Neurosciences
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To evaluate the outcomes of early comprehensive rehabilitation protocols for traumatic brain injury (TBI) using the functional independence measure (FIM), and to study the relationship between FIM and Glasgow coma scale (GCS) variables to determine which patients will be best served by rehabilitation therapies. ⋯ Early rehabilitation interventions significantly improved the FIM scores in moderate and severe TBI patients. ERRATUM NOTICE PUBLISHED IN NEUROSCIENCES 2009; 14: 306.
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Neurosciences continues to be the leading journal for Neurosciences in Saudi Arabia and the Middle East. In January 2007, Neurosciences was indexed by Thomson ISI in Science Citation Index Expanded online at ISI Web of KnowledgeSM and Neurosciences Citation Index. Since then a significantly increased volume of scientific articles continues to be submitted to the journal by enthusiastic authors, a fact that enriches the scientific contents of the journal. ⋯ A small number of articles were rejected last year due to extensive plagiarism and duplicate publication. We hope all our readers benefitted from the introduction of the Arabic abstracts, and enjoyed the new look and the feel of the journal. We extend our sincerest thanks to our authors, readers, reviewers, and board members, and wish all a successful year.
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Unsteady gait is a relatively common presentation to the pediatric emergency and neurology services. Unsteadiness can be due to a wide variety of causes, however, the primary concern on initial assessment is to exclude serious disorders such as meningitis, encephalitis, or brain tumors. Recognizing benign and non-neurological causes of unsteady gait is essential to avoid unnecessary investigations and hospital admission. ⋯ It may result from trauma, infections, metabolic, degenerative disease, space occupying lesions, or congenital anomalies. Sensory ataxia is due to peripheral neuropathy involving large myelinated fibers that carry vibration and position sense, or due to posterior spinal column dysfunction. Accurate assessment depends on detailed history, examination, and then formulation of a differential diagnosis list to guide laboratory investigations.
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To investigate if the addition of dexmedetomidine to meperidine in a patient-controlled analgesia (PCA) device would reduce postoperative meperidine consumption when compared with meperidine alone. ⋯ When compared with meperidine PCA, meperidine-dexmedetomidine PCA reduces postoperative meperidine consumption.
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To define the clinical and cerebrospinal fluid (CSF) criteria that establishes a diagnosis of sepsis and meningitis immediately on admission. ⋯ More septic cases were admitted to the Pediatric Department through Emergency than meningitis cases. The most common pediatric patients liable to LP were neonates, and the most common presenting symptom was vomiting. Children with vomiting and convulsion and no organism in CSF must be carefully examined, and urine and blood culture must be collected. These children must be closely observed in hospital and re-evaluated by a pediatrician.