Nō to shinkei = Brain and nerve
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We report a 78-year old woman with 30 years history of rheumatoid arthritis and nephrotic syndrome, who developed right hemiparesis and renal failure recently. The patient was diagnosed as having rheumatoid arthritis in 1965, and had been treated with gold -sol, steroid hormone, and non-steroidal anti-inflammatory drugs intermittently. Later on her clinical course was complicated by nephrotic syndrome, however, her renal function was well compensated. ⋯ On admission, she was afebrile and BP was 120/80 mmHg. General physical examination was unremarkable except for pitting edema and multiple contracture of her joints. On neurologic examination, she was alert but appeared to have aphasia and dementia; she could utter only a few simple words, and was able to understand only simple questions.(ABSTRACT TRUNCATED AT 400 WORDS)
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To investigate the risk factors of cerebral hemorrhage in women, we conducted a 1:1 pair matched case-control study on 98 women with cerebral hemorrhage diagnosed by CT scan of the head and the same number of controls. Single factor analysis revealed that a high body mass index (BMI) increased the risk of cerebral hemorrhage (p < 0.05). Multiple conditional logistic regression analysis showed that hypertension, snoring and the use of OCs were independent risk factors of cerebral hemorrhage in women, and the odds ratios (ORs) were 8.36 (95% CI: 3.22-21.73), 3.84 (95% CI: 1.47-10.04) and 7.96 (95% CI: 1.27-49.83), respectively. No correlations between cerebral hemorrhage in women and their occupation educational level or history of menstruation and child bearing were found.