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Giant Partially Thrombosed Anterior Communicating Artery Aneurysm Presenting with Cognitive Decline and Gait Disturbance

Aneurysms usually present with subarachnoid hemorrhage and signs of increased intracranial pressure.Patients who survive after their first bleeding , have an estimated annual risk of rebleeding which is 1.27 % .We present a 35 years old male with a history of subarachnoid hemorrhage 7 months before admission , who de clined gradually in terms of cognitive and motor function as well as voluntary voiding and undiagnosed multiple endocrinologic problems who finally diagnosed with a giant partially thrombosed anterior communicating artery aneurysm with mass effect on sur rounding neurovascular structure who underwent a microsurgical clipping and aneurysm sac resection and experienced a very long post operative period regarding several post operative neurologic , endocrinologic and infectious problems.

Age-Related Composition of BMI and Body Composition Based on Fujimmon’s Growth Curve

The pubertal peak in body fat percentage was estimated and its relationship with menarche was previously investigated in regard to changes with age in BMI. However, there are no direct findings on age-related changes in body fat percentage and muscle percent age. In this study, wavelet interpolation model was applied to the values for muscle percentage, body fat percentage, and age-related change in BMI. Then, to compare the age-related change curves of muscle percentage and body fat volume with the described age-re lated curve of BMI, a cross correlation function was applied and the similarities and dissimilarities between BMI, muscle percent age, and body fat percentage were investigated. Moreover, their dependence on Fujimmon’s growth curve was investigated.

Disparity of Interstitial Glucose for Capillary Glucose in Dialysis Diabetic Patients

The prevalence of chronic kidney disease (CKD) has steadily in creased and diabetes is now considered the leading cause of end stage kidney disease (ESRD). Glycemic control in chronic renal patients on dialysis presents additional difficulties because both uremia and dialysis can affect insulin secretion and tissue insulin sensitivity. In dialysis patients, blood glucose measurement may be affected as hemodialysis causes rapid and marked changes in body fluid volume, including subcutaneous and interstitial tissue.

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