Pain in the orofacial region is both common and distressing. Their complex anatomy and aetiologies make their diagnosis challenging, frequently overlapping various surgical and medical disciplines, which makes their classification complex. Furthermore, there are a group of unclassified idiopathic pains, which frequently remain refractive to treatment. Traditionally, these pains were thought to ...

Acute pericardial diseases include acute pericarditis and cardiac tamponade. Both conditions can be associated with acute hemodynamic instability or cardiac failure and require immediate diagnostic workup and treatment. The pericardium surrounds the heart with two layers. The outer fi brous layer is called the parietal pericardium; the inner layer, which covers the cardiac surface, is the serou...

BACKGROUND The profound physiologic effects of pregnancy affect the musculoskeletal system. Pregnant women are at increased risks of low back/pelvic girdle pains. OBJECTIVE To determine the incidence of low back/pelvic girdle pains among pregnant women. MATERIALS AND METHODS This was a cross-sectional study conducted from May 1 to June 30, 2016, among consenting pregnant women at Aminu Kano...

Pericardial tuberculosis (TB) is associated with high therapy failure and high mortality rates. Antibiotics have to penetrate to site of infection at sufficient non-protein bound concentrations, and then enter bacteria to inhibit intracellular biochemical processes. The antibiotic concentrations achieved in pericardial fluid in TB pericarditis have never been measured before. We recruited two c...

BACKGROUND Pericardial fat has been implicated in the pathogenesis of obesity-related cardiovascular disease. Proposed mechanisms may be relevant in right heart failure, but relationships between pericardial fat and right ventricular (RV) morphology have not been explored. METHODS The Multi-Ethnic Study of Atherosclerosis is a prospective cohort that enrolled participants without clinical car...

BACKGROUND The clinical significance of pericardial biopsy is controversial. The aim of this study was to assess the feasibility and diagnostic value of 3 approaches to pericardial biopsy: fluoroscopic control and standard sampling, pericardioscopy guidance with standard sampling, and pericardioscopy guidance with extensive sampling. METHODS AND RESULTS Forty-nine subsequent patients with a l...

What sort of children are they who complain of recurrent abdominal pains, and how do they compare with children who do not suffer from such pains? Because patients referred to hospital are inevitably pre-selected, we have tried to answer these questions by a survey of 1,000 unselected children at primary and secondary modem schools. One of us throughout the survey, and sometimes both, attended ...

Purpose The so called growing pains (GP) are affecting 4-37% of all children with a peak incidence in the preschool years. The underlying cause of this medically harmless but perturbing condition is still unknown. Although parasomnias (e.g., sleep terrors, sleep talking, sleep walking) share several common features with GP such as age at onset, daytime of appearance, self-limited course and com...

In this issue of the Southern Medical Journal, the review by J. Rubin on psychosomatic pain quoted a study in which it was found that “college students with chronic pain yielded a history of abuse (physical and/or sexual) in 43.5% of the females (275 subjects) and 23.8% of the males (151 subjects).” We suggest that as many victims of sexual abuse repress their memory of the incident(s), the act...

Excerpt: "We are accustomed to anabolic athletes, medicated musicians and souped-up students. Now it appears that we can add pill-popping professors to this list (Sahakian and Morein-Zamir 2007). " Cosmetic neurology " is the term I used to describe the practice of using neurologic interventions to improve movement, mood, and mentation in healthy individuals. The specific kinds of enhancements ...