Incomplete recovery from Bell's palsy was observed in some patients even after the intake of corticosteroids. This prospective study was performed on 160 patients with unilaterial nonrecurrent Bell's palsy in order to investigate the role of prednisolone on the prognosis of Bell's palsy. Ninety-three patients were given prednisolone tablets (1 mg/kg body wt/day up to 70 mg) for six successive days, then the dose was reduced gradually over the next four days. The remaining 67 patients were not given prednisolone (control group). Facial nerve recovery was assessed clinically and electrophysiologically for up to one year. The results of this study suggested that the most probable contributing factor for the success of prednisolone in improving the prognosis of Bell's palsy was its early intake (within the first 24 hours following onset).
The increase in population in the past few decades all over a large number of underdeveloped world lead to the augmentation of population crisis, especially among the low income population categories. This urged many governments of such countries including the governments of our Arabian area to adopt special residential policies for those categories to alleviate the strain of this problem. Ever since the beginning of twentieth century, Yemen (especially its southern part) had gone through many experiences in erecting residential units for the low income individuals throughout metropolitan outskirts around its principal cities making best use of the universal expertise in this field. Despite the serious attempt to control the aggravation of the population problem through such residential units, yet, due to its failure to be based upon authentic accurate studies on the one hand, and due to the lack of participation of the popular classes in the decision making process at any stage at all on the other hand, it transformed these residential units into forming an element of expulsion for the population for many long years for the unavailability of a great number of services around them and also due to the random construction that spread throughout its streets and buildings later on because they were neither culturally nor socially suitable for the inhabitants. The research aims at introducing some of these experiences, discussing them, analyzing them, and assessing them, along with trying to derive the main features by comparing them with selected styles of conventional construction. The study will concentrate upon such residential unites at the cities of Aden and Mukalla by the discussing the various advantages and disadvantages of those projects and the extent of the cultural and the social effects of such projects upon the inhabitants in order to set a future criteria for certain residential units that may satisfy the requirements for the population and delimit the random building phenomenon and the visual pollution.
Like breakthrough news of natural catastrophe, a radically different concept regarding the pathogenesis of multiple sclerosis (MS) has been proposed omitting the previous decades of research work in that field. Termed chronic cerebrospinal venous insufficiency (CCSVI), it suggests that macro occlusive abnormalities of the extracranial venous drainage pathways of the brain and spinal cord can cause or /and contribute to MS. Consequently, it has been suggested that angioplasty and possibly stenting of the internal jugular and/or azygos veins can improve the signs and symptoms of MS (Zamboni 2006; Zamboni, Menegatti et al. 2007). Since this breakthrough news a fierce pandemic has striked worldwide where these endovascular interventions have been performed sporadically across the globe in an open label fashion and never in the context of a well designed, controlled, randomized and blinded clinical trial. Despite this, this procedure 'liberation procedure' as it has been labeled by some ; sparkled a firestorm of interest in the medical and neurological communities, in both directions , to perform and not to perform. Each team has their rationale which is passionate at best, ranging from the myth that venous intervention is a miracle cure that must not be withheld from patients, to the feeling that the procedure is ineffective, unwarranted and dangerous at worst. The various views commonly see that those with differing beliefs are not acting in the best interest of the patients. As MS is a tuft practice of neurology, and neurointerventionalists interested in interventional treatment of neurological disorders are the neurology `s delivery man for neurointerventional procedures, we will attempt to analyze the available data and provide accordingly recommendations about whether or not endovascular treatment represents a reasonable option at this point of time for MS patients. To imagine the magnitude of a natural catastrophe, you should firstly bypass the denial phase to start counting the losses. So we will examine the source of the CCSVI theory and discuss the current data calling for or refuting its existence.
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