ABSTRACT
Studies about headaches associated with acute ischemic stroke in patients suffering from migraine were limited, and therefore we present a clinical case of central post-stroke pain (CPSP) in a 47-year-old woman with migraine and lacunar infarcts in the medulla oblongata and also possible mechanisms of CPSP in patients with migraine. Magnetic resonance imaging of the brain revealed lacunar infarction in the medulla oblongata on the right (vertebral artery basin) and a single focus of gliosis in the parietal lobe on the right. Magnetic resonance angiography of cerebral vessels showed the fetal type of structure of both posterior cerebral arteries. This clinical case is a complex clinical situation of a combination of secondary headaches (post-stroke) in a patient with a primary headache (migraine), which was successfully treated by the combined administration of first-line drugs for the treatment of neuropathic pain in a patient with lacunar infarcts in the medulla oblongata. The treatment of CPSP is a difficult task due to the insufficiently unexplored mechanisms of development, the most effective approaches are those aimed at reducing the increased excitability of neurons.Copyright © 2023, Indian Association of Biomedical Scientists. All rights reserved.
ABSTRACT
This paper explores university discourse as a conceptual-communicative macrostructure that verbally represents international organizations' and universities' policies and activities to support youth's sustainable development to support youth's sustainable development amidst COVID19. The materials include universities' official site information and higher education-related data from international organizations regarding universities' activities during the pandemic. The textual corpus from 172 universities from Africa, Asia, Europe, North and Latin America, Oceania, as well as 164 documents with essential international institutional affiliations, were explored. The methodology combined qualitative and quantitative tools, theoretical, and empirical analysis. Data processing rested on thematic content analysis. Manual and computer-based coding techniques were applied. The analysis made it possible to identify major concepts and their constituents which form a verbally expressed conceptual macrostructure of university knowledge and action in fostering youth's sustainability during pandemics. The findings revealed some standard features within universities communication dimensions, on the one hand, and some specific to Russian universities on the other. Differences between universities and international organizations concerning communication focus were also identified. The research findings result in tentative recommendations to bridge Academia, University, and Society in efforts to foster youth's status and sustainability in contemporary civilization.