Effect of craniosacral therapy on students' symptoms of attention deficit hyperactivity disorder

Complementary and alternative medicine methods [CAM] are now used for a wide range of disorders. Craniosacral therapy [CST] is one of CAM methods in which manual maneuvers with light forces are used for different aspects of health. In the present research, the effects of CST were studied for reducing symptoms of attention deficit and hyperactivity disorder [ADHD]. Twenty-four children with ADHD were recruited as an available sample from Roshd Occupational Therapy Center and divided randomly into control and experimental groups. Before and after intervention, the Conner's Parents Rating Scale as well as child's symptom inventory-4th was filled out by parents. Both groups participated in occupational therapy programs as a routine intervention, while the experimental group received an additional CST for 15 sessions, twice a week. The collected data were analyzed as the covariance method by SPSS16. CST showed significant effects on increasing attention, reducing hyperactivity, oppositional defiant, conduct disorder, anxiety and embarrassment, social problems and psychosomatic problems of the participants. CST as a type of biomechanical correction can facilitate improvement in children with symptoms of ADHD

Risk factors of reperfusion failure following primary angioplasty for ST-segment elevation myocardial infarction [STEMI]

Although percutaneous coronary intervention [PCI] improves outcomes compared to thrombolysis, a substantial number of ST-elevation myocardial infarction [STEMI] patients do not achieve optimal myocardial reperfusion. This study was designed to evaluate factors related to suboptimal myocardial reperfusion after primary PCI in patients with STEMI. Totally, 155 patients [124 men; mean age = 56.6 +/- 11.03 years, range = 31- 85 years] with STEMI undergoing primary PCI were retrospectively studied. Additionally, the relationships between the occurrence of reperfusion failure and variables such as age, sex, cardiac risk factors, family history, Body Mass Index, time of symptom onset, ejection fraction, previous PCI, coronary artery bypass graft surgery or previous myocardial infarction, and angiographic data were analyzed. Procedural success was 97.1% and complete ST resolution occurred in 43.2%. Age; cardiac risk factors; family history; body mass index; previous MI, coronary artery bypass graft surgery, or PCI; and use of thrombectomy device and GP2b/3a inhibitor were not the determining factors [p value > 0.05]. According to our multivariate analysis, time of symptom onset [OR [95% CI]: 045 [0.2 to 0.98]; p value = 0.044] and ejection fraction [OR [95% CI]:0.37 [0.26 to .091]; p value = 0.050] had reverse and male gender had direct significant associations with failed reperfusion [OR [95% CI]: 0.34 [0.11 to 1.08]; p value = 0.068]. More degrees of ST resolution occurred when the right coronary artery was the culprit vessel [p value = 0.001]. The presence of more than three cardiac risk factors was associated with failed reperfusion [p value = 0.050]. Considering the initial risk profile of patients with acute STEMI, including time of symptom onset and ejection fraction, as well as the accumulation of cardiac risk factors in a given patient, we could predict failed myocardial reperfusion to design a more aggressive therapeutic strategy