factors discussed herein, many have more importance for Asia than Africa. The current state of epilepsy in Asia is far less than ideal and there is an urgent need to recognize and accept the importance of epilepsy in Asia. In no way can epilepsy be considered as an African ailment. This is most likely based on popular beliefs rather than scientific evidence. A PowerPoint slide summarizing this article is available for download in the Supporting Information section here .     

Approach of Pavement Surface Layer Degradation Caused by Tire Contact Using Semi-Analytical Model

New methods of degradations on the pavement’s surface, such as top-down cracking and delamination, caused by the repeated passage of heavy vehicles led to questions about the impact of the contact between the tire and the pavement. In fact, to increase the service life of the structures, future road design methods must have a precise knowledge of the consequences of the contact parameters on the state of stress and deformation in the pavement. In this paper, tractive rolling contact under the effect of friction is modeled by Kalker’s theory using a semi-analytical method (SAM). A tire profile is performed thanks to a digitization by fringes or a photogrammetry technique. The effect of rolling on the main surface extension deformations is then highlighted to study top cracking. At the end of the SAM calculation, contact areas are closed to 200 μdef, exceeding the allowable micro-deformation limit for the initiation of cracking. In addition, results on the main strain directions also give information on the direction of cracking (initiation of longitudinal or transverse cracks). The cracking then becomes evident, leading to a reduced service life.     

Herpes simplex virus-1 as a rare etiology of isolated acute cerebellitis: case report and literature review

Journal of NeuroVirology - Acute cerebellitis is one of the most common cerebellar disorders and occurs due to para-infectious, post-infectious, or post-vaccination cerebellar inflammation. Herpes...     

Hysterectomies amongst teenagers in Calabar, Nigeria

A 10-year retrospective study of hysterectomies performed on teenagers in Calabar was carried out.     

Does “smoker’s paradox” exist in clopidogrel-treated Turkish patients with acute coronary syndrome

Previously conducted studies revealed that smoking enhanced the efficacy of clopidogrel by increasing formation of the active metabolite (AM) from the prodrug through induction of the cytochrome CYP1A2. The expression of cytochrome enzymes depends on genotype and no data exists in literature conducted in Turkish patients comparing the clopidogrel responsiveness between active smokers and non-active smokers treated with clopidogrel. In this study, our aim was to investigate the clopidogrel responsiveness in clopidogrel-treated Turkish acute coronary syndrome (ACS) patients according to their smoking status. We retrospectively enrolled 258 patients who were hospitalized due to ACS. Clinical variables of the patients, especially smoking status were recorded. Clopidogrel resistance was evaluated by using adenosine diphosphate (ADP) induced platelet aggregometry. Clopidogrel resistance was detected as a change in maximal aggregation ≤20% from baseline. A total of 139 patients were active smokers while 12 were former smokers. 107 patients did not have a history of smoking. Ten of the smokers were hyporesponsive to clopidogrel, whereas 36 of non-smokers were hyporesponsive to clopidogrel (p?612.5 predicted the clopidogrel resistance with a sensitivity of 60% (OR: 100.65, %95 CI?=?19.996–506.615 p?相似文献   

Quality of life after transsphenoidal pituitary surgery: a qualitative study

Background  

Microscopic and endoscopic approaches are both utilized for transsphenoidal resection of sellar/parasellar lesions. The endoscopic approach has been gaining popularity over the past decade; however, quality-of-life studies comparing the microscopic and endoscopic approaches are lacking. We aimed to compare the patients’ perceptions of their postoperative recovery periods following microscopic and endoscopic procedures.